Athletic API Dashboard
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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 09:06:17.961980 | 2025-07-15 02:04:20.807554 | 9820081 | N/A | N/A | {'payer_id': '60054', 'payer_name': 'Aetna', 'provider_npi': '1114042165', 'trace_number': '9820081', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1969-05-02', 'date_of_service': '2025-07-14', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'Taylor', 'subscriber_member_id': '0322952413', 'subscriber_first_name': 'Vienna'} | 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/2222/6124049/check_9820081_30dd5c36-e607-4621-aa80-68e7eba81af3.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '0322952413', 'plan_type': 'Group Policy', 'group_name': None, 'payer_name': 'AETNA INC', 'payer_note': 'PLEASE CALL MEMBER SERVICES NUMBER ON ID CARD FOR IND. DEDUCTIBLE, FAMILY DEDUCTIBLE, IND. OUT OF POCKET, FAMILY OUT OF POCKET INFORMATION', 'patient_dob': '1969-05-02', 'plan_number': '001', 'group_number': '24281', 'insurance_type': None, 'plan_type_code': 'GP', 'enrolled_in_qmb': False, 'patient_last_name': 'TAYLOR', 'plan_sponsor_name': None, 'patient_first_name': 'JEFFREY', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'OUT OF NETWORK MEDICAL', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8255003956 | N/A | N/A | 6124049 | 2222 | 4793 | 9562858 | N/A | 4766759 | 2025-07-15 02:04:20.807554 | 2025-06-04 21:51:50.184092 |
| 2025-07-14 09:06:17.686334 | 2025-07-15 02:21:27.421491 | 9820063 | N/A | N/A | {'payer_id': 'Z1073', 'payer_name': 'Medicare B California Southern', 'provider_npi': '1114042165', 'trace_number': '9820063', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1952-10-25', 'date_of_service': '2025-07-14', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'JOHNSTON', 'subscriber_member_id': '7KA0H51YU14', 'subscriber_first_name': 'DEBORAH'} | 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/2222/6638066/check_9820063_0ed00747-9294-428b-8e30-bcb400c4e0ec.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '7KA0H51YU14', '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': '1952-10-25', 'plan_number': 'S5617', 'group_number': None, 'insurance_type': None, 'plan_type_code': 'MA', 'enrolled_in_qmb': False, 'patient_last_name': 'JOHNSTON', 'plan_sponsor_name': None, 'patient_first_name': 'DEBORAH', '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 | 8254931861 | N/A | N/A | 6638066 | 2222 | 4793 | 9578872 | N/A | 5247837 | 2025-07-15 02:21:27.421491 | 2026-02-24 20:36:49.807283 |
| 2025-07-14 09:06:11.007558 | 2025-07-15 02:09:57.922345 | 9819724 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9819724', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1944-09-13', 'date_of_service': '2025-07-14', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'MARTIN', 'subscriber_member_id': 'DGA11867912J', 'subscriber_first_name': 'DOLLY'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250714.115429303.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550799/check_9819724_c3674afc-c199-4663-a2e3-a090e8214f5b.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '5YV3RT3TA75', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'DIRECTORS GUILD OF AMERICA', 'payer_name': 'MEDICARE B', 'payer_note': None, 'patient_dob': '1944-09-13', 'plan_number': '040', 'group_number': '276945M001', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': '', 'plan_sponsor_name': None, 'patient_first_name': '', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2013-01-01', 'plan_coverage_description': 'PPO PRUDENT BUYER INCENTIVE', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8254933773 | N/A | N/A | 5550799 | 2222 | 4793 | 9569649 | N/A | 4219681 | 2025-07-15 02:09:57.922345 | 2026-01-14 20:54:02.193776 |
| 2025-07-14 09:06:10.891725 | 2025-07-15 02:09:57.345223 | 9819717 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9819717', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1951-06-01', 'date_of_service': '2025-07-14', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'BRADBURY', 'subscriber_member_id': 'JQE669W05502', 'subscriber_first_name': 'BONNIE'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250714.115429303.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550535/check_9819717_4c5d0172-2d7c-4558-b0dd-21da27a60822.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'JQE669W05502', 'plan_type': None, 'group_name': 'CA MED-SUPP', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1951-06-01', 'plan_number': '040', 'group_number': 'CASUPWP0', 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'BRADBURY', 'plan_sponsor_name': None, 'patient_first_name': 'BONNIE', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2022-12-01', 'plan_coverage_description': 'CA PLAN F INNOVATIVE', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8254933772 | N/A | N/A | 5550535 | 2222 | 4801 | 9569635 | N/A | 4219556 | 2025-07-15 02:09:57.345223 | 2025-05-13 04:29:37.230592 |
| 2025-07-14 09:06:10.473121 | 2025-07-15 02:09:57.636178 | 9819700 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9819700', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1949-12-17', 'date_of_service': '2025-07-14', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'GEVURTZ', 'subscriber_member_id': 'JQE714A62350', 'subscriber_first_name': 'IRWIN'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250714.115429303.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543273/check_9819700_7ea3c690-3f13-4090-b740-ac77659886a9.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'JQE714A62350', 'plan_type': None, 'group_name': 'CA MED-SUPP', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1949-12-17', 'plan_number': '040', 'group_number': 'CASUPWP0', 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'GEVURTZ', 'plan_sponsor_name': None, 'patient_first_name': 'IRWIN', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2016-12-01', 'plan_coverage_description': 'CA MODERNIZED PLAN F', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8254933768 | N/A | N/A | 5543273 | 2222 | 4802 | 9569641 | N/A | 4215069 | 2025-07-15 02:09:57.636178 | 2025-05-13 04:29:37.229385 |
| 2025-07-14 09:06:10.350331 | 2025-07-15 02:09:30.836857 | 9819693 | N/A | N/A | {'payer_id': '95567', 'payer_name': 'Health Net of California and Oregon', 'provider_npi': '1114042165', 'trace_number': '9819693', 'provider_name': '', 'subscriber_dob': '2007-12-08', 'date_of_service': '2025-07-14', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'LARSEN', 'subscriber_member_id': 'R06053944FD1', 'subscriber_first_name': 'LANA'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250714.115429303.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542850/check_9819693_5cc14b93-61a7-4616-88de-f9916a59694c.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'R06053944FD1', 'plan_type': None, 'group_name': None, 'payer_name': 'HEALTH NET OF CALIFORNIA AND OREGON', 'payer_note': None, 'patient_dob': '2007-12-08', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'LARSEN', 'plan_sponsor_name': None, 'patient_first_name': 'LANA', '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 | 8254933767 | N/A | N/A | 5542850 | 2222 | 4793 | 9569061 | N/A | 4214714 | 2025-07-15 02:09:30.836857 | 2025-05-13 04:29:37.229031 |
