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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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-07-13 09:09:04.841780 | 2025-07-14 05:11:56.738034 | 9794121 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': '1114042165', 'trace_number': '9794121', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '2006-11-22', 'date_of_service': '2025-07-13', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'MICHAEL', 'subscriber_member_id': 'XEA913728701', 'subscriber_first_name': 'KRISTY'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250713.120452213.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6123875/check_9794121_643a7c61-0a23-4638-b58f-4b62e19a9856.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XAN913728701', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM', 'payer_name': 'BLUE SHIELD CALIFORNIA', 'payer_note': None, 'patient_dob': '2006-11-22', 'plan_number': '1477PPOX0003', 'group_number': 'W0051411', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'ZAKLAMA', 'plan_sponsor_name': None, 'patient_first_name': 'DINA', '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 | 8249453119 | N/A | N/A | 6123875 | 2222 | 4801 | 9534361 | N/A | 4766599 | 2025-07-14 05:11:56.738034 | 2025-06-04 14:54:47.230310 |
| 2025-07-13 09:08:51.548117 | 2025-07-14 05:10:50.300136 | 9793858 | N/A | N/A | {'payer_id': 'REGAL', 'payer_name': 'Regal Medical Group', 'provider_npi': '1114042165', 'trace_number': '9793858', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1944-03-21', 'date_of_service': '2025-07-13', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'WEBB', 'subscriber_member_id': 'JQS041M77883', 'subscriber_first_name': 'ALICE'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250713.120101229.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6522470/check_9793858_e1b7c369-b8c2-466d-95a2-a9e995cc0135.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'JQS041M77883', 'plan_type': None, 'group_name': None, 'payer_name': 'REGAL MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1944-03-21', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'WEBB', 'plan_sponsor_name': None, 'patient_first_name': 'ALICE', '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 | 8249440537 | N/A | N/A | 6522470 | 2222 | 4801 | 9533785 | N/A | 4214765 | 2025-07-14 05:10:50.300136 | 2025-05-13 04:29:37.229089 |
| 2025-07-13 09:08:37.859898 | 2025-07-14 05:15:33.407740 | 9793655 | N/A | N/A | {'payer_id': '60054', 'payer_name': 'Aetna', 'provider_npi': '1114042165', 'trace_number': '9793655', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1983-08-11', 'date_of_service': '2025-07-13', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'LAU', 'subscriber_member_id': 'W291238873', 'subscriber_first_name': 'LEEDA'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250713.120353838.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6751438/check_9793655_f0939274-57b5-4202-b336-d8bab02700a7.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'W291818430', 'plan_type': 'Point of Service (POS)', 'group_name': 'CONTRACEPTIVE SERVICES PAYMENT PROG', 'payer_name': 'AETNA SUPPLEMENTAL CONTRACEPTIVE PPO', 'payer_note': None, 'patient_dob': '1983-08-11', 'plan_number': '0865224', 'group_number': '086522405000004', 'insurance_type': None, 'plan_type_code': 'PS', 'enrolled_in_qmb': False, 'patient_last_name': 'LAU', 'plan_sponsor_name': None, 'patient_first_name': 'LEEDA', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'AETNA SUPPLEMENTAL CONTRACEPTIVE PPO', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8249446773 | N/A | N/A | 6751438 | 2222 | 4801 | 9535949 | N/A | 4213429 | 2025-07-14 05:15:33.407740 | 2025-07-01 02:18:15.540744 |
| 2025-07-13 09:08:37.060862 | 2025-07-14 05:36:57.422964 | 9793642 | N/A | N/A | {'payer_id': 'Z1073', 'payer_name': 'Medicare B California Southern', 'provider_npi': '1114042165', 'trace_number': '9793642', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1929-07-02', 'date_of_service': '2025-07-13', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'Walter', 'subscriber_member_id': '1TQ1EQ4FJ98', 'subscriber_first_name': 'Howard'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250713.120353838.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6751304/check_9793642_c84a745a-0532-41ec-bd26-3b22bcf7caf1.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '1TQ1EQ4FJ98', 'plan_type': None, 'group_name': None, 'payer_name': 'CMS', 'payer_note': None, 'patient_dob': '1929-07-02', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'WALTER', 'plan_sponsor_name': None, 'patient_first_name': 'HOWARD', '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 | 8249446769 | N/A | N/A | 6751304 | 2222 | 4802 | 9543750 | N/A | 5557241 | 2025-07-14 05:36:57.422964 | 2025-07-22 17:08:51.810153 |
| 2025-07-13 09:08:17.819271 | 2025-07-14 05:10:45.101010 | 9793387 | N/A | N/A | {'payer_id': 'LMG01', 'payer_name': 'Lakeside Medical Group', 'provider_npi': '1114042165', 'trace_number': '9793387', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1953-07-12', 'date_of_service': '2025-07-13', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'CROSS', 'subscriber_member_id': 'H7061645100', 'subscriber_first_name': 'VICTORIA'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250713.120101229.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6497469/check_9793387_016010f5-a621-4c29-8c6e-131845458556.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'H7061645100', 'plan_type': None, 'group_name': None, 'payer_name': 'LAKESIDE MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1953-07-12', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'CROSS', 'plan_sponsor_name': None, 'patient_first_name': 'VICTORIA', '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 | 8249438775 | N/A | N/A | 6497469 | 2222 | 4793 | 9533730 | N/A | 4211178 | 2025-07-14 05:10:45.101010 | 2025-05-13 04:29:37.225579 |
| 2025-07-13 09:08:11.720815 | 2025-07-14 05:03:04.953369 | 9793299 | N/A | N/A | {'payer_id': 'REGAL', 'payer_name': 'Regal Medical Group', 'provider_npi': '1114042165', 'trace_number': '9793299', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '2005-06-10', 'date_of_service': '2025-07-13', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'Kassi', 'subscriber_member_id': '957A5554370', 'subscriber_first_name': 'Keira'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250713.120452213.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6113467/check_9793299_1814008a-4cb0-4d04-9562-ddcf4b9cfb7b.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '957A5554370', 'plan_type': None, 'group_name': None, 'payer_name': 'REGAL MEDICAL GROUP', 'payer_note': None, 'patient_dob': '2005-06-10', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'KASSI', 'plan_sponsor_name': None, 'patient_first_name': 'KEIRA', '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 | 8249453987 | N/A | N/A | 6113467 | 2222 | 4801 | 9530698 | N/A | 4756194 | 2025-07-14 05:03:04.953369 | 2025-06-02 23:03:52.087356 |
