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 09:02:35.140990 | 2025-07-14 05:28:49.896813 | 9781089 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9781089', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '2005-07-19', 'date_of_service': '2025-07-13', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'MOORE', 'subscriber_member_id': 'WZA952W18561', 'subscriber_first_name': 'FAITH'} | 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/2222/6644228/check_9781089_82e916bd-1ddc-440c-a99c-7fdb08aee111.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'WZA952W18561', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'WARNER BROS DISCOVERY INC', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '2005-07-19', 'plan_number': '130', 'group_number': '270240M25A', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'MOORE', 'plan_sponsor_name': None, 'patient_first_name': 'YOLANDA', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2024-01-01', 'plan_coverage_description': 'CDHP IN HEALTH SAVINGS ACCOUNT', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8249445405 | N/A | N/A | 6644228 | 2222 | 4801 | 9541115 | N/A | 5251545 | 2025-07-14 05:28:49.896813 | 2025-07-16 15:52:27.392778 |
| 2025-07-13 09:02:28.512381 | 2025-07-14 05:01:37.004866 | 9780775 | N/A | N/A | {'payer_id': '111', 'payer_name': 'UNITED AMERICAN INSURANCE COMPANY MED SUPP', 'provider_npi': '1114042165', 'trace_number': '9780775', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1955-12-11', 'date_of_service': '2025-07-13', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'TATGE', 'subscriber_member_id': '008424063', 'subscriber_first_name': 'GLENDA'} | 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/2222/6641938/check_9780775_e4fd2b71-de86-4792-bdef-5eac81dbff63.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '008424063', 'plan_type': None, 'group_name': None, 'payer_name': 'UNITED AMERICAN INSURANCE COMPANY MED SUPP', 'payer_note': None, 'patient_dob': '1955-12-11', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'TATGE', 'plan_sponsor_name': None, 'patient_first_name': 'GLENDA', '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 | 8249415898 | N/A | N/A | 6641938 | 2222 | 4801 | 9530569 | N/A | 5248742 | 2025-07-14 05:01:37.004866 | 2025-07-16 18:02:25.797343 |
| 2025-07-13 09:02:28.007774 | 2025-07-14 05:36:56.591138 | 9780752 | N/A | N/A | {'payer_id': 'Z1073', 'payer_name': 'Medicare B California Southern', 'provider_npi': '1114042165', 'trace_number': '9780752', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1955-12-11', 'date_of_service': '2025-07-13', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'TATGE', 'subscriber_member_id': '2DH1CG9VR90', 'subscriber_first_name': 'GLENDA'} | 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/2222/6641936/check_9780752_8bedfa5d-6216-43c7-be6e-e39bd7110a48.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '2DH1CG9VR90', 'plan_type': 'Medicare Part B', 'group_name': None, 'payer_name': 'SILVERSCRIPT INSURANCE COMPANY', 'payer_note': '0-BENEFICIARY INSURED DUE TO AGE OASI', 'patient_dob': '1955-12-11', 'plan_number': 'S5601', 'group_number': None, 'insurance_type': None, 'plan_type_code': 'MB', 'enrolled_in_qmb': False, 'patient_last_name': 'TATGE', 'plan_sponsor_name': None, 'patient_first_name': 'GLENDA', '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 | 8249445378 | N/A | N/A | 6641936 | 2222 | 4801 | 9543746 | N/A | 5248742 | 2025-07-14 05:36:56.591138 | 2025-07-16 18:02:25.797343 |
| 2025-07-13 09:02:27.684637 | 2025-07-14 05:28:48.436546 | 9780736 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9780736', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1954-06-04', 'date_of_service': '2025-07-13', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'Martin', 'subscriber_member_id': 'JOQ815W10930', 'subscriber_first_name': 'Lilliane'} | 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/2222/6641910/check_9780736_e9d11587-8ad6-4b0c-8170-a91aa71b100a.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'JOQ815W10930', 'plan_type': None, 'group_name': None, 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1954-06-04', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'MARTIN', 'plan_sponsor_name': None, 'patient_first_name': 'LILLIANE', '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 | 8249445377 | N/A | N/A | 6641910 | 2222 | 4802 | 9541107 | N/A | 5248673 | 2025-07-14 05:28:48.436546 | 2025-09-03 18:56:09.134332 |
| 2025-07-13 09:02:18.480349 | 2025-07-14 05:08:04.575083 | 9780242 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': '1114042165', 'trace_number': '9780242', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1934-12-03', 'date_of_service': '2025-07-13', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'Dayzadeh', 'subscriber_member_id': 'XEM903033247', 'subscriber_first_name': 'Nasser'} | 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/2222/6595255/check_9780242_ac4b4145-aa37-4538-9d26-cbd2e28031a7.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XEM903033247', 'plan_type': 'Other', 'group_name': 'MEDICARE SUPPLEMENT', 'payer_name': 'MEDICARE PART A AND B', 'payer_note': None, 'patient_dob': '1934-12-03', 'plan_number': '2101SD000023', 'group_number': 'X0001002', 'insurance_type': None, 'plan_type_code': 'OT', 'enrolled_in_qmb': False, 'patient_last_name': 'DAYZADEH', 'plan_sponsor_name': None, 'patient_first_name': 'NASSER', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'MEDICARE SUPPLEMENT PLAN D', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8249415791 | N/A | N/A | 6595255 | 2222 | 4802 | 9532632 | N/A | 5202586 | 2025-07-14 05:08:04.575083 | 2025-06-25 17:55:27.155518 |
| 2025-07-13 09:02:17.098548 | 2025-07-14 05:13:02.020295 | 9780164 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9780164', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1967-05-29', 'date_of_service': '2025-07-13', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'subscriber_last_name': 'FINN', 'subscriber_member_id': 'JQU683A20101', 'subscriber_first_name': 'PATRICK'} | 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/2222/6938589/check_9780164_a187b039-0540-42ec-9007-d35b10479604.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'JQU683A20101', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'GLOBALWIDE MEDIA INC', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1967-05-29', 'plan_number': '040', 'group_number': 'Q18255', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'FINN', 'plan_sponsor_name': None, 'patient_first_name': 'PATRICK', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2024-12-01', 'plan_coverage_description': 'CA SG ANTHEM PPO', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8249427910 | N/A | N/A | 6938589 | 2222 | 4793 | 9534832 | N/A | 5969280 | 2025-07-14 05:13:02.020295 | 2025-07-09 21:37:07.694893 |