| 2025-07-14 09:06:10.114986 | 2025-07-15 02:10:35.796132 | 9819681 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': '1114042165', 'trace_number': '9819681', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1946-05-12', 'date_of_service': '2025-07-14', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'EGGLETON', 'subscriber_member_id': 'XEM090112120', 'subscriber_first_name': 'PAUL'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250714.115429303.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536871/check_9819681_fbf8ac19-ccaa-4755-9530-fe517d00e60e.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XEM090112120', 'plan_type': None, 'group_name': None, 'payer_name': 'BLUE SHIELD CALIFORNIA', 'payer_note': None, 'patient_dob': '1946-05-12', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'EGGLETON', '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': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8254933765 | N/A | N/A | 5536871 | 2222 | 4801 | 9570436 | N/A | 4209543 | 2025-07-15 02:10:35.796132 | 2025-06-18 17:33:51.700160 |
| 2025-07-14 09:06:05.120606 | 2025-07-15 02:06:45.354969 | 9819425 | N/A | N/A | {'payer_id': '36273', 'payer_name': 'AARP Medicare Supplement by UnitedHealthcare', 'provider_npi': '1114042165', 'trace_number': '9819425', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1960-02-12', 'date_of_service': '2025-07-14', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'MAJEED', 'subscriber_member_id': '94883653800', 'subscriber_first_name': 'MARY'} | 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/2222/6613631/check_9819425_4403dd5b-1052-4a7e-b594-c7eac674d365.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '94883653800', 'plan_type': None, 'group_name': None, 'payer_name': 'AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE', 'payer_note': None, 'patient_dob': '1960-02-12', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'MAJEED', 'plan_sponsor_name': None, 'patient_first_name': 'MARY', '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 | 8254930952 | N/A | N/A | 6613631 | 2222 | 4793 | 9565739 | N/A | 5232379 | 2025-07-15 02:06:45.354969 | 2025-07-03 16:30:13.139077 |
| 2025-07-14 09:06:05.058219 | 2025-07-15 02:08:24.036074 | 9819422 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': '1114042165', 'trace_number': '9819422', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1994-02-23', 'date_of_service': '2025-07-14', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'SHU', 'subscriber_member_id': 'XAN913831469', 'subscriber_first_name': 'GABRIELA'} | 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/2222/6121701/check_9819422_dfd02ce2-35d6-41ec-be97-d88d9577d4e8.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XAN913831469', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM', 'payer_name': 'BLUE SHIELD CALIFORNIA', 'payer_note': None, 'patient_dob': '1994-02-23', 'plan_number': '1479PPOX0003', 'group_number': 'W0051411', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'SHU', 'plan_sponsor_name': None, 'patient_first_name': 'GABRIELA', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'CALPERS ASO GOLD PPO GROUP BILL', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8255002875 | N/A | N/A | 6121701 | 2222 | 4793 | 9567663 | N/A | 4764460 | 2025-07-15 02:08:24.036074 | 2025-06-04 04:30:06.494155 |
| 2025-07-14 09:06:03.448905 | 2025-07-15 02:14:38.536541 | 9819340 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9819340', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1967-03-31', 'date_of_service': '2025-07-14', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'BARRERA', 'subscriber_member_id': 'XEH903389121', 'subscriber_first_name': 'LOLA'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250714.115340324.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6611912/check_9819340_6fc717cd-f7d8-49cc-9975-22d28416ecb3.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XEH903389121', 'plan_type': None, 'group_name': None, 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1967-03-31', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'BARRERA', 'plan_sponsor_name': None, 'patient_first_name': 'LOLA', '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 | 8254930936 | N/A | N/A | 6611912 | 2222 | 4793 | 9575205 | N/A | 5230345 | 2025-07-15 02:14:38.536541 | 2025-07-11 20:32:03.183345 |
| 2025-07-14 09:05:58.517275 | 2025-07-15 02:17:52.169764 | 9819103 | N/A | N/A | {'payer_id': 'Z1073', 'payer_name': 'Medicare B California Southern', 'provider_npi': '1114042165', 'trace_number': '9819103', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1959-05-08', 'date_of_service': '2025-07-14', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'KORY', 'subscriber_member_id': 'MISSINGPOLICYNUMBER', 'subscriber_first_name': 'MICHAEL'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250714.115314050.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5858721/check_9819103_6999971f-890e-45cf-9733-749a342190ce.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'MISSINGPOLICYNUMBER', 'plan_type': None, 'group_name': None, 'payer_name': 'MEDICARE A B ELIGIBILITY ALL STATES', 'payer_note': None, 'patient_dob': '1959-05-08', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'KORY', 'plan_sponsor_name': None, 'patient_first_name': 'MICHAEL', '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 | 8254924120 | N/A | N/A | 5858721 | 2222 | 4793 | 9577432 | N/A | 4214732 | 2025-07-15 02:17:52.169764 | 2025-06-24 20:13:53.579048 |
| 2025-07-14 09:05:16.297400 | 2025-07-15 02:04:42.331137 | 9816801 | N/A | N/A | {'payer_id': 'REGAL', 'payer_name': 'Regal Medical Group', 'provider_npi': '1114042165', 'trace_number': '9816801', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1952-01-26', 'date_of_service': '2025-07-14', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'AGHA ZADEH SHARE', 'subscriber_member_id': '40034093701', 'subscriber_first_name': 'FIMA'} | 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/2222/6582113/check_9816801_9f45eb03-0f34-4710-b8a1-110da557198c.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '40034093701', 'plan_type': None, 'group_name': None, 'payer_name': 'REGAL MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1952-01-26', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'AGHA ZADEH SHARE', 'plan_sponsor_name': None, 'patient_first_name': 'FIMA', '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 | 8254931427 | N/A | N/A | 6582113 | 2222 | 4801 | 9563272 | N/A | 5201198 | 2025-07-15 02:04:42.331137 | 2025-07-11 22:39:28.411632 |
| 2025-07-14 09:05:13.763062 | 2025-07-15 02:12:36.512075 | 9816680 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': '1114042165', 'trace_number': '9816680', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1948-08-08', 'date_of_service': '2025-07-14', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'KUTAY', 'subscriber_member_id': 'XEM904117895', 'subscriber_first_name': 'JALE'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250714.115314050.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6896315/check_9816680_95dd0a77-3824-4ae6-a76b-f26294111280.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XEM904117895', 'plan_type': 'Other', 'group_name': 'MEDICARE SUPPLEMENT', 'payer_name': 'MEDICARE PART A AND B', 'payer_note': None, 'patient_dob': '1948-08-08', 'plan_number': '2002SD000004', 'group_number': 'X0001002', 'insurance_type': None, 'plan_type_code': 'OT', 'enrolled_in_qmb': False, 'patient_last_name': 'KUTAY', 'plan_sponsor_name': None, 'patient_first_name': 'JALE', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'MEDICARE SUPPLEMENT PLAN F', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8254923565 | N/A | N/A | 6896315 | 2222 | 4802 | 9572971 | N/A | 5929817 | 2025-07-15 02:12:36.512075 | 2025-07-08 18:57:12.551440 |
