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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-07-13 09:05:37.821605 | 2025-07-14 02:07:09.497684 | 9788275 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': '1114042165', 'trace_number': '9788275', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1986-09-15', 'date_of_service': '2025-07-13', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'subscriber_last_name': 'ELLSWORTH', 'subscriber_member_id': 'XEK911198887', 'subscriber_first_name': 'ADAM'} | 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/2222/5543012/check_9788275_daebe1c5-481b-45b9-b28c-c701dd8e96f8.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XEK911198887', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'IFP OFF EXCHANGE', 'payer_name': 'BLUE SHIELD CALIFORNIA', 'payer_note': None, 'patient_dob': '1986-09-15', 'plan_number': '2001ZD002666', 'group_number': 'X0001000', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'ELLSWORTH', 'plan_sponsor_name': None, 'patient_first_name': 'ADAM', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2022-02-01', 'plan_coverage_description': 'IFP EMB PED VISION', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8249517220 | N/A | N/A | 5543012 | 2222 | 4802 | 9524565 | N/A | 4214859 | 2025-07-14 02:07:09.497684 | 2025-12-03 23:27:09.735417 |
| 2025-07-13 09:05:37.433805 | 2025-07-14 02:06:31.230113 | 9788267 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9788267', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1943-04-14', 'date_of_service': '2025-07-13', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'subscriber_last_name': 'DESMET', 'subscriber_member_id': 'MBL584M98446', 'subscriber_first_name': 'GRANT'} | 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/2222/5542900/check_9788267_51940006-6a55-4db5-99bb-c8a4d597cb13.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'MBL584M98446', 'plan_type': None, 'group_name': 'LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD)', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1943-04-14', 'plan_number': '040', 'group_number': 'CAEGR005', 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'DESMET', 'plan_sponsor_name': None, 'patient_first_name': 'GRANT', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2021-01-01', 'plan_coverage_description': 'CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8249517219 | N/A | N/A | 5542900 | 2222 | 4801 | 9524347 | N/A | 4214759 | 2025-07-14 02:06:31.230113 | 2025-05-13 04:29:37.229079 |
| 2025-07-13 09:05:37.217511 | 2025-07-14 02:06:35.793214 | 9788261 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9788261', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1948-07-22', 'date_of_service': '2025-07-13', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'UTLEY', 'subscriber_member_id': 'MBL209M95251', 'subscriber_first_name': 'SHERIDAN'} | 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/2222/5542387/check_9788261_64244506-472c-4759-93e9-05fd0e116204.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'MBL209M95251', 'plan_type': None, 'group_name': 'MOTION PICTURE INDUSTRY HEALTH PLAN', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1948-07-22', 'plan_number': '040', 'group_number': 'CAEGR002', 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'UTLEY', 'plan_sponsor_name': None, 'patient_first_name': 'SHERIDAN', '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} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8249517218 | N/A | N/A | 5542387 | 2222 | 4801 | 9524372 | N/A | 4214300 | 2025-07-14 02:06:35.793214 | 2025-06-17 13:03:57.252701 |
| 2025-07-13 09:05:36.873178 | 2025-07-14 02:07:10.165922 | 9788254 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': '1114042165', 'trace_number': '9788254', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1959-03-16', 'date_of_service': '2025-07-13', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'KATZ', 'subscriber_member_id': 'XEA913769083', 'subscriber_first_name': 'LYNNE'} | 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/2222/5542358/check_9788254_89845b0a-392c-40ef-a05f-a809b2825842.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XAN913769083', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM', 'payer_name': 'BLUE SHIELD CALIFORNIA', 'payer_note': None, 'patient_dob': '1959-03-16', 'plan_number': '1000PPOX0002', 'group_number': 'W0051411', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'KATZ', 'plan_sponsor_name': None, 'patient_first_name': 'GARY', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'CALPERS ASO PLATINUM PPO GROUP BILL', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8249517217 | N/A | N/A | 5542358 | 2222 | 4801 | 9524569 | N/A | 4214270 | 2025-07-14 02:07:10.165922 | 2025-05-13 04:29:37.228601 |
| 2025-07-13 09:05:36.633898 | 2025-07-14 02:06:34.977269 | 9788249 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9788249', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '2008-04-12', 'date_of_service': '2025-07-13', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'subscriber_last_name': 'PULS', 'subscriber_member_id': 'XTS068A69201', 'subscriber_first_name': 'LUKE'} | 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/2222/5542214/check_9788249_9efe0c6b-55a9-4bdb-88ff-86108d0d48bf.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XTS068A69201', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'SEMTECH CORPORATION CA/OOS', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '2008-04-12', 'plan_number': '040', 'group_number': '277405M037', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'PULS', 'plan_sponsor_name': None, 'patient_first_name': 'TIMOTHY', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2023-01-01', 'plan_coverage_description': 'CA GENERIC HLTH SAVINGS ACCT', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8249517216 | N/A | N/A | 5542214 | 2222 | 4793 | 9524368 | N/A | 4214158 | 2025-07-14 02:06:34.977269 | 2025-05-13 04:29:37.228486 |
| 2025-07-13 09:05:36.402205 | 2025-07-14 02:06:30.799679 | 9788242 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9788242', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1970-03-27', 'date_of_service': '2025-07-13', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'DATO', 'subscriber_member_id': 'NGO555A50496', 'subscriber_first_name': 'JEN'} | 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/2222/5542196/check_9788242_d1b14917-5fbe-4f02-8754-f5ef8e50d48e.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': '1970-03-27', '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 | 8249517215 | N/A | N/A | 5542196 | 2222 | 4793 | 9524345 | N/A | 4214140 | 2025-07-14 02:06:30.799679 | 2025-05-13 04:29:37.228468 |