| 2025-07-13 09:02:11.512175 | 2025-07-14 05:08:05.482723 | 9779830 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': '1114042165', 'trace_number': '9779830', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1953-06-17', 'date_of_service': '2025-07-13', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'THOMPSON', 'subscriber_member_id': 'XEM906571592', 'subscriber_first_name': 'JAMES'} | 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/2222/6577665/check_9779830_ac9155c7-bb60-406d-a5b0-446605aa32df.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XEM906571592', 'plan_type': 'Other', 'group_name': 'MEDICARE SUPPLEMENT', 'payer_name': 'MEDICARE PART A AND B', 'payer_note': None, 'patient_dob': '1953-06-17', 'plan_number': '2004SF000028', 'group_number': 'X0001002', 'insurance_type': None, 'plan_type_code': 'OT', 'enrolled_in_qmb': False, 'patient_last_name': 'THOMPSON', 'plan_sponsor_name': None, 'patient_first_name': 'JAMES', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'MEDICARE SUPPLEMENT PLAN G', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8249415755 | N/A | N/A | 6577665 | 2222 | 4793 | 9532636 | N/A | 5197700 | 2025-07-14 05:08:05.482723 | 2025-06-30 15:33:47.069983 |
| 2025-07-13 09:02:07.728019 | 2025-07-14 05:28:15.189392 | 9779635 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9779635', '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': 'MMA139W21606', 'subscriber_first_name': 'ESPERANZA'} | 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/2222/6234679/check_9779635_b0fb0309-1faa-422c-a258-3fcc0448e60d.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'MMA139W21606', 'plan_type': 'Medicare Primary', 'group_name': 'CA MEDICARE', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1950-03-19', 'plan_number': '040', 'group_number': 'CAMCRWP0', 'insurance_type': None, 'plan_type_code': 'MP', 'enrolled_in_qmb': False, 'patient_last_name': 'AZUCENA', 'plan_sponsor_name': None, 'patient_first_name': 'ESPERANZA', '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 | 8249439011 | N/A | N/A | 6234679 | 2222 | 4801 | 9540977 | N/A | 4213743 | 2025-07-14 05:28:15.189392 | 2025-05-13 04:29:37.228064 |
| 2025-07-13 09:01:45.866833 | 2025-07-14 05:08:06.036375 | 9778669 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': '1114042165', 'trace_number': '9778669', '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': 'XEM911802583', 'subscriber_first_name': 'ELLYN'} | 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/2222/6492841/check_9778669_602fba35-326c-46e3-a94d-0d5c9ecbd1b0.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XEM911802583', 'plan_type': 'Other', 'group_name': 'MEDICARE SUPPLEMENT', 'payer_name': 'MEDICARE PART A AND B', 'payer_note': None, 'patient_dob': '1957-12-13', 'plan_number': '2002SF000028', 'group_number': 'X0001002', 'insurance_type': None, 'plan_type_code': 'OT', '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': 'MEDICARE SUPPLEMENT PLAN G', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8249415472 | N/A | N/A | 6492841 | 2222 | 4793 | 9532643 | N/A | 5121955 | 2025-07-14 05:08:06.036375 | 2025-06-19 17:23:34.410819 |
| 2025-07-13 09:01:45.423272 | 2025-07-14 05:13:48.283847 | 9778641 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': '1114042165', 'trace_number': '9778641', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1969-02-14', 'date_of_service': '2025-07-13', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'subscriber_last_name': 'Shachory', 'subscriber_member_id': 'XEK906003800', 'subscriber_first_name': 'Rafael'} | 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/2222/6919729/check_9778641_e80a2cd5-e8df-4fe9-a7cf-757dd51ba7cd.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XEK906003800', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'IFP OFF EXCHANGE', 'payer_name': 'BLUE SHIELD CALIFORNIA', 'payer_note': None, 'patient_dob': '1969-02-14', 'plan_number': '2001ZJ002648', 'group_number': 'X0001000', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'SHACHORY', 'plan_sponsor_name': None, 'patient_first_name': 'RAFAEL', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2018-01-01', 'plan_coverage_description': 'IFP EMB PED VISION', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8249427635 | N/A | N/A | 6919729 | 2222 | 4793 | 9535267 | N/A | 5950744 | 2025-07-14 05:13:48.283847 | 2025-07-10 00:33:25.010317 |
| 2025-07-13 09:01:45.270769 | 2025-07-14 05:12:40.132568 | 9778634 | N/A | N/A | {'payer_id': 'LACAR', 'payer_name': 'LA Care Health Plan (Los Angeles Care Health Plan)', 'provider_npi': '1114042165', 'trace_number': '9778634', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1973-05-29', 'date_of_service': '2025-07-13', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'KIM', 'subscriber_member_id': '96135332F', 'subscriber_first_name': 'JOSEPH'} | 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/2222/6917652/check_9778634_ed6b5a10-39f4-4ee1-afd5-8fbf51997f09.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '96135332F', 'plan_type': None, 'group_name': 'MCLA WELL ND ME>=21', 'payer_name': 'LA CARE HEALTH PLAN', 'payer_note': None, 'patient_dob': '1973-05-29', 'plan_number': 'MCLA', 'group_number': 'MWLLNMEG21', 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'KIM', 'plan_sponsor_name': None, 'patient_first_name': 'JOSEPH', 'patient_middle_name': None, 'date_time_period_end': '2078-12-31', 'date_time_period_start': '2023-09-01', 'plan_coverage_description': 'LACARE MEDICAL', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8249427520 | N/A | N/A | 6917652 | 2222 | 4802 | 9534703 | N/A | 5949044 | 2025-07-14 05:12:40.132568 | 2025-07-08 23:15:13.625855 |
| 2025-07-13 09:01:35.836817 | 2025-07-14 05:28:36.304357 | 9778134 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9778134', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1967-03-31', 'date_of_service': '2025-07-13', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'BARRERA', 'subscriber_member_id': 'XEH903389121', 'subscriber_first_name': 'LOLA'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250713.120353838.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6611912/check_9778134_032eed4b-00bf-4d56-bd65-c3548bdbe2f6.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XEH903389121', 'plan_type': None, 'group_name': None, 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1967-03-31', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'BARRERA', 'plan_sponsor_name': None, 'patient_first_name': 'LOLA', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8249445009 | N/A | N/A | 6611912 | 2222 | 4793 | 9541099 | N/A | 5230345 | 2025-07-14 05:28:36.304357 | 2025-07-11 20:32:03.183345 |
| 2025-07-12 18:08:48.987729 | 2025-07-12 18:08:56.631641 | 9773117 | N/A | N/A | {'payer_id': '87726', 'payer_name': 'United Healthcare', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1951-11-18', 'date_of_service': '2025-07-14', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6411, 'subscriber_last_name': 'JACOBY', 'subscriber_member_id': '34555828811', 'subscriber_first_name': 'LEAH'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6145941/check_9773117_91377a40-269f-441a-8222-2c30e6e68485.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6145941/check_9773117_74fa0171-2937-4ce6-94e5-7ed5543b7fa3.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '345558288', 'plan_type': None, 'group_name': None, 'payer_name': 'UNITEDHEALTHCARE', 'payer_note': None, 'patient_dob': '1951-11-18', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'JACOBI', 'plan_sponsor_name': None, 'patient_first_name': 'LEAH', '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 | 6145941 | 2222 | N/A | 9489766 | N/A | 4786785 | 2025-07-12 18:08:56.631641 | 2025-06-13 00:55:48.629734 |