| 2025-07-14 09:04:44.885809 | 2025-07-15 02:11:35.455321 | 9815517 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9815517', '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': 'JQE123W23890', 'subscriber_first_name': 'LOUIS'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250714.115314050.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6752939/check_9815517_2a1fb343-1603-4769-b631-917e1f885373.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'JQE123W23890', 'plan_type': None, 'group_name': 'CA MED-SUPP', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1959-09-07', 'plan_number': '040', 'group_number': 'CASUPWP0', 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'CICCIARI', 'plan_sponsor_name': None, 'patient_first_name': 'LOUIS', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2025-06-01', 'plan_coverage_description': 'CA MODERNIZED PLAN G', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8254923505 | N/A | N/A | 6752939 | 2222 | 4801 | 9571636 | N/A | 5065602 | 2025-07-15 02:11:35.455321 | 2025-07-01 17:25:13.681724 |
| 2025-07-14 09:04:37.410303 | 2025-07-15 02:01:35.185855 | 9815176 | N/A | N/A | {'payer_id': 'REGAL', 'payer_name': 'Regal Medical Group', 'provider_npi': '1114042165', 'trace_number': '9815176', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1998-01-10', 'date_of_service': '2025-07-14', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'PALACIOS', 'subscriber_member_id': 'JMV542W2270020', 'subscriber_first_name': 'JASMIN'} | 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/2222/5551010/check_9815176_7df6ed26-5c9f-4f7b-b472-dbcaed91d0f4.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'JMV542W2270020', 'plan_type': None, 'group_name': None, 'payer_name': 'REGAL MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1998-01-10', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'PALACIOS', 'plan_sponsor_name': None, 'patient_first_name': 'JASMIN', '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 | 8255007677 | N/A | N/A | 5551010 | 2222 | 4802 | 9560717 | N/A | 4219831 | 2025-07-15 02:01:35.185855 | 2025-05-13 04:29:37.230876 |
| 2025-07-14 09:04:37.008439 | 2025-07-15 02:13:42.828822 | 9815159 | N/A | N/A | {'payer_id': 'Z1073', 'payer_name': 'Medicare B California Southern', 'provider_npi': '1114042165', 'trace_number': '9815159', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1944-09-13', 'date_of_service': '2025-07-14', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'MARTIN', 'subscriber_member_id': '5YV3RT3TA75', 'subscriber_first_name': 'DOLLY'} | 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/2222/5550797/check_9815159_30c6f039-5e49-44f5-9fa9-c4d149211911.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '5YV3RT3TA75', 'plan_type': 'Medicare Part A', 'group_name': None, 'payer_name': 'CMS', 'payer_note': '0-BENEFICIARY INSURED DUE TO AGE OASI', 'patient_dob': '1944-09-13', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': 'MA', 'enrolled_in_qmb': False, 'patient_last_name': 'MARTIN', 'plan_sponsor_name': None, 'patient_first_name': 'DOLLY', '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 | 8255007676 | N/A | N/A | 5550797 | 2222 | 4793 | 9574301 | N/A | 4219681 | 2025-07-15 02:13:42.828822 | 2026-01-14 20:54:02.193776 |
| 2025-07-14 09:04:36.649487 | 2025-07-15 02:07:15.484239 | 9815145 | N/A | N/A | {'payer_id': 'CCHPC', 'payer_name': 'ALIGNMENT HEALTH CARE', 'provider_npi': '1114042165', 'trace_number': '9815145', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1954-03-04', 'date_of_service': '2025-07-14', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'ARUJO', 'subscriber_member_id': '00000223568', 'subscriber_first_name': 'RAMON'} | 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/2222/5550751/check_9815145_75d58e65-aa86-40b3-9a9c-706d92cd903c.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '00000223568', 'plan_type': 'Health Maintenance Organization (HMO)', 'group_name': None, 'payer_name': 'MEDICARE', 'payer_note': 'OVERALL DEDUCTIBLE', 'patient_dob': '1954-03-04', 'plan_number': 'H3815028', 'group_number': None, 'insurance_type': None, 'plan_type_code': 'HM', 'enrolled_in_qmb': False, 'patient_last_name': 'ARUJO', 'plan_sponsor_name': None, 'patient_first_name': 'RAMON', '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 | 8255007675 | N/A | N/A | 5550751 | 2222 | 4801 | 9566314 | 2630 | 4219640 | 2025-07-15 02:07:15.484239 | 2025-05-13 04:29:37.230682 |
| 2025-07-14 09:04:36.104979 | 2025-07-15 02:02:48.947737 | 9815123 | N/A | N/A | {'payer_id': '60054', 'payer_name': 'Aetna', 'provider_npi': '1114042165', 'trace_number': '9815123', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1961-11-04', 'date_of_service': '2025-07-14', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'SANTITORO', 'subscriber_member_id': 'W267422430', 'subscriber_first_name': 'SARAH'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250714.120523927.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550743/check_9815123_3011bebc-9ca4-40ad-904d-c0e930d3b85a.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'W267422430', 'plan_type': 'Point of Service (POS)', 'group_name': 'CIENA CORPORATION', 'payer_name': 'AETNA', 'payer_note': None, 'patient_dob': '1961-11-04', 'plan_number': '0486875', 'group_number': '048687501000001', 'insurance_type': None, 'plan_type_code': 'PS', 'enrolled_in_qmb': False, 'patient_last_name': 'SANTITORO', 'plan_sponsor_name': None, 'patient_first_name': 'RALPH', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'HSA AETNA CHOICE POS II', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8255007674 | N/A | N/A | 5550743 | 2222 | 4801 | 9561496 | N/A | 4219643 | 2025-07-15 02:02:48.947737 | 2025-05-13 04:29:37.230685 |
| 2025-07-14 09:04:35.836594 | 2025-07-15 02:13:40.743658 | 9815110 | N/A | N/A | {'payer_id': 'Z1073', 'payer_name': 'Medicare B California Southern', 'provider_npi': '1114042165', 'trace_number': '9815110', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1951-06-01', 'date_of_service': '2025-07-14', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'BRADBURY', 'subscriber_member_id': '5W31MW6FP03', 'subscriber_first_name': 'BONNIE'} | 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/2222/5550534/check_9815110_170f7f3d-5084-44cc-95b7-ad0350d91a35.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '5W31MW6FP03', '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': '1951-06-01', 'plan_number': 'S5617', 'group_number': None, 'insurance_type': None, 'plan_type_code': 'MA', 'enrolled_in_qmb': False, 'patient_last_name': 'BRADBURY', 'plan_sponsor_name': None, 'patient_first_name': 'BONNIE', '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 | 8255007673 | N/A | N/A | 5550534 | 2222 | 4801 | 9574260 | N/A | 4219556 | 2025-07-15 02:13:40.743658 | 2025-05-13 04:29:37.230592 |