| 2025-07-13 09:08:10.428264 | 2025-07-14 05:37:35.385421 | 9793284 | N/A | N/A | {'payer_id': 'Z1073', 'payer_name': 'Medicare B California Southern', 'provider_npi': '1114042165', 'trace_number': '9793284', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1957-12-13', 'date_of_service': '2025-07-13', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'WALLEN', 'subscriber_member_id': '8Q55EE9RC74', 'subscriber_first_name': 'ELLYN'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250713.120101229.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6492809/check_9793284_4c9c0f6d-1c3f-46d0-b22c-9b83d7fefc8b.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '8Q55EE9RC74', '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': '1957-12-13', 'plan_number': 'S5617', 'group_number': None, 'insurance_type': None, 'plan_type_code': 'MB', 'enrolled_in_qmb': False, 'patient_last_name': 'WALLEN', 'plan_sponsor_name': None, 'patient_first_name': 'ELLYN', '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 | 8249439361 | N/A | N/A | 6492809 | 2222 | 4793 | 9543968 | N/A | 5121955 | 2025-07-14 05:37:35.385421 | 2025-06-19 17:23:34.410819 |
| 2025-07-13 09:07:39.205473 | 2025-07-14 05:22:33.367515 | 9792722 | N/A | N/A | {'payer_id': 'Z1073', 'payer_name': 'Medicare B California Southern', 'provider_npi': '1114042165', 'trace_number': '9792722', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1929-02-22', 'date_of_service': '2025-07-13', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'SCOTT', 'subscriber_member_id': '2F27FV6KJ47', 'subscriber_first_name': 'GEORGE'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250713.120452213.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6105989/check_9792722_4f0908b3-f7b5-41b3-bbf0-d8ac5012e705.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '2F27FV6KJ47', 'plan_type': 'Medicare Part B', 'group_name': None, 'payer_name': 'CMS', 'payer_note': '0-BENEFICIARY INSURED DUE TO AGE OASI', 'patient_dob': '1929-02-22', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': 'MB', 'enrolled_in_qmb': False, 'patient_last_name': 'SCOTT', 'plan_sponsor_name': None, 'patient_first_name': 'GEORGE', '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 | 8249452773 | N/A | N/A | 6105989 | 2222 | 4802 | 9538434 | N/A | 4750274 | 2025-07-14 05:22:33.367515 | 2025-06-12 22:26:37.845238 |
| 2025-07-13 09:07:34.381630 | 2025-07-14 05:11:55.783405 | 9792632 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': '1114042165', 'trace_number': '9792632', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1971-11-13', 'date_of_service': '2025-07-13', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'APPEL', 'subscriber_member_id': 'XEK911129380', 'subscriber_first_name': 'DEBORAH'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250713.120452213.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6104720/check_9792632_944cb2eb-78f4-4abd-936f-08745be50ddb.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XEK911129380', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'IFP OFF EXCHANGE', 'payer_name': 'BLUE SHIELD CALIFORNIA', 'payer_note': None, 'patient_dob': '1971-11-13', 'plan_number': '2001ZJ002648', 'group_number': 'X0001000', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'APPEL', 'plan_sponsor_name': None, 'patient_first_name': 'DEBORAH', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2022-01-01', 'plan_coverage_description': 'IFP EMB PED VISION', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8249452758 | N/A | N/A | 6104720 | 2222 | 4793 | 9534354 | N/A | 4749103 | 2025-07-14 05:11:55.783405 | 2025-06-06 17:07:03.972074 |
| 2025-07-13 09:07:27.012109 | 2025-07-14 02:08:37.700621 | 9792471 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9792471', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1946-03-20', 'date_of_service': '2025-07-13', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'ZAVAD', 'subscriber_member_id': 'JQE410A75283', 'subscriber_first_name': 'MARK'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250713.115914793.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6400573/check_9792471_53e4156b-37f6-4fc1-bf7a-cc2d75caf68a.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'JQE410A75283', 'plan_type': None, 'group_name': 'CA MED-SUPP', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1946-03-20', 'plan_number': '040', 'group_number': 'CASUPWP0', 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'ZAVAD', 'plan_sponsor_name': None, 'patient_first_name': 'MARK', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2019-04-01', 'plan_coverage_description': 'CA MODERNIZED PLAN G', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8249432816 | N/A | N/A | 6400573 | 2222 | 4801 | 9525043 | N/A | 5046284 | 2025-07-14 02:08:37.700621 | 2025-06-15 19:17:13.943381 |
| 2025-07-13 09:07:20.145680 | 2025-07-14 02:13:33.577845 | 9792188 | N/A | N/A | {'payer_id': 'Z1073', 'payer_name': 'Medicare B California Southern', 'provider_npi': '1114042165', 'trace_number': '9792188', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1950-03-19', 'date_of_service': '2025-07-13', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'AZUCENA', 'subscriber_member_id': '1YT9RR4MX51', 'subscriber_first_name': 'ESPERANZA'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250713.115914793.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6235090/check_9792188_e1d7f1dd-ad53-4407-86a9-15a099df6caf.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '1YT9RR4MX51', 'plan_type': None, 'group_name': None, 'payer_name': 'CMS', 'payer_note': None, 'patient_dob': '1950-03-19', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'AZUCENA', 'plan_sponsor_name': None, 'patient_first_name': 'ESPERANZA', '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 | 8249432791 | N/A | N/A | 6235090 | 2222 | 4801 | 9526430 | N/A | 4213743 | 2025-07-14 02:13:33.577845 | 2025-05-13 04:29:37.228064 |
| 2025-07-13 09:07:09.544725 | 2025-07-14 02:09:34.137802 | 9791674 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': '1114042165', 'trace_number': '9791674', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1959-04-20', 'date_of_service': '2025-07-13', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'GRANT', 'subscriber_member_id': 'xem914408420', 'subscriber_first_name': 'ROBERT'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250713.115914793.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6211380/check_9791674_e2d65945-4dbf-4a23-9bfd-41bdc713bd6c.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XEM914408420', 'plan_type': 'Other', 'group_name': 'MEDICARE SUPPLEMENT', 'payer_name': 'MEDICARE PART A AND B', 'payer_note': None, 'patient_dob': '1959-04-20', 'plan_number': '2002SEW00028', 'group_number': 'X0001002', 'insurance_type': None, 'plan_type_code': 'OT', 'enrolled_in_qmb': False, 'patient_last_name': 'GRANT', 'plan_sponsor_name': None, 'patient_first_name': 'ROBERT', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'MEDICARE SUPPLEMENT PLAN G', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8249431785 | N/A | N/A | 6211380 | 2222 | 4793 | 9525333 | N/A | 4214087 | 2025-07-14 02:09:34.137802 | 2025-05-13 04:29:37.228402 |
| 2025-07-13 09:07:05.877912 | 2025-07-14 02:06:14.863716 | 9791516 | N/A | N/A | {'payer_id': 'CCHPC', 'payer_name': 'ALIGNMENT HEALTH CARE', 'provider_npi': '1114042165', 'trace_number': '9791516', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1958-06-23', 'date_of_service': '2025-07-13', 'subscriber_gender': 'F', 'service_type_codes': ['PT', 'AE'], 'subscriber_last_name': 'USEVITCH', 'subscriber_member_id': '00000387757', 'subscriber_first_name': 'KAREN'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250713.123724252.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874444/check_9791516_2b4dcb18-7b37-4eac-831b-5a8386a7f1ae.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '00000387757', 'plan_type': 'Health Maintenance Organization (HMO)', 'group_name': None, 'payer_name': 'MEDICARE', 'payer_note': 'OVERALL DEDUCTIBLE', 'patient_dob': '1958-06-23', 'plan_number': 'H3815028', 'group_number': None, 'insurance_type': None, 'plan_type_code': 'HM', 'enrolled_in_qmb': False, 'patient_last_name': 'USEVITCH', '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': 'ALIGNMENT HEALTH MY CHOICE (HMO)', 'relationship_to_subscriber': None} | ['PT', 'AE'] | N/A | N/A | N/A | N/A | N/A | 8249516065 | N/A | N/A | 5874444 | 2222 | 4801 | 9524258 | 2630 | 4534570 | 2025-07-14 02:06:14.863716 | 2025-06-09 21:54:54.217413 |