| 2025-07-12 18:08:46.919892 | 2025-07-12 18:08:49.771185 | 9773109 | N/A | N/A | {'payer_id': '87726', 'payer_name': 'United Healthcare', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1929-02-22', 'date_of_service': '2025-07-14', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6411, 'subscriber_last_name': 'SCOTT', 'subscriber_member_id': '076810624-11', 'subscriber_first_name': 'GEORGE'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6105989/check_9773109_51bff887-0ae3-4d10-8835-1f53cb8bc914.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6105989/check_9773109_c531c5fe-c1ff-4601-9e90-38cdc2177777.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '076810624', 'plan_type': None, 'group_name': None, 'payer_name': 'UNITEDHEALTHCARE', 'payer_note': None, 'patient_dob': '1929-02-22', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, '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 | N/A | N/A | N/A | 6105989 | 2222 | N/A | 9489743 | N/A | 4750274 | 2025-07-12 18:08:49.771185 | 2025-06-12 22:26:37.845238 |
| 2025-07-12 18:08:46.480366 | 2025-07-12 18:08:48.985198 | 9773107 | N/A | N/A | {'payer_id': '87726', 'payer_name': 'United Healthcare', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1951-11-18', 'date_of_service': '2025-07-14', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6411, 'subscriber_last_name': 'JACOBY', 'subscriber_member_id': '34555828811', 'subscriber_first_name': 'LEAH'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6145941/check_9773107_0a7e2a6b-4f49-4c4e-a2e1-8d4a3094cbed.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-14 | N/A | N/A | N/A | N/A | N/A | N/A | {'member_id': '345558288', 'plan_type': None, 'group_name': None, 'payer_name': 'UNITEDHEALTHCARE', 'payer_note': None, 'patient_dob': '1951-11-18', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'JACOBI', 'plan_sponsor_name': None, 'patient_first_name': 'LEAH', '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 | 6145941 | 2222 | N/A | N/A | N/A | 4786785 | 2025-07-12 18:08:48.985198 | 2025-06-13 00:55:48.629734 |
| 2025-07-12 18:08:43.053810 | 2025-07-12 18:08:46.914307 | 9773094 | N/A | N/A | {'payer_id': '87726', 'payer_name': 'United Healthcare', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1929-02-22', 'date_of_service': '2025-07-14', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6411, 'subscriber_last_name': 'SCOTT', 'subscriber_member_id': '076810624-11', 'subscriber_first_name': 'GEORGE'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6105989/check_9773094_00a9e893-f118-4a95-872b-865cb5fbba5f.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-14 | N/A | N/A | N/A | N/A | N/A | N/A | {'member_id': '076810624', 'plan_type': None, 'group_name': None, 'payer_name': 'UNITEDHEALTHCARE', 'payer_note': None, 'patient_dob': '1929-02-22', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, '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 | N/A | N/A | N/A | 6105989 | 2222 | N/A | N/A | N/A | 4750274 | 2025-07-12 18:08:46.914307 | 2025-06-12 22:26:37.845238 |
| 2025-07-12 18:08:39.987529 | 2025-07-12 18:08:42.655102 | 9773082 | N/A | N/A | {'payer_id': '87726', 'payer_name': 'United Healthcare', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1959-07-02', 'date_of_service': '2025-07-15', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6397, 'subscriber_last_name': 'BALLETTA', 'subscriber_member_id': '331479122-11', 'subscriber_first_name': 'EDWARD'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/5993962/check_9773082_37e6238e-4e11-4134-92df-2c278f9ed73b.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993962/check_9773082_e6542f4e-414f-4dbb-bb8d-32c9026daddc.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '331479122', 'plan_type': None, 'group_name': None, 'payer_name': 'UNITEDHEALTHCARE', 'payer_note': None, 'patient_dob': '1959-07-02', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'BALLETTA', 'plan_sponsor_name': None, 'patient_first_name': 'EDWARD', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5993962 | 2222 | N/A | 9489715 | N/A | 4642893 | 2025-07-12 18:08:42.655102 | 2025-05-28 20:58:29.913655 |
| 2025-07-12 18:08:37.290492 | 2025-07-12 18:08:39.985112 | 9773069 | N/A | N/A | {'payer_id': '87726', 'payer_name': 'United Healthcare', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1959-07-02', 'date_of_service': '2025-07-15', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6397, 'subscriber_last_name': 'BALLETTA', 'subscriber_member_id': '331479122-11', 'subscriber_first_name': 'EDWARD'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/5993962/check_9773069_39999e8a-323f-4c9e-9548-01b038fb7ee2.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-15 | N/A | N/A | N/A | N/A | N/A | N/A | {'member_id': '331479122', 'plan_type': None, 'group_name': None, 'payer_name': 'UNITEDHEALTHCARE', 'payer_note': None, 'patient_dob': '1959-07-02', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'BALLETTA', 'plan_sponsor_name': None, 'patient_first_name': 'EDWARD', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5993962 | 2222 | N/A | N/A | N/A | 4642893 | 2025-07-12 18:08:39.985112 | 2025-05-28 20:58:29.913655 |
| 2025-07-12 18:08:34.783378 | 2025-07-12 18:08:38.437237 | 9773064 | N/A | N/A | {'payer_id': '87726', 'payer_name': 'United Healthcare', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1958-09-13', 'date_of_service': '2025-07-14', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6397, 'subscriber_last_name': 'DERR', 'subscriber_member_id': '353354100-11', 'subscriber_first_name': 'DENNIS'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/5874421/check_9773064_42a21e3b-4b2c-4bbc-a6fe-9f0ce1b29790.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874421/check_9773064_1a6e33b8-0de3-4741-91ed-bd8d0a3fd897.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '221344721', 'plan_type': None, 'group_name': None, 'payer_name': 'UNITEDHEALTHCARE', 'payer_note': None, 'patient_dob': '1958-09-28', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': '', 'plan_sponsor_name': None, 'patient_first_name': '', '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 | 5874421 | 2222 | N/A | 9489699 | N/A | 4534550 | 2025-07-12 18:08:38.437237 | 2025-10-15 18:36:58.255255 |
| 2025-07-12 18:08:31.280568 | 2025-07-12 18:08:34.780156 | 9773051 | N/A | N/A | {'payer_id': '87726', 'payer_name': 'United Healthcare', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1958-09-13', 'date_of_service': '2025-07-14', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6397, 'subscriber_last_name': 'DERR', 'subscriber_member_id': '353354100-11', 'subscriber_first_name': 'DENNIS'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/5874421/check_9773051_2d29f2e3-cd08-4705-8494-95fb71daf36d.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-14 | N/A | N/A | N/A | N/A | N/A | N/A | {'member_id': '221344721', 'plan_type': None, 'group_name': None, 'payer_name': 'UNITEDHEALTHCARE', 'payer_note': None, 'patient_dob': '1958-09-28', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': '', 'plan_sponsor_name': None, 'patient_first_name': '', '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 | 5874421 | 2222 | N/A | N/A | N/A | 4534550 | 2025-07-12 18:08:34.780156 | 2025-10-15 18:36:58.255255 |