| 2025-07-14 09:04:35.338932 | 2025-07-15 02:11:36.528118 | 9815084 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9815084', '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': '282527M002', 'subscriber_first_name': 'Roy'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250714.115314050.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6714942/check_9815084_0af58f1f-f27d-4997-96a0-26ef6c92b004.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '282527M002', 'plan_type': None, 'group_name': None, 'payer_name': 'ANTHEM BLUE CROSS', '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 | 8254924515 | N/A | N/A | 6714942 | 2222 | 4802 | 9571659 | N/A | 5316172 | 2025-07-15 02:11:36.528118 | 2025-07-02 15:09:36.678003 |
| 2025-07-14 09:04:35.100047 | 2025-07-15 02:13:41.429778 | 9815073 | N/A | N/A | {'payer_id': 'Z1073', 'payer_name': 'Medicare B California Southern', 'provider_npi': '1114042165', 'trace_number': '9815073', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1951-12-26', 'date_of_service': '2025-07-14', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'FINEBERG', 'subscriber_member_id': '9FX3D52YD09', 'subscriber_first_name': 'MARTIN'} | 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/2222/5549981/check_9815073_8090813d-9171-42fa-a920-fe489c20aac0.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '9FX3D52YD09', 'plan_type': 'Medicare Part B', 'group_name': None, 'payer_name': 'UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY', 'payer_note': '0-BENEFICIARY INSURED DUE TO AGE OASI', 'patient_dob': '1951-12-26', 'plan_number': 'S5921', 'group_number': None, 'insurance_type': None, 'plan_type_code': 'MB', 'enrolled_in_qmb': False, 'patient_last_name': 'FINEBERG', 'plan_sponsor_name': None, 'patient_first_name': 'MARTIN', '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 | 8255007671 | N/A | N/A | 5549981 | 2222 | 4802 | 9574273 | N/A | 4219436 | 2025-07-15 02:13:41.429778 | 2025-05-13 04:29:37.230471 |
| 2025-07-14 09:04:34.571016 | 2025-07-15 02:01:31.916333 | 9815048 | N/A | N/A | {'payer_id': 'LMG01', 'payer_name': 'Lakeside Medical Group', 'provider_npi': '1114042165', 'trace_number': '9815048', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1949-06-06', 'date_of_service': '2025-07-14', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'WILSON', 'subscriber_member_id': '31187497801', 'subscriber_first_name': 'MARVIN'} | 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/2222/5549707/check_9815048_e4e12844-ecf9-4a83-a540-e3796a4fd52f.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '31187497801', 'plan_type': None, 'group_name': None, 'payer_name': 'LAKESIDE MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1949-06-06', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'WILSON', 'plan_sponsor_name': None, 'patient_first_name': 'MARVIN', '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 | 8255007670 | N/A | N/A | 5549707 | 2222 | 4801 | 9560683 | N/A | 4219317 | 2025-07-15 02:01:31.916333 | 2025-05-13 04:29:37.230340 |
| 2025-07-14 09:04:34.114415 | 2025-07-15 02:07:35.202807 | 9815027 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9815027', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1962-01-25', 'date_of_service': '2025-07-14', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'LUCZYWEK', 'subscriber_member_id': 'HFD100011213709', 'subscriber_first_name': 'DEBORA'} | 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/2222/5549317/check_9815027_fe61d36b-f071-4fa2-9457-7469b84a83d8.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'HFD100011213709', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': None, 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': 'IF THE MEMBER QUALIFIES FOR COBRA COVERAGE,THE POLICY MAY BE SUBJECT TO RETROACTIVE CANCELLATION OR REINSTATEMENT, BASED ON THE PLAN DESIGN AND THE MEMBER COBRA ELECTION. 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 USPSTF A AND B RECOMMENDATIONS.', 'patient_dob': '1962-01-25', 'plan_number': None, 'group_number': '716116N04', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'LUCZYWEK', 'plan_sponsor_name': None, 'patient_first_name': 'MARIUSZ', 'patient_middle_name': None, 'date_time_period_end': '2026-01-01', 'date_time_period_start': '2025-01-01', 'plan_coverage_description': 'PREFERRED_PROVIDER_ORG_(PPO)', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8255007669 | N/A | N/A | 5549317 | 2222 | 4801 | 9566712 | N/A | 4219010 | 2025-07-15 02:07:35.202807 | 2026-01-09 18:32:07.618867 |
| 2025-07-14 09:04:34.064334 | 2025-07-15 02:08:23.625686 | 9815023 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': '1114042165', 'trace_number': '9815023', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1982-07-02', 'date_of_service': '2025-07-14', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'subscriber_last_name': 'DRISCOLL', 'subscriber_member_id': 'XED912182768', '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/2222/6104970/check_9815023_1b0eaf92-5912-4012-9572-36d7c4f08d4e.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XED912182768', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'IFP ON EXCHANGE', 'payer_name': 'BLUE SHIELD CALIFORNIA', 'payer_note': None, 'patient_dob': '1982-07-02', 'plan_number': '2001ZK002184', 'group_number': 'X0001004', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'DRISCOLL', 'plan_sponsor_name': None, 'patient_first_name': 'JAMES', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2023-04-01', 'plan_coverage_description': 'IFP EMB PED DPPO JAN15', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8255003669 | N/A | N/A | 6104970 | 2222 | 4802 | 9567657 | N/A | 4749447 | 2025-07-15 02:08:23.625686 | 2025-06-06 23:16:09.869339 |
| 2025-07-14 09:04:33.854672 | 2025-07-15 02:05:56.434574 | 9815013 | N/A | N/A | {'payer_id': '72261', 'payer_name': 'Scan Health Plan - California', 'provider_npi': '1114042165', 'trace_number': '9815013', 'provider_name': '', 'subscriber_dob': '1951-01-04', 'date_of_service': '2025-07-14', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'SUTTON', 'subscriber_member_id': '40042449801', 'subscriber_first_name': 'PAMELA'} | 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/2222/5549270/check_9815013_beea2f79-0e70-438b-9fc6-a346f10416af.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '40042449801', 'plan_type': None, 'group_name': None, 'payer_name': 'SCAN HEALTH PLAN - CALIFORNIA', 'payer_note': None, 'patient_dob': '1951-01-04', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'SUTTON', 'plan_sponsor_name': None, 'patient_first_name': 'PAMELA', '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 | 8255007668 | N/A | N/A | 5549270 | 2222 | 4801 | 9564776 | N/A | 4218971 | 2025-07-15 02:05:56.434574 | 2025-05-13 04:29:37.229987 |
