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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-07-12 17:36:20.127193 | 2025-07-13 02:06:08.500801 | 9753982 | N/A | N/A | {'payer_id': 'LMG01', 'payer_name': 'Lakeside Medical Group', 'provider_npi': '1114042165', 'trace_number': '9753982', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1949-06-06', 'date_of_service': '2025-07-12', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'WILSON', 'subscriber_member_id': '31187497801', 'subscriber_first_name': 'MARVIN'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250712.202538524.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549707/check_9753982_1385035b-b760-43f5-a8e4-6c5eab0f9bdf.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '31187497801', 'plan_type': None, 'group_name': None, 'payer_name': 'LAKESIDE MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1949-06-06', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'WILSON', 'plan_sponsor_name': None, 'patient_first_name': 'MARVIN', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8244127846 | N/A | N/A | 5549707 | 2222 | 4801 | 9492906 | N/A | 4219317 | 2025-07-13 02:06:08.500801 | 2025-05-13 04:29:37.230340 |
| 2025-07-12 17:36:20.056305 | 2025-07-13 02:12:10.245680 | 9753980 | N/A | N/A | {'payer_id': '72261', 'payer_name': 'Scan Health Plan - California', 'provider_npi': '1114042165', 'trace_number': '9753980', 'provider_name': '', 'subscriber_dob': '1951-01-04', 'date_of_service': '2025-07-12', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'SUTTON', 'subscriber_member_id': '40042449801', 'subscriber_first_name': 'PAMELA'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250712.202538524.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549270/check_9753980_33ff6cb1-91a0-4105-87da-3ff90e07fa46.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '40042449801', 'plan_type': None, 'group_name': None, 'payer_name': 'SCAN HEALTH PLAN - CALIFORNIA', 'payer_note': None, 'patient_dob': '1951-01-04', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'SUTTON', 'plan_sponsor_name': None, 'patient_first_name': 'PAMELA', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8244127845 | N/A | N/A | 5549270 | 2222 | 4801 | 9499032 | N/A | 4218971 | 2025-07-13 02:12:10.245680 | 2025-05-13 04:29:37.229987 |
| 2025-07-12 17:36:16.958533 | 2025-07-13 02:06:06.675570 | 9753885 | N/A | N/A | {'payer_id': 'LMG01', 'payer_name': 'Lakeside Medical Group', 'provider_npi': '1114042165', 'trace_number': '9753885', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1999-02-06', 'date_of_service': '2025-07-12', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'FORTIN', 'subscriber_member_id': 'R14644640MS1', 'subscriber_first_name': 'NATHANIEL'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250712.202538524.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543425/check_9753885_5749657f-6a11-4659-9880-bac7ca606cee.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'R14644640MS1', 'plan_type': None, 'group_name': None, 'payer_name': 'LAKESIDE MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1999-02-06', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'FORTIN', 'plan_sponsor_name': None, 'patient_first_name': 'NATHANIEL', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8244127824 | N/A | N/A | 5543425 | 2222 | 4801 | 9492881 | N/A | 4215211 | 2025-07-13 02:06:06.675570 | 2025-05-14 09:08:46.881872 |
| 2025-07-12 17:36:16.828397 | 2025-07-13 02:14:23.211990 | 9753882 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'ANTHEM BLUE CROSS', 'provider_npi': '1114042165', 'trace_number': '9753882', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1971-12-13', 'date_of_service': '2025-07-12', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'subscriber_last_name': 'LEO', 'subscriber_member_id': 'NCF949A57364', 'subscriber_first_name': 'SEAN'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250712.202538524.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543220/check_9753882_ecd5b697-1b1e-4c48-91a9-789cc9c466ae.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'NCF949A57364', 'plan_type': 'Health Maintenance Organization (HMO)', 'group_name': 'LAUSD', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1971-12-13', 'plan_number': '040', 'group_number': '57AJCA', 'insurance_type': None, 'plan_type_code': 'HM', 'enrolled_in_qmb': False, 'patient_last_name': 'LEO', 'plan_sponsor_name': None, 'patient_first_name': 'DAYNA', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2010-01-01', 'plan_coverage_description': 'POWER SELECT HMO NETWORK 126+', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8244127823 | N/A | N/A | 5543220 | 2222 | 4793 | 9500943 | 4184 | 4215036 | 2025-07-13 02:14:23.211990 | 2025-05-13 04:29:37.229353 |
| 2025-07-12 17:36:16.728358 | 2025-07-13 02:15:43.191562 | 9753880 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': '1114042165', 'trace_number': '9753880', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '2008-12-30', 'date_of_service': '2025-07-12', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'PAUL', 'subscriber_member_id': 'XEK914147727', 'subscriber_first_name': 'SARA'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250712.202538524.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543211/check_9753880_8b9f83fc-d255-467c-9d65-bd22ab74c3fa.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XEK914147727', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'IFP OFF EXCHANGE', 'payer_name': 'BLUE SHIELD CALIFORNIA', 'payer_note': None, 'patient_dob': '2008-12-30', 'plan_number': '2001ZD002666', 'group_number': 'X0001000', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'PAUL', 'plan_sponsor_name': None, 'patient_first_name': 'SARA', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'IFP EMB PED VISION', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8244127822 | N/A | N/A | 5543211 | 2222 | 4801 | 9502106 | N/A | 4215028 | 2025-07-13 02:15:43.191562 | 2025-05-13 04:29:37.229346 |
| 2025-07-12 17:36:16.659815 | 2025-07-13 02:14:23.920495 | 9753876 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9753876', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1983-04-13', 'date_of_service': '2025-07-12', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'MICHAEL', 'subscriber_member_id': 'JXN531M63256', 'subscriber_first_name': 'JUNITHA'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250712.202538524.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543190/check_9753876_7e8f9e89-1998-4b73-bef8-df4e5f832be7.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'JXN531M63256', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'CDHP -HSA VALUE PPO W/ NON-INTEGRATED BANKING W/ C', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1983-04-13', 'plan_number': '040', 'group_number': '174222M9A1', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'MICHAEL', 'plan_sponsor_name': None, 'patient_first_name': 'JUNITHA', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2021-05-11', 'plan_coverage_description': 'CDHP CA GENERIC HLTH SAVINGS ACCT', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8244127821 | N/A | N/A | 5543190 | 2222 | 4793 | 9500955 | N/A | 4215014 | 2025-07-13 02:14:23.920495 | 2025-06-01 22:57:55.386960 |