| 2025-07-12 18:07:31.478056 | 2025-07-12 18:07:35.484943 | 9772829 | N/A | N/A | {'payer_id': '87726', 'payer_name': 'United Healthcare', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1987-08-22', 'date_of_service': '2025-07-14', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6411, 'subscriber_last_name': 'Bloomfield', 'subscriber_member_id': '991624759', 'subscriber_first_name': 'Rose'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6969089/check_9772829_84f12708-5626-4f5a-a090-05bed267639e.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6969089/check_9772829_2affdf21-6500-4e1b-9fe0-d211d75c47c0.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '991624759', 'plan_type': 'Commercial', 'group_name': 'GALLUP', 'payer_name': 'UNITEDHEALTHCARE', 'payer_note': 'PROVIDER IS OUT NETWORK FOR MEMBER FUNDING TYPE = SELF INSURED - LARGE GROUP A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED', 'patient_dob': '1987-08-22', 'plan_number': '0201 0201', 'group_number': '903320', 'insurance_type': None, 'plan_type_code': 'C1', 'enrolled_in_qmb': False, 'patient_last_name': 'BLOOMFIELD', 'plan_sponsor_name': None, 'patient_first_name': 'ROSE', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'UNITEDHEALTHCARE CHOICE PLUS', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8244202395 | N/A | N/A | 6969089 | 2222 | N/A | 9489480 | N/A | 5991146 | 2025-07-12 18:07:35.484943 | 2025-07-11 17:49:59.455285 |
| 2025-07-12 18:05:01.967872 | 2025-07-12 18:05:05.905032 | 9772389 | N/A | N/A | {'payer_id': '87726', 'payer_name': 'United Healthcare', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '2000-06-13', 'date_of_service': '2025-07-15', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6411, 'subscriber_last_name': 'Parr', 'subscriber_member_id': '917536195', 'subscriber_first_name': 'Samantha'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6642459/check_9772389_be77f6f1-cf6a-4afb-b88d-80b6237a36d2.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6642459/check_9772389_4d20170e-0997-4229-a062-8020faa4be3d.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '917536195', 'plan_type': 'Commercial', 'group_name': 'VIDEOAMP, INC.', 'payer_name': 'UNITEDHEALTHCARE', 'payer_note': 'FUNDING TYPE = FULLY INSURED - LARGE GROUP A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED', 'patient_dob': '2000-06-13', 'plan_number': '0005 0005', 'group_number': '928362', 'insurance_type': None, 'plan_type_code': 'C1', 'enrolled_in_qmb': False, 'patient_last_name': 'PARR', 'plan_sponsor_name': None, 'patient_first_name': 'SAMANTHA', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'SELECT PLUS PPO CA 2023 CUJB', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8244198116 | N/A | N/A | 6642459 | 2222 | N/A | 9489043 | N/A | 5249216 | 2025-07-12 18:05:05.905032 | 2025-06-27 18:39:50.819779 |
| 2025-07-12 18:03:12.986571 | 2025-07-12 18:03:16.843873 | 9772072 | N/A | N/A | {'payer_id': '87726', 'payer_name': 'United Healthcare', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1970-07-02', 'date_of_service': '2025-07-15', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6411, 'subscriber_last_name': 'FRIEDMAN', 'subscriber_member_id': 'G46825417', 'subscriber_first_name': 'JOEL'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6400620/check_9772072_04b4c159-5e6d-4580-806d-938432da180e.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6400620/check_9772072_32b6a4ad-f62c-41f6-87d2-83a05b7ee78e.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'G46825417', 'plan_type': None, 'group_name': 'GEHA MEDICAL FEHB/PSHB', 'payer_name': 'UMR', 'payer_note': None, 'patient_dob': '1970-07-02', 'plan_number': '767000416933002', 'group_number': '76416933', 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'SHELBURNE', 'plan_sponsor_name': None, 'patient_first_name': 'TANYA', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8244195056 | N/A | N/A | 6400620 | 2222 | N/A | 9488729 | N/A | 4213013 | 2025-07-12 18:03:16.843873 | 2025-05-13 04:29:37.227340 |
| 2025-07-12 18:03:12.372668 | 2025-07-12 18:03:16.169792 | 9772070 | N/A | N/A | {'payer_id': '87726', 'payer_name': 'United Healthcare', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1953-02-03', 'date_of_service': '2025-07-15', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6411, 'subscriber_last_name': 'MCKAY', 'subscriber_member_id': '93518017100', 'subscriber_first_name': 'JEANNETTE'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6398744/check_9772070_6627a310-af2c-491f-a400-f677178b66a4.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6398744/check_9772070_4a6e6840-29a3-424f-b1c4-26162ae2491e.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '935180171', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': None, 'payer_name': 'UNITEDHEALTHCARE', 'payer_note': 'A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED', 'patient_dob': '1953-02-03', 'plan_number': None, 'group_number': '15725', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'MCKAY', 'plan_sponsor_name': None, 'patient_first_name': 'JEANNETTE', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'LPPO-UNITEDHEALTHCARE GROUP MEDICARE ADVANTAGE (PP', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8244195040 | N/A | N/A | 6398744 | 2222 | N/A | 9488728 | N/A | 5046297 | 2025-07-12 18:03:16.169792 | 2025-06-17 15:15:28.403654 |
| 2025-07-12 18:02:23.589840 | 2025-07-12 18:02:35.445506 | 9771934 | N/A | N/A | {'payer_id': '87726', 'payer_name': 'United Healthcare', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1988-11-03', 'date_of_service': '2025-07-15', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6411, 'subscriber_last_name': 'PARADI', 'subscriber_member_id': '989539094', 'subscriber_first_name': 'SUZANNE'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6134645/check_9771934_f4d97077-6819-4242-8d68-2a9d3352ac8f.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6134645/check_9771934_413e43f6-1710-465f-80f2-7f0100e16a86.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '989539094', 'plan_type': 'Commercial', 'group_name': 'ANSCHUTZ ENTERTAINMENT GROUP', 'payer_name': 'UNITEDHEALTHCARE', 'payer_note': 'FUNDING TYPE = SELF INSURED - LARGE GROUP A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED', 'patient_dob': '1988-11-03', 'plan_number': '0014 0014', 'group_number': '744401', 'insurance_type': None, 'plan_type_code': 'C1', 'enrolled_in_qmb': False, 'patient_last_name': 'PARADI', 'plan_sponsor_name': None, 'patient_first_name': 'SUZANNE', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'UNITEDHEALTHCARE CHOICE PLUS', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8244193745 | N/A | N/A | 6134645 | 2222 | N/A | 9488604 | N/A | 4775949 | 2025-07-12 18:02:35.445506 | 2025-06-11 16:52:59.646941 |
| 2025-07-12 18:02:02.022172 | 2025-07-12 18:02:07.730033 | 9771874 | N/A | N/A | {'payer_id': '87726', 'payer_name': 'United Healthcare', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1997-06-29', 'date_of_service': '2025-07-15', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6411, 'subscriber_last_name': 'Pienkowski', 'subscriber_member_id': '996659662', 'subscriber_first_name': 'Alexandra'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6078295/check_9771874_363e305d-e036-40ce-ad0e-12c109f685ff.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6078295/check_9771874_b433e0b7-cc29-4fc0-830b-b6e1695d0fee.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '996659662', 'plan_type': 'Commercial', 'group_name': 'THE INTERPUBLIC GROUP OF CO', 'payer_name': 'UNITEDHEALTHCARE', 'payer_note': 'PROVIDER IS OUT NETWORK FOR MEMBER FUNDING TYPE = SELF INSURED - LARGE GROUP A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED', 'patient_dob': '1997-06-29', 'plan_number': '3142 3142', 'group_number': '702551', 'insurance_type': None, 'plan_type_code': 'C1', 'enrolled_in_qmb': False, 'patient_last_name': 'PIENKOWSKI', 'plan_sponsor_name': None, 'patient_first_name': 'ALEXANDRA', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'POS CHOICE PLUS', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8244193000 | N/A | N/A | 6078295 | 2222 | N/A | 9488537 | N/A | 4722548 | 2025-07-12 18:02:07.730033 | 2025-05-30 04:23:27.387333 |
