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 17:34:36.476909 | 2025-07-13 02:17:04.367301 | 9750861 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': '1114042165', 'trace_number': '9750861', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1966-03-26', 'date_of_service': '2025-07-12', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'Deschatres', 'subscriber_member_id': 'XED912070650', 'subscriber_first_name': 'Nathalie'} | 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/2222/6577909/check_9750861_c74b3e78-9fc3-4271-817f-0ee23ffc6d8d.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XED912070650', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'IFP ON EXCHANGE', 'payer_name': 'BLUE SHIELD CALIFORNIA', 'payer_note': None, 'patient_dob': '1966-03-26', 'plan_number': '2001ZK002186', 'group_number': 'X0001004', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'DESCHATRES', 'plan_sponsor_name': None, 'patient_first_name': 'NATHALIE', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2023-02-01', 'plan_coverage_description': 'IFP EMB PED DPPO JAN15', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8244167207 | N/A | N/A | 6577909 | 2222 | 4802 | 9503278 | N/A | 4766701 | 2025-07-13 02:17:04.367301 | 2025-06-03 21:11:46.573919 |
| 2025-07-12 17:33:53.212187 | 2025-07-13 02:14:32.838847 | 9749942 | N/A | N/A | {'payer_id': 'CCHPC', 'payer_name': 'ALIGNMENT HEALTH CARE', 'provider_npi': '1114042165', 'trace_number': '9749942', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1953-09-16', 'date_of_service': '2025-07-12', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'SANKOVICH', 'subscriber_member_id': '00000375069', 'subscriber_first_name': 'DEBORAH A'} | 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/2222/6210775/check_9749942_92a44d5d-62a7-429d-a45b-727d95983f6e.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '00000375069', 'plan_type': None, 'group_name': None, 'payer_name': 'ALIGNMENT HEALTH', 'payer_note': None, 'patient_dob': '1953-09-16', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'SANKOVICH', 'plan_sponsor_name': None, 'patient_first_name': 'DEBORAH A', '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 | 8244148218 | N/A | N/A | 6210775 | 2222 | 4793 | 9501096 | 2630 | 4215193 | 2025-07-13 02:14:32.838847 | 2026-01-16 04:38:12.725481 |
| 2025-07-12 17:33:52.815849 | 2025-07-13 02:23:36.795714 | 9749934 | N/A | N/A | {'payer_id': 'Z1073', 'payer_name': 'Medicare B California Southern', 'provider_npi': '1114042165', 'trace_number': '9749934', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1944-05-05', 'date_of_service': '2025-07-12', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'NOVORR', 'subscriber_member_id': '5TE2WD0CR85', 'subscriber_first_name': 'JAMES'} | 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/2222/6210635/check_9749934_574cad0b-afca-4d45-aab4-62b0065d1b28.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '5TE2WD0CR85', 'plan_type': 'Medicare Part A', 'group_name': None, 'payer_name': 'DEAN HEALTH INSURANCE, INC.', 'payer_note': '0-BENEFICIARY INSURED DUE TO AGE OASI', 'patient_dob': '1944-05-05', 'plan_number': 'S9701', 'group_number': None, 'insurance_type': None, 'plan_type_code': 'MA', 'enrolled_in_qmb': False, 'patient_last_name': 'NOVORR', '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': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8244148217 | N/A | N/A | 6210635 | 2222 | 4801 | 9507890 | N/A | 4853447 | 2025-07-13 02:23:36.795714 | 2025-06-30 18:48:47.810039 |
| 2025-07-12 17:33:51.554369 | 2025-07-13 02:06:21.210023 | 9749898 | N/A | N/A | {'payer_id': 'REGAL', 'payer_name': 'Regal Medical Group', 'provider_npi': '1114042165', 'trace_number': '9749898', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1974-08-11', 'date_of_service': '2025-07-12', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'subscriber_last_name': 'ALBA', 'subscriber_member_id': 'XEH909330777', 'subscriber_first_name': 'KYLE'} | 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/2222/6210099/check_9749898_5e68b730-08dd-4c5c-9e4e-facca6556f32.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XEH909330777', 'plan_type': None, 'group_name': None, 'payer_name': 'REGAL MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1974-08-11', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'ALBA', 'plan_sponsor_name': None, 'patient_first_name': 'KYLE', '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 | 8244148213 | N/A | N/A | 6210099 | 2222 | 4793 | 9493129 | N/A | 4852857 | 2025-07-13 02:06:21.210023 | 2025-06-17 16:28:13.795457 |