| 2025-07-12 17:36:16.595442 | 2025-07-13 02:15:42.506331 | 9753874 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': '1114042165', 'trace_number': '9753874', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1965-01-24', 'date_of_service': '2025-07-12', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'JAIN', 'subscriber_member_id': 'XEK909304497', 'subscriber_first_name': 'SUPARNA'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250712.202538524.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542952/check_9753874_6466fe1f-5e2a-4ec5-926a-2515871ff2ac.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XEK909304497', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'IFP OFF EXCHANGE', 'payer_name': 'BLUE SHIELD CALIFORNIA', 'payer_note': None, 'patient_dob': '1965-01-24', 'plan_number': '2001ZK002189', 'group_number': 'X0001000', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'JAIN', 'plan_sponsor_name': None, 'patient_first_name': 'SUPARNA', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2019-09-01', 'plan_coverage_description': 'IFP EMB PED VISION', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8244127820 | N/A | N/A | 5542952 | 2222 | 4802 | 9502097 | N/A | 4214804 | 2025-07-13 02:15:42.506331 | 2025-05-13 20:09:53.786482 |
| 2025-07-12 17:36:16.521061 | 2025-07-13 02:08:27.104014 | 9753872 | N/A | N/A | {'payer_id': '60054', 'payer_name': 'Aetna', 'provider_npi': '1114042165', 'trace_number': '9753872', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1959-05-08', 'date_of_service': '2025-07-12', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'KORY', 'subscriber_member_id': '102161581800', 'subscriber_first_name': 'MICHAEL'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250712.202538524.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542870/check_9753872_9520f4c7-1ed0-40ca-9224-b6fdc25ee359.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '102161581800', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'MA INDIVIDUAL - CALIFORNIA', 'payer_name': 'AETNA', 'payer_note': 'MEDICARE', 'patient_dob': '1959-05-08', 'plan_number': '000003-CA000058', 'group_number': '000003-CA', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'KORY', 'plan_sponsor_name': None, 'patient_first_name': 'MICHAEL', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'AETNA MEDICARE CORE (PPO)', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8244127819 | N/A | N/A | 5542870 | 2222 | 4793 | 9495158 | N/A | 4214732 | 2025-07-13 02:08:27.104014 | 2025-06-24 20:13:53.579048 |
| 2025-07-12 17:36:16.452805 | 2025-07-13 02:06:05.839022 | 9753870 | N/A | N/A | {'payer_id': 'LMG01', 'payer_name': 'Lakeside Medical Group', 'provider_npi': '1114042165', 'trace_number': '9753870', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1968-04-07', 'date_of_service': '2025-07-12', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'CHERE', 'subscriber_member_id': '98953535F', 'subscriber_first_name': 'DIANA'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250712.202538524.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542660/check_9753870_afc0d9d5-b363-473b-9c75-b434184e5a98.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '98953535F', 'plan_type': None, 'group_name': None, 'payer_name': 'LAKESIDE MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1968-04-07', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'CHERE', 'plan_sponsor_name': None, 'patient_first_name': 'DIANA', '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 | 8244126865 | N/A | N/A | 5542660 | 2222 | 4802 | 9492866 | N/A | 4214542 | 2025-07-13 02:06:05.839022 | 2025-05-13 04:29:37.228868 |
| 2025-07-12 17:36:16.384150 | 2025-07-13 02:14:22.640167 | 9753867 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9753867', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '2016-02-11', 'date_of_service': '2025-07-12', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'subscriber_last_name': 'KANG', 'subscriber_member_id': 'PVG127A71148', 'subscriber_first_name': 'NATHAN'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250712.202538524.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542649/check_9753867_f7732a66-0871-4c01-99c6-ed5fee0778fd.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'PVG127A71148', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'AVAGO TECHNOLOGIES INC', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '2016-02-11', 'plan_number': '040', 'group_number': '174205M6C9', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'KANG', 'plan_sponsor_name': None, 'patient_first_name': 'EUGENE', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2024-03-01', 'plan_coverage_description': 'CDHP CA GENERIC HLTH SAVINGS ACCT', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8244126864 | N/A | N/A | 5542649 | 2222 | 4793 | 9500932 | N/A | 4214536 | 2025-07-13 02:14:22.640167 | 2025-05-13 04:29:37.228862 |
| 2025-07-12 17:36:16.313970 | 2025-07-13 02:13:54.894800 | 9753864 | N/A | N/A | {'payer_id': 'LACAR', 'payer_name': 'LA Care Health Plan (Los Angeles Care Health Plan)', 'provider_npi': '1114042165', 'trace_number': '9753864', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1988-11-03', 'date_of_service': '2025-07-12', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'CAPISTRANO', 'subscriber_member_id': '98696372G', 'subscriber_first_name': 'FERDELLE'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250712.202538524.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542513/check_9753864_b6da901e-023a-4a51-99b1-bd46f593d9df.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '98696372G', 'plan_type': None, 'group_name': 'MCLA WELL ND ME>=21', 'payer_name': 'LA CARE HEALTH PLAN', 'payer_note': None, 'patient_dob': '1988-11-03', 'plan_number': 'MCLA', 'group_number': 'MWLLNMEG21', 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'CAPISTRANO', 'plan_sponsor_name': None, 'patient_first_name': 'FERDELLE', 'patient_middle_name': None, 'date_time_period_end': '2078-12-31', 'date_time_period_start': '2024-05-01', 'plan_coverage_description': 'LACARE MEDICAL', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8244126863 | N/A | N/A | 5542513 | 2222 | 4793 | 9500556 | N/A | 4214418 | 2025-07-13 02:13:54.894800 | 2025-07-03 18:12:11.075357 |
| 2025-07-12 17:36:16.242201 | 2025-07-13 02:15:41.981540 | 9753861 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': '1114042165', 'trace_number': '9753861', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1989-12-04', 'date_of_service': '2025-07-12', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'subscriber_last_name': 'HUYNH', 'subscriber_member_id': 'XEA911095759', 'subscriber_first_name': 'CHRISTOPHER'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250712.202538524.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542472/check_9753861_6b3d5643-d70f-4546-93e3-1edc2ca4d485.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XEA911095759', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'COUNTY OF VENTURA ACTIVES', 'payer_name': 'BLUE SHIELD CALIFORNIA', 'payer_note': None, 'patient_dob': '1989-12-04', 'plan_number': '1000PPOX0001', 'group_number': 'W0067449', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'HUYNH', 'plan_sponsor_name': None, 'patient_first_name': 'CHRISTOPHER', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'COUNTY OF VENTURA ACTIVES CUSTOM PPO SAVINGS EMB', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8244126862 | N/A | N/A | 5542472 | 2222 | 4801 | 9502086 | N/A | 4214383 | 2025-07-13 02:15:41.981540 | 2025-05-13 04:29:37.228709 |