| 2025-07-12 18:01:16.139437 | 2025-07-12 18:01:20.186801 | 9771740 | N/A | N/A | {'payer_id': '87726', 'payer_name': 'United Healthcare', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '2001-04-06', 'date_of_service': '2025-07-14', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6411, 'subscriber_last_name': 'HARRAKA', 'subscriber_member_id': '992737509', 'subscriber_first_name': 'ROBERT'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/5874440/check_9771740_7b6dec57-47e4-4cf6-b1eb-7efef9c150ff.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874440/check_9771740_5d728d42-6554-40ab-8165-48a2fc7458e9.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '992737509', 'plan_type': 'Commercial', 'group_name': 'FIG LLC (FORTRESS)', 'payer_name': 'UNITEDHEALTHCARE', 'payer_note': 'FUNDING TYPE = SELF INSURED - LARGE GROUP A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED', 'patient_dob': '2001-04-06', 'plan_number': '0009 0009', 'group_number': '704441', 'insurance_type': None, 'plan_type_code': 'C1', 'enrolled_in_qmb': False, 'patient_last_name': 'HARRAKA', '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': 'UNITEDHEALTHCARE CHOICE PLUS', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8244191298 | N/A | N/A | 5874440 | 2222 | N/A | 9488407 | N/A | 4534568 | 2025-07-12 18:01:20.186801 | 2025-05-27 20:53:12.991758 |
| 2025-07-12 18:00:37.760553 | 2025-07-12 18:00:41.619970 | 9771636 | N/A | N/A | {'payer_id': '87726', 'payer_name': 'United Healthcare', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1985-01-26', 'date_of_service': '2025-07-15', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6411, 'subscriber_last_name': 'VASEF', 'subscriber_member_id': '98235678800', 'subscriber_first_name': 'IDEAN'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542264/check_9771636_c67a0e1b-f0a8-455b-83eb-1b19037f518c.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542264/check_9771636_dc5314d6-ecd2-4a6c-98c5-5d953bfb4067.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '98235678800', 'plan_type': 'Commercial', 'group_name': None, 'payer_name': 'UNITEDHEALTHCARE INSURANCE COMPANY', 'payer_note': 'FUNDING TYPE = FULLY INSURED - LARGE GROUP LABORATORY DESIGNATED DIAGNOSTIC BENEFITS IMAGING DESIGNATED DIAGNOSTIC BENEFITS', 'patient_dob': '1985-01-26', 'plan_number': None, 'group_number': '1490012', 'insurance_type': None, 'plan_type_code': 'C1', 'enrolled_in_qmb': False, 'patient_last_name': 'VASEF', 'plan_sponsor_name': None, 'patient_first_name': 'IDEAN', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'CHOICE PLUS', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8244188254 | N/A | N/A | 5542264 | 2222 | N/A | 9488307 | N/A | 4214205 | 2025-07-12 18:00:41.619970 | 2025-06-27 18:49:28.826549 |
| 2025-07-12 18:00:36.389264 | 2025-07-12 18:00:40.153712 | 9771635 | N/A | N/A | {'payer_id': '87726', 'payer_name': 'United Healthcare', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1999-09-11', 'date_of_service': '2025-07-15', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6411, 'subscriber_last_name': 'PETERSON', 'subscriber_member_id': '987565290', 'subscriber_first_name': 'CONNOR'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543238/check_9771635_c1b2e33d-d127-463a-adf2-06b29b3fce1c.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543238/check_9771635_ccacbc11-5358-4123-9fac-16dae212d018.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '987565290', 'plan_type': 'Commercial', 'group_name': 'ORACLE', 'payer_name': 'UNITEDHEALTHCARE', 'payer_note': 'FUNDING TYPE = SELF INSURED - LARGE GROUP A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED', 'patient_dob': '1999-09-11', 'plan_number': '0181 0181', 'group_number': '228485', 'insurance_type': None, 'plan_type_code': 'C1', 'enrolled_in_qmb': False, 'patient_last_name': 'PETERSON', 'plan_sponsor_name': None, 'patient_first_name': 'CONNOR', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'SELECT PLUS', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8244188181 | N/A | N/A | 5543238 | 2222 | N/A | 9488305 | N/A | 4215055 | 2025-07-12 18:00:40.153712 | 2025-05-13 04:29:37.229376 |
| 2025-07-12 18:00:35.687465 | 2025-07-12 18:00:39.462165 | 9771634 | N/A | N/A | {'payer_id': '87726', 'payer_name': 'United Healthcare', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1969-05-06', 'date_of_service': '2025-07-15', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6411, 'subscriber_last_name': 'IRIZARRY', 'subscriber_member_id': '950883047', 'subscriber_first_name': 'BERNADETTE'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541827/check_9771634_1f0db75a-a476-4811-8953-bcd73441abd9.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541827/check_9771634_1e711034-cecf-48e8-a3cd-dc4c7cb91991.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '950883047', 'plan_type': 'Commercial', 'group_name': 'DHL', 'payer_name': 'UNITEDHEALTHCARE', 'payer_note': 'FUNDING TYPE = SELF INSURED - LARGE GROUP A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED', 'patient_dob': '1969-05-06', 'plan_number': '0001 0001', 'group_number': '905224', 'insurance_type': None, 'plan_type_code': 'C1', 'enrolled_in_qmb': False, 'patient_last_name': 'BOERSMA', 'plan_sponsor_name': None, 'patient_first_name': 'PITER', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'UNITEDHEALTHCARE CHOICE PLUS', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8244188140 | N/A | N/A | 5541827 | 2222 | N/A | 9488303 | N/A | 4213806 | 2025-07-12 18:00:39.462165 | 2025-05-13 04:29:37.228124 |
| 2025-07-12 17:51:35.278622 | 2025-07-13 02:03:17.107081 | 9770040 | N/A | N/A | {'payer_id': '14163', 'payer_name': 'WELLCARE HEALTH PLAN', 'provider_npi': '1114042165', 'trace_number': '9770040', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1953-11-17', 'date_of_service': '2025-07-12', '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/272741.20250712.204344264.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6960617/check_9770040_51b76a84-d4ef-4944-82f9-1026f11e9998.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 | 8244173998 | N/A | N/A | 6960617 | 2222 | 4802 | 9490868 | 6798 | 5985329 | 2025-07-13 02:03:17.107081 | 2025-09-10 17:01:27.097640 |
| 2025-07-12 17:51:14.812183 | 2025-07-13 02:11:13.702766 | 9769944 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': '1114042165', 'trace_number': '9769944', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1989-10-21', 'date_of_service': '2025-07-12', '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/272741.20250712.204344264.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6958051/check_9769944_6f0aa754-b26e-4bdd-8f1d-654e5db5c04d.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': '2024-10-01', 'plan_coverage_description': 'IFP EMB PED DPPO JAN15', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8244173568 | N/A | N/A | 6958051 | 2222 | 4802 | 9498144 | N/A | 5983453 | 2025-07-13 02:11:13.702766 | 2025-07-10 21:00:26.641701 |