| 2025-07-13 09:07:05.764301 | 2025-07-14 02:01:36.330456 | 9791509 | N/A | N/A | {'payer_id': 'LMG01', 'payer_name': 'Lakeside Medical Group', 'provider_npi': '1114042165', 'trace_number': '9791509', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1995-12-18', 'date_of_service': '2025-07-13', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'PORCELLINI', 'subscriber_member_id': '623363623', 'subscriber_first_name': 'KYLA'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250713.123724252.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874433/check_9791509_ca9703c1-4008-4c55-8c26-bb9e244d85a8.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '623363623', 'plan_type': None, 'group_name': None, 'payer_name': 'LAKESIDE MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1995-12-18', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'PORCELLINI', 'plan_sponsor_name': None, 'patient_first_name': 'KYLA', '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 | 8249516064 | N/A | N/A | 5874433 | 2222 | 4802 | 9522762 | N/A | 4534562 | 2025-07-14 02:01:36.330456 | 2025-06-03 16:07:02.060667 |
| 2025-07-13 09:07:05.640906 | 2025-07-14 02:11:07.668993 | 9791506 | N/A | N/A | {'payer_id': 'Z1073', 'payer_name': 'Medicare B California Southern', 'provider_npi': '1114042165', 'trace_number': '9791506', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1958-09-13', 'date_of_service': '2025-07-13', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'DERR', 'subscriber_member_id': '4GK3GN5DV73', 'subscriber_first_name': 'DENNIS'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250713.123724252.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874420/check_9791506_2ab62ba7-906a-4aeb-b903-cc1a7488041d.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '4GK3GN5DV73', 'plan_type': None, 'group_name': None, 'payer_name': 'CMS', 'payer_note': None, 'patient_dob': '1958-09-13', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'DERR', 'plan_sponsor_name': None, 'patient_first_name': 'DENNIS', '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 | 8249516063 | N/A | N/A | 5874420 | 2222 | 4793 | 9525818 | N/A | 4534550 | 2025-07-14 02:11:07.668993 | 2025-10-15 18:36:58.255255 |
| 2025-07-13 09:07:02.883950 | 2025-07-14 02:06:13.491157 | 9791383 | N/A | N/A | {'payer_id': 'CCHPC', 'payer_name': 'ALIGNMENT HEALTH CARE', 'provider_npi': '1114042165', 'trace_number': '9791383', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1953-03-27', 'date_of_service': '2025-07-13', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'FINE', 'subscriber_member_id': '00000272194', 'subscriber_first_name': 'MICHELLE'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250713.123724252.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5858742/check_9791383_25b3500a-4a56-4444-82e8-e1abb8b57f18.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '00000272194', 'plan_type': 'Health Maintenance Organization (HMO)', 'group_name': None, 'payer_name': 'MEDICARE', 'payer_note': 'OVERALL DEDUCTIBLE', 'patient_dob': '1953-03-27', 'plan_number': 'H3815028', 'group_number': None, 'insurance_type': None, 'plan_type_code': 'HM', 'enrolled_in_qmb': False, 'patient_last_name': 'FINE', 'plan_sponsor_name': None, 'patient_first_name': 'MICHELLE', '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 | 8249517420 | N/A | N/A | 5858742 | 2222 | 4801 | 9524252 | 2630 | 4219630 | 2025-07-14 02:06:13.491157 | 2025-05-13 04:29:37.230672 |
| 2025-07-13 09:07:01.953154 | 2025-07-14 02:09:33.426467 | 9791339 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': '1114042165', 'trace_number': '9791339', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1945-10-03', 'date_of_service': '2025-07-13', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'CAVELLA', 'subscriber_member_id': 'XEA913628752', 'subscriber_first_name': 'EMIL'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250713.115914793.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6203312/check_9791339_0dcf48b0-5b2a-49b4-8baf-d7e4481386f0.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XAN913628752', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM', 'payer_name': 'MEDICARE PART A AND B', 'payer_note': None, 'patient_dob': '1945-10-03', 'plan_number': '1002VX000001', 'group_number': 'W0051411', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'CAVELLA', 'plan_sponsor_name': None, 'patient_first_name': 'EMIL', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'CALPERS ASO PLATINUM PPO SUPPLEMENT TO MEDICARE', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8249431354 | N/A | N/A | 6203312 | 2222 | 4801 | 9525329 | N/A | 4846213 | 2025-07-14 02:09:33.426467 | 2025-06-10 21:58:09.734801 |
| 2025-07-13 09:06:59.600212 | 2025-07-14 05:28:16.576997 | 9791226 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9791226', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1966-04-28', 'date_of_service': '2025-07-13', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'HAZARD', 'subscriber_member_id': 'NCF794W22253', 'subscriber_first_name': 'PAULA'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250713.120101229.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6472283/check_9791226_39ffe1ab-328a-4acd-a818-827d9d2f82b9.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'NCF794W22253', 'plan_type': 'Health Maintenance Organization (HMO)', 'group_name': 'LAUSD', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1966-04-28', 'plan_number': '040', 'group_number': '57AJCA', 'insurance_type': None, 'plan_type_code': 'HM', 'enrolled_in_qmb': False, 'patient_last_name': 'HAZARD', 'plan_sponsor_name': None, 'patient_first_name': 'PAULA', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2025-01-01', 'plan_coverage_description': 'POWER SELECT HMO NETWORK 126+', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8249439282 | N/A | N/A | 6472283 | 2222 | 4801 | 9540986 | N/A | 5105323 | 2025-07-14 05:28:16.576997 | 2025-07-02 18:01:41.077949 |
| 2025-07-13 09:06:56.940600 | 2025-07-14 02:13:33.966066 | 9791107 | N/A | N/A | {'payer_id': 'Z1073', 'payer_name': 'Medicare B California Southern', 'provider_npi': '1114042165', 'trace_number': '9791107', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1957-04-19', 'date_of_service': '2025-07-13', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'VALDIVIA', 'subscriber_member_id': '5YW9MP7AV42', 'subscriber_first_name': 'CRISTINA'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250713.115914793.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6189393/check_9791107_1fd07f17-b554-4a2c-a8b9-e7a46087cbcd.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '5YW9MP7AV42', 'plan_type': 'Medicare Part A', 'group_name': None, 'payer_name': 'BLUE CROSS OF CALIFORNIA PARTNERSHIP PLAN, INC.', 'payer_note': '0-BENEFICIARY INSURED DUE TO AGE OASI', 'patient_dob': '1957-04-19', 'plan_number': 'H4471', 'group_number': None, 'insurance_type': None, 'plan_type_code': 'MA', 'enrolled_in_qmb': False, 'patient_last_name': 'VALDIVIA', 'plan_sponsor_name': None, 'patient_first_name': 'CRISTINA', '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 | 8249431333 | N/A | N/A | 6189393 | 2222 | 4801 | 9526432 | N/A | 4219064 | 2025-07-14 02:13:33.966066 | 2025-06-06 15:26:44.406275 |