| 2025-07-12 17:33:35.976134 | 2025-07-13 02:13:05.092373 | 9749488 | N/A | N/A | {'payer_id': '95567', 'payer_name': 'Health Net of California and Oregon', 'provider_npi': '1114042165', 'trace_number': '9749488', 'provider_name': '', 'subscriber_dob': '1973-03-04', 'date_of_service': '2025-07-12', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'Chung', 'subscriber_member_id': '99757340E', 'subscriber_first_name': 'Laura'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250712.203934159.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6968856/check_9749488_dcfe6e50-af3a-44fc-91bc-94ae59213d5f.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '99757340E', 'plan_type': None, 'group_name': None, 'payer_name': 'HEALTH NET OF CALIFORNIA AND OREGON', 'payer_note': None, 'patient_dob': '1973-03-04', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'CHUNG', 'plan_sponsor_name': None, 'patient_first_name': 'LAURA', '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 | 8244160729 | N/A | N/A | 6968856 | 2222 | 4802 | 9499821 | N/A | 5990952 | 2025-07-13 02:13:05.092373 | 2025-07-14 00:30:09.617881 |
| 2025-07-12 17:33:33.787475 | 2025-07-13 02:04:05.520728 | 9749446 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9749446', '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': 'JQE123W23890', 'subscriber_first_name': 'LOUIS'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250712.202304855.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6752939/check_9749446_56c44413-bfeb-44a1-a6f1-64cf8dc14fc6.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'JQE123W23890', 'plan_type': None, 'group_name': 'CA MED-SUPP', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1959-09-07', 'plan_number': '040', 'group_number': 'CASUPWP0', 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'CICCIARI', 'plan_sponsor_name': None, 'patient_first_name': 'LOUIS', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2025-06-01', 'plan_coverage_description': 'CA MODERNIZED PLAN G', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8244124665 | N/A | N/A | 6752939 | 2222 | 4801 | 9491300 | N/A | 5065602 | 2025-07-13 02:04:05.520728 | 2025-07-01 17:25:13.681724 |
| 2025-07-12 17:33:12.767180 | 2025-07-13 02:04:06.208355 | 9748845 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9748845', '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': '282527M002', 'subscriber_first_name': 'Roy'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250712.202304855.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6714942/check_9748845_27f9212e-3979-4e84-b71f-1c8493d6ded7.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '282527M002', 'plan_type': None, 'group_name': None, 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1959-07-23', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'HARVEY', 'plan_sponsor_name': None, 'patient_first_name': 'ROY', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8244124432 | N/A | N/A | 6714942 | 2222 | 4802 | 9491304 | N/A | 5316172 | 2025-07-13 02:04:06.208355 | 2025-07-02 15:09:36.678003 |
| 2025-07-12 17:33:12.658472 | 2025-07-13 02:04:05.867098 | 9748842 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9748842', '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': 'JQE702W20596', 'subscriber_first_name': 'KATHLEEN'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250712.202304855.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6714934/check_9748842_e5090383-83e9-40f4-ac27-8f6b2e542605.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'JQE702W20596', 'plan_type': None, 'group_name': 'CA MED-SUPP', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1951-10-16', 'plan_number': '040', 'group_number': 'CASUPWP0', 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'GARRETT', 'plan_sponsor_name': None, 'patient_first_name': 'KATHLEEN', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2024-07-01', 'plan_coverage_description': 'CA PLAN F INNOVATIVE', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8244124431 | N/A | N/A | 6714934 | 2222 | 4793 | 9491302 | N/A | 5316176 | 2025-07-13 02:04:05.867098 | 2025-07-01 18:44:12.927482 |