| 2025-07-12 17:36:16.173839 | 2025-07-13 02:08:27.728719 | 9753858 | N/A | N/A | {'payer_id': '60054', 'payer_name': 'Aetna', 'provider_npi': '1114042165', 'trace_number': '9753858', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1989-10-20', 'date_of_service': '2025-07-12', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'SAMUELS', 'subscriber_member_id': 'W289332071', 'subscriber_first_name': 'ZACHARY'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250712.202538524.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542467/check_9753858_d47eb64a-a8e3-4f60-9c8c-f598d5d2d4ce.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'W289332071', 'plan_type': 'Point of Service (POS)', 'group_name': 'CACI INTERNATIONAL INC.', 'payer_name': 'AETNA', 'payer_note': None, 'patient_dob': '1989-10-20', 'plan_number': '0169496', 'group_number': '016949601000001', 'insurance_type': None, 'plan_type_code': 'PS', 'enrolled_in_qmb': False, 'patient_last_name': 'SAMUELS', 'plan_sponsor_name': None, 'patient_first_name': 'ZACHARY', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'AETNA CHOICE POS II', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8244126861 | N/A | N/A | 5542467 | 2222 | 4802 | 9495167 | N/A | 4214379 | 2025-07-13 02:08:27.728719 | 2025-05-13 04:29:37.228706 |
| 2025-07-12 17:36:16.107975 | 2025-07-13 02:15:44.515120 | 9753855 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': '1114042165', 'trace_number': '9753855', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1996-12-31', 'date_of_service': '2025-07-12', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'subscriber_last_name': 'SIMON', 'subscriber_member_id': '913762408', 'subscriber_first_name': 'DUSTIN'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250712.202538524.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542213/check_9753855_a17615cd-c8c6-48c2-af25-9d1b70da2c6c.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '913762408', 'plan_type': None, 'group_name': 'IFP ON EXCHANGE', 'payer_name': 'BLUE SHIELD CALIFORNIA', 'payer_note': None, 'patient_dob': '1996-12-31', 'plan_number': '2001DA000346', 'group_number': 'X0001004', 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'SIMON', 'plan_sponsor_name': None, 'patient_first_name': 'DUSTIN', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'FAMILY DENTAL HMO PLAN', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8244126860 | N/A | N/A | 5542213 | 2222 | 4793 | 9502127 | N/A | 4214155 | 2025-07-13 02:15:44.515120 | 2025-05-13 04:29:37.228482 |
| 2025-07-12 17:36:16.032493 | 2025-07-13 02:06:12.439936 | 9753853 | N/A | N/A | {'payer_id': 'REGAL', 'payer_name': 'Regal Medical Group', 'provider_npi': '1114042165', 'trace_number': '9753853', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1988-06-09', 'date_of_service': '2025-07-12', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'RIVERO', 'subscriber_member_id': '776926401', 'subscriber_first_name': 'TANYA'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250712.202538524.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542149/check_9753853_beff101a-9b13-4f9c-b802-79ffaf1f6bc1.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '776926401', 'plan_type': None, 'group_name': None, 'payer_name': 'REGAL MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1988-06-09', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'RIVERO', '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 | 8244126859 | N/A | N/A | 5542149 | 2222 | 4801 | 9492944 | N/A | 4214103 | 2025-07-13 02:06:12.439936 | 2025-05-13 04:29:37.228419 |
| 2025-07-12 17:36:15.948061 | 2025-07-13 02:10:56.926836 | 9753850 | N/A | N/A | {'payer_id': '62308', 'payer_name': 'American Specialty Health', 'provider_npi': '1114042165', 'trace_number': '9753850', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1950-06-06', 'date_of_service': '2025-07-12', 'subscriber_gender': 'M', 'service_type_codes': ['AD'], 'subscriber_last_name': 'SULLIVAN', 'subscriber_member_id': '110324368', 'subscriber_first_name': 'VINCENT'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250712.202538524.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542000/check_9753850_43e17936-8b54-406e-82dd-cce0e005dc74.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '11032436800', 'plan_type': None, 'group_name': 'JETSUITEX, INC.', 'payer_name': 'CHLIC', 'payer_note': 'COMPLETE CARE MANAGEMENT', 'patient_dob': '1950-06-06', 'plan_number': None, 'group_number': '00653848', 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'SULLIVAN', 'plan_sponsor_name': None, 'patient_first_name': 'VINCENT', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'HSA QUALIFIED HDHP', 'relationship_to_subscriber': None} | ['AD'] | N/A | N/A | N/A | N/A | N/A | 8244126858 | N/A | N/A | 5542000 | 2222 | 4793 | 9497789 | N/A | 4213966 | 2025-07-13 02:10:56.926836 | 2025-05-13 04:29:37.228285 |
| 2025-07-12 17:36:15.874168 | 2025-07-13 02:14:19.479987 | 9753844 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'ANTHEM BLUE CROSS', 'provider_npi': '1114042165', 'trace_number': '9753844', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1959-05-13', 'date_of_service': '2025-07-12', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'ADRIANZEN FERNAN', 'subscriber_member_id': 'MMA221W20054', 'subscriber_first_name': 'AURA'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250712.202538524.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541944/check_9753844_6b516a94-b3a5-471a-8aac-aaaa841996b5.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'MMA221W20054', 'plan_type': 'Medicare Primary', 'group_name': 'CA MEDICARE', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1959-05-13', 'plan_number': '040', 'group_number': 'CAMCRWP0', 'insurance_type': None, 'plan_type_code': 'MP', 'enrolled_in_qmb': False, 'patient_last_name': 'ADRIANZEN FERNANDEZ', 'plan_sponsor_name': None, 'patient_first_name': 'AURA', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2025-01-01', 'plan_coverage_description': 'CA H4161-007-000 ANTHEM PRIME (HMO-POS) RISK', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8244126857 | N/A | N/A | 5541944 | 2222 | 4801 | 9500890 | 4184 | 4213907 | 2025-07-13 02:14:19.479987 | 2025-05-13 04:29:37.228228 |
| 2025-07-12 17:36:15.811305 | 2025-07-13 02:06:06.242554 | 9753840 | N/A | N/A | {'payer_id': 'LMG01', 'payer_name': 'Lakeside Medical Group', 'provider_npi': '1114042165', 'trace_number': '9753840', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1970-11-30', 'date_of_service': '2025-07-12', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'FITZGIBBON', 'subscriber_member_id': 'R1075485200', 'subscriber_first_name': 'MICHAEL'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250712.202538524.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541889/check_9753840_5f1a2b8d-e8be-473a-9d12-bf42c45c491c.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'R1075485200', 'plan_type': None, 'group_name': None, 'payer_name': 'LAKESIDE MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1970-11-30', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'FITZGIBBON', '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 | 8244126856 | N/A | N/A | 5541889 | 2222 | 4802 | 9492875 | N/A | 4213867 | 2025-07-13 02:06:06.242554 | 2025-05-13 04:29:37.228184 |