| 2025-07-12 17:49:53.852709 | 2025-07-13 02:11:07.738285 | 9769192 | N/A | N/A | {'payer_id': '62308', 'payer_name': 'CIGNA (Connecticut General, Equicor, Equitable)', 'provider_npi': '1114042165', 'trace_number': '9769192', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1964-06-30', 'date_of_service': '2025-07-12', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'YOKICH', 'subscriber_member_id': '108161196', 'subscriber_first_name': 'DANIEL'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250712.203839543.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6165588/check_9769192_d247ede7-f96c-4132-8b4d-f1d8471730fb.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '10816119600', 'plan_type': None, 'group_name': 'SYMPHONYAI, LLC', 'payer_name': 'CHLIC', 'payer_note': 'COMPLETE CARE MANAGEMENT', 'patient_dob': '1964-06-30', 'plan_number': None, 'group_number': '00637648', 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'YOKICH', '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': 'HSA QUALIFIED HDHP', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8244164440 | N/A | N/A | 6165588 | 2222 | 4802 | 9498006 | N/A | 4807950 | 2025-07-13 02:11:07.738285 | 2025-06-06 21:18:25.086720 |
| 2025-07-12 17:49:36.377061 | 2025-07-13 02:22:44.813841 | 9768861 | N/A | N/A | {'payer_id': 'Z1073', 'payer_name': 'Medicare B California Southern', 'provider_npi': '1114042165', 'trace_number': '9768861', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1959-07-13', 'date_of_service': '2025-07-12', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'SHETH', 'subscriber_member_id': '4T52DU0KY22', 'subscriber_first_name': 'SHAIVALINI'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250712.203839543.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6145897/check_9768861_222d0539-4ce3-4eee-bd53-cc69aa06b2ec.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '4T52DU0KY22', 'plan_type': 'Medicare Part A', 'group_name': None, 'payer_name': 'CMS', 'payer_note': '0-BENEFICIARY INSURED DUE TO AGE OASI', 'patient_dob': '1959-07-13', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': 'MA', 'enrolled_in_qmb': False, 'patient_last_name': 'SHETH', 'plan_sponsor_name': None, 'patient_first_name': 'SHAIVALINI', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8244163868 | N/A | N/A | 6145897 | 2222 | 4801 | 9507451 | N/A | 4786709 | 2025-07-13 02:22:44.813841 | 2025-06-20 18:28:02.399027 |
| 2025-07-12 17:49:36.000475 | 2025-07-13 02:14:50.268623 | 9768856 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9768856', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '2010-10-08', 'date_of_service': '2025-07-12', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'subscriber_last_name': 'REBEAUD', 'subscriber_member_id': 'DYZ6283553AB', 'subscriber_first_name': 'JUSTIN'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250712.203839543.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6145860/check_9768856_a44a3192-45c7-4938-a3a7-168116a7df72.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'DYZ6283553AB', 'plan_type': 'Point of Service (POS)', 'group_name': 'CLASSIC COLLISION LLC', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '2010-10-08', 'plan_number': '101', 'group_number': 'L08292M003', 'insurance_type': None, 'plan_type_code': 'PS', 'enrolled_in_qmb': False, 'patient_last_name': 'REBEAUD', 'plan_sponsor_name': None, 'patient_first_name': 'MARIA', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2023-08-01', 'plan_coverage_description': 'GA POS BLUECHOICE OA', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8244163867 | N/A | N/A | 6145860 | 2222 | 4793 | 9501341 | N/A | 4786676 | 2025-07-13 02:14:50.268623 | 2025-06-10 23:45:59.927015 |
| 2025-07-12 17:49:18.340990 | 2025-07-13 02:14:09.777003 | 9768509 | N/A | N/A | {'payer_id': '95567', 'payer_name': 'Health Net of California and Oregon', 'provider_npi': '1114042165', 'trace_number': '9768509', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1981-12-16', 'date_of_service': '2025-07-12', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'DE FELICE', 'subscriber_member_id': 'R07457624FM1', 'subscriber_first_name': 'CHRISTINA'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250712.203839543.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6140436/check_9768509_ea2fd54c-4807-4cd7-9458-c314364b8211.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'R07457624FM1', 'plan_type': None, 'group_name': None, 'payer_name': 'HEALTH NET, LLC', 'payer_note': None, 'patient_dob': '1981-12-16', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'DE FELICE', 'plan_sponsor_name': None, 'patient_first_name': 'CHRISTINA', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'KA9 SBP', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8244163148 | N/A | N/A | 6140436 | 2222 | 4801 | 9500760 | N/A | 4781417 | 2025-07-13 02:14:09.777003 | 2025-06-06 17:03:19.078153 |
| 2025-07-12 17:48:37.038466 | 2025-07-13 02:06:18.878039 | 9767824 | N/A | N/A | {'payer_id': 'REGAL', 'payer_name': 'Regal Medical Group', 'provider_npi': '1114042165', 'trace_number': '9767824', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1945-07-04', 'date_of_service': '2025-07-12', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'subscriber_last_name': 'Seminario', 'subscriber_member_id': '442W1081810', 'subscriber_first_name': 'Gustavo'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250712.203839543.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6124845/check_9767824_70f06d24-d983-4692-a5ad-9732cf8e764c.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '442W1081810', 'plan_type': None, 'group_name': None, 'payer_name': 'REGAL MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1945-07-04', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'SEMINARIO', 'plan_sponsor_name': None, 'patient_first_name': 'GUSTAVO', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8244163963 | N/A | N/A | 6124845 | 2222 | 4793 | 9493072 | N/A | 4767293 | 2025-07-13 02:06:18.878039 | 2025-06-06 15:11:48.015692 |
| 2025-07-12 17:48:29.497002 | 2025-07-13 02:14:51.653377 | 9767727 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9767727', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1948-09-14', 'date_of_service': '2025-07-12', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'Yiannakakis', 'subscriber_member_id': '913624039', 'subscriber_first_name': 'Kathy'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250712.203839543.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6124357/check_9767727_47c092c8-a5ea-42d0-9bda-5623fe49bcfa.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '913624039', 'plan_type': None, 'group_name': None, 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1948-09-14', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'YIANNAKAKIS', 'plan_sponsor_name': None, 'patient_first_name': 'KATHY', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8244163572 | N/A | N/A | 6124357 | 2222 | 4793 | 9501363 | N/A | 4766950 | 2025-07-13 02:14:51.653377 | 2025-06-03 22:10:54.646473 |