| 2025-07-12 17:33:12.180218 | 2025-07-13 02:23:36.026097 | 9748831 | N/A | N/A | {'payer_id': 'Z1073', 'payer_name': 'Medicare B California Southern', 'provider_npi': '1114042165', 'trace_number': '9748831', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1960-07-20', 'date_of_service': '2025-07-12', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'NAFTZGER', 'subscriber_member_id': '3NW9CG6WM45', 'subscriber_first_name': 'SANDRA'} | 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/2222/6194923/check_9748831_c44cf029-bf26-4974-a3aa-60e87758ccd0.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '3NW9CG6WM45', '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': '1960-07-20', 'plan_number': 'S5617', 'group_number': None, 'insurance_type': None, 'plan_type_code': 'MB', 'enrolled_in_qmb': False, 'patient_last_name': 'NAFTZGER', 'plan_sponsor_name': None, 'patient_first_name': 'SANDRA', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8244147902 | N/A | N/A | 6194923 | 2222 | 4802 | 9507880 | N/A | 4214889 | 2025-07-13 02:23:36.026097 | 2025-05-13 04:29:37.229212 |
| 2025-07-12 17:33:08.387342 | 2025-07-13 02:15:02.934612 | 9748718 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9748718', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1965-05-25', 'date_of_service': '2025-07-12', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'CLOONAN', 'subscriber_member_id': 'XDM481M99931', 'subscriber_first_name': 'LINDA'} | 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/2222/6193751/check_9748718_d188a318-6722-4bc5-907f-df3d7012ab7a.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XDM481M99931', 'plan_type': 'Health Maintenance Organization (HMO)', 'group_name': 'UFCW BENEFIT FUNDS ADMIN LLC RETIREE', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1965-05-25', 'plan_number': '040', 'group_number': '282241H019', 'insurance_type': None, 'plan_type_code': 'HM', 'enrolled_in_qmb': False, 'patient_last_name': 'CLOONAN', 'plan_sponsor_name': None, 'patient_first_name': 'LINDA', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2020-12-01', 'plan_coverage_description': 'CLASSIC SELECT HMO', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8244147891 | N/A | N/A | 6193751 | 2222 | 4801 | 9501526 | N/A | 4837995 | 2025-07-13 02:15:02.934612 | 2025-06-13 00:15:18.726975 |
| 2025-07-12 17:33:07.925470 | 2025-07-13 02:10:19.618144 | 9748707 | N/A | N/A | {'payer_id': '61101', 'payer_name': 'Humana (and subsidiaries) claims', 'provider_npi': '1114042165', 'trace_number': '9748707', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1956-11-15', 'date_of_service': '2025-07-12', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'OROZCO', 'subscriber_member_id': 'H4811970900', 'subscriber_first_name': 'BETTY'} | 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/2222/6193347/check_9748707_5f26fc1b-585b-4df9-86e2-e8dcd20b44c3.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'H48119709', 'plan_type': 'Health Maintenance Organization (HMO) - Medicare Risk', 'group_name': 'ARCNDINN HENLTH PLNN, INC.', 'payer_name': 'HUMANA', 'payer_note': '076 557 GOLD+/EMP HMO - ALL OTHR WA THIS MEMBER MAY BE ELIGIBLE FOR A FREE FITNESS MEMBERSHIP THROUGH SILVERSNEAKERS OR SILVER&FIT. PLEASE ENCOURAGE HIM OR HER TO CALL SILVERSNEAKERS AT 1-888-423-4632 (FOR MOST STATES) OR SILVER&FIT AT 1-877-427-4788 (FOR ARIZONA AND PENNSYLVANIA) FOR ELIGIB', 'patient_dob': '1956-11-15', 'plan_number': None, 'group_number': '0B635001', 'insurance_type': None, 'plan_type_code': 'HN', 'enrolled_in_qmb': False, 'patient_last_name': 'OROZCO', 'plan_sponsor_name': None, 'patient_first_name': 'BETTY', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'HUMANA GOLD PLUS', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8244147889 | N/A | N/A | 6193347 | 2222 | 4801 | 9497056 | N/A | 4219752 | 2025-07-13 02:10:19.618144 | 2025-05-13 04:29:37.230794 |