| 2025-07-13 09:05:36.174099 | 2025-07-14 02:01:40.418415 | 9788239 | N/A | N/A | {'payer_id': 'REGAL', 'payer_name': 'Regal Medical Group', 'provider_npi': '1114042165', 'trace_number': '9788239', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1947-02-01', 'date_of_service': '2025-07-13', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'YEE', 'subscriber_member_id': '412922301', 'subscriber_first_name': 'HARRY'} | 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/2222/5541972/check_9788239_185bd29f-e76c-4bd0-8762-6b5579577f0d.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '412922301', 'plan_type': None, 'group_name': None, 'payer_name': 'REGAL MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1947-02-01', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'YEE', 'plan_sponsor_name': None, 'patient_first_name': 'HARRY', '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 | 8249517214 | N/A | N/A | 5541972 | 2222 | 4793 | 9522769 | N/A | 4213941 | 2025-07-14 02:01:40.418415 | 2025-05-13 04:29:37.228259 |
| 2025-07-13 09:05:35.944151 | 2025-07-14 02:06:35.406569 | 9788234 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9788234', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1940-08-31', 'date_of_service': '2025-07-13', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'subscriber_last_name': 'STEINBERG', 'subscriber_member_id': 'MBL875M98441', 'subscriber_first_name': 'HARRIS'} | 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/2222/5541917/check_9788234_5d037860-ded8-473d-843e-3f23226c59a9.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'MBL875M98441', 'plan_type': None, 'group_name': 'LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD)', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1940-08-31', 'plan_number': '040', 'group_number': 'CAEGR005', 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'STEINBERG', 'plan_sponsor_name': None, 'patient_first_name': 'HARRIS', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2021-01-01', 'plan_coverage_description': 'CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8249517213 | N/A | N/A | 5541917 | 2222 | 4793 | 9524370 | N/A | 4213891 | 2025-07-14 02:06:35.406569 | 2025-05-13 04:29:37.228207 |
| 2025-07-13 09:05:35.658774 | 2025-07-14 02:07:12.099465 | 9788225 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': '1114042165', 'trace_number': '9788225', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1981-08-26', 'date_of_service': '2025-07-13', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'subscriber_last_name': 'TOHLCHINSKY', 'subscriber_member_id': 'XEA901508061', 'subscriber_first_name': 'MICHAEL'} | 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/2222/5541542/check_9788225_128f5ab3-4f37-4ed2-a454-191172f3ec33.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XEA901508061', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'TOHL ENTERPRISES INC', 'payer_name': 'BLUE SHIELD CALIFORNIA', 'payer_note': None, 'patient_dob': '1981-08-26', 'plan_number': '1000VX000102', 'group_number': 'W0006154', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'TOHLCHINSKY', 'plan_sponsor_name': None, 'patient_first_name': 'MICHAEL', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2015-12-01', 'plan_coverage_description': 'SG EMB PED VISION PPO FOR PPO HSA DMHC OFFEX', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8249517212 | N/A | N/A | 5541542 | 2222 | 4793 | 9524580 | N/A | 4213542 | 2025-07-14 02:07:12.099465 | 2025-06-03 22:12:38.498592 |
| 2025-07-13 09:05:35.340032 | 2025-07-14 02:07:10.518975 | 9788219 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': '1114042165', 'trace_number': '9788219', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1980-05-29', 'date_of_service': '2025-07-13', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'KURTZ', 'subscriber_member_id': 'XED906231353', 'subscriber_first_name': 'NINA'} | 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/2222/5541378/check_9788219_372b507f-b23b-476b-8790-de4e8b3c40d6.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XED906231353', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'IFP ON EXCHANGE', 'payer_name': 'BLUE SHIELD CALIFORNIA', 'payer_note': None, 'patient_dob': '1980-05-29', 'plan_number': '2001ZK002169', 'group_number': 'X0001004', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'KURTZ', 'plan_sponsor_name': None, 'patient_first_name': 'NINA', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2018-01-01', 'plan_coverage_description': 'IFP EMB PED DPPO JAN15', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8249517211 | N/A | N/A | 5541378 | 2222 | 4793 | 9524571 | N/A | 4213405 | 2025-07-14 02:07:10.518975 | 2025-05-13 04:29:37.227726 |
| 2025-07-13 09:05:35.076738 | 2025-07-14 02:07:09.107772 | 9788210 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': '1114042165', 'trace_number': '9788210', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1993-03-02', 'date_of_service': '2025-07-13', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'subscriber_last_name': 'CHORLIAN', 'subscriber_member_id': 'XED914382344', 'subscriber_first_name': 'BERJ'} | 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/2222/5541177/check_9788210_58ffa049-063d-4c80-b7f5-47e2a6122a15.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XED914382344', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'IFP ON EXCHANGE', 'payer_name': 'BLUE SHIELD CALIFORNIA', 'payer_note': None, 'patient_dob': '1993-03-02', 'plan_number': '2001ZK002187', 'group_number': 'X0001004', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'CHORLIAN', 'plan_sponsor_name': None, 'patient_first_name': 'BERJ', '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 | 8249516482 | N/A | N/A | 5541177 | 2222 | 4793 | 9524562 | N/A | 4213223 | 2025-07-14 02:07:09.107772 | 2025-06-03 20:59:34.856515 |
| 2025-07-13 09:05:34.964374 | 2025-07-14 02:01:38.577981 | 9788206 | N/A | N/A | {'payer_id': 'REGAL', 'payer_name': 'Regal Medical Group', 'provider_npi': '1114042165', 'trace_number': '9788206', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1949-03-25', 'date_of_service': '2025-07-13', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'BARON', 'subscriber_member_id': 'H7986555300', 'subscriber_first_name': 'AIDA'} | 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/2222/5541086/check_9788206_974ea544-515b-4928-baed-ac6caeee3bae.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'H7986555300', 'plan_type': None, 'group_name': None, 'payer_name': 'REGAL MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1949-03-25', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'BARON', 'plan_sponsor_name': None, 'patient_first_name': 'AIDA', '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 | 8249516481 | N/A | N/A | 5541086 | 2222 | 4793 | 9522766 | N/A | 4213141 | 2025-07-14 02:01:38.577981 | 2025-05-13 04:29:37.227470 |