| 2025-07-12 17:48:27.519124 | 2025-07-13 02:16:32.678689 | 9767706 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': '1114042165', 'trace_number': '9767706', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1969-07-12', 'date_of_service': '2025-07-12', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'Davis', 'subscriber_member_id': 'GMB811453374', 'subscriber_first_name': 'Colleen'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250712.203839543.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6124061/check_9767706_0cbcf49d-7a6d-4d02-86e8-ac8b5017db6b.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'GMB811453374', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'ARTHUR J GALLAGHER ILLINOIS, LLC', 'payer_name': 'BLUE SHIELD OF CALIFORNIA', 'payer_note': None, 'patient_dob': '1969-07-12', 'plan_number': None, 'group_number': '169148', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'DAVIS', 'plan_sponsor_name': None, 'patient_first_name': 'COLLEEN', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2024-08-26', 'plan_coverage_description': 'PREFERRED PROVIDER OPTION PLUS MEDICAL', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8244163568 | N/A | N/A | 6124061 | 2222 | 4793 | 9502815 | N/A | 4766777 | 2025-07-13 02:16:32.678689 | 2025-06-19 23:01:11.277116 |
| 2025-07-12 17:48:27.231021 | 2025-07-13 02:08:33.671892 | 9767702 | N/A | N/A | {'payer_id': '60054', 'payer_name': 'Aetna', 'provider_npi': '1114042165', 'trace_number': '9767702', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1969-05-02', 'date_of_service': '2025-07-12', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'Taylor', 'subscriber_member_id': '0322952413', 'subscriber_first_name': 'Vienna'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250712.203839543.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6124049/check_9767702_c99f58b7-c26e-493d-a459-87637dc09619.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '0322952413', 'plan_type': 'Group Policy', 'group_name': None, 'payer_name': 'AETNA INC', 'payer_note': 'PLEASE CALL MEMBER SERVICES NUMBER ON ID CARD FOR IND. DEDUCTIBLE, FAMILY DEDUCTIBLE, IND. OUT OF POCKET, FAMILY OUT OF POCKET INFORMATION', 'patient_dob': '1969-05-02', 'plan_number': '001', 'group_number': '24281', 'insurance_type': None, 'plan_type_code': 'GP', 'enrolled_in_qmb': False, 'patient_last_name': 'TAYLOR', 'plan_sponsor_name': None, 'patient_first_name': 'JEFFREY', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'VELOCITY COMMERCIAL CAPITAL LLC', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8244163567 | N/A | N/A | 6124049 | 2222 | 4793 | 9495261 | N/A | 4766759 | 2025-07-13 02:08:33.671892 | 2025-06-04 21:51:50.184092 |
| 2025-07-12 17:48:14.520172 | 2025-07-13 02:16:15.690104 | 9767525 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': '1114042165', 'trace_number': '9767525', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1994-02-23', 'date_of_service': '2025-07-12', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'SHU', 'subscriber_member_id': 'XAN913831469', 'subscriber_first_name': 'GABRIELA'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250712.203839543.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6121701/check_9767525_9f8e7b16-021b-4e90-8782-e82fec5f2807.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XAN913831469', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM', 'payer_name': 'BLUE SHIELD CALIFORNIA', 'payer_note': None, 'patient_dob': '1994-02-23', 'plan_number': '1479PPOX0003', 'group_number': 'W0051411', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'SHU', 'plan_sponsor_name': None, 'patient_first_name': 'GABRIELA', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'CALPERS ASO GOLD PPO GROUP BILL', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8244163539 | N/A | N/A | 6121701 | 2222 | 4793 | 9502578 | N/A | 4764460 | 2025-07-13 02:16:15.690104 | 2025-06-04 04:30:06.494155 |
| 2025-07-12 17:48:07.097102 | 2025-07-13 02:22:26.510923 | 9767418 | N/A | N/A | {'payer_id': 'Z1073', 'payer_name': 'Medicare B California Southern', 'provider_npi': '1114042165', 'trace_number': '9767418', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1951-10-16', 'date_of_service': '2025-07-12', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'GARRETT', 'subscriber_member_id': '3EJ1R73ND18', 'subscriber_first_name': 'KATHLEEN'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250712.203848220.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6714932/check_9767418_270ec57d-0f8d-4102-af41-64802f0667f1.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '3EJ1R73ND18', 'plan_type': 'Medicare Part A', 'group_name': None, 'payer_name': 'SILVERSCRIPT INSURANCE COMPANY', 'payer_note': '0-BENEFICIARY INSURED DUE TO AGE OASI', 'patient_dob': '1951-10-16', 'plan_number': 'S5601', 'group_number': None, 'insurance_type': None, 'plan_type_code': 'MA', 'enrolled_in_qmb': False, 'patient_last_name': 'GARRETT', 'plan_sponsor_name': None, 'patient_first_name': 'KATHLEEN', '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 | 8244167632 | N/A | N/A | 6714932 | 2222 | 4793 | 9507263 | N/A | 5316176 | 2025-07-13 02:22:26.510923 | 2025-07-01 18:44:12.927482 |
| 2025-07-12 17:48:06.508140 | 2025-07-13 02:27:57.957583 | 9767411 | N/A | N/A | {'payer_id': 'Z1073', 'payer_name': 'Medicare B California Southern', 'provider_npi': '1114042165', 'trace_number': '9767411', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1959-07-23', 'date_of_service': '2025-07-12', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'Harvey', 'subscriber_member_id': '1D65Z29PD77', 'subscriber_first_name': 'Roy'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250712.203848220.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6714928/check_9767411_0e5dece2-29e8-4417-a0a2-c6aca26db915.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '1D65Z29PD77', 'plan_type': None, 'group_name': None, 'payer_name': 'MEDICARE A B ELIGIBILITY ALL STATES', 'payer_note': None, 'patient_dob': '1959-07-23', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'HARVEY', 'plan_sponsor_name': None, 'patient_first_name': 'ROY', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8244167631 | N/A | N/A | 6714928 | 2222 | 4802 | 9510178 | N/A | 5316172 | 2025-07-13 02:27:57.957583 | 2025-07-02 15:09:36.678003 |
| 2025-07-12 17:47:59.192857 | 2025-07-13 02:17:03.948422 | 9767329 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': '1114042165', 'trace_number': '9767329', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '2006-11-16', 'date_of_service': '2025-07-12', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'subscriber_last_name': 'ANDERSON', 'subscriber_member_id': 'PNE9139322192', 'subscriber_first_name': 'SEAN'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250712.203848220.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6713863/check_9767329_e282dd60-c46c-4d29-840a-686a8c29d5fc.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'PNE9139322192', 'plan_type': None, 'group_name': None, 'payer_name': 'BLUE SHIELD CALIFORNIA', 'payer_note': None, 'patient_dob': '2006-11-16', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'ANDERSON', 'plan_sponsor_name': None, 'patient_first_name': 'SEAN', '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 | 8244167613 | N/A | N/A | 6713863 | 2222 | 4793 | 9503268 | N/A | 5315237 | 2025-07-13 02:17:03.948422 | 2025-07-09 22:23:37.046417 |