| 2025-07-12 17:32:59.965300 | 2025-07-13 02:14:32.454247 | 9748450 | N/A | N/A | {'payer_id': 'CCHPC', 'payer_name': 'Alignment Health Care (Fee For Service)', 'provider_npi': '1114042165', 'trace_number': '9748450', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1943-03-11', 'date_of_service': '2025-07-12', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'MATHEU', 'subscriber_member_id': '00000270336', 'subscriber_first_name': 'CARLOS'} | 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/2222/6189737/check_9748450_17ec1621-f489-4d41-8bc0-4f41ca66d2ec.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '00000270336', 'plan_type': 'Health Maintenance Organization (HMO)', 'group_name': None, 'payer_name': 'MEDICARE', 'payer_note': 'OVERALL DEDUCTIBLE', 'patient_dob': '1943-03-11', 'plan_number': 'H3815028', 'group_number': None, 'insurance_type': None, 'plan_type_code': 'HM', 'enrolled_in_qmb': False, 'patient_last_name': 'MATHEU', 'plan_sponsor_name': None, 'patient_first_name': 'CARLOS', '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 | 8244147637 | N/A | N/A | 6189737 | 2222 | 4801 | 9501086 | N/A | 4209126 | 2025-07-13 02:14:32.454247 | 2025-05-13 04:29:37.223551 |
| 2025-07-12 10:18:27.964402 | 2025-07-12 10:18:30.984559 | 9743930 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': 1093463788, 'trace_number': None, 'provider_name': 'override_provider', 'subscriber_dob': '2015-04-28', 'date_of_service': '2025-06-13', 'subscriber_gender': 'F', 'service_type_codes': ['PT', 'AE'], 'insurance_company_id': 4185, 'subscriber_last_name': 'HARRIS', 'subscriber_member_id': 'ZTQ074A70562', 'subscriber_first_name': 'ADELINE'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6483527/check_9743930_84aeb985-2996-4687-8eaf-b58b246cbf40.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-13 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6483527/check_9743930_faf95da1-95c5-415f-8402-d03f31fd7887.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'ZTQ074A70562', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'TELEDYNE TECH INC SCIENTIFIC & IMAGING', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '2015-04-28', 'plan_number': '040', 'group_number': '174249M3BE', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'VILLASANTA', 'plan_sponsor_name': None, 'patient_first_name': 'VERONICA', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2025-01-01', 'plan_coverage_description': 'CDHP CA GENERIC HLTH SAVINGS ACCT', 'relationship_to_subscriber': None} | ['PT', 'AE'] | N/A | N/A | N/A | N/A | N/A | 8243091093 | N/A | N/A | 6483527 | 2222 | N/A | 9481566 | N/A | 4866077 | 2025-07-12 10:18:30.984559 | 2025-06-30 23:43:30.307325 |
| 2025-07-11 23:21:12.877954 | 2025-07-11 23:21:14.609712 | 9739896 | N/A | N/A | {'payer_id': '60054', 'payer_name': 'Aetna', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1951-02-05', 'date_of_service': '2025-06-25', 'subscriber_gender': 'F', 'service_type_codes': ['PT', 'AE'], 'insurance_company_id': 3939, 'subscriber_last_name': 'ELANDER', 'subscriber_member_id': '101376609000', 'subscriber_first_name': 'ELAINE'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550100/check_9739896_1b5da532-0e53-4250-88e7-33579803dc9f.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550100/check_9739896_1481c7e1-ad17-4d43-9082-ebd49471cecb.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '101376609000', 'plan_type': None, 'group_name': None, 'payer_name': 'AETNA', 'payer_note': None, 'patient_dob': '1951-02-05', 'plan_number': '000003-CA000017', 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'ELANDER', 'plan_sponsor_name': None, 'patient_first_name': 'ELAINE', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': '000003-CA HMO - H4982 PBP 012', 'relationship_to_subscriber': None} | ['PT', 'AE'] | N/A | N/A | N/A | N/A | N/A | 8237592924 | 7685 | N/A | 5550100 | 2222 | N/A | 9457696 | N/A | 4219473 | 2025-07-11 23:21:14.609712 | 2025-05-13 04:29:37.230512 |
| 2025-07-11 23:09:27.652210 | 2025-07-11 23:09:30.469587 | 9739870 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1968-11-26', 'date_of_service': '2025-06-30', 'subscriber_gender': 'F', 'service_type_codes': ['PT', 'AE'], 'insurance_company_id': 4191, 'subscriber_last_name': 'PELLEGRINI', 'subscriber_member_id': 'XAN913808278', 'subscriber_first_name': 'PATRICIA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6838857/check_9739870_e4b0d6ac-4413-4b8f-9c4b-0f84129b48db.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6838857/check_9739870_1195a785-6445-4f47-9e12-688e94671056.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XAN913808278', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM', 'payer_name': 'BLUE SHIELD CALIFORNIA', 'payer_note': None, 'patient_dob': '1968-11-26', 'plan_number': '1479PPOX0002', 'group_number': 'W0051411', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'PELLEGRINI', 'plan_sponsor_name': None, 'patient_first_name': 'PATRICIA', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'CALPERS ASO PLATINUM PPO GROUP BILL', 'relationship_to_subscriber': None} | ['PT', 'AE'] | N/A | N/A | N/A | N/A | N/A | 8237548466 | 7694 | N/A | 6838857 | 2222 | N/A | 9457655 | N/A | 4807600 | 2025-07-11 23:09:30.469587 | 2025-06-18 15:19:08.524396 |