| 2025-07-13 09:06:48.369065 | 2025-07-14 05:07:13.537915 | 9790691 | N/A | N/A | {'payer_id': '62308', 'payer_name': 'CIGNA (Connecticut General, Equicor, Equitable)', 'provider_npi': '1114042165', 'trace_number': '9790691', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1998-01-13', 'date_of_service': '2025-07-13', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'HOWE', 'subscriber_member_id': 'U9192068101', 'subscriber_first_name': 'LOCHRYN'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250713.120452213.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6079410/check_9790691_6b85fd86-e006-4300-a868-584a36366ff3.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'U9192068101', 'plan_type': None, 'group_name': 'VVG HOLDINGS, LLC', 'payer_name': 'CHLIC', 'payer_note': 'PROVIDER IS IN NETWORK BASED ON NPI ID PROVIDED IN REQUEST PREFERRED CARE MANAGEMENT', 'patient_dob': '1999-01-13', 'plan_number': None, 'group_number': '3343439', 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'HOWE', 'plan_sponsor_name': None, 'patient_first_name': 'LOCHRYN', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'OPEN ACCESS PLUS', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8249453028 | N/A | N/A | 6079410 | 2222 | 4802 | 9532403 | N/A | 4723300 | 2025-07-14 05:07:13.537915 | 2025-06-04 00:42:43.684276 |
| 2025-07-13 09:06:45.437420 | 2025-07-14 02:08:37.282820 | 9790554 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9790554', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1955-12-01', 'date_of_service': '2025-07-13', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'PARLIER', 'subscriber_member_id': 'MBL624W07406', 'subscriber_first_name': 'MERILEE'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250713.115914793.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6143804/check_9790554_830d0956-c988-4125-9b98-eb681f513e19.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'MBL624W07406', 'plan_type': None, 'group_name': 'MOTION PICTURE INDUSTRY HEALTH PLAN', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1955-12-01', 'plan_number': '040', 'group_number': 'CAEGR002', 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'PARLIER', 'plan_sponsor_name': None, 'patient_first_name': 'MERILEE', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2021-01-01', 'plan_coverage_description': 'CA GRS MPI H4036-802 ANTHEM MEDICARE PREFERRED MA', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8249432319 | N/A | N/A | 6143804 | 2222 | 4801 | 9525042 | N/A | 4642861 | 2025-07-14 02:08:37.282820 | 2025-11-25 19:25:55.074534 |
| 2025-07-13 09:06:45.321666 | 2025-07-14 05:04:48.040970 | 9790548 | N/A | N/A | {'payer_id': '60054', 'payer_name': 'Aetna', 'provider_npi': '1114042165', 'trace_number': '9790548', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1999-04-14', 'date_of_service': '2025-07-13', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'FAGAN', 'subscriber_member_id': 'W275345811', 'subscriber_first_name': 'ARIEH'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250713.120452213.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6078250/check_9790548_70b1e88a-5de2-4438-936d-72cbff946bfb.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'W275345811', 'plan_type': 'Point of Service (POS)', 'group_name': 'ARUP US, INC.', 'payer_name': 'AETNA', 'payer_note': None, 'patient_dob': '1999-04-14', 'plan_number': '0847223', 'group_number': '084722301300002', 'insurance_type': None, 'plan_type_code': 'PS', 'enrolled_in_qmb': False, 'patient_last_name': 'FAGAN', 'plan_sponsor_name': None, 'patient_first_name': 'ARIEH', '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 | 8249453015 | N/A | N/A | 6078250 | 2222 | 4802 | 9531521 | N/A | 4722504 | 2025-07-14 05:04:48.040970 | 2025-06-19 03:19:24.165458 |
| 2025-07-13 09:06:39.383697 | 2025-07-14 05:27:50.535314 | 9790243 | N/A | N/A | {'payer_id': '94134', 'payer_name': 'Kaiser Foundation Health Plan of Southern CA Region', 'provider_npi': '1114042165', 'trace_number': '9790243', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '2008-04-21', 'date_of_service': '2025-07-13', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'BERMUDEZ', 'subscriber_member_id': '000019836525', 'subscriber_first_name': 'RAFAEL'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250713.120353838.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6721942/check_9790243_ee173aa2-ef7c-4123-b785-8bb1ec4ab060.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '000019836525', 'plan_type': None, 'group_name': None, 'payer_name': 'KFHP 1003', 'payer_note': 'MDC - MEDICAID', 'patient_dob': '2008-04-21', 'plan_number': '4327748', 'group_number': '226977', 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'BERMUDEZ', 'plan_sponsor_name': None, 'patient_first_name': 'RAFAEL', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'MEDI-CAL LA CARE HEALTH PLAN ADULT AND FAMILY LTSS', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8249445261 | N/A | N/A | 6721942 | 2222 | 4793 | 9540857 | N/A | 5322280 | 2025-07-14 05:27:50.535314 | 2025-07-01 21:45:15.878047 |
| 2025-07-13 09:06:36.770005 | 2025-07-14 02:06:14.335600 | 9790103 | N/A | N/A | {'payer_id': 'CCHPC', 'payer_name': 'ALIGNMENT HEALTH CARE', 'provider_npi': '1114042165', 'trace_number': '9790103', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1953-04-27', 'date_of_service': '2025-07-13', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'TEDDER', 'subscriber_member_id': '00000390480', 'subscriber_first_name': 'CHARLES'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250713.123724252.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676415/check_9790103_992e6dad-7eea-4191-bd6a-01383bfcbf71.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '00000390480', 'plan_type': None, 'group_name': None, 'payer_name': 'ALIGNMENT HEALTH', 'payer_note': None, 'patient_dob': '1953-04-27', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'TEDDER', 'plan_sponsor_name': None, 'patient_first_name': 'CHARLES', '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 | 8249515918 | N/A | N/A | 5676415 | 2222 | 4801 | 9524256 | 2630 | 4343470 | 2025-07-14 02:06:14.335600 | 2025-05-13 04:29:37.230947 |
| 2025-07-13 09:06:30.786349 | 2025-07-13 09:07:05.495795 | 9789811 | N/A | N/A | {'payer_id': 'TDFIC', 'payer_name': 'TRICARE FOR LIFE', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '2011-05-18', 'date_of_service': '2025-07-14', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6338, 'subscriber_last_name': 'YUNG', 'subscriber_member_id': '00854676304', 'subscriber_first_name': 'MAYA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543379/check_9789811_5754ea11-3ca6-4856-bd45-0edcd98a8bc4.json | AVAILITY | N/A | GOOGLE_CLOUD | 2025-07-14 | N/A | N/A | N/A | N/A | N/A | N/A | {'member_id': '00854676304', 'plan_type': None, 'group_name': None, 'payer_name': 'TRICARE FOR LIFE', 'payer_note': None, 'patient_dob': '2011-05-18', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'YUNG', 'plan_sponsor_name': None, 'patient_first_name': 'MAYA', '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 | N/A | N/A | N/A | 5543379 | 2222 | N/A | N/A | N/A | 4215179 | 2025-07-13 09:07:05.495795 | 2025-05-13 04:29:37.229495 |