| 2025-07-12 17:36:15.746502 | 2025-07-13 02:14:21.219975 | 9753837 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9753837', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1992-06-25', 'date_of_service': '2025-07-12', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'FONSECA', 'subscriber_member_id': 'XDP457W18823', 'subscriber_first_name': 'NICOLE'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250712.202538524.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541789/check_9753837_1d4e1684-8f00-4e80-974a-affaf27c201c.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XDP457W18823', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'TRLG HOLDINGS LLC', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1992-06-25', 'plan_number': '040', 'group_number': '165681M046', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'FONSECA', 'plan_sponsor_name': None, 'patient_first_name': 'NICOLE', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2025-02-01', 'plan_coverage_description': 'CA GENERIC HLTH SAVINGS ACCT', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8244126855 | N/A | N/A | 5541789 | 2222 | 4802 | 9500910 | N/A | 4213775 | 2025-07-13 02:14:21.219975 | 2025-05-13 04:29:37.228095 |
| 2025-07-12 17:36:15.679428 | 2025-07-13 02:15:41.347979 | 9753835 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': '1114042165', 'trace_number': '9753835', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1980-03-25', 'date_of_service': '2025-07-12', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'HILLIGER', 'subscriber_member_id': 'XEA902904791', 'subscriber_first_name': 'JENNIE'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250712.202538524.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541730/check_9753835_5a8c6279-8571-40bf-b957-6840ec5370bd.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XEA902904791', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'HILLIGER INC', 'payer_name': 'BLUE SHIELD CALIFORNIA', 'payer_note': None, 'patient_dob': '1980-03-25', 'plan_number': '1000VX000102', 'group_number': 'W0060472', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'HILLIGER', 'plan_sponsor_name': None, 'patient_first_name': 'JENNIFER', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2017-01-01', 'plan_coverage_description': 'BLUE SHIELD OF CALIFORNIA CHILDREN S DENTAL', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8244126854 | N/A | N/A | 5541730 | 2222 | 4793 | 9502075 | N/A | 4213725 | 2025-07-13 02:15:41.347979 | 2025-05-13 04:29:37.228045 |
| 2025-07-12 17:36:15.609865 | 2025-07-13 02:10:56.406895 | 9753833 | N/A | N/A | {'payer_id': '62308', 'payer_name': 'American Specialty Health', 'provider_npi': '1114042165', 'trace_number': '9753833', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '2001-11-21', 'date_of_service': '2025-07-12', 'subscriber_gender': 'M', 'service_type_codes': ['AD'], 'subscriber_last_name': 'LYKIDIS', 'subscriber_member_id': 'U1221753503', 'subscriber_first_name': 'JOHN'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250712.202538524.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541552/check_9753833_ef087636-0a95-473b-bb25-1dea8c0eab0f.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'U1221753503', 'plan_type': None, 'group_name': 'DISNEY WORLDWIDE SERVICES, INC.', 'payer_name': 'CHLIC', 'payer_note': 'PROVIDER IS IN NETWORK BASED ON NPI ID PROVIDED IN REQUEST COMPLETE CARE MANAGEMENT', 'patient_dob': '2001-11-21', 'plan_number': None, 'group_number': '3207160', 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'LYKIDIS', 'plan_sponsor_name': None, 'patient_first_name': 'JOHN', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'OPEN ACCESS PLUS', 'relationship_to_subscriber': None} | ['AD'] | N/A | N/A | N/A | N/A | N/A | 8244126853 | N/A | N/A | 5541552 | 2222 | 4802 | 9497779 | N/A | 4213562 | 2025-07-13 02:10:56.406895 | 2025-05-13 04:29:37.227895 |
| 2025-07-12 17:36:15.534841 | 2025-07-13 02:15:40.294274 | 9753830 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': '1114042165', 'trace_number': '9753830', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1963-07-22', 'date_of_service': '2025-07-12', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'ZIA AMIRHOSSEINI', 'subscriber_member_id': 'XED911835748', 'subscriber_first_name': 'PARNIAN'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250712.202538524.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541314/check_9753830_2fcbbe79-a2b8-4079-b14e-d150bd263232.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XED911835748', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'IFP ON EXCHANGE', 'payer_name': 'BLUE SHIELD CALIFORNIA', 'payer_note': None, 'patient_dob': '1963-07-22', 'plan_number': '2001ZK002186', 'group_number': 'X0001004', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'HARRIS', 'plan_sponsor_name': None, 'patient_first_name': 'ROBERT', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2023-01-01', 'plan_coverage_description': 'IFP EMB PED VISION', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8244126852 | N/A | N/A | 5541314 | 2222 | 4793 | 9502063 | N/A | 4213343 | 2025-07-13 02:15:40.294274 | 2025-06-06 02:21:37.603701 |
| 2025-07-12 17:36:15.450064 | 2025-07-13 02:15:43.729914 | 9753828 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': '1114042165', 'trace_number': '9753828', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1997-07-14', 'date_of_service': '2025-07-12', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'subscriber_last_name': 'SHERBETJIAN', 'subscriber_member_id': 'XED910281081', 'subscriber_first_name': 'JACK'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250712.202538524.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540558/check_9753828_e1e88f3a-7168-4216-80e1-cbaf0871d36c.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XED910281081', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'IFP ON EXCHANGE', 'payer_name': 'BLUE SHIELD CALIFORNIA', 'payer_note': None, 'patient_dob': '1997-07-14', 'plan_number': '2001ZK002184', 'group_number': 'X0001004', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'SHERBETJIAN', 'plan_sponsor_name': None, 'patient_first_name': 'JACK', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2021-01-01', 'plan_coverage_description': 'IFP EMB PED VISION', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8244126851 | N/A | N/A | 5540558 | 2222 | 4801 | 9502117 | N/A | 4212698 | 2025-07-13 02:15:43.729914 | 2025-05-13 04:29:37.227042 |
| 2025-07-12 17:36:15.360150 | 2025-07-13 02:14:20.168374 | 9753823 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9753823', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '2008-06-19', 'date_of_service': '2025-07-12', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'AINTABLIAN', 'subscriber_member_id': 'NCF581A75701', 'subscriber_first_name': 'GARS'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250712.202538524.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540501/check_9753823_410299db-7741-4dc5-a6f8-7c5d1d5a23cd.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'NCF581A75701', 'plan_type': 'Point of Service (POS)', 'group_name': 'COUNTY OF LOS ANGELES', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '2008-06-19', 'plan_number': '040', 'group_number': '56061A', 'insurance_type': None, 'plan_type_code': 'PS', 'enrolled_in_qmb': False, 'patient_last_name': 'AINTABLIAN', 'plan_sponsor_name': None, 'patient_first_name': 'TALAR', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2025-06-01', 'plan_coverage_description': 'POINT OF SERVICE COUNTY OF LOS ANGELES', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8244126850 | N/A | N/A | 5540501 | 2222 | 4793 | 9500901 | N/A | 4212652 | 2025-07-13 02:14:20.168374 | 2025-06-20 17:50:17.155057 |