| 2025-07-13 09:05:34.784420 | 2025-07-14 02:01:35.289309 | 9788200 | N/A | N/A | {'payer_id': 'LMG01', 'payer_name': 'Lakeside Medical Group', 'provider_npi': '1114042165', 'trace_number': '9788200', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '2008-09-18', 'date_of_service': '2025-07-13', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'BENDAVID', 'subscriber_member_id': '95318118F', 'subscriber_first_name': 'TALIA'} | 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/2222/5540893/check_9788200_831a91ce-fdc4-4e8b-8c00-26601d9d7f16.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '95318118F', 'plan_type': None, 'group_name': None, 'payer_name': 'LAKESIDE MEDICAL GROUP', 'payer_note': None, 'patient_dob': '2008-09-18', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'BENDAVID', 'plan_sponsor_name': None, 'patient_first_name': 'TALIA', '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 | 8249516480 | N/A | N/A | 5540893 | 2222 | 4793 | 9522759 | N/A | 4212979 | 2025-07-14 02:01:35.289309 | 2025-06-04 21:11:15.590634 |
| 2025-07-13 09:05:34.621403 | 2025-07-14 02:11:07.270748 | 9788195 | N/A | N/A | {'payer_id': 'Z1073', 'payer_name': 'Medicare B California Southern', 'provider_npi': '1114042165', 'trace_number': '9788195', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1957-08-09', 'date_of_service': '2025-07-13', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'DASILVA', 'subscriber_member_id': '4KY4HX3NJ05', 'subscriber_first_name': 'BOB'} | 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/2222/5540840/check_9788195_7806467b-0b7d-412f-b09d-84f187630df2.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '4KY4HX3NJ05', 'plan_type': 'Medicare Part B', 'group_name': None, 'payer_name': 'CMS', 'payer_note': '0-BENEFICIARY INSURED DUE TO AGE OASI', 'patient_dob': '1957-08-09', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': 'MB', 'enrolled_in_qmb': False, 'patient_last_name': 'DASILVA', 'plan_sponsor_name': None, 'patient_first_name': 'BOB', '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 | 8249516479 | N/A | N/A | 5540840 | 2222 | 4793 | 9525816 | N/A | 4212930 | 2025-07-14 02:11:07.270748 | 2025-05-13 04:29:37.227258 |
| 2025-07-13 09:05:34.459234 | 2025-07-14 02:03:02.327167 | 9788191 | N/A | N/A | {'payer_id': '60054', 'payer_name': 'Aetna', 'provider_npi': '1114042165', 'trace_number': '9788191', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1982-07-27', 'date_of_service': '2025-07-13', 'subscriber_gender': 'M', 'service_type_codes': ['PT', 'AE'], 'subscriber_last_name': 'BOKHTIER', 'subscriber_member_id': 'W275493875', 'subscriber_first_name': 'GOLAM'} | 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/2222/5540723/check_9788191_85d52fa4-b848-46df-a131-5bdbcc5faa34.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'W275493875', 'plan_type': 'Exclusive Provider Organization', 'group_name': 'AMERICAN EXPRESS COMPANY', 'payer_name': 'AETNA', 'payer_note': None, 'patient_dob': '1982-07-27', 'plan_number': '0169631', 'group_number': '016963101100001', 'insurance_type': None, 'plan_type_code': 'EP', 'enrolled_in_qmb': False, 'patient_last_name': 'BOKHTIER', 'plan_sponsor_name': None, 'patient_first_name': 'SUMMER', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'OPEN ACCESS AETNA SELECT', 'relationship_to_subscriber': None} | ['PT', 'AE'] | N/A | N/A | N/A | N/A | N/A | 8249516478 | N/A | N/A | 5540723 | 2222 | 4793 | 9523201 | N/A | 4212833 | 2025-07-14 02:03:02.327167 | 2025-05-28 20:46:35.079848 |
| 2025-07-13 09:05:34.227794 | 2025-07-14 02:06:32.912932 | 9788187 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9788187', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1967-09-15', 'date_of_service': '2025-07-13', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'subscriber_last_name': 'HELLER', 'subscriber_member_id': 'XDL463A68495', 'subscriber_first_name': 'MATT'} | 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/2222/5540316/check_9788187_48ba06d8-1c1e-4e70-b9e1-d359c1e1fe8b.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XDL463A68495', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': None, 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1967-09-15', 'plan_number': '040', 'group_number': 'Z13100', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'HELLER', 'plan_sponsor_name': None, 'patient_first_name': 'MATTHEW', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2009-08-01', 'plan_coverage_description': 'LUMENOS HSA', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8249516477 | N/A | N/A | 5540316 | 2222 | 4793 | 9524356 | N/A | 4212462 | 2025-07-14 02:06:32.912932 | 2025-06-24 20:27:22.939881 |
| 2025-07-13 09:05:33.891894 | 2025-07-14 02:06:36.938635 | 9788179 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9788179', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1968-12-03', 'date_of_service': '2025-07-13', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'YANG', 'subscriber_member_id': 'FJB27468841M', 'subscriber_first_name': 'JINING'} | 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/2222/5539727/check_9788179_0f29f9e6-0ee5-4d67-92ab-9cd803ee16f8.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'FJB27468841M', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'ALL', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1968-12-03', 'plan_number': '101', 'group_number': '174549M311', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'YANG', 'plan_sponsor_name': None, 'patient_first_name': 'JINING', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2021-01-01', 'plan_coverage_description': 'BLUECARD PPO', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8249516476 | N/A | N/A | 5539727 | 2222 | 4793 | 9524378 | N/A | 4211988 | 2025-07-14 02:06:36.938635 | 2025-07-02 16:33:22.389736 |
| 2025-07-13 09:05:33.403797 | 2025-07-14 02:06:32.539065 | 9788169 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9788169', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1956-12-03', 'date_of_service': '2025-07-13', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'HARTMANN DEBIASE', 'subscriber_member_id': 'MMA051W22347', 'subscriber_first_name': 'MARIANNE'} | 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/2222/5539573/check_9788169_26e1b901-f6e0-4ad3-aa41-e0351dd35f3b.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'MMA051W22347', 'plan_type': 'Medicare Primary', 'group_name': 'CA MEDICARE', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1956-12-03', 'plan_number': '040', 'group_number': 'CAMCRWP0', 'insurance_type': None, 'plan_type_code': 'MP', 'enrolled_in_qmb': False, 'patient_last_name': 'HARTMANN DEBIASE', 'plan_sponsor_name': None, 'patient_first_name': 'MARIANNE', '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 | 8249516475 | N/A | N/A | 5539573 | 2222 | 4793 | 9524354 | N/A | 4211857 | 2025-07-14 02:06:32.539065 | 2025-07-01 23:52:53.869019 |
| 2025-07-13 09:05:33.223978 | 2025-07-14 02:06:13.977853 | 9788163 | N/A | N/A | {'payer_id': 'CCHPC', 'payer_name': 'ALIGNMENT HEALTH CARE', 'provider_npi': '1114042165', 'trace_number': '9788163', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1956-11-11', 'date_of_service': '2025-07-13', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'SULLIVAN', 'subscriber_member_id': '00000375700', 'subscriber_first_name': 'STEVEN'} | 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/2222/5539569/check_9788163_26333064-82c3-4403-9608-59f8c5a999b6.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '00000375700', 'plan_type': 'Health Maintenance Organization (HMO)', 'group_name': None, 'payer_name': 'MEDICARE', 'payer_note': 'OVERALL DEDUCTIBLE', 'patient_dob': '1956-11-11', 'plan_number': 'H3815028', 'group_number': None, 'insurance_type': None, 'plan_type_code': 'HM', 'enrolled_in_qmb': False, 'patient_last_name': 'SULLIVAN', 'plan_sponsor_name': None, 'patient_first_name': 'STEVEN', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'ALIGNMENT HEALTH MY CHOICE (HMO)', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8249516474 | N/A | N/A | 5539569 | 2222 | 4801 | 9524254 | 2630 | 4211851 | 2025-07-14 02:06:13.977853 | 2025-06-25 18:38:39.189571 |