| 2025-07-14 09:04:31.820392 | 2025-07-15 02:07:49.163765 | 9814917 | N/A | N/A | {'payer_id': '60054', 'payer_name': 'Aetna', 'provider_npi': '1114042165', 'trace_number': '9814917', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1993-09-26', 'date_of_service': '2025-07-14', 'subscriber_gender': 'U', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'Hamilton', 'subscriber_member_id': 'W292751187', 'subscriber_first_name': 'Kevin'} | 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/2222/6555606/check_9814917_2371d198-6c25-44ee-96bf-6b7ad5d2386c.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'W292751187', 'plan_type': None, 'group_name': None, 'payer_name': 'AETNA', 'payer_note': None, 'patient_dob': '1993-09-26', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'HAMILTON', 'plan_sponsor_name': None, 'patient_first_name': 'KEVIN', '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 | 8254931371 | N/A | N/A | 6555606 | 2222 | 4802 | 9566980 | N/A | 5178755 | 2025-07-15 02:07:49.163765 | 2025-07-17 17:42:32.068740 |
| 2025-07-14 09:04:30.483664 | 2025-07-15 02:16:36.975364 | 9814862 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': '1114042165', 'trace_number': '9814862', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '2002-02-06', 'date_of_service': '2025-07-14', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'MANALO LAMANNA', 'subscriber_member_id': 'GSC134174111001', 'subscriber_first_name': 'ISADORE'} | 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/2222/6554790/check_9814862_b3a5d472-6e1f-47f1-8827-c877636d2bf6.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '01765049801', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': None, 'payer_name': 'BLUE SHIELD OF CALIFORNIA', 'payer_note': 'FUNDING TYPE = SELF INSURED', 'patient_dob': '2002-02-06', 'plan_number': '363', 'group_number': '022039304', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'MANALOLAMANNA', 'plan_sponsor_name': None, 'patient_first_name': 'ISADORE', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2022-01-01', 'plan_coverage_description': 'BLUE CARD PPO', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8254931362 | N/A | N/A | 6554790 | 2222 | 4793 | 9576668 | N/A | 5177947 | 2025-07-15 02:16:36.975364 | 2025-07-01 19:04:04.764299 |
| 2025-07-14 09:04:29.643963 | 2025-07-15 02:17:31.212264 | 9814821 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': '1114042165', 'trace_number': '9814821', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1966-03-01', 'date_of_service': '2025-07-14', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'DOUGHERTY', 'subscriber_member_id': '913987117', 'subscriber_first_name': 'JENNIFER'} | 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/2222/6686939/check_9814821_2cb8e68c-c09c-4140-81df-c3e2a50dffb2.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XEH913987117', 'plan_type': 'Health Maintenance Organization (HMO)', 'group_name': 'COUNTY OF VENTURA ACTIVES', 'payer_name': 'BLUE SHIELD CALIFORNIA', 'payer_note': None, 'patient_dob': '1966-03-01', 'plan_number': '1000HMOX0002', 'group_number': 'W0067449', 'insurance_type': None, 'plan_type_code': 'HM', 'enrolled_in_qmb': False, 'patient_last_name': 'DOUGHERTY', 'plan_sponsor_name': None, 'patient_first_name': 'JENNIFER', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'COUNTY OF VENTURA ACTIVES CUSTOM ACCESS HMO', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8254989167 | N/A | N/A | 6686939 | 2222 | 4801 | 9577227 | N/A | 5295043 | 2025-07-15 02:17:31.212264 | 2025-07-17 01:28:10.581788 |
| 2025-07-14 09:04:28.119693 | 2025-07-15 02:21:27.908242 | 9814757 | N/A | N/A | {'payer_id': 'Z1073', 'payer_name': 'Medicare B California Southern', 'provider_npi': '1114042165', 'trace_number': '9814757', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1939-06-18', 'date_of_service': '2025-07-14', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'SEGURA', 'subscriber_member_id': '8DD9YX8FN41', 'subscriber_first_name': 'CIRA'} | 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/2222/6553930/check_9814757_f2da1db7-832c-489c-a95a-57ad11392028.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '8DD9YX8FN41', 'plan_type': 'Medicare Part B', 'group_name': None, 'payer_name': 'MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY', 'payer_note': '0-BENEFICIARY INSURED DUE TO AGE OASI', 'patient_dob': '1939-06-18', 'plan_number': 'S5617', 'group_number': None, 'insurance_type': None, 'plan_type_code': 'MB', 'enrolled_in_qmb': False, 'patient_last_name': 'SEGURA', 'plan_sponsor_name': None, 'patient_first_name': 'CIRA', '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 | 8254931347 | N/A | N/A | 6553930 | 2222 | 4801 | 9578875 | N/A | 5177091 | 2025-07-15 02:21:27.908242 | 2025-06-23 20:23:14.340232 |
| 2025-07-14 09:04:28.111211 | 2025-07-15 02:01:30.214925 | 9814755 | N/A | N/A | {'payer_id': 'LMG01', 'payer_name': 'Lakeside Medical Group', 'provider_npi': '1114042165', 'trace_number': '9814755', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1999-02-06', 'date_of_service': '2025-07-14', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'FORTIN', 'subscriber_member_id': 'R14644640MS1', 'subscriber_first_name': 'NATHANIEL'} | 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/2222/5543425/check_9814755_63312ee5-ce17-47a6-a116-a3c1c1db29da.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'R14644640MS1', 'plan_type': None, 'group_name': None, 'payer_name': 'LAKESIDE MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1999-02-06', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'FORTIN', 'plan_sponsor_name': None, 'patient_first_name': 'NATHANIEL', '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 | 8255007653 | N/A | N/A | 5543425 | 2222 | 4801 | 9560670 | N/A | 4215211 | 2025-07-15 02:01:30.214925 | 2025-05-14 09:08:46.881872 |
| 2025-07-14 09:04:27.749936 | 2025-07-15 02:07:35.790000 | 9814738 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'ANTHEM BLUE CROSS', 'provider_npi': '1114042165', 'trace_number': '9814738', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1960-09-07', 'date_of_service': '2025-07-14', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'subscriber_last_name': 'MEINERT', 'subscriber_member_id': 'XEH912496752', 'subscriber_first_name': 'TIM'} | 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/2222/5543360/check_9814738_542c543c-67f0-4deb-8d02-e35dff0a8fa2.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XEH912496752', 'plan_type': 'Health Maintenance Organization (HMO)', 'group_name': 'MILKEN COMMUNITY SCHOOLS', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1960-09-07', 'plan_number': '1000HMOX0001', 'group_number': 'W0070317', 'insurance_type': None, 'plan_type_code': 'HM', 'enrolled_in_qmb': False, 'patient_last_name': 'MEINERT', 'plan_sponsor_name': None, 'patient_first_name': 'TIMOTHY', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'ACCESS HMO R PER ADMIT 10 250', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8255007652 | N/A | N/A | 5543360 | 2222 | 4793 | 9566722 | 4184 | 4215161 | 2025-07-15 02:07:35.790000 | 2025-05-13 04:29:37.229478 |