| 2025-07-12 17:36:15.294026 | 2025-07-13 02:21:12.670737 | 9753821 | N/A | N/A | {'payer_id': 'Z1073', 'payer_name': 'Medicare B California Southern', 'provider_npi': '1114042165', 'trace_number': '9753821', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1956-11-11', 'date_of_service': '2025-07-12', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'KROLL', 'subscriber_member_id': '7TM8GH4UP59', 'subscriber_first_name': 'LINDA'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250712.202538524.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540410/check_9753821_03d39887-5e6d-4ccb-8cca-d6280b2ddc34.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '7TM8GH4UP59', 'plan_type': 'Medicare Part A', 'group_name': None, 'payer_name': 'SILVERSCRIPT INSURANCE COMPANY', 'payer_note': '0-BENEFICIARY INSURED DUE TO AGE OASI', 'patient_dob': '1956-11-11', 'plan_number': 'S5601', 'group_number': None, 'insurance_type': None, 'plan_type_code': 'MA', 'enrolled_in_qmb': False, 'patient_last_name': 'KROLL', 'plan_sponsor_name': None, 'patient_first_name': 'LINDA', '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 | 8244126849 | N/A | N/A | 5540410 | 2222 | 4793 | 9506382 | N/A | 4212576 | 2025-07-13 02:21:12.670737 | 2025-07-15 18:12:47.251916 |
| 2025-07-12 17:36:15.224863 | 2025-07-13 02:06:07.850482 | 9753819 | N/A | N/A | {'payer_id': 'LMG01', 'payer_name': 'Lakeside Medical Group', 'provider_npi': '1114042165', 'trace_number': '9753819', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1951-02-23', 'date_of_service': '2025-07-12', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'WENSEL', 'subscriber_member_id': '40065419401', 'subscriber_first_name': 'KAREN'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250712.202538524.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539718/check_9753819_b359c2be-308a-41f9-a465-b970082a28da.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '40065419401', 'plan_type': None, 'group_name': None, 'payer_name': 'LAKESIDE MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1951-02-23', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'WENSEL', 'plan_sponsor_name': None, 'patient_first_name': 'KAREN', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8244126848 | N/A | N/A | 5539718 | 2222 | 4793 | 9492897 | N/A | 4211977 | 2025-07-13 02:06:07.850482 | 2025-05-13 04:29:37.226299 |
| 2025-07-12 17:36:14.941258 | 2025-07-13 02:13:48.147253 | 9753814 | N/A | N/A | {'payer_id': 'CCHPC', 'payer_name': 'ALIGNMENT HEALTH CARE', 'provider_npi': '1114042165', 'trace_number': '9753814', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1956-11-11', 'date_of_service': '2025-07-12', '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/272741.20250712.202538524.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539569/check_9753814_df1a86aa-afd0-4d92-b258-77d54a98937b.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 | 8244126847 | N/A | N/A | 5539569 | 2222 | 4801 | 9500462 | 2630 | 4211851 | 2025-07-13 02:13:48.147253 | 2025-06-25 18:38:39.189571 |
| 2025-07-12 17:36:14.717358 | 2025-07-13 02:21:15.252529 | 9753808 | N/A | N/A | {'payer_id': 'Z1073', 'payer_name': 'Medicare B California Southern', 'provider_npi': '1114042165', 'trace_number': '9753808', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1957-12-18', 'date_of_service': '2025-07-12', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'MOORE WILLIAMSON', 'subscriber_member_id': '6R91TM3CH24', 'subscriber_first_name': 'LESLIE A'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250712.202538524.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539049/check_9753808_dd27eee0-e831-4406-b8e7-c2d483df4697.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '6R91TM3CH24', 'plan_type': 'Medicare Part B', 'group_name': None, 'payer_name': "CALIFORNIA PHYSICIANS' SERVICE", 'payer_note': '0-BENEFICIARY INSURED DUE TO AGE OASI', 'patient_dob': '1957-12-18', 'plan_number': 'S2468', 'group_number': None, 'insurance_type': None, 'plan_type_code': 'MB', 'enrolled_in_qmb': False, 'patient_last_name': 'MOORE WILLIAMSON', 'plan_sponsor_name': None, 'patient_first_name': 'LESLIE', '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 | 8244126846 | N/A | N/A | 5539049 | 2222 | 4801 | 9506411 | N/A | 4211368 | 2025-07-13 02:21:15.252529 | 2025-05-13 04:29:37.225728 |
| 2025-07-12 17:36:14.378313 | 2025-07-13 02:06:09.434544 | 9753803 | N/A | N/A | {'payer_id': 'REGAL', 'payer_name': 'Regal Medical Group', 'provider_npi': '1114042165', 'trace_number': '9753803', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1951-08-02', 'date_of_service': '2025-07-12', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'CHADIDA', 'subscriber_member_id': '40060913601', 'subscriber_first_name': 'DAVID'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250712.202538524.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538674/check_9753803_a59b881f-4dee-4771-9ba8-2d53bbdda7f6.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '40060913601', 'plan_type': None, 'group_name': None, 'payer_name': 'REGAL MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1951-08-02', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'CHADIDA', '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} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8244126843 | N/A | N/A | 5538674 | 2222 | 4793 | 9492915 | N/A | 4211039 | 2025-07-13 02:06:09.434544 | 2025-05-13 04:29:37.225444 |
| 2025-07-12 17:36:14.285715 | 2025-07-13 02:16:03.008107 | 9753797 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': '1114042165', 'trace_number': '9753797', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1979-06-20', 'date_of_service': '2025-07-12', '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/272741.20250712.202538524.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537911/check_9753797_08817bbd-91cc-4556-a8b8-f3fbabbf45ca.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'NCF553A20679', 'plan_type': 'Health Maintenance Organization (HMO)', 'group_name': 'LAUSD', 'payer_name': 'BLUE SHIELD OF CALIFORNIA', 'payer_note': None, 'patient_dob': '1979-06-20', 'plan_number': '040', 'group_number': '57AJCA', 'insurance_type': None, 'plan_type_code': 'HM', 'enrolled_in_qmb': False, 'patient_last_name': 'RITENOUR', 'plan_sponsor_name': None, 'patient_first_name': 'TIM', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2010-01-01', 'plan_coverage_description': 'POWER SELECT HMO NETWORK 126+', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8244126842 | N/A | N/A | 5537911 | 2222 | 4793 | 9502400 | N/A | 4210415 | 2025-07-13 02:16:03.008107 | 2025-06-11 20:40:26.862752 |
| 2025-07-12 17:36:14.205185 | 2025-07-13 02:21:10.019600 | 9753796 | N/A | N/A | {'payer_id': 'Z1073', 'payer_name': 'Medicare B California Southern', 'provider_npi': '1114042165', 'trace_number': '9753796', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1951-06-30', 'date_of_service': '2025-07-12', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'CHADORCHI', 'subscriber_member_id': '8MR2X19XD04', 'subscriber_first_name': 'JAFFA'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250712.202538524.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537480/check_9753796_900b69c2-2e74-4081-9855-d9953081bd40.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '8MR2X19XD04', 'plan_type': 'Medicare Part A', 'group_name': None, 'payer_name': 'SILVERSCRIPT INSURANCE COMPANY', 'payer_note': '0-BENEFICIARY INSURED DUE TO AGE OASI', 'patient_dob': '1951-06-30', 'plan_number': 'S5601', 'group_number': None, 'insurance_type': None, 'plan_type_code': 'MA', 'enrolled_in_qmb': False, 'patient_last_name': 'CHADORCHI', 'plan_sponsor_name': None, 'patient_first_name': 'JAFFA', '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 | 8244126841 | N/A | N/A | 5537480 | 2222 | 4802 | 9506362 | N/A | 4210038 | 2025-07-13 02:21:10.019600 | 2025-06-02 14:57:36.820684 |