| 2025-07-13 09:05:33.100276 | 2025-07-14 02:06:31.666743 | 9788159 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9788159', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1960-08-08', 'date_of_service': '2025-07-13', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'subscriber_last_name': 'GINSBERG', 'subscriber_member_id': 'JQU469A62630', 'subscriber_first_name': 'STEVEN'} | 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/2222/5538693/check_9788159_f9c1ad1f-b677-4dbf-af0d-1f703688c9cd.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'JQU469A62630', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'CAL CHOICE JANUARY 1.00', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1960-08-08', 'plan_number': '040', 'group_number': '476522', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'GINSBERG', 'plan_sponsor_name': None, 'patient_first_name': 'LISA', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2025-01-01', 'plan_coverage_description': 'ANTHEM SILVER PPO HSA/H 2000/3300/4000 35% PREVRX', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8249516473 | N/A | N/A | 5538693 | 2222 | 4793 | 9524349 | N/A | 4211081 | 2025-07-14 02:06:31.666743 | 2025-05-13 04:29:37.225492 |
| 2025-07-13 09:05:32.917643 | 2025-07-14 02:07:11.328756 | 9788155 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': '1114042165', 'trace_number': '9788155', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1979-06-20', 'date_of_service': '2025-07-13', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'subscriber_last_name': 'RITENOUR', 'subscriber_member_id': 'NCF553A20679', 'subscriber_first_name': 'TIM'} | 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/2222/5537911/check_9788155_284cf56f-fa70-45e1-a283-d26f3ead1b4b.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'NCF553A20679', 'plan_type': None, 'group_name': None, 'payer_name': 'BLUE SHIELD CALIFORNIA', 'payer_note': None, 'patient_dob': '1979-06-20', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'RITENOUR', 'plan_sponsor_name': None, 'patient_first_name': 'TIM', '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 | 8249516472 | N/A | N/A | 5537911 | 2222 | 4793 | 9524575 | N/A | 4210415 | 2025-07-14 02:07:11.328756 | 2025-06-11 20:40:26.862752 |
| 2025-07-13 09:05:32.722322 | 2025-07-14 02:06:33.317797 | 9788150 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9788150', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1969-03-28', 'date_of_service': '2025-07-13', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'subscriber_last_name': 'KOSTER', 'subscriber_member_id': 'DGA11321380J', '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/2222/5536722/check_9788150_469e264e-e885-4fc2-bcf7-60bbb9dce91f.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'DGA11321380J', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'DIRECTORS GUILD OF AMERICA', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1969-03-28', 'plan_number': '040', 'group_number': '276945M001', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'KOSTER', 'plan_sponsor_name': None, 'patient_first_name': 'KEVIN', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2025-04-01', 'plan_coverage_description': 'PPO PRUDENT BUYER INCENTIVE', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8249516471 | N/A | N/A | 5536722 | 2222 | 4802 | 9524358 | N/A | 4209420 | 2025-07-14 02:06:33.317797 | 2025-05-13 04:29:37.223843 |
| 2025-07-13 09:05:32.472841 | 2025-07-14 02:07:11.699348 | 9788143 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': '1114042165', 'trace_number': '9788143', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1966-11-30', 'date_of_service': '2025-07-13', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'SONDREAAL', 'subscriber_member_id': 'WMC125993776001', 'subscriber_first_name': 'DIANE'} | 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/2222/5536323/check_9788143_4a739004-75d5-4f5d-9ba9-c3480c1f7fd8.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'WMC125993776001', 'plan_type': None, 'group_name': None, 'payer_name': 'BLUE SHIELD CALIFORNIA', 'payer_note': None, 'patient_dob': '1966-11-30', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'SONDREAAL', 'plan_sponsor_name': None, 'patient_first_name': 'DIANE', '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 | 8249516470 | N/A | N/A | 5536323 | 2222 | 4793 | 9524578 | N/A | 4209086 | 2025-07-14 02:07:11.699348 | 2025-05-13 04:29:37.223507 |
| 2025-07-13 09:05:32.270685 | 2025-07-14 02:06:29.971177 | 9788138 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'ANTHEM BLUE CROSS', 'provider_npi': '1114042165', 'trace_number': '9788138', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1947-04-18', 'date_of_service': '2025-07-13', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'BELL', 'subscriber_member_id': 'MNL880M78427', 'subscriber_first_name': 'JACQUELYN'} | 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/2222/5536041/check_9788138_c203d832-0379-4991-b541-c7ba664089e4.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'MNL880M78427', 'plan_type': 'Medicare Primary', 'group_name': 'CA MEDICARE', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1947-04-18', 'plan_number': '040', 'group_number': 'CAMCRWP0', 'insurance_type': None, 'plan_type_code': 'MP', 'enrolled_in_qmb': False, 'patient_last_name': 'BELL', 'plan_sponsor_name': None, 'patient_first_name': 'JACQUELYN', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2024-07-01', 'plan_coverage_description': 'CA H4471-001-000 ANTHEM FULL DUAL ADVANTAGE ALIGNE', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8249516469 | N/A | N/A | 5536041 | 2222 | 4802 | 9524341 | 4184 | 4208856 | 2025-07-14 02:06:29.971177 | 2025-05-13 04:29:37.223284 |
| 2025-07-13 09:05:32.004009 | 2025-07-14 02:01:39.141512 | 9788129 | N/A | N/A | {'payer_id': 'REGAL', 'payer_name': 'Regal Medical Group', 'provider_npi': '1114042165', 'trace_number': '9788129', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1961-06-27', 'date_of_service': '2025-07-13', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'BRACKEN', 'subscriber_member_id': 'NCF378A67692', 'subscriber_first_name': 'CELINA'} | 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/2222/5535853/check_9788129_93866137-361e-449f-92d4-631fef96c00d.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'NCF378A67692', 'plan_type': None, 'group_name': None, 'payer_name': 'REGAL MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1961-06-27', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'BRACKEN', 'plan_sponsor_name': None, 'patient_first_name': 'CELINA', '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 | 8249516468 | N/A | N/A | 5535853 | 2222 | 4793 | 9522767 | N/A | 4208702 | 2025-07-14 02:01:39.141512 | 2025-05-13 04:29:37.223129 |