| 2025-07-14 09:04:27.396107 | 2025-07-15 02:13:41.762361 | 9814721 | N/A | N/A | {'payer_id': 'Z1073', 'payer_name': 'Medicare B California Southern', 'provider_npi': '1114042165', 'trace_number': '9814721', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1949-12-17', 'date_of_service': '2025-07-14', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'GEVURTZ', 'subscriber_member_id': '3UF3GW6KC04', 'subscriber_first_name': 'IRWIN'} | 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/2222/5543260/check_9814721_7a8cec59-4ce7-4ec9-abe3-7206b703bbb1.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '3UF3GW6KC04', 'plan_type': 'Medicare Part A', 'group_name': None, 'payer_name': 'CMS', 'payer_note': '0-BENEFICIARY INSURED DUE TO AGE OASI', 'patient_dob': '1949-12-17', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': 'MA', 'enrolled_in_qmb': False, 'patient_last_name': 'GEVURTZ', 'plan_sponsor_name': None, 'patient_first_name': 'IRWIN', '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 | 8255007651 | N/A | N/A | 5543260 | 2222 | 4802 | 9574282 | N/A | 4215069 | 2025-07-15 02:13:41.762361 | 2025-05-13 04:29:37.229385 |
| 2025-07-14 09:04:27.176250 | 2025-07-15 02:08:37.402748 | 9814712 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': '1114042165', 'trace_number': '9814712', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '2008-12-30', 'date_of_service': '2025-07-14', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'PAUL', 'subscriber_member_id': 'XEK914147727', 'subscriber_first_name': 'SARA'} | 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/2222/5543211/check_9814712_0ac248f0-1a54-41a1-b133-791a1f352c95.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XEK914147727', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'IFP OFF EXCHANGE', 'payer_name': 'BLUE SHIELD CALIFORNIA', 'payer_note': None, 'patient_dob': '2008-12-30', 'plan_number': '2001ZD002666', 'group_number': 'X0001000', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'PAUL', 'plan_sponsor_name': None, 'patient_first_name': 'SARA', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'IFP EMB PED DPPO JAN15', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8255007650 | N/A | N/A | 5543211 | 2222 | 4801 | 9567917 | N/A | 4215028 | 2025-07-15 02:08:37.402748 | 2025-05-13 04:29:37.229346 |
| 2025-07-14 09:04:26.880127 | 2025-07-15 02:07:34.705318 | 9814700 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9814700', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1972-06-23', 'date_of_service': '2025-07-14', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'LAWSON', 'subscriber_member_id': 'JXN663W00172', 'subscriber_first_name': 'MICHELLE'} | 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/2222/5543167/check_9814700_64fd68be-12e3-40ae-a69f-d27bc54229c6.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'JXN663W00172', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'TRADITIONAL PPO W/ CARELON 100 000-199 999', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1972-06-23', 'plan_number': '040', 'group_number': '174222M2A1', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'LAWSON', 'plan_sponsor_name': None, 'patient_first_name': 'MICHELLE', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2020-01-01', 'plan_coverage_description': 'BC PPO INCENTIVE', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8255007649 | N/A | N/A | 5543167 | 2222 | 4793 | 9566700 | N/A | 4214995 | 2025-07-15 02:07:34.705318 | 2025-05-13 04:29:37.229315 |
| 2025-07-14 09:04:26.512825 | 2025-07-15 02:01:30.910893 | 9814686 | N/A | N/A | {'payer_id': 'LMG01', 'payer_name': 'Lakeside Medical Group', 'provider_npi': '1114042165', 'trace_number': '9814686', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1957-01-21', 'date_of_service': '2025-07-14', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'SHADDY', 'subscriber_member_id': '40064865601', 'subscriber_first_name': 'STEVE'} | 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/2222/5543011/check_9814686_18260a85-61a9-446b-aad6-49041478fe7c.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '40064865601', 'plan_type': None, 'group_name': None, 'payer_name': 'LAKESIDE MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1957-01-21', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'SHADDY', 'plan_sponsor_name': None, 'patient_first_name': 'STEVE', '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 | 8255007648 | N/A | N/A | 5543011 | 2222 | 4801 | 9560675 | N/A | 4214861 | 2025-07-15 02:01:30.910893 | 2026-02-04 19:10:58.526441 |
| 2025-07-14 09:04:26.009777 | 2025-07-15 02:02:48.563244 | 9814665 | N/A | N/A | {'payer_id': '60054', 'payer_name': 'Aetna', 'provider_npi': '1114042165', 'trace_number': '9814665', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1959-05-08', 'date_of_service': '2025-07-14', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'KORY', 'subscriber_member_id': '102161581800', 'subscriber_first_name': 'MICHAEL'} | 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/2222/5542870/check_9814665_69c85a76-dda3-4991-8ae2-da11f12b5acc.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '102161581800', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'MA INDIVIDUAL - CALIFORNIA', 'payer_name': 'AETNA', 'payer_note': 'MEDICARE', 'patient_dob': '1959-05-08', 'plan_number': '000003-CA000058', 'group_number': '000003-CA', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'KORY', 'plan_sponsor_name': None, 'patient_first_name': 'MICHAEL', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'AETNA MEDICARE CORE (PPO)', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8255007647 | N/A | N/A | 5542870 | 2222 | 4793 | 9561492 | N/A | 4214732 | 2025-07-15 02:02:48.563244 | 2025-06-24 20:13:53.579048 |
| 2025-07-14 09:04:25.695691 | 2025-07-15 02:05:05.331763 | 9814652 | N/A | N/A | {'payer_id': '62308', 'payer_name': 'American Specialty Health', 'provider_npi': '1114042165', 'trace_number': '9814652', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1970-01-05', 'date_of_service': '2025-07-14', 'subscriber_gender': 'F', 'service_type_codes': ['AD'], 'subscriber_last_name': 'HOWELLS', 'subscriber_member_id': 'U4973334602', 'subscriber_first_name': 'EMMA'} | 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/2222/5542686/check_9814652_3cea6cf5-50d2-4c2b-be43-4ed1e8905f72.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'U4973334602', 'plan_type': None, 'group_name': 'CRINETICS PHARMACEUTICALS, INC.', 'payer_name': 'CHLIC', 'payer_note': 'PROVIDER IS IN NETWORK BASED ON NPI ID PROVIDED IN REQUEST NEW BUSINESS RATES APPLIED PERSONAL HEALTH SOLUTIONS PLUS', 'patient_dob': '1970-01-05', 'plan_number': None, 'group_number': '3345982', 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'HOWELLS', 'plan_sponsor_name': None, 'patient_first_name': 'EMMA', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'OPEN ACCESS PLUS', 'relationship_to_subscriber': None} | ['AD'] | N/A | N/A | N/A | N/A | N/A | 8255007646 | N/A | N/A | 5542686 | 2222 | 4793 | 9563713 | N/A | 4214565 | 2025-07-15 02:05:05.331763 | 2025-05-13 04:29:37.228889 |