| 2025-07-13 09:06:16.002166 | 2025-07-14 05:22:31.883571 | 9789425 | N/A | N/A | {'payer_id': 'Z1073', 'payer_name': 'Medicare B California Southern', 'provider_npi': '1114042165', 'trace_number': '9789425', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1943-02-13', 'date_of_service': '2025-07-13', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'DAVIS', 'subscriber_member_id': '3M07R08AX76', 'subscriber_first_name': 'HOLLY'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250713.120452213.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6068062/check_9789425_06dd01da-d104-4ae2-8984-91532f88a781.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '3M07R08AX76', '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': '1943-02-13', 'plan_number': 'S5596', 'group_number': None, 'insurance_type': None, 'plan_type_code': 'MA', 'enrolled_in_qmb': False, 'patient_last_name': 'DAVIS', 'plan_sponsor_name': None, 'patient_first_name': 'HOLLY', '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 | 8249453917 | N/A | N/A | 6068062 | 2222 | 4802 | 9538421 | N/A | 4713002 | 2025-07-14 05:22:31.883571 | 2025-06-03 01:39:13.971712 |
| 2025-07-13 09:06:10.206897 | 2025-07-14 02:08:36.848066 | 9789230 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9789230', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1943-02-13', 'date_of_service': '2025-07-13', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'DAVIS', 'subscriber_member_id': 'JQE893M95444', 'subscriber_first_name': 'HOLLY'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250713.115914793.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6104723/check_9789230_0c90e794-1f0f-4c1f-88b7-2a136d3119ac.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'JQE893M95444', 'plan_type': None, 'group_name': 'CA MED-SUPP', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1943-02-13', 'plan_number': '040', 'group_number': 'CASUPWP0', 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'DAVIS', 'plan_sponsor_name': None, 'patient_first_name': 'HOLLY', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2018-07-01', 'plan_coverage_description': 'CA MODERNIZED PLAN G', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8249432271 | N/A | N/A | 6104723 | 2222 | 4802 | 9525040 | N/A | 4713002 | 2025-07-14 02:08:36.848066 | 2025-06-03 01:39:13.971712 |
| 2025-07-13 09:06:03.076518 | 2025-07-14 02:01:35.642369 | 9788928 | N/A | N/A | {'payer_id': 'LMG01', 'payer_name': 'Lakeside Medical Group', 'provider_npi': '1114042165', 'trace_number': '9788928', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1961-09-17', 'date_of_service': '2025-07-13', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'GIANOLI', 'subscriber_member_id': 'R11857813FM1', 'subscriber_first_name': 'ELSY'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250713.123724252.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5568076/check_9788928_3cdc9c1b-cef1-488d-8d78-e27a78d29cff.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'R11857813FM1', 'plan_type': None, 'group_name': None, 'payer_name': 'LAKESIDE MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1961-09-17', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'GIANOLI', 'plan_sponsor_name': None, 'patient_first_name': 'ELSY', '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 | 8249516783 | N/A | N/A | 5568076 | 2222 | 4802 | 9522760 | N/A | 4209480 | 2025-07-14 02:01:35.642369 | 2025-05-13 04:29:37.223914 |
| 2025-07-13 09:05:46.737008 | 2025-07-14 02:06:30.396350 | 9788486 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9788486', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '2008-06-03', 'date_of_service': '2025-07-13', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'subscriber_last_name': 'DATO', 'subscriber_member_id': 'NGO555A50496', 'subscriber_first_name': 'BRETT'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250713.123724252.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5551045/check_9788486_e81dc9e8-6c79-422a-9de9-489f3863bb90.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'NGO555A50496', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'NORTHROP GRUMMAN CORP', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '2008-06-03', 'plan_number': '040', 'group_number': '174022MJAD', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'DATO', 'plan_sponsor_name': None, 'patient_first_name': 'GREGORY', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2021-01-02', 'plan_coverage_description': 'CDHP CA GENERIC HLTH SAVINGS ACCT', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8249517259 | N/A | N/A | 5551045 | 2222 | 4793 | 9524343 | N/A | 4219851 | 2025-07-14 02:06:30.396350 | 2025-05-13 04:29:37.230897 |
| 2025-07-13 09:05:46.610374 | 2025-07-14 02:06:36.558572 | 9788481 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9788481', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1966-02-01', 'date_of_service': '2025-07-13', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'subscriber_last_name': 'VARON', 'subscriber_member_id': 'MPI101422173Q', 'subscriber_first_name': 'BRETT'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250713.123724252.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550992/check_9788481_b875b645-8148-4c29-b118-99867fa3c2fc.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'MPI101422173Q', 'plan_type': None, 'group_name': None, 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1966-02-01', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'VARON', '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} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8249517258 | N/A | N/A | 5550992 | 2222 | 4793 | 9524376 | N/A | 4219816 | 2025-07-14 02:06:36.558572 | 2025-05-13 04:29:37.230863 |
| 2025-07-13 09:05:46.522982 | 2025-07-14 02:11:08.741914 | 9788477 | N/A | N/A | {'payer_id': 'Z1073', 'payer_name': 'Medicare B California Southern', 'provider_npi': '1114042165', 'trace_number': '9788477', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1978-11-15', 'date_of_service': '2025-07-13', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'LEVIN', 'subscriber_member_id': '8UF4J49FH09', 'subscriber_first_name': 'SHANNON'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250713.123724252.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550976/check_9788477_2f0c5d66-6ec3-4bc9-b7c3-4a0fe730c3da.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '8UF4J49FH09', 'plan_type': 'Medicare Part A', 'group_name': None, 'payer_name': 'WELLCARE PRESCRIPTION INSURANCE, INC.', 'payer_note': '1-BENEFICIARY INSURED DUE TO DISABILITY', 'patient_dob': '1978-11-15', 'plan_number': 'S4802', 'group_number': None, 'insurance_type': None, 'plan_type_code': 'MA', 'enrolled_in_qmb': False, 'patient_last_name': 'LEVIN', 'plan_sponsor_name': None, 'patient_first_name': 'SHANNON', '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 | 8249517257 | N/A | N/A | 5550976 | 2222 | 4801 | 9525824 | N/A | 4219800 | 2025-07-14 02:11:08.741914 | 2025-05-13 04:29:37.230840 |