| 2025-07-13 09:05:31.855006 | 2025-07-14 02:11:10.404575 | 9788126 | N/A | N/A | {'payer_id': 'Z1073', 'payer_name': 'Medicare B California Southern', 'provider_npi': '1114042165', 'trace_number': '9788126', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1939-06-24', 'date_of_service': '2025-07-13', 'subscriber_gender': 'M', 'service_type_codes': ['PT', 'AE'], 'subscriber_last_name': 'ULLMAN', 'subscriber_member_id': '3A76X26KQ40', 'subscriber_first_name': 'DAVID'} | 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/2222/5535838/check_9788126_16f9bd9e-d716-40ef-9855-e628c259a4ba.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '3A76X26KQ40', 'plan_type': None, 'group_name': None, 'payer_name': 'CMS', 'payer_note': None, 'patient_dob': '1939-06-24', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'ULLMAN', 'plan_sponsor_name': None, 'patient_first_name': 'DAVID', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['PT', 'AE'] | N/A | N/A | N/A | N/A | N/A | 8249516467 | N/A | N/A | 5535838 | 2222 | 4801 | 9525832 | N/A | 4208696 | 2025-07-14 02:11:10.404575 | 2025-06-07 16:16:45.844566 |
| 2025-07-13 09:05:10.719107 | 2025-07-14 05:10:47.562547 | 9787375 | N/A | N/A | {'payer_id': 'LMG01', 'payer_name': 'Lakeside Medical Group', 'provider_npi': '1114042165', 'trace_number': '9787375', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1998-01-12', 'date_of_service': '2025-07-13', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'GUTIERREZ DE LA TORR', 'subscriber_member_id': '99184430E', 'subscriber_first_name': 'JOEL'} | 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/2222/6436444/check_9787375_b7ae0fef-dac9-4104-bdad-b2dd1d008faa.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '99184430E', 'plan_type': None, 'group_name': None, 'payer_name': 'LAKESIDE MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1998-01-12', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'GUTIERREZ DE LA TORR', 'plan_sponsor_name': None, 'patient_first_name': 'JOEL', '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 | 8249439709 | N/A | N/A | 6436444 | 2222 | 4802 | 9533754 | N/A | 5082110 | 2025-07-14 05:10:47.562547 | 2025-06-24 20:17:03.860413 |
| 2025-07-13 09:04:50.425681 | 2025-07-14 02:08:36.465662 | 9786654 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9786654', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1960-03-13', 'date_of_service': '2025-07-13', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'COLLINS', 'subscriber_member_id': 'JQE212W23450', 'subscriber_first_name': 'CHARLES'} | 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/2222/5550686/check_9786654_2caaf218-afcb-4185-a9fc-d4e1f11acd2b.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'JQE212W23450', 'plan_type': None, 'group_name': 'CA MED-SUPP', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1960-03-13', 'plan_number': '040', 'group_number': 'CASUPWP0', 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'COLLINS', 'plan_sponsor_name': None, 'patient_first_name': 'CHARLES', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2025-04-01', 'plan_coverage_description': 'CA MODERNIZED PLAN G', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8249432877 | N/A | N/A | 5550686 | 2222 | 4801 | 9525037 | N/A | 4219605 | 2025-07-14 02:08:36.465662 | 2025-06-06 16:26:34.530119 |
| 2025-07-13 09:04:50.261977 | 2025-07-14 02:09:34.435844 | 9786647 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': '1114042165', 'trace_number': '9786647', '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': 'XEM909129373', 'subscriber_first_name': 'RICHARD'} | 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/2222/5550658/check_9786647_041e6c33-6153-41b6-b782-4e089d2b2231.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XEM909129373', 'plan_type': 'Other', 'group_name': 'MEDICARE SUPPLEMENT', 'payer_name': 'MEDICARE PART A AND B', 'payer_note': None, 'patient_dob': '1947-03-15', 'plan_number': '2002SF000029', 'group_number': 'X0001002', 'insurance_type': None, 'plan_type_code': 'OT', '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': 'MEDICARE SUPPLEMENT PLAN F EXTRA', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8249432876 | N/A | N/A | 5550658 | 2222 | 4802 | 9525335 | N/A | 4219593 | 2025-07-14 02:09:34.435844 | 2025-05-13 04:29:37.230634 |
| 2025-07-13 09:04:50.126349 | 2025-07-14 02:02:52.277728 | 9786644 | N/A | N/A | {'payer_id': '36273', 'payer_name': 'AARP Medicare Supplement by UnitedHealthcare', 'provider_npi': '1114042165', 'trace_number': '9786644', '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': '34470011211', 'subscriber_first_name': 'HEATHER'} | 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/2222/5548966/check_9786644_819935be-541a-41b4-8172-4d57b074396e.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '34470011211', 'plan_type': 'Supplemental Policy', 'group_name': None, 'payer_name': 'AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE', 'payer_note': "THE ELIGIBILITY AND BENEFIT INFORMATION PROVIDED IS NOT A GUARANTEE OR PROMISE OF PAYMENT. PAYMENT DETERMINATION ONLY OCCURS AFTER THE CLAIM IS PROCESSED BY MEDICARE AND BY THE SUPPLEMENTAL PLAN ACCORDING TO THE MEMBER'S BENEFITS.", 'patient_dob': '1956-02-09', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': 'SP', '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': 'AARP MEDICARE SUPPLEMENT PLAN K', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8249432875 | N/A | N/A | 5548966 | 2222 | 4802 | 9523140 | N/A | 4218725 | 2025-07-14 02:02:52.277728 | 2025-05-13 04:29:37.229715 |
| 2025-07-13 09:04:49.617581 | 2025-07-14 02:02:52.859343 | 9786627 | N/A | N/A | {'payer_id': '36273', 'payer_name': 'AARP Medicare Supplement by UnitedHealthcare', 'provider_npi': '1114042165', 'trace_number': '9786627', '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': '34232537512', 'subscriber_first_name': 'BRIAN'} | 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/2222/5543053/check_9786627_c9a960f2-5aca-4023-87ba-7f87e06a0dcb.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '34232537512', 'plan_type': 'Supplemental Policy', 'group_name': None, 'payer_name': 'AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE', 'payer_note': "THE ELIGIBILITY AND BENEFIT INFORMATION PROVIDED IS NOT A GUARANTEE OR PROMISE OF PAYMENT. PAYMENT DETERMINATION ONLY OCCURS AFTER THE CLAIM IS PROCESSED BY MEDICARE AND BY THE SUPPLEMENTAL PLAN ACCORDING TO THE MEMBER'S BENEFITS.", 'patient_dob': '1946-11-18', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': 'SP', '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': 'AARP MEDICARE SUPPLEMENT PLAN G', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8249432871 | N/A | N/A | 5543053 | 2222 | 4802 | 9523144 | N/A | 4214891 | 2025-07-14 02:02:52.859343 | 2025-05-13 04:29:37.229214 |