| 2025-07-12 17:36:14.124715 | 2025-07-13 02:13:46.590252 | 9753790 | N/A | N/A | {'payer_id': 'CCHPC', 'payer_name': 'ALIGNMENT HEALTH CARE', 'provider_npi': '1114042165', 'trace_number': '9753790', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1949-09-13', 'date_of_service': '2025-07-12', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'GOMES', 'subscriber_member_id': '00000285293', 'subscriber_first_name': 'NEMESIO'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250712.202538524.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537439/check_9753790_88125292-b1fc-4e43-b7d1-cd5ca3a3214f.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '00000285293', 'plan_type': 'Health Maintenance Organization (HMO)', 'group_name': None, 'payer_name': 'MEDICARE', 'payer_note': 'OVERALL DEDUCTIBLE', 'patient_dob': '1949-09-13', 'plan_number': 'H3815028', 'group_number': None, 'insurance_type': None, 'plan_type_code': 'HM', 'enrolled_in_qmb': False, 'patient_last_name': 'GOMES', 'plan_sponsor_name': None, 'patient_first_name': 'NEMESIO', '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 | 8244126840 | N/A | N/A | 5537439 | 2222 | 4801 | 9500434 | 2630 | 4210001 | 2025-07-13 02:13:46.590252 | 2025-05-13 04:29:37.224421 |
| 2025-07-12 17:36:14.034720 | 2025-07-13 02:06:45.374293 | 9753788 | N/A | N/A | {'payer_id': '14163', 'payer_name': 'Wellcare Health Plans', 'provider_npi': '1114042165', 'trace_number': '9753788', 'provider_name': '', 'subscriber_dob': '1948-05-29', 'date_of_service': '2025-07-12', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'BEGGS', 'subscriber_member_id': '32842199', 'subscriber_first_name': 'KATHLEEN'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250712.202538524.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537371/check_9753788_d3bf4cfa-96aa-4043-abef-ee49b052012e.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '32842199', 'plan_type': None, 'group_name': None, 'payer_name': 'WELLCARE HEALTH PLANS', 'payer_note': None, 'patient_dob': '1948-05-29', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'BEGGS', '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 | 8244126839 | N/A | N/A | 5537371 | 2222 | 4801 | 9493582 | N/A | 4209950 | 2025-07-13 02:06:45.374293 | 2025-05-13 04:29:37.224374 |
| 2025-07-12 17:36:13.957517 | 2025-07-13 02:14:25.455913 | 9753785 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9753785', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1960-10-26', 'date_of_service': '2025-07-12', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'subscriber_last_name': 'SUCHER', 'subscriber_member_id': 'NCF577A55433', 'subscriber_first_name': 'JAY'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250712.202538524.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536746/check_9753785_cf307981-e5bb-42e5-b2e7-051564c5a7e3.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'NCF577A55433', 'plan_type': 'Health Maintenance Organization (HMO)', 'group_name': 'CALTECH JPL HMO ADVANTAGE', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1960-10-26', 'plan_number': '040', 'group_number': '175104H220', 'insurance_type': None, 'plan_type_code': 'HM', 'enrolled_in_qmb': False, 'patient_last_name': 'SUCHER', 'plan_sponsor_name': None, 'patient_first_name': 'JAY', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2020-01-01', 'plan_coverage_description': 'BLUE CROSS ADVANTAGE HMO', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8244126838 | N/A | N/A | 5536746 | 2222 | 4801 | 9500977 | N/A | 4209436 | 2025-07-13 02:14:25.455913 | 2025-06-27 22:58:27.733010 |
| 2025-07-12 17:36:13.880445 | 2025-07-13 02:06:10.184033 | 9753783 | N/A | N/A | {'payer_id': 'REGAL', 'payer_name': 'Regal Medical Group', 'provider_npi': '1114042165', 'trace_number': '9753783', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1982-01-08', 'date_of_service': '2025-07-12', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'subscriber_last_name': 'CHRISTIAN', 'subscriber_member_id': 'NCF767A52319', 'subscriber_first_name': 'SETH'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250712.202538524.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536162/check_9753783_204799ec-be07-46e7-9bcf-c591531e6eac.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'NCF767A52319', 'plan_type': None, 'group_name': None, 'payer_name': 'REGAL MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1982-01-08', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'CHRISTIAN', 'plan_sponsor_name': None, 'patient_first_name': 'SETH', '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 | 8244126837 | N/A | N/A | 5536162 | 2222 | 4793 | 9492925 | N/A | 4208960 | 2025-07-13 02:06:10.184033 | 2025-07-11 19:38:20.011022 |
| 2025-07-12 17:36:13.073726 | 2025-07-13 02:15:04.734563 | 9753750 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9753750', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '2008-02-17', 'date_of_service': '2025-07-12', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'HARO', 'subscriber_member_id': 'N5X1918954204', 'subscriber_first_name': 'JILLIAN'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250712.203341079.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6398683/check_9753750_c6519ddd-cbad-498d-8eca-740ee8a001f3.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'N5X1918954204', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': '014652 BC PPO CLASSIC - ACTIVE - CA', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '2008-02-17', 'plan_number': None, 'group_number': '014666', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'HARO', 'plan_sponsor_name': None, 'patient_first_name': 'PETE', 'patient_middle_name': None, 'date_time_period_end': '2034-02-28', 'date_time_period_start': '2023-01-01', 'plan_coverage_description': 'ACTIVE PPO PLAN_13214', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8244149143 | N/A | N/A | 6398683 | 2222 | 4801 | 9501551 | N/A | 5046240 | 2025-07-13 02:15:04.734563 | 2025-07-01 04:05:26.762675 |
| 2025-07-12 17:36:07.915349 | 2025-07-13 02:10:42.537078 | 9753582 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': '1114042165', 'trace_number': '9753582', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1951-05-24', 'date_of_service': '2025-07-12', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'LINDSEY', 'subscriber_member_id': 'XEM905211597', 'subscriber_first_name': 'CHRISTIE'} | 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/2222/5550956/check_9753582_547c5359-543d-4865-94ed-bf6184abd238.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XEM905211597', 'plan_type': 'Other', 'group_name': 'MEDICARE SUPPLEMENT', 'payer_name': 'MEDICARE PART A AND B', 'payer_note': None, 'patient_dob': '1951-05-24', 'plan_number': '2002SF000029', 'group_number': 'X0001002', 'insurance_type': None, 'plan_type_code': 'OT', 'enrolled_in_qmb': False, 'patient_last_name': 'LINDSEY', 'plan_sponsor_name': None, 'patient_first_name': 'CHRISTIE', '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 | 8244151418 | N/A | N/A | 5550956 | 2222 | 4801 | 9497517 | N/A | 4219787 | 2025-07-13 02:10:42.537078 | 2025-05-13 04:29:37.230828 |