| 2025-07-13 09:05:46.338150 | 2025-07-14 02:06:32.125956 | 9788472 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9788472', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1962-04-09', 'date_of_service': '2025-07-13', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'HARDING', 'subscriber_member_id': 'XDP157A51099', 'subscriber_first_name': 'MICHELE'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250713.123724252.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550953/check_9788472_d9372f55-dc7a-46a1-9933-191a6aa3279d.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XDP157A51099', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'CALIFORNIA SCHOOL EMPLOYEE BENEFIT ORGANIZATION', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1962-04-09', 'plan_number': '040', 'group_number': '175092M330', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'HARDING', 'plan_sponsor_name': None, 'patient_first_name': 'MICHELE', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2024-01-01', 'plan_coverage_description': 'CA GENERIC HLTH SAVINGS ACCT', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8249517256 | N/A | N/A | 5550953 | 2222 | 4801 | 9524352 | N/A | 4219788 | 2025-07-14 02:06:32.125956 | 2025-06-06 22:01:46.271450 |
| 2025-07-13 09:05:46.202991 | 2025-07-14 02:03:02.690226 | 9788467 | N/A | N/A | {'payer_id': '60054', 'payer_name': 'Aetna', 'provider_npi': '1114042165', 'trace_number': '9788467', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1991-03-21', 'date_of_service': '2025-07-13', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'CARDINALI', 'subscriber_member_id': 'W286606913', 'subscriber_first_name': 'NICOLE'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250713.123724252.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550850/check_9788467_03c6e1a5-aa70-4b92-91e0-e34d420271a5.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'W286606913', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'LHI GROUP INC.', 'payer_name': 'AETNA', 'payer_note': None, 'patient_dob': '1991-03-21', 'plan_number': '0887487', 'group_number': '088748701000001', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'CARDINALI', 'plan_sponsor_name': None, 'patient_first_name': 'NICOLE', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'OPEN CHOICE', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8249517255 | N/A | N/A | 5550850 | 2222 | 4802 | 9523203 | N/A | 4215195 | 2025-07-14 02:03:02.690226 | 2025-05-14 09:08:40.751930 |
| 2025-07-13 09:05:46.067861 | 2025-07-14 02:07:10.908324 | 9788463 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': '1114042165', 'trace_number': '9788463', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1975-08-17', 'date_of_service': '2025-07-13', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'PANDYA', 'subscriber_member_id': 'XEA913306283', 'subscriber_first_name': 'DHARA'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250713.123724252.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550845/check_9788463_1d9aa870-5fb9-421e-9855-64fbdf55c282.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'VBG913306283', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'BLUE SHIELD OF CALIFORNIA EMPLOYER GROUP', 'payer_name': 'BLUE SHIELD CALIFORNIA', 'payer_note': None, 'patient_dob': '1975-08-17', 'plan_number': '1000VX000002', 'group_number': 'W0051414', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'PANDYA', 'plan_sponsor_name': None, 'patient_first_name': 'DHARA', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2024-06-03', 'plan_coverage_description': 'HSA RATED', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8249517254 | N/A | N/A | 5550845 | 2222 | 4801 | 9524573 | N/A | 4219713 | 2025-07-14 02:07:10.908324 | 2025-08-13 22:46:55.732965 |
| 2025-07-13 09:05:45.962675 | 2025-07-14 02:01:39.774849 | 9788460 | N/A | N/A | {'payer_id': 'REGAL', 'payer_name': 'Regal Medical Group', 'provider_npi': '1114042165', 'trace_number': '9788460', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1982-11-09', 'date_of_service': '2025-07-13', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'subscriber_last_name': 'JOHNSON', 'subscriber_member_id': 'XEH907100980', 'subscriber_first_name': 'DANIEL'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250713.123724252.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550815/check_9788460_68fdbffd-1f5e-47eb-a5a9-2a4c7a5634bf.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XEH907100980', 'plan_type': None, 'group_name': None, 'payer_name': 'REGAL MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1982-11-09', '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': 'DANIEL', '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 | 8249517253 | N/A | N/A | 5550815 | 2222 | 4801 | 9522768 | N/A | 4219693 | 2025-07-14 02:01:39.774849 | 2025-05-13 04:29:37.230738 |
| 2025-07-13 09:05:45.752578 | 2025-07-14 02:11:09.109325 | 9788455 | N/A | N/A | {'payer_id': 'Z1073', 'payer_name': 'Medicare B California Southern', 'provider_npi': '1114042165', 'trace_number': '9788455', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1947-03-15', 'date_of_service': '2025-07-13', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'RASHMAN', 'subscriber_member_id': '9FN0XY7RR02', 'subscriber_first_name': 'RICHARD'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250713.123724252.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550657/check_9788455_471ce620-0e63-47a4-b75e-17e239e863a5.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '9FN0XY7RR02', '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': '1947-03-15', 'plan_number': 'S4802', 'group_number': None, 'insurance_type': None, 'plan_type_code': 'MA', 'enrolled_in_qmb': False, 'patient_last_name': 'RASHMAN', 'plan_sponsor_name': None, 'patient_first_name': 'RICHARD', '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 | 8249517252 | N/A | N/A | 5550657 | 2222 | 4802 | 9525826 | N/A | 4219593 | 2025-07-14 02:11:09.109325 | 2025-05-13 04:29:37.230634 |
| 2025-07-13 09:05:45.584735 | 2025-07-14 02:11:08.399922 | 9788450 | N/A | N/A | {'payer_id': 'Z1073', 'payer_name': 'Medicare B California Southern', 'provider_npi': '1114042165', 'trace_number': '9788450', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1942-04-09', 'date_of_service': '2025-07-13', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'JALLAD', 'subscriber_member_id': '7AY7QW7EK46', 'subscriber_first_name': 'IKRAM'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250713.123724252.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549454/check_9788450_aa69cd43-516f-4103-9364-95fdcc2eb5e4.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '7AY7QW7EK46', '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': '1942-04-09', 'plan_number': 'S5617', 'group_number': None, 'insurance_type': None, 'plan_type_code': 'MB', 'enrolled_in_qmb': False, 'patient_last_name': 'JALLAD', 'plan_sponsor_name': None, 'patient_first_name': 'IKRAM', '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 | 8249517251 | N/A | N/A | 5549454 | 2222 | 4801 | 9525822 | N/A | 4219116 | 2025-07-14 02:11:08.399922 | 2025-05-16 16:43:35.854220 |
| 2025-07-13 09:05:45.445325 | 2025-07-14 02:06:36.151978 | 9788447 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9788447', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1957-04-19', 'date_of_service': '2025-07-13', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'VALDIVIA', 'subscriber_member_id': 'JQW088W14517', 'subscriber_first_name': 'CRISTINA'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250713.123724252.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549398/check_9788447_5d844bca-f62f-4aba-af85-f6c3747b5b8e.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'JQW088W14517', 'plan_type': 'Medicare Primary', 'group_name': 'CA MEDICARE', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1957-04-19', 'plan_number': '040', 'group_number': 'CAMCRWP0', 'insurance_type': None, 'plan_type_code': 'MP', 'enrolled_in_qmb': False, 'patient_last_name': 'VALDIVIA', 'plan_sponsor_name': None, 'patient_first_name': 'CRISTINA', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2024-01-01', '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 | 8249517250 | N/A | N/A | 5549398 | 2222 | 4801 | 9524374 | N/A | 4219064 | 2025-07-14 02:06:36.151978 | 2025-06-06 15:26:44.406275 |