| 2025-07-13 09:04:49.483174 | 2025-07-14 02:09:33.789436 | 9786622 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': '1114042165', 'trace_number': '9786622', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1957-08-09', 'date_of_service': '2025-07-13', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'DASILVA', 'subscriber_member_id': 'XEM911406068', 'subscriber_first_name': 'BOB'} | 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/2222/5540845/check_9786622_f5e83ac6-802f-4f2f-8615-bf2e3b2da1cf.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XEM911406068', 'plan_type': 'Other', 'group_name': 'MEDICARE SUPPLEMENT', 'payer_name': 'MEDICARE PART A AND B', 'payer_note': None, 'patient_dob': '1957-08-09', 'plan_number': '2002SF000028', 'group_number': 'X0001002', 'insurance_type': None, 'plan_type_code': 'OT', 'enrolled_in_qmb': False, 'patient_last_name': 'DASILVA', 'plan_sponsor_name': None, 'patient_first_name': 'BOB', '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 | 8249432870 | N/A | N/A | 5540845 | 2222 | 4793 | 9525331 | N/A | 4212930 | 2025-07-14 02:09:33.789436 | 2025-05-13 04:29:37.227258 |
| 2025-07-13 09:04:49.289112 | 2025-07-14 02:02:52.578026 | 9786617 | N/A | N/A | {'payer_id': '36273', 'payer_name': 'AARP Medicare Supplement by UnitedHealthcare', 'provider_npi': '1114042165', 'trace_number': '9786617', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1945-08-03', 'date_of_service': '2025-07-13', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'GORMLEY', 'subscriber_member_id': '0105598581', 'subscriber_first_name': 'MICHAEL'} | 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/2222/5536819/check_9786617_64d83078-c4a0-42c8-9db5-8dff13acdaa4.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '0105598581', 'plan_type': None, 'group_name': None, 'payer_name': 'AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE', 'payer_note': None, 'patient_dob': '1945-08-03', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'GORMLEY', '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 | 8249432869 | N/A | N/A | 5536819 | 2222 | 4802 | 9523142 | N/A | 4209498 | 2025-07-14 02:02:52.578026 | 2025-09-22 06:46:20.286658 |
| 2025-07-13 09:04:49.111920 | 2025-07-14 02:02:53.173921 | 9786610 | N/A | N/A | {'payer_id': '36273', 'payer_name': 'AARP Medicare Supplement by UnitedHealthcare', 'provider_npi': '1114042165', 'trace_number': '9786610', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1939-06-24', 'date_of_service': '2025-07-13', 'subscriber_gender': 'M', 'service_type_codes': ['PT', 'AE'], 'subscriber_last_name': 'ULLMAN', 'subscriber_member_id': '557489000', 'subscriber_first_name': 'DAVID'} | 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/2222/5535842/check_9786610_eb8974eb-20cd-4d7b-a560-c2b7a90e3520.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '557489000', 'plan_type': None, 'group_name': None, 'payer_name': 'AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE', 'payer_note': None, 'patient_dob': '1939-06-24', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'ULLMAN', 'plan_sponsor_name': None, 'patient_first_name': 'DAVID', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['PT', 'AE'] | N/A | N/A | N/A | N/A | N/A | 8249432868 | N/A | N/A | 5535842 | 2222 | 4801 | 9523146 | N/A | 4208696 | 2025-07-14 02:02:53.173921 | 2025-06-07 16:16:45.844566 |
| 2025-07-13 09:04:42.323096 | 2025-07-14 05:28:49.208656 | 9786377 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9786377', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '2011-05-10', 'date_of_service': '2025-07-13', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'subscriber_last_name': 'MEEKER', 'subscriber_member_id': 'NCF417A51479', 'subscriber_first_name': 'SEAN'} | 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/2222/6686921/check_9786377_a5502f40-c0d4-4e7e-9100-1ffb9626b0ec.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'NCF417A51479', 'plan_type': 'Health Maintenance Organization (HMO)', 'group_name': 'VENTURA COUNTY DEPUTY SHERIFFS ASSOCIATION', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '2011-05-10', 'plan_number': '040', 'group_number': '282004H001', 'insurance_type': None, 'plan_type_code': 'HM', 'enrolled_in_qmb': False, 'patient_last_name': 'MEEKER', 'plan_sponsor_name': None, 'patient_first_name': 'JOHN', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2022-01-01', 'plan_coverage_description': 'CLASSIC TRADITIONAL HMO NETWORK NON DURATIONAL', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8249446118 | N/A | N/A | 6686921 | 2222 | 4801 | 9541111 | N/A | 5295012 | 2025-07-14 05:28:49.208656 | 2025-06-30 23:26:42.841924 |
| 2025-07-13 09:04:07.137140 | 2025-07-14 05:07:53.265134 | 9785207 | N/A | N/A | {'payer_id': '61101', 'payer_name': 'Humana (and subsidiaries) claims', 'provider_npi': '1114042165', 'trace_number': '9785207', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1959-09-26', 'date_of_service': '2025-07-13', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'Barnes', 'subscriber_member_id': '4J30UJ9TH28', 'subscriber_first_name': 'Felica'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250713.115849349.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6969360/check_9785207_2d3268ec-165e-4c2e-b964-86ed69368cba.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'H65662426', 'plan_type': 'Health Maintenance Organization (HMO) - Medicare Risk', 'group_name': 'ARCADIAN HEALTH PLAN, INC.', 'payer_name': 'HUMANA', 'payer_note': '076 949 GOLD+/EMP HMO - ALL OTHR WA MEMBER CANNOT BE BALANCED BILLED FOR MEDICAL COPAYMENTS, COINSURANCE OR DEDUCTIBLES ON THIS PLAN. MEMBER IS COST-SHARE PROTECTED BY THE STATE MEDICAID. THIS MEMBER MAY BE ELIGIBLE FOR A FREE FITNESS MEMBERSHIP THROUGH SILVERSNEAKERS OR SILVER&FIT. PLEASE ENCOURAGE HIM OR HER TO CALL SILVERSNEAKERS AT 1-888-423-4632 (FOR MOST STATES) OR SILVER&FIT AT 1-877-427-4788 (FOR ARIZONA AND PENNSYLVANIA) FOR ELIGIB', 'patient_dob': '1959-09-26', 'plan_number': None, 'group_number': 'Y9623001', 'insurance_type': None, 'plan_type_code': 'HN', 'enrolled_in_qmb': False, 'patient_last_name': 'BEIDER BARNES', 'plan_sponsor_name': None, 'patient_first_name': 'FELICA', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'HUMANA GOLD PLUS', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8249428989 | N/A | N/A | 6969360 | 2222 | 4802 | 9532568 | N/A | 5991529 | 2025-07-14 05:07:53.265134 | 2025-07-15 20:01:22.290348 |
| 2025-07-13 09:04:04.332414 | 2025-07-14 05:09:55.741892 | 9785072 | N/A | N/A | {'payer_id': 'VCHCP', 'payer_name': 'Ventura County Health Care Plan', 'provider_npi': '1114042165', 'trace_number': '9785072', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1965-10-24', 'date_of_service': '2025-07-13', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'Wold', 'subscriber_member_id': '00900105302', 'subscriber_first_name': 'Tony'} | 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/2222/6681119/check_9785072_d2757d92-7270-4c7f-a236-690318f9746c.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '00900105302', 'plan_type': None, 'group_name': None, 'payer_name': 'VENTURA COUNTY HEALTH CARE PLAN', 'payer_note': None, 'patient_dob': '1965-10-24', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'WOLD', 'plan_sponsor_name': None, 'patient_first_name': 'TONY', '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 | 8249445071 | N/A | N/A | 6681119 | 2222 | 4793 | 9533311 | N/A | 5290108 | 2025-07-14 05:09:55.741892 | 2025-07-30 01:01:58.188731 |