| 2025-07-12 17:36:07.418413 | 2025-07-13 02:09:25.692180 | 9753568 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9753568', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1944-09-13', 'date_of_service': '2025-07-12', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'MARTIN', 'subscriber_member_id': 'DGA11867912J', 'subscriber_first_name': 'DOLLY'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250712.203313246.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550799/check_9753568_8c15bc5d-7306-4faa-9307-e77f19471cc5.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '5YV3RT3TA75', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'DIRECTORS GUILD OF AMERICA', 'payer_name': 'MEDICARE B', 'payer_note': None, 'patient_dob': '1944-09-13', 'plan_number': '040', 'group_number': '276945M001', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': '', 'plan_sponsor_name': None, 'patient_first_name': '', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2013-01-01', 'plan_coverage_description': 'PPO PRUDENT BUYER INCENTIVE', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8244151417 | N/A | N/A | 5550799 | 2222 | 4793 | 9496138 | N/A | 4219681 | 2025-07-13 02:09:25.692180 | 2026-01-14 20:54:02.193776 |
| 2025-07-12 17:36:07.037702 | 2025-07-13 02:09:23.714019 | 9753557 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9753557', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1951-06-01', 'date_of_service': '2025-07-12', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'BRADBURY', 'subscriber_member_id': 'JQE669W05502', 'subscriber_first_name': 'BONNIE'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250712.203313246.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550535/check_9753557_48d59f90-5aa8-4070-b95f-43034dfb9dae.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'JQE669W05502', 'plan_type': None, 'group_name': 'CA MED-SUPP', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1951-06-01', 'plan_number': '040', 'group_number': 'CASUPWP0', 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'BRADBURY', 'plan_sponsor_name': None, 'patient_first_name': 'BONNIE', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2022-12-01', 'plan_coverage_description': 'CA PLAN F INNOVATIVE', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8244151416 | N/A | N/A | 5550535 | 2222 | 4801 | 9496099 | N/A | 4219556 | 2025-07-13 02:09:23.714019 | 2025-05-13 04:29:37.230592 |
| 2025-07-12 17:36:04.675358 | 2025-07-13 02:08:58.984425 | 9753491 | N/A | N/A | {'payer_id': '95567', 'payer_name': 'Health Net of California and Oregon', 'provider_npi': '1114042165', 'trace_number': '9753491', 'provider_name': '', 'subscriber_dob': '2007-12-08', 'date_of_service': '2025-07-12', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'LARSEN', 'subscriber_member_id': 'R06053944FD1', 'subscriber_first_name': 'LANA'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250712.203313246.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542850/check_9753491_036a67c3-ba83-404b-937a-53c681087346.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'R06053944FD1', 'plan_type': None, 'group_name': None, 'payer_name': 'HEALTH NET OF CALIFORNIA AND OREGON', 'payer_note': None, 'patient_dob': '2007-12-08', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'LARSEN', 'plan_sponsor_name': None, 'patient_first_name': 'LANA', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8244151300 | N/A | N/A | 5542850 | 2222 | 4793 | 9495687 | N/A | 4214714 | 2025-07-13 02:08:58.984425 | 2025-05-13 04:29:37.229031 |
| 2025-07-12 17:36:04.204635 | 2025-07-13 02:16:44.676345 | 9753474 | N/A | N/A | {'payer_id': 'Z1073', 'payer_name': 'Medicare B California Southern', 'provider_npi': '1114042165', 'trace_number': '9753474', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1950-06-06', 'date_of_service': '2025-07-12', 'subscriber_gender': 'M', 'service_type_codes': ['AD'], 'subscriber_last_name': 'SULLIVAN', 'subscriber_member_id': '8JM4YP4FA78', 'subscriber_first_name': 'VINCENT'} | 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/2222/5542002/check_9753474_7180ce30-e84f-459c-943f-2950c7e77a0c.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '8JM4YP4FA78', 'plan_type': 'Medicare Part B', 'group_name': None, 'payer_name': 'CIGNA', 'payer_note': '0-BENEFICIARY INSURED DUE TO AGE OASI', 'patient_dob': '1950-06-06', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': 'MB', 'enrolled_in_qmb': False, 'patient_last_name': 'SULLIVAN', 'plan_sponsor_name': None, 'patient_first_name': 'VINCENT', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AD'] | N/A | N/A | N/A | N/A | N/A | 8244151299 | N/A | N/A | 5542002 | 2222 | 4793 | 9502998 | N/A | 4213966 | 2025-07-13 02:16:44.676345 | 2025-05-13 04:29:37.228285 |
| 2025-07-12 17:36:03.880708 | 2025-07-13 02:05:46.387843 | 9753464 | N/A | N/A | {'payer_id': '61101', 'payer_name': 'Humana (and subsidiaries) claims', 'provider_npi': '1114042165', 'trace_number': '9753464', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1956-11-11', 'date_of_service': '2025-07-12', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'KROLL', 'subscriber_member_id': 'H75730672', 'subscriber_first_name': 'LINDA'} | 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/2222/5540414/check_9753464_7e5cb375-ac9a-4f5e-bc79-90fa2ad9e933.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'H75730672', 'plan_type': 'Supplemental Policy', 'group_name': 'HUMANA BENEFIT PLANOF ILL, INC', 'payer_name': 'HUMANA', 'payer_note': '067 019', 'patient_dob': '1956-11-11', 'plan_number': None, 'group_number': '5A409003', 'insurance_type': None, 'plan_type_code': 'SP', 'enrolled_in_qmb': False, 'patient_last_name': 'KROLL', 'plan_sponsor_name': None, 'patient_first_name': 'LINDA', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'MEDICARE MES', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8244151298 | N/A | N/A | 5540414 | 2222 | 4793 | 9492547 | N/A | 4212576 | 2025-07-13 02:05:46.387843 | 2025-07-15 18:12:47.251916 |
| 2025-07-12 17:36:03.320146 | 2025-07-13 02:09:26.031693 | 9753445 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9753445', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1957-12-18', 'date_of_service': '2025-07-12', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'MOORE WILLIAMSON', 'subscriber_member_id': 'JQE118W14593', 'subscriber_first_name': 'LESLIE A'} | 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/2222/5539052/check_9753445_d0b6a706-a4bf-4a2f-89e0-5976d1a974a7.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'JQE118W14593', 'plan_type': None, 'group_name': 'CA MED-SUPP', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1957-12-18', 'plan_number': '040', 'group_number': 'CASUPWP0', 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'MOORE WILLIAMSON', 'plan_sponsor_name': None, 'patient_first_name': 'LESLIE', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2022-12-01', 'plan_coverage_description': 'CA MODERNIZED PLAN G', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8244151297 | N/A | N/A | 5539052 | 2222 | 4801 | 9496147 | N/A | 4211368 | 2025-07-13 02:09:26.031693 | 2025-05-13 04:29:37.225728 |
| 2025-07-12 17:36:02.891379 | 2025-07-13 02:02:47.879354 | 9753434 | N/A | N/A | {'payer_id': '36273', 'payer_name': 'AARP Medicare Supplement by UnitedHealthcare', 'provider_npi': '1114042165', 'trace_number': '9753434', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1951-06-30', 'date_of_service': '2025-07-12', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'CHADORCHI', 'subscriber_member_id': '33261790711', 'subscriber_first_name': 'JAFFA'} | 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/2222/5537483/check_9753434_e423891a-70f6-44af-ae20-b166410e0e61.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '33261790711', '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': '1951-06-30', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': 'SP', 'enrolled_in_qmb': False, 'patient_last_name': 'CHADORCHI', 'plan_sponsor_name': None, 'patient_first_name': 'JAFFA', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'AARP MEDICARE SUPPLEMENT PLAN F', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8244151296 | N/A | N/A | 5537483 | 2222 | 4802 | 9490635 | N/A | 4210038 | 2025-07-13 02:02:47.879354 | 2025-06-02 14:57:36.820684 |