| 2025-07-11 22:59:43.612441 | 2025-07-11 22:59:47.310953 | 9739839 | N/A | N/A | {'payer_id': '72261', 'payer_name': 'Scan Health Plan - California', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1952-01-26', 'date_of_service': '2025-08-11', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6237, 'subscriber_last_name': 'AGHA ZADEH SHARE', 'subscriber_member_id': '40034093701', 'subscriber_first_name': 'FIMA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6582113/check_9739839_fc2d33df-1fd6-4673-96fb-e5b9af3d0fb0.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-08-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6582113/check_9739839_ab80f74e-3b66-41d9-8b24-c5836c1f6a03.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '40034093701', 'plan_type': None, 'group_name': None, 'payer_name': 'SCAN HEALTH PLAN', 'payer_note': None, 'patient_dob': None, 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'AGHA ZADEH SHARE', 'plan_sponsor_name': None, 'patient_first_name': 'FIMA', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | N/A | 9195 | N/A | 6582113 | 2222 | N/A | 9457614 | N/A | 5201198 | 2025-07-11 22:59:47.310953 | 2025-07-11 22:39:28.411632 |
| 2025-07-11 22:59:39.905297 | 2025-07-11 22:59:43.610568 | 9739838 | N/A | N/A | {'payer_id': '72261', 'payer_name': 'Scan Health Plan - California', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1952-01-26', 'date_of_service': '2025-08-11', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6237, 'subscriber_last_name': 'AGHA ZADEH SHARE', 'subscriber_member_id': '40034093701', 'subscriber_first_name': 'FIMA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6582113/check_9739838_1a302112-79ca-42ba-9208-0f9eb6641b3d.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-08-11 | N/A | N/A | N/A | N/A | N/A | N/A | {'member_id': '40034093701', 'plan_type': None, 'group_name': None, 'payer_name': 'SCAN HEALTH PLAN', 'payer_note': None, 'patient_dob': None, 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'AGHA ZADEH SHARE', 'plan_sponsor_name': None, 'patient_first_name': 'FIMA', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | N/A | 9195 | N/A | 6582113 | 2222 | N/A | N/A | N/A | 5201198 | 2025-07-11 22:59:43.610568 | 2025-07-11 22:39:28.411632 |
| 2025-07-11 22:39:46.601620 | 2025-07-11 22:39:50.408891 | 9739772 | N/A | N/A | {'payer_id': '72261', 'payer_name': 'Scan Health Plan - California', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1952-01-26', 'date_of_service': '2025-07-11', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6237, 'subscriber_last_name': 'AGHA ZADEH SHARE', 'subscriber_member_id': '40034093701', 'subscriber_first_name': 'FIMA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6582113/check_9739772_e41d2c50-13f1-4f73-b37b-136c2c9ad288.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6582113/check_9739772_f58b0aad-4ffe-46d6-83ee-76aa9522135c.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '40034093701', 'plan_type': None, 'group_name': None, 'payer_name': 'SCAN HEALTH PLAN', 'payer_note': 'CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS', 'patient_dob': '1952-01-26', 'plan_number': '2025H5425001', 'group_number': 'H5425M', 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'AGHA ZADEH SHARE', 'plan_sponsor_name': None, 'patient_first_name': 'FIMA', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'SCAN CLASSIC (HMO), VENTURA', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8237442481 | 5831 | N/A | 6582113 | 2222 | N/A | 9457534 | N/A | 5201198 | 2025-07-11 22:39:50.408891 | 2025-07-11 22:39:28.411632 |