| 2025-07-13 09:03:48.669400 | 2025-07-14 05:21:59.342803 | 9784391 | N/A | N/A | {'payer_id': '62308', 'payer_name': 'Cigna Health Plans', 'provider_npi': '1114042165', 'trace_number': '9784391', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1994-12-15', 'date_of_service': '2025-07-13', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'MEYER', 'subscriber_member_id': '11144010000', 'subscriber_first_name': 'BRETT'} | 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/2222/6414910/check_9784391_a737b210-4746-4aac-bd49-2674c1a7aae7.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '11144010000', 'plan_type': None, 'group_name': 'NIGHT MEDIA, INC', 'payer_name': 'CHLIC', 'payer_note': 'COMPLETE CARE MANAGEMENT', 'patient_dob': '1994-12-15', 'plan_number': None, 'group_number': '00658445', 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'MEYER', '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': 'HSA QUALIFIED HDHP', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8249439828 | N/A | N/A | 6414910 | 2222 | 4802 | 9538153 | N/A | 5062479 | 2025-07-14 05:21:59.342803 | 2025-06-25 19:12:27.318943 |
| 2025-07-13 09:03:42.692043 | 2025-07-14 05:29:59.621368 | 9784132 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': '1114042165', 'trace_number': '9784132', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '2005-10-28', 'date_of_service': '2025-07-13', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'subscriber_last_name': 'SIKDER', 'subscriber_member_id': 'XEZ900049108', 'subscriber_first_name': 'SHAWN'} | 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/2222/6414459/check_9784132_bfb5c81e-d0f4-46bf-bc89-938e5230e71d.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XEK900049108', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'IFP OFF EXCHANGE', 'payer_name': 'BLUE SHIELD CALIFORNIA', 'payer_note': None, 'patient_dob': '2005-10-28', 'plan_number': '2001ZJ002648', 'group_number': 'X0001000', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'SIKDER', 'plan_sponsor_name': None, 'patient_first_name': 'SHAWN', '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 | 8249439646 | N/A | N/A | 6414459 | 2222 | 4802 | 9541496 | N/A | 5061929 | 2025-07-14 05:29:59.621368 | 2025-06-19 23:42:27.460818 |
| 2025-07-13 09:03:36.579074 | 2025-07-14 05:28:51.144175 | 9783845 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'ANTHEM BLUE CROSS', 'provider_npi': '1114042165', 'trace_number': '9783845', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '2011-09-28', 'date_of_service': '2025-07-13', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'RANGEL', 'subscriber_member_id': '906212052003', 'subscriber_first_name': 'MAKENA'} | 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/2222/6673106/check_9783845_9af61a43-4ff6-4f76-b926-5981707ee333.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '906212052003', 'plan_type': None, 'group_name': None, 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '2011-09-28', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'RANGEL', 'plan_sponsor_name': None, 'patient_first_name': 'MAKENA', '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 | 8249446093 | N/A | N/A | 6673106 | 2222 | 4793 | 9541119 | 4184 | 5285724 | 2025-07-14 05:28:51.144175 | 2025-07-06 14:44:13.621956 |
| 2025-07-13 09:03:24.361276 | 2025-07-14 05:07:25.144393 | 9783253 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9783253', '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': 'XD0472A63371', 'subscriber_first_name': 'Howard'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250713.115536794.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6751424/check_9783253_1aedbaff-b4e2-40ff-849a-22ee09d00aaf.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XD0472A63371', 'plan_type': None, 'group_name': None, 'payer_name': 'ANTHEM BLUE CROSS', '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 | 8249415572 | N/A | N/A | 6751424 | 2222 | 4802 | 9532448 | N/A | 5557241 | 2025-07-14 05:07:25.144393 | 2025-07-22 17:08:51.810153 |
| 2025-07-13 09:03:12.240943 | 2025-07-14 05:10:49.636753 | 9782675 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9782675', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1994-12-29', 'date_of_service': '2025-07-13', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'subscriber_last_name': 'FILLO', 'subscriber_member_id': 'JQU251W23722', 'subscriber_first_name': 'BENJAMIN'} | 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/2222/5993941/check_9782675_93f901b3-5d53-4990-8151-0b8f561e8d46.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'JQU251W23722', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'VALLE REINIS BUILDERS', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1994-12-29', 'plan_number': '040', 'group_number': 'Q82161', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'FILLO', 'plan_sponsor_name': None, 'patient_first_name': 'BENJAMIN', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2025-07-01', 'plan_coverage_description': 'CA SG ANTHEM PPO', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8249453352 | N/A | N/A | 5993941 | 2222 | 4802 | 9533786 | N/A | 4642872 | 2025-07-14 05:10:49.636753 | 2026-01-27 23:33:22.153354 |
| 2025-07-13 09:03:12.027011 | 2025-07-14 05:03:03.260502 | 9782665 | N/A | N/A | {'payer_id': 'LMG01', 'payer_name': 'Lakeside Medical Group', 'provider_npi': '1114042165', 'trace_number': '9782665', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1969-01-08', 'date_of_service': '2025-07-13', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'ALROMAIH', 'subscriber_member_id': '91237812E', 'subscriber_first_name': 'SARAH'} | 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/2222/5993940/check_9782665_a8618de9-ca17-4aba-887a-314de2533bc3.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '91237812E', 'plan_type': None, 'group_name': None, 'payer_name': 'LAKESIDE MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1969-01-08', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'ALROMAIH', 'plan_sponsor_name': None, 'patient_first_name': 'SARAH', '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 | 8249453351 | N/A | N/A | 5993940 | 2222 | 4802 | 9530689 | N/A | 4642877 | 2025-07-14 05:03:03.260502 | 2025-12-23 23:49:16.627667 |