| 2025-07-12 17:35:43.604773 | 2025-07-13 02:15:02.122534 | 9752894 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9752894', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1959-05-18', 'date_of_service': '2025-07-12', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'BARRUNDIA DE AVENDAN', 'subscriber_member_id': 'JQW789W20031', 'subscriber_first_name': 'M'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250712.203341079.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6236229/check_9752894_b4b9d003-b204-42f8-a57a-dabdc30576bd.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'JQW789W20031', 'plan_type': 'Medicare Primary', 'group_name': 'CA MEDICARE', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1959-05-18', 'plan_number': '040', 'group_number': 'CAMCRWP0', 'insurance_type': None, 'plan_type_code': 'MP', 'enrolled_in_qmb': False, 'patient_last_name': 'BARRUNDIA DE AVENDAN', 'plan_sponsor_name': None, 'patient_first_name': 'M', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2024-05-01', 'plan_coverage_description': 'CA H4471-005-000 ANTHEM DUAL ADVANTAGE (HMO D-SNP)', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8244149005 | N/A | N/A | 6236229 | 2222 | 4801 | 9501515 | N/A | 4642900 | 2025-07-13 02:15:02.122534 | 2025-12-12 21:30:04.843166 |
| 2025-07-12 17:35:42.302968 | 2025-07-13 02:08:51.663813 | 9752853 | N/A | N/A | {'payer_id': '60054', 'payer_name': 'Aetna', 'provider_npi': '1114042165', 'trace_number': '9752853', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1991-08-09', 'date_of_service': '2025-07-12', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'TORIO', 'subscriber_member_id': 'W287278504', 'subscriber_first_name': 'MICHAEL'} | 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/2222/6235883/check_9752853_708e625f-0e14-4d19-8a78-14b9e907a857.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'W287278504', 'plan_type': 'Point of Service (POS)', 'group_name': 'COADVANTAGE RESOURCES, INC.', 'payer_name': 'AETNA', 'payer_note': None, 'patient_dob': '1991-08-09', 'plan_number': '0159468', 'group_number': '015946801000026', 'insurance_type': None, 'plan_type_code': 'PS', 'enrolled_in_qmb': False, 'patient_last_name': 'TORIO', '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': 'OPEN ACCESS MC', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8244149002 | N/A | N/A | 6235883 | 2222 | 4802 | 9495565 | N/A | 4883697 | 2025-07-13 02:08:51.663813 | 2025-07-08 14:55:53.397662 |
| 2025-07-12 17:35:24.085962 | 2025-07-13 02:18:15.319745 | 9752245 | N/A | N/A | {'payer_id': 'Z1073', 'payer_name': 'Medicare B California Southern', 'provider_npi': '1114042165', 'trace_number': '9752245', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1959-09-07', 'date_of_service': '2025-07-12', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'CICCIARI', 'subscriber_member_id': '1AK4JC6NK84', 'subscriber_first_name': 'LOUIS'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250712.204344264.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6752936/check_9752245_4d6916d0-ede5-4036-a91f-0c75ef1e0977.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '1AK4JC6NK84', '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': '1959-09-07', 'plan_number': 'S5596', 'group_number': None, 'insurance_type': None, 'plan_type_code': 'MB', 'enrolled_in_qmb': False, 'patient_last_name': 'CICCIARI', 'plan_sponsor_name': None, 'patient_first_name': 'LOUIS', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8244172621 | N/A | N/A | 6752936 | 2222 | 4801 | 9504228 | N/A | 5065602 | 2025-07-13 02:18:15.319745 | 2025-07-01 17:25:13.681724 |
| 2025-07-12 17:35:04.810027 | 2025-07-13 02:15:05.419160 | 9751628 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9751628', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1943-04-04', 'date_of_service': '2025-07-12', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'subscriber_last_name': 'KASONDRA', 'subscriber_member_id': 'JQS982A24769', 'subscriber_first_name': 'JAYESH'} | 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/2222/6226525/check_9751628_075e4f1f-02b5-4694-9363-9896adcbb8b4.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'JQS982A24769', 'plan_type': 'Medicare Primary', 'group_name': 'CA MEDICARE', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1943-04-04', 'plan_number': '040', 'group_number': 'CAMCRWP0', 'insurance_type': None, 'plan_type_code': 'MP', 'enrolled_in_qmb': False, 'patient_last_name': 'KASONDRA', 'plan_sponsor_name': None, 'patient_first_name': 'JAYESH', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2025-01-01', 'plan_coverage_description': 'CA H0544-063-000 ANTHEM MEDICARE ADVANTAGE (HMO-PO', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8244148609 | N/A | N/A | 6226525 | 2222 | 4801 | 9501564 | N/A | 4874079 | 2025-07-13 02:15:05.419160 | 2025-06-11 23:55:57.341570 |
| 2025-07-12 17:34:44.581988 | 2025-07-13 02:06:17.080197 | 9751081 | N/A | N/A | {'payer_id': 'LMG01', 'payer_name': 'Lakeside Medical Group', 'provider_npi': '1114042165', 'trace_number': '9751081', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1964-11-15', 'date_of_service': '2025-07-12', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'BIKOULOVA', 'subscriber_member_id': '92040499F', 'subscriber_first_name': 'ALEXANDRA'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250712.203839543.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874423/check_9751081_181ea60b-441f-447b-b661-88995ac594e1.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '92040499F', 'plan_type': None, 'group_name': None, 'payer_name': 'LAKESIDE MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1964-11-15', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'BIKOULOVA', 'plan_sponsor_name': None, 'patient_first_name': 'ALEXANDRA', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8244163031 | N/A | N/A | 5874423 | 2222 | 4802 | 9493039 | N/A | 4534552 | 2025-07-13 02:06:17.080197 | 2025-05-30 18:01:03.324126 |
| 2025-07-12 17:34:43.828676 | 2025-07-13 02:22:42.098679 | 9751068 | N/A | N/A | {'payer_id': 'Z1073', 'payer_name': 'Medicare B California Southern', 'provider_npi': '1114042165', 'trace_number': '9751068', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1958-09-13', 'date_of_service': '2025-07-12', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'DERR', 'subscriber_member_id': '4GK3GN5DV73', 'subscriber_first_name': 'DENNIS'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250712.203839543.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874420/check_9751068_b14efa03-04f4-45cc-9066-4161053fa9eb.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '4GK3GN5DV73', 'plan_type': None, 'group_name': None, 'payer_name': 'CMS', 'payer_note': None, 'patient_dob': '1958-09-13', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'DERR', 'plan_sponsor_name': None, 'patient_first_name': 'DENNIS', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8244163030 | N/A | N/A | 5874420 | 2222 | 4793 | 9507418 | N/A | 4534550 | 2025-07-13 02:22:42.098679 | 2025-10-15 18:36:58.255255 |