| 2025-07-14 09:04:25.378029 | 2025-07-15 02:07:34.221140 | 9814641 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'ANTHEM BLUE CROSS', 'provider_npi': '1114042165', 'trace_number': '9814641', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1962-10-12', 'date_of_service': '2025-07-14', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'KOOMAN ANDERSON', 'subscriber_member_id': 'KXJ461W13871', 'subscriber_first_name': 'SARIE'} | 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/2222/5542565/check_9814641_6aa77f5b-cf89-4c98-9ac2-7c58dfdcfe20.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'KXJ461W13871', 'plan_type': 'Health Maintenance Organization (HMO)', 'group_name': 'OAKS CHRISTIAN SCHOOL', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1962-10-12', 'plan_number': '040', 'group_number': 'L03502H004', 'insurance_type': None, 'plan_type_code': 'HM', 'enrolled_in_qmb': False, 'patient_last_name': 'KOOMAN ANDERSON', 'plan_sponsor_name': None, 'patient_first_name': 'SARIE', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2024-09-01', 'plan_coverage_description': 'PREMIER SELECT HMO', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8255007421 | N/A | N/A | 5542565 | 2222 | 4793 | 9566687 | 4184 | 4214430 | 2025-07-15 02:07:34.221140 | 2025-06-03 20:17:16.657562 |
| 2025-07-14 09:04:25.032708 | 2025-07-15 02:13:40.345110 | 9814625 | N/A | N/A | {'payer_id': 'Z1073', 'payer_name': 'Medicare B California Southern', 'provider_npi': '1114042165', 'trace_number': '9814625', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1954-11-24', 'date_of_service': '2025-07-14', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'BLANCHFIELD', 'subscriber_member_id': '2RP5EF8DU55', 'subscriber_first_name': 'THOMAS'} | 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/2222/5542555/check_9814625_7a380f47-38e1-427d-bbcf-17063bd872f7.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '2RP5EF8DU55', 'plan_type': 'Medicare Part A', 'group_name': None, 'payer_name': 'CMS', 'payer_note': '0-BENEFICIARY INSURED DUE TO AGE OASI', 'patient_dob': '1954-11-24', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': 'MA', 'enrolled_in_qmb': False, 'patient_last_name': 'BLANCHFIELD', 'plan_sponsor_name': None, 'patient_first_name': 'THOMAS', '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 | 8255007420 | N/A | N/A | 5542555 | 2222 | 4793 | 9574252 | N/A | 4214447 | 2025-07-15 02:13:40.345110 | 2025-05-13 04:29:37.228764 |
| 2025-07-14 09:04:24.552792 | 2025-07-15 02:07:23.253267 | 9814601 | N/A | N/A | {'payer_id': 'LACAR', 'payer_name': 'LA Care Health Plan (Los Angeles Care Health Plan)', 'provider_npi': '1114042165', 'trace_number': '9814601', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1988-11-03', 'date_of_service': '2025-07-14', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'CAPISTRANO', 'subscriber_member_id': '98696372G', 'subscriber_first_name': 'FERDELLE'} | 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/2222/5542513/check_9814601_2ea4819c-3596-4128-8452-15d2d00a890e.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '98696372G', 'plan_type': None, 'group_name': 'MCLA WELL ND ME>=21', 'payer_name': 'LA CARE HEALTH PLAN', 'payer_note': None, 'patient_dob': '1988-11-03', 'plan_number': 'MCLA', 'group_number': 'MWLLNMEG21', 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'CAPISTRANO', 'plan_sponsor_name': None, 'patient_first_name': 'FERDELLE', 'patient_middle_name': None, 'date_time_period_end': '2078-12-31', 'date_time_period_start': '2024-05-01', 'plan_coverage_description': 'LACARE MEDICAL', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8255007419 | N/A | N/A | 5542513 | 2222 | 4793 | 9566464 | N/A | 4214418 | 2025-07-15 02:07:23.253267 | 2025-07-03 18:12:11.075357 |
| 2025-07-14 09:04:24.300965 | 2025-07-15 02:08:36.888761 | 9814590 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': '1114042165', 'trace_number': '9814590', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1983-10-27', 'date_of_service': '2025-07-14', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'subscriber_last_name': 'FEDERER', 'subscriber_member_id': 'XEA911365031', 'subscriber_first_name': 'MITCH'} | 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/2222/5542512/check_9814590_823285f9-bc41-4110-81d6-52f00467065f.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XEA911365031', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'WEINSTEIN SENIOR LLP', 'payer_name': 'BLUE SHIELD CALIFORNIA', 'payer_note': None, 'patient_dob': '1983-10-27', 'plan_number': '1000VX000102', 'group_number': 'W0122744', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'FEDERER', 'plan_sponsor_name': None, 'patient_first_name': 'MITCHEL', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2025-05-01', 'plan_coverage_description': 'GOLD FULL PPO 750 30 OFFEX', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8255007418 | N/A | N/A | 5542512 | 2222 | 4793 | 9567907 | N/A | 4214416 | 2025-07-15 02:08:36.888761 | 2025-05-13 04:29:37.228740 |
| 2025-07-14 09:04:24.055116 | 2025-07-15 02:01:35.498129 | 9814578 | N/A | N/A | {'payer_id': 'REGAL', 'payer_name': 'Regal Medical Group', 'provider_npi': '1114042165', 'trace_number': '9814578', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1981-08-30', 'date_of_service': '2025-07-14', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'SUMBY', 'subscriber_member_id': 'XEH905944609', 'subscriber_first_name': 'ANNIKA'} | 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/2222/5542158/check_9814578_5af7e7ce-880d-4220-8396-83ffad8124ac.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XEH905944609', 'plan_type': None, 'group_name': None, 'payer_name': 'REGAL MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1981-08-30', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'SUMBY', 'plan_sponsor_name': None, 'patient_first_name': 'ANNIKA', '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 | 8255007417 | N/A | N/A | 5542158 | 2222 | 4801 | 9560720 | N/A | 4214108 | 2025-07-15 02:01:35.498129 | 2025-05-13 04:29:37.228423 |
| 2025-07-14 09:04:23.684327 | 2025-07-15 02:07:16.729385 | 9814562 | N/A | N/A | {'payer_id': 'CCHPC', 'payer_name': 'ALIGNMENT HEALTH CARE', 'provider_npi': '1114042165', 'trace_number': '9814562', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1957-10-24', 'date_of_service': '2025-07-14', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'MCSHEA', 'subscriber_member_id': '00000364203', 'subscriber_first_name': 'SANDRA'} | 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/2222/5542046/check_9814562_8f475796-7184-49d2-a767-82cbe09018bb.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '00000364203', 'plan_type': 'Health Maintenance Organization (HMO)', 'group_name': None, 'payer_name': 'MEDICARE', 'payer_note': 'OVERALL DEDUCTIBLE', 'patient_dob': '1957-10-24', 'plan_number': 'H3815028', 'group_number': None, 'insurance_type': None, 'plan_type_code': 'HM', 'enrolled_in_qmb': False, 'patient_last_name': 'MCSHEA', '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': 'ALIGNMENT HEALTH MY CHOICE (HMO)', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8255007416 | N/A | N/A | 5542046 | 2222 | 4801 | 9566341 | 2630 | 4214001 | 2025-07-15 02:07:16.729385 | 2025-05-13 04:29:37.228323 |