| 2025-07-13 09:03:11.831226 | 2025-07-14 05:22:32.882401 | 9782657 | N/A | N/A | {'payer_id': 'Z1073', 'payer_name': 'Medicare B California Southern', 'provider_npi': '1114042165', 'trace_number': '9782657', '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': '7D70AM9KX14', 'subscriber_first_name': 'MERILEE'} | 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/2222/5993924/check_9782657_6cc62ffa-8780-404a-9465-6dfa818d4e50.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '7D70AM9KX14', 'plan_type': 'Medicare Part B', 'group_name': None, 'payer_name': 'ANTHEM INSURANCE COMPANIES, INC.', 'payer_note': '0-BENEFICIARY INSURED DUE TO AGE OASI', 'patient_dob': '1955-12-01', 'plan_number': 'H4036', 'group_number': None, 'insurance_type': None, 'plan_type_code': 'MB', 'enrolled_in_qmb': False, 'patient_last_name': 'PARLIER', 'plan_sponsor_name': None, 'patient_first_name': 'MERILEE', '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 | 8249453350 | N/A | N/A | 5993924 | 2222 | 4801 | 9538430 | N/A | 4642861 | 2025-07-14 05:22:32.882401 | 2025-11-25 19:25:55.074534 |
| 2025-07-13 09:03:11.649357 | 2025-07-14 05:11:56.186293 | 9782649 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': '1114042165', 'trace_number': '9782649', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1984-05-19', 'date_of_service': '2025-07-13', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'DANG', 'subscriber_member_id': 'XAN913823841', 'subscriber_first_name': 'TRAM'} | 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/2222/5993908/check_9782649_808473a1-4b7b-4b0c-b839-a0557d4d4670.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XAN913823841', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM', 'payer_name': 'BLUE SHIELD CALIFORNIA', 'payer_note': None, 'patient_dob': '1984-05-16', 'plan_number': '1479PPOX0002', 'group_number': 'W0051411', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'DANG', 'plan_sponsor_name': None, 'patient_first_name': 'TRAM', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'CALPERS ASO PLATINUM PPO GROUP BILL', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8249453349 | N/A | N/A | 5993908 | 2222 | 4802 | 9534358 | N/A | 4534561 | 2025-07-14 05:11:56.186293 | 2025-06-02 15:59:21.578406 |
| 2025-07-13 09:03:11.473050 | 2025-07-14 05:10:51.250928 | 9782640 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9782640', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1996-01-20', 'date_of_service': '2025-07-13', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'WORDEN', 'subscriber_member_id': 'ORU910469318', 'subscriber_first_name': 'SARAH'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250713.120452213.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993479/check_9782640_58244631-b1b6-4a55-bb71-91045addca26.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'ORU910469318', 'plan_type': None, 'group_name': None, 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1996-01-20', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'WORDEN', 'plan_sponsor_name': None, 'patient_first_name': 'SARAH', '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 | 8249453348 | N/A | N/A | 5993479 | 2222 | 4801 | 9533805 | N/A | 4219476 | 2025-07-14 05:10:51.250928 | 2025-05-28 20:18:04.039855 |
| 2025-07-13 09:02:58.017826 | 2025-07-14 05:03:52.283132 | 9782116 | N/A | N/A | {'payer_id': '14163', 'payer_name': 'WELLCARE HEALTH PLAN', 'provider_npi': '1114042165', 'trace_number': '9782116', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1953-11-17', 'date_of_service': '2025-07-13', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'Ramos', 'subscriber_member_id': '43620299', 'subscriber_first_name': 'Federico'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250713.115849349.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6960617/check_9782116_da325518-ec20-4f0f-8cbd-542ea5c535c8.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '43620299', 'plan_type': None, 'group_name': None, 'payer_name': 'WELLCARE HEALTH PLANS', 'payer_note': None, 'patient_dob': '1953-11-17', 'plan_number': '406-005-000', 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'RAMOS', 'plan_sponsor_name': None, 'patient_first_name': 'FEDERICO', '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 | 8249428803 | N/A | N/A | 6960617 | 2222 | 4802 | 9531059 | 6798 | 5985329 | 2025-07-14 05:03:52.283132 | 2025-09-10 17:01:27.097640 |
| 2025-07-13 09:02:51.159069 | 2025-07-14 05:13:47.908874 | 9781828 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': '1114042165', 'trace_number': '9781828', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1989-10-21', 'date_of_service': '2025-07-13', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'Greif', 'subscriber_member_id': 'XED913506733', 'subscriber_first_name': 'Sarah'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250713.115849349.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6958051/check_9781828_9265a0dd-333b-4e5c-b9ca-b9277840bbdf.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XED913506733', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'IFP ON EXCHANGE', 'payer_name': 'BLUE SHIELD CALIFORNIA', 'payer_note': None, 'patient_dob': '1989-10-21', 'plan_number': '2001ZK002166', 'group_number': 'X0001004', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'GREIF', 'plan_sponsor_name': None, 'patient_first_name': 'SARAH', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2025-01-01', 'plan_coverage_description': 'PLATINUM 90 PPO JAN25', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8249428773 | N/A | N/A | 6958051 | 2222 | 4802 | 9535263 | N/A | 5983453 | 2025-07-14 05:13:47.908874 | 2025-07-10 21:00:26.641701 |
| 2025-07-13 09:02:41.791376 | 2025-07-14 05:28:15.620742 | 9781367 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9781367', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1967-08-29', 'date_of_service': '2025-07-13', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'subscriber_last_name': 'HARDING', 'subscriber_member_id': 'XDP157A51099', 'subscriber_first_name': 'NATHAN'} | 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/2222/6398773/check_9781367_4e14121c-53e9-4bff-b4ba-4ccd2456b99e.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': '1967-08-29', '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 | 8249439220 | N/A | N/A | 6398773 | 2222 | 4801 | 9540981 | N/A | 5046326 | 2025-07-14 05:28:15.620742 | 2025-06-30 17:04:21.721546 |
| 2025-07-13 09:02:39.383314 | 2025-07-14 05:37:36.047812 | 9781256 | N/A | N/A | {'payer_id': 'Z1073', 'payer_name': 'Medicare B California Southern', 'provider_npi': '1114042165', 'trace_number': '9781256', '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': '6EU4QE2TT70', 'subscriber_first_name': 'MARK'} | 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/2222/6398732/check_9781256_d4dc05aa-7347-48fe-8524-6704c0a86de1.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '6EU4QE2TT70', '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': '1946-03-20', 'plan_number': 'S5617', 'group_number': None, 'insurance_type': None, 'plan_type_code': 'MB', 'enrolled_in_qmb': False, 'patient_last_name': 'ZAVAD', 'plan_sponsor_name': None, 'patient_first_name': 'MARK', '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 | 8249439213 | N/A | N/A | 6398732 | 2222 | 4801 | 9543972 | N/A | 5046284 | 2025-07-14 05:37:36.047812 | 2025-06-15 19:17:13.943381 |