| 2025-07-12 17:46:05.910670 | 2025-07-13 02:16:15.013828 | 9765987 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': '1114042165', 'trace_number': '9765987', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1982-07-02', 'date_of_service': '2025-07-12', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'subscriber_last_name': 'DRISCOLL', 'subscriber_member_id': 'XED912182768', 'subscriber_first_name': 'JAMES'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250712.203839543.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6104970/check_9765987_9892b1b7-6cb6-4e8b-971e-3d81a6349701.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XED912182768', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'IFP ON EXCHANGE', 'payer_name': 'BLUE SHIELD CALIFORNIA', 'payer_note': None, 'patient_dob': '1982-07-02', 'plan_number': '2001ZK002184', 'group_number': 'X0001004', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'DRISCOLL', 'plan_sponsor_name': None, 'patient_first_name': 'JAMES', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2025-01-01', 'plan_coverage_description': 'SILVER 94 PPO JAN25', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8244163419 | N/A | N/A | 6104970 | 2222 | 4802 | 9502569 | N/A | 4749447 | 2025-07-13 02:16:15.013828 | 2025-06-06 23:16:09.869339 |
| 2025-07-12 17:45:19.436376 | 2025-07-13 02:09:25.102021 | 9765112 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9765112', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1956-05-21', 'date_of_service': '2025-07-12', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'Kosec', 'subscriber_member_id': 'MBL802W22845', 'subscriber_first_name': 'Kevin'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250712.203313246.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6641037/check_9765112_b49661b6-95d2-4199-9dc6-73742c39fe3b.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'MBL802W22845', 'plan_type': None, 'group_name': 'MOTION PICTURE INDUSTRY HEALTH PLAN', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1956-05-21', 'plan_number': '040', 'group_number': 'CAEGR002', 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'KOSEC', 'plan_sponsor_name': None, 'patient_first_name': 'KEVIN', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2025-01-01', '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 | 8244150208 | N/A | N/A | 6641037 | 2222 | 4802 | 9496128 | N/A | 5248081 | 2025-07-13 02:09:25.102021 | 2025-07-01 21:08:10.945475 |
| 2025-07-12 17:45:18.122713 | 2025-07-13 02:16:31.319346 | 9765078 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': '1114042165', 'trace_number': '9765078', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1995-01-31', 'date_of_service': '2025-07-12', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'MAJD', 'subscriber_member_id': 'XED911263594', 'subscriber_first_name': 'SYDNEY'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250712.203341079.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6555034/check_9765078_4bf8504b-7da3-4572-b806-7532c44ad9a6.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XED911263594', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'IFP ON EXCHANGE', 'payer_name': 'BLUE SHIELD CALIFORNIA', 'payer_note': None, 'patient_dob': '1995-01-31', 'plan_number': '2001ZK002185', 'group_number': 'X0001004', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'MAJD', 'plan_sponsor_name': None, 'patient_first_name': 'SYDNEY', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2022-03-01', 'plan_coverage_description': 'IFP EMB PED VISION', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8244149518 | N/A | N/A | 6555034 | 2222 | 4793 | 9502798 | N/A | 5178259 | 2025-07-13 02:16:31.319346 | 2025-07-08 22:15:02.277880 |
| 2025-07-12 17:45:18.100267 | 2025-07-13 02:05:16.674807 | 9765077 | N/A | N/A | {'payer_id': '47027', 'payer_name': 'Physicians Mutual Insurance Company', 'provider_npi': '1114042165', 'trace_number': '9765077', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1952-10-25', 'date_of_service': '2025-07-12', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'JOHNSTON', 'subscriber_member_id': 'H750053601', 'subscriber_first_name': 'DEBORAH'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250712.203313246.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6638391/check_9765077_873f6cbd-100f-4c27-a7c0-2ae04be13c5e.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'H750053601', 'plan_type': None, 'group_name': None, 'payer_name': 'PHYSICIANS MUTUAL', 'payer_note': 'PAYMENT NOT GUARANTEED; BENEFITS SUBJECT TO CLAIM APPROVAL', 'patient_dob': '1952-10-25', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'JOHNSTON', 'plan_sponsor_name': None, 'patient_first_name': 'DEBORAH', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'MEDICARE SUPPLEMENT 2023 PLAN G', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8244150203 | N/A | N/A | 6638391 | 2222 | 4793 | 9492145 | N/A | 5247837 | 2025-07-13 02:05:16.674807 | 2026-02-24 20:36:49.807283 |
| 2025-07-12 17:45:16.731139 | 2025-07-13 02:16:42.434186 | 9765037 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': '1114042165', 'trace_number': '9765037', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '2002-02-06', 'date_of_service': '2025-07-12', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'MANALO LAMANNA', 'subscriber_member_id': 'GSC134174111001', 'subscriber_first_name': 'ISADORE'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250712.203341079.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6554790/check_9765037_7adf844e-7dd4-49d3-9d13-434ca9929df6.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '01765049801', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': None, 'payer_name': 'BLUE SHIELD OF CALIFORNIA', 'payer_note': 'FUNDING TYPE = SELF INSURED', 'patient_dob': '2002-02-06', 'plan_number': '363', 'group_number': '022039304', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'MANALOLAMANNA', 'plan_sponsor_name': None, 'patient_first_name': 'ISADORE', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2022-01-01', 'plan_coverage_description': 'BLUE CARD PPO', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8244149510 | N/A | N/A | 6554790 | 2222 | 4793 | 9502962 | N/A | 5177947 | 2025-07-13 02:16:42.434186 | 2025-07-01 19:04:04.764299 |
| 2025-07-12 17:45:14.964395 | 2025-07-13 02:23:37.568081 | 9764989 | N/A | N/A | {'payer_id': 'Z1073', 'payer_name': 'Medicare B California Southern', 'provider_npi': '1114042165', 'trace_number': '9764989', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1939-06-18', 'date_of_service': '2025-07-12', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'SEGURA', 'subscriber_member_id': '8DD9YX8FN41', 'subscriber_first_name': 'CIRA'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250712.203341079.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6553930/check_9764989_f107b095-ab9a-4c1c-ac3b-af1317f5bf4e.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '8DD9YX8FN41', 'plan_type': 'Medicare Part B', 'group_name': None, 'payer_name': 'MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY', 'payer_note': '0-BENEFICIARY INSURED DUE TO AGE OASI', 'patient_dob': '1939-06-18', 'plan_number': 'S5617', 'group_number': None, 'insurance_type': None, 'plan_type_code': 'MB', 'enrolled_in_qmb': False, 'patient_last_name': 'SEGURA', 'plan_sponsor_name': None, 'patient_first_name': 'CIRA', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8244149500 | N/A | N/A | 6553930 | 2222 | 4801 | 9507898 | N/A | 5177091 | 2025-07-13 02:23:37.568081 | 2025-06-23 20:23:14.340232 |