| 2025-07-14 09:04:23.250604 | 2025-07-15 02:07:32.682874 | 9814538 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'ANTHEM BLUE CROSS', 'provider_npi': '1114042165', 'trace_number': '9814538', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1959-05-13', 'date_of_service': '2025-07-14', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'ADRIANZEN FERNAN', 'subscriber_member_id': 'MMA221W20054', 'subscriber_first_name': 'AURA'} | 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/2222/5541944/check_9814538_c422c774-f497-4ea5-8a6a-1de9514afe7f.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'MMA221W20054', 'plan_type': 'Medicare Primary', 'group_name': 'CA MEDICARE', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1959-05-13', 'plan_number': '040', 'group_number': 'CAMCRWP0', 'insurance_type': None, 'plan_type_code': 'MP', 'enrolled_in_qmb': False, 'patient_last_name': 'ADRIANZEN FERNANDEZ', 'plan_sponsor_name': None, 'patient_first_name': 'AURA', '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 | 8255007415 | N/A | N/A | 5541944 | 2222 | 4801 | 9566659 | 4184 | 4213907 | 2025-07-15 02:07:32.682874 | 2025-05-13 04:29:37.228228 |
| 2025-07-14 09:04:22.951681 | 2025-07-15 02:01:31.261680 | 9814523 | N/A | N/A | {'payer_id': 'LMG01', 'payer_name': 'Lakeside Medical Group', 'provider_npi': '1114042165', 'trace_number': '9814523', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1985-02-07', 'date_of_service': '2025-07-14', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'SHEPHERD', 'subscriber_member_id': '93180838F', 'subscriber_first_name': 'EMILY'} | 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/2222/5541519/check_9814523_838e81df-ece6-4fd3-9bf2-f390a9905a30.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '93180838F', 'plan_type': None, 'group_name': None, 'payer_name': 'LAKESIDE MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1985-02-07', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'SHEPHERD', 'plan_sponsor_name': None, 'patient_first_name': 'EMILY', '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 | 8255007414 | N/A | N/A | 5541519 | 2222 | 4802 | 9560676 | N/A | 4213530 | 2025-07-15 02:01:31.261680 | 2025-05-13 04:29:37.227860 |
| 2025-07-14 09:04:22.687557 | 2025-07-15 02:01:29.878528 | 9814510 | N/A | N/A | {'payer_id': 'LMG01', 'payer_name': 'Lakeside Medical Group', 'provider_npi': '1114042165', 'trace_number': '9814510', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1968-03-30', 'date_of_service': '2025-07-14', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'FARAHMAND', 'subscriber_member_id': '91957675E', 'subscriber_first_name': 'ALEX'} | 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/2222/5541163/check_9814510_99cf81a9-0baa-41a5-9595-322eb6c5b660.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '91957675E', 'plan_type': None, 'group_name': None, 'payer_name': 'LAKESIDE MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1968-03-30', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'FARAHMAND', 'plan_sponsor_name': None, 'patient_first_name': 'ALEX', '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 | 8255007413 | N/A | N/A | 5541163 | 2222 | 4802 | 9560667 | N/A | 4213207 | 2025-07-15 02:01:29.878528 | 2025-05-13 04:29:37.227536 |
| 2025-07-14 09:04:22.458625 | 2025-07-15 02:01:34.561372 | 9814499 | N/A | N/A | {'payer_id': 'REGAL', 'payer_name': 'Regal Medical Group', 'provider_npi': '1114042165', 'trace_number': '9814499', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1956-12-04', 'date_of_service': '2025-07-14', 'subscriber_gender': 'F', 'service_type_codes': ['PT', 'AE'], 'subscriber_last_name': 'HUH', 'subscriber_member_id': '5851983001', 'subscriber_first_name': 'SOON'} | 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/2222/5540683/check_9814499_407fb3eb-4397-472e-8993-089290187301.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '5851983001', 'plan_type': None, 'group_name': None, 'payer_name': 'REGAL MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1956-12-04', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'HUH', 'plan_sponsor_name': None, 'patient_first_name': 'SOON', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['PT', 'AE'] | N/A | N/A | N/A | N/A | N/A | 8255007412 | N/A | N/A | 5540683 | 2222 | 4801 | 9560710 | N/A | 4212802 | 2025-07-15 02:01:34.561372 | 2025-05-27 20:48:04.588198 |
| 2025-07-14 09:04:22.104302 | 2025-07-15 02:08:37.771475 | 9814484 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': '1114042165', 'trace_number': '9814484', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1997-07-14', 'date_of_service': '2025-07-14', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'subscriber_last_name': 'SHERBETJIAN', 'subscriber_member_id': 'XED910281081', 'subscriber_first_name': 'JACK'} | 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/2222/5540558/check_9814484_3e1cae2e-467a-4876-8416-d3b7a0d98b7b.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XED910281081', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'IFP ON EXCHANGE', 'payer_name': 'BLUE SHIELD CALIFORNIA', 'payer_note': None, 'patient_dob': '1997-07-14', 'plan_number': '2001ZK002184', 'group_number': 'X0001004', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'SHERBETJIAN', 'plan_sponsor_name': None, 'patient_first_name': 'JACK', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2021-01-01', 'plan_coverage_description': 'IFP EMB PED DPPO JAN15', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8255007411 | N/A | N/A | 5540558 | 2222 | 4801 | 9567926 | N/A | 4212698 | 2025-07-15 02:08:37.771475 | 2025-05-13 04:29:37.227042 |
| 2025-07-14 09:04:21.893717 | 2025-07-15 02:01:30.558099 | 9814473 | N/A | N/A | {'payer_id': 'LMG01', 'payer_name': 'Lakeside Medical Group', 'provider_npi': '1114042165', 'trace_number': '9814473', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1973-07-11', 'date_of_service': '2025-07-14', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'HERMAN', 'subscriber_member_id': '95836743G', 'subscriber_first_name': 'BRETT'} | 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/2222/5540113/check_9814473_a671adda-d620-469f-96be-c096f09abf23.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '95836743G', 'plan_type': None, 'group_name': None, 'payer_name': 'LAKESIDE MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1973-07-11', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'HERMAN', 'plan_sponsor_name': None, 'patient_first_name': 'BRETT', '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 | 8255007410 | N/A | N/A | 5540113 | 2222 | 4801 | 9560673 | N/A | 4212315 | 2025-07-15 02:01:30.558099 | 2025-12-29 21:20:15.158611 |
| 2025-07-14 09:04:21.432261 | 2025-07-15 02:01:31.569132 | 9814453 | N/A | N/A | {'payer_id': 'LMG01', 'payer_name': 'Lakeside Medical Group', 'provider_npi': '1114042165', 'trace_number': '9814453', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1951-02-23', 'date_of_service': '2025-07-14', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'WENSEL', 'subscriber_member_id': '40065419401', 'subscriber_first_name': 'KAREN'} | 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/2222/5539718/check_9814453_ea38da5e-5948-4214-9024-464f06f70315.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '40065419401', 'plan_type': None, 'group_name': None, 'payer_name': 'LAKESIDE MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1951-02-23', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'WENSEL', 'plan_sponsor_name': None, 'patient_first_name': 'KAREN', '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 | 8255007409 | N/A | N/A | 5539718 | 2222 | 4793 | 9560679 | N/A | 4211977 | 2025-07-15 02:01:31.569132 | 2025-05-13 04:29:37.226299 |