| 2025-07-13 09:05:45.333478 | 2025-07-14 02:06:34.026200 | 9788442 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9788442', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1962-01-25', 'date_of_service': '2025-07-13', '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/272741.20250713.123724252.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549317/check_9788442_4e010ddf-549e-45b6-b818-a2e2f8ca26df.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'HFD100011213709', 'plan_type': None, 'group_name': None, 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1962-01-25', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'LUCZYWEK', 'plan_sponsor_name': None, 'patient_first_name': 'DEBORA', '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 | 8249517249 | N/A | N/A | 5549317 | 2222 | 4801 | 9524363 | N/A | 4219010 | 2025-07-14 02:06:34.026200 | 2026-01-09 18:32:07.618867 |
| 2025-07-13 09:05:45.183799 | 2025-07-14 02:11:08.028456 | 9788439 | N/A | N/A | {'payer_id': 'Z1073', 'payer_name': 'Medicare B California Southern', 'provider_npi': '1114042165', 'trace_number': '9788439', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1956-02-09', 'date_of_service': '2025-07-13', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'DOUGLAS', 'subscriber_member_id': '6RW0R23KU11', 'subscriber_first_name': 'HEATHER'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250713.123724252.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5548965/check_9788439_96325c5c-24e7-4b81-a75c-9101c14f7a74.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '6RW0R23KU11', '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': '1956-02-09', 'plan_number': 'S5596', 'group_number': None, 'insurance_type': None, 'plan_type_code': 'MA', 'enrolled_in_qmb': False, 'patient_last_name': 'DOUGLAS', 'plan_sponsor_name': None, 'patient_first_name': 'HEATHER', '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 | 8249517248 | N/A | N/A | 5548965 | 2222 | 4802 | 9525820 | N/A | 4218725 | 2025-07-14 02:11:08.028456 | 2025-05-13 04:29:37.229715 |
| 2025-07-13 09:05:39.972612 | 2025-07-14 02:11:09.549886 | 9788332 | N/A | N/A | {'payer_id': 'Z1073', 'payer_name': 'Medicare B California Southern', 'provider_npi': '1114042165', 'trace_number': '9788332', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1945-02-14', 'date_of_service': '2025-07-13', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'SLAUGHTER', 'subscriber_member_id': '6V77P87YA36', 'subscriber_first_name': 'KAY'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250713.123724252.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543377/check_9788332_97f608f3-1954-4409-806f-f83ddc7d3bbe.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '6V77P87YA36', 'plan_type': 'Medicare Part B', 'group_name': None, 'payer_name': 'SILVERSCRIPT INSURANCE COMPANY', 'payer_note': '0-BENEFICIARY INSURED DUE TO AGE OASI', 'patient_dob': '1945-02-14', 'plan_number': 'S5601', 'group_number': None, 'insurance_type': None, 'plan_type_code': 'MB', 'enrolled_in_qmb': False, 'patient_last_name': 'SLAUGHTER', 'plan_sponsor_name': None, 'patient_first_name': 'KAY', '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 | 8249517230 | N/A | N/A | 5543377 | 2222 | 4802 | 9525828 | N/A | 4215177 | 2025-07-14 02:11:09.549886 | 2025-05-13 04:29:37.229493 |
| 2025-07-13 09:05:39.858141 | 2025-07-14 02:02:25.412313 | 9788327 | N/A | N/A | {'payer_id': '38333', 'payer_name': 'Molina Healthcare of California', 'provider_npi': '1114042165', 'trace_number': '9788327', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '2001-01-23', 'date_of_service': '2025-07-13', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'SILVERS', 'subscriber_member_id': '1866968', 'subscriber_first_name': 'JOIEMAY'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250713.123724252.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543335/check_9788327_b6c6cd80-4a29-49b0-a946-7858b333e348.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '1866968', 'plan_type': None, 'group_name': None, 'payer_name': 'MOLINA_CA', 'payer_note': 'NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY)', 'patient_dob': '2001-01-23', 'plan_number': '18126CA001000305', 'group_number': 'QMXEM01910', 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'SILVERS', 'plan_sponsor_name': None, 'patient_first_name': 'JOIEMAY', 'patient_middle_name': None, 'date_time_period_end': '2025-12-31', 'date_time_period_start': '2025-01-01', 'plan_coverage_description': 'SILVER 87 HMO', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8249517229 | N/A | N/A | 5543335 | 2222 | 4802 | 9522986 | N/A | 4215139 | 2025-07-14 02:02:25.412313 | 2025-05-13 21:20:11.455022 |
| 2025-07-13 09:05:39.701180 | 2025-07-14 02:06:29.587256 | 9788324 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'ANTHEM BLUE CROSS', 'provider_npi': '1114042165', 'trace_number': '9788324', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1962-09-27', 'date_of_service': '2025-07-13', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'BARAJAS', 'subscriber_member_id': 'NCF425A56241', 'subscriber_first_name': 'EMMA'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250713.123724252.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543324/check_9788324_a5e12aca-2c04-43a0-abb3-aafe880dd112.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'JMV425A56241', 'plan_type': 'Health Maintenance Organization (HMO)', 'group_name': 'IBEW LOCAL 18 HEALTH & WELFARE TRUST', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1962-09-27', 'plan_number': '040', 'group_number': '56677WR000', 'insurance_type': None, 'plan_type_code': 'HM', 'enrolled_in_qmb': False, 'patient_last_name': 'BARAJAS', 'plan_sponsor_name': None, 'patient_first_name': 'RAMON', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2024-07-01', 'plan_coverage_description': 'BLUE CROSS HMO', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8249517228 | N/A | N/A | 5543324 | 2222 | 4801 | 9524338 | 4184 | 4215131 | 2025-07-14 02:06:29.587256 | 2025-08-11 16:45:52.816842 |
| 2025-07-13 09:05:39.418397 | 2025-07-14 02:01:35.974767 | 9788316 | N/A | N/A | {'payer_id': 'LMG01', 'payer_name': 'Lakeside Medical Group', 'provider_npi': '1114042165', 'trace_number': '9788316', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1964-03-27', 'date_of_service': '2025-07-13', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'MCCOWAN', 'subscriber_member_id': '93341440D', 'subscriber_first_name': 'KEVIN'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250713.123724252.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543270/check_9788316_b90ccfcc-becc-4044-ba48-70ce6ed03271.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '93341440D', 'plan_type': None, 'group_name': None, 'payer_name': 'LAKESIDE MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1964-03-27', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'MCCOWAN', '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 | 8249517227 | N/A | N/A | 5543270 | 2222 | 4793 | 9522761 | N/A | 4215086 | 2025-07-14 02:01:35.974767 | 2025-05-13 04:29:37.229401 |
| 2025-07-13 09:05:39.011637 | 2025-07-14 02:01:34.931290 | 9788307 | N/A | N/A | {'payer_id': 'LMG01', 'payer_name': 'Lakeside Medical Group', 'provider_npi': '1114042165', 'trace_number': '9788307', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1962-05-10', 'date_of_service': '2025-07-13', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'ADHAMI', 'subscriber_member_id': '95671183F', 'subscriber_first_name': 'SOHAILA'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250713.123724252.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543265/check_9788307_5ac0dbb3-2ab9-42bf-b5a5-6311f2e50cea.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '95671183F', 'plan_type': None, 'group_name': None, 'payer_name': 'LAKESIDE MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1962-05-10', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'ADHAMI', 'plan_sponsor_name': None, 'patient_first_name': 'SOHAILA', '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 | 8249517226 | N/A | N/A | 5543265 | 2222 | 4802 | 9522758 | N/A | 4215082 | 2025-07-14 02:01:34.931290 | 2025-05-13 04:29:37.229397 |
| 2025-07-13 09:05:38.506123 | 2025-07-14 02:07:12.448625 | 9788298 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': '1114042165', 'trace_number': '9788298', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '2002-06-02', 'date_of_service': '2025-07-13', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'subscriber_last_name': 'VIRGIL', 'subscriber_member_id': 'XEK905426435', 'subscriber_first_name': 'NICHOLAS'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250713.123724252.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543237/check_9788298_5c33c41d-a110-45a5-9676-6d6f77217157.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XEK905426435', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'IFP OFF EXCHANGE', 'payer_name': 'BLUE SHIELD CALIFORNIA', 'payer_note': None, 'patient_dob': '2002-06-02', 'plan_number': '2001ZK002195', 'group_number': 'X0001000', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'VIRGIL', 'plan_sponsor_name': None, 'patient_first_name': 'JEFF', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2021-07-01', 'plan_coverage_description': 'IFP EMB PED VISION', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8249517225 | N/A | N/A | 5543237 | 2222 | 4802 | 9524582 | N/A | 4215054 | 2025-07-14 02:07:12.448625 | 2025-05-13 04:29:37.229375 |
| 2025-07-13 09:05:38.352223 | 2025-07-14 02:06:33.672023 | 9788292 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'ANTHEM BLUE CROSS', 'provider_npi': '1114042165', 'trace_number': '9788292', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1971-12-13', 'date_of_service': '2025-07-13', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'subscriber_last_name': 'LEO', 'subscriber_member_id': 'NCF949A57364', 'subscriber_first_name': 'SEAN'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250713.123724252.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543220/check_9788292_ee98fe70-104d-4834-99f3-553c57aa74ad.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'NCF949A57364', 'plan_type': 'Health Maintenance Organization (HMO)', 'group_name': 'LAUSD', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1971-12-13', 'plan_number': '040', 'group_number': '57AJCA', 'insurance_type': None, 'plan_type_code': 'HM', 'enrolled_in_qmb': False, 'patient_last_name': 'LEO', 'plan_sponsor_name': None, 'patient_first_name': 'DAYNA', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2010-01-01', 'plan_coverage_description': 'POWER SELECT HMO NETWORK 126+', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8249517224 | N/A | N/A | 5543220 | 2222 | 4793 | 9524360 | 4184 | 4215036 | 2025-07-14 02:06:33.672023 | 2025-05-13 04:29:37.229353 |
| 2025-07-13 09:05:38.276211 | 2025-07-14 02:06:34.614393 | 9788290 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9788290', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '2003-10-09', 'date_of_service': '2025-07-13', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'LUKOWITSCH', 'subscriber_member_id': 'XDPCA8263500', 'subscriber_first_name': 'HALLIE'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250713.123724252.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543178/check_9788290_3604101d-6bb4-450c-9a3a-289c9ca8780d.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XDPCA8263500', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'UCLA - UNDERGRAD', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '2003-10-09', 'plan_number': '040', 'group_number': '275958P701', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'LUKOWITSCH', 'plan_sponsor_name': None, 'patient_first_name': 'HALLIE', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2024-09-23', 'plan_coverage_description': 'PPO UC SHIP', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8249517223 | N/A | N/A | 5543178 | 2222 | 4802 | 9524364 | N/A | 4215006 | 2025-07-14 02:06:34.614393 | 2025-05-13 04:29:37.229325 |
| 2025-07-13 09:05:38.174472 | 2025-07-14 02:07:09.840818 | 9788287 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': '1114042165', 'trace_number': '9788287', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '2003-07-09', 'date_of_service': '2025-07-13', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'subscriber_last_name': 'FEY', 'subscriber_member_id': 'XED912890874', 'subscriber_first_name': 'JOSEPH'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250713.123724252.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543173/check_9788287_398110bf-87d8-40b9-996e-ab09f04048c8.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XED912890874', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'IFP ON EXCHANGE', 'payer_name': 'BLUE SHIELD CALIFORNIA', 'payer_note': None, 'patient_dob': '2003-07-09', 'plan_number': '2001ZK002185', 'group_number': 'X0001004', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'FEY', 'plan_sponsor_name': None, 'patient_first_name': 'JOSEPH', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2024-01-01', 'plan_coverage_description': 'IFP EMB PED VISION', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8249517222 | N/A | N/A | 5543173 | 2222 | 4793 | 9524567 | N/A | 4215000 | 2025-07-14 02:07:09.840818 | 2025-05-13 04:29:37.229320 |
| 2025-07-13 09:05:38.019989 | 2025-07-14 02:11:09.915885 | 9788281 | N/A | N/A | {'payer_id': 'Z1073', 'payer_name': 'Medicare B California Southern', 'provider_npi': '1114042165', 'trace_number': '9788281', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1946-11-18', 'date_of_service': '2025-07-13', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'STECHER', 'subscriber_member_id': '4P42WA3QM82', 'subscriber_first_name': 'BRIAN'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250713.123724252.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543052/check_9788281_d89f6bca-1b89-44ad-a70f-975fc4d2360f.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '4P42WA3QM82', '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': '1946-11-18', 'plan_number': 'S4802', 'group_number': None, 'insurance_type': None, 'plan_type_code': 'MA', 'enrolled_in_qmb': False, 'patient_last_name': 'STECHER', 'plan_sponsor_name': None, 'patient_first_name': 'BRIAN', '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 | 8249517221 | N/A | N/A | 5543052 | 2222 | 4802 | 9525830 | N/A | 4214891 | 2025-07-14 02:11:09.915885 | 2025-05-13 04:29:37.229214 |