| 2025-07-11 22:37:52.691747 | 2025-07-11 22:37:54.477448 | 9739760 | N/A | N/A | {'payer_id': '72261', 'payer_name': 'Scan Health Plan - California', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1952-01-26', 'date_of_service': '2025-07-10', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6237, 'subscriber_last_name': 'AGHA', 'subscriber_member_id': '40034093701', 'subscriber_first_name': 'FIMA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6582113/check_9739760_ef0d9cb4-5179-431c-8ae9-5a6320aeaa12.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6582113/check_9739760_167389f6-880c-449b-84a1-fcbcd0530369.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '40034093701', 'plan_type': None, 'group_name': None, 'payer_name': 'SCAN HEALTH PLAN', 'payer_note': None, 'patient_dob': None, 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'AGHA', 'plan_sponsor_name': None, 'patient_first_name': 'FIMA', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | N/A | 5831 | N/A | 6582113 | 2222 | N/A | 9457518 | N/A | 5201198 | 2025-07-11 22:37:54.477448 | 2025-07-11 22:39:28.411632 |
| 2025-07-11 22:37:49.142000 | 2025-07-11 22:37:52.689874 | 9739758 | N/A | N/A | {'payer_id': '72261', 'payer_name': 'Scan Health Plan - California', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1952-01-26', 'date_of_service': '2025-07-10', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6237, 'subscriber_last_name': 'AGHA', 'subscriber_member_id': '40034093701', 'subscriber_first_name': 'FIMA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6582113/check_9739758_96a2cf56-cfbd-4a57-9ed2-eb2ec1413a5e.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-10 | N/A | N/A | N/A | N/A | N/A | N/A | {'member_id': '40034093701', 'plan_type': None, 'group_name': None, 'payer_name': 'SCAN HEALTH PLAN', 'payer_note': None, 'patient_dob': None, 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'AGHA', 'plan_sponsor_name': None, 'patient_first_name': 'FIMA', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | N/A | 5831 | N/A | 6582113 | 2222 | N/A | N/A | N/A | 5201198 | 2025-07-11 22:37:52.689874 | 2025-07-11 22:39:28.411632 |
| 2025-07-11 22:37:32.182100 | 2025-07-11 22:37:33.993998 | 9739752 | N/A | N/A | {'payer_id': '72261', 'payer_name': 'Scan Health Plan - California', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1952-01-26', 'date_of_service': '2025-07-10', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6237, 'subscriber_last_name': 'SHARE', 'subscriber_member_id': '40034093701', 'subscriber_first_name': 'FIMA AGHA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6582113/check_9739752_8c241ab2-f20d-445f-8e39-8a10e5261a7b.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6582113/check_9739752_4478ab57-d399-4230-8003-054e23698dc7.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '40034093701', 'plan_type': None, 'group_name': None, 'payer_name': 'SCAN HEALTH PLAN', 'payer_note': None, 'patient_dob': None, 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'SHARE', 'plan_sponsor_name': None, 'patient_first_name': 'FIMA AGHA', '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 | 5831 | N/A | 6582113 | 2222 | N/A | 9457512 | N/A | 5201198 | 2025-07-11 22:37:33.993998 | 2025-07-11 22:39:28.411632 |
| 2025-07-11 22:37:28.431280 | 2025-07-11 22:37:32.177716 | 9739751 | N/A | N/A | {'payer_id': '72261', 'payer_name': 'Scan Health Plan - California', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1952-01-26', 'date_of_service': '2025-07-10', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6237, 'subscriber_last_name': 'SHARE', 'subscriber_member_id': '40034093701', 'subscriber_first_name': 'FIMA AGHA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6582113/check_9739751_9399c3b1-5cbd-4646-97f3-f8c042679d7e.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-10 | N/A | N/A | N/A | N/A | N/A | N/A | {'member_id': '40034093701', 'plan_type': None, 'group_name': None, 'payer_name': 'SCAN HEALTH PLAN', 'payer_note': None, 'patient_dob': None, 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'SHARE', 'plan_sponsor_name': None, 'patient_first_name': 'FIMA AGHA', '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 | 5831 | N/A | 6582113 | 2222 | N/A | N/A | N/A | 5201198 | 2025-07-11 22:37:32.177716 | 2025-07-11 22:39:28.411632 |
| 2025-07-11 22:37:01.917974 | 2025-07-11 22:37:03.699751 | 9739749 | N/A | N/A | {'payer_id': 'REGAL', 'payer_name': 'Regal Medical Group', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1952-01-26', 'date_of_service': '2025-07-17', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 23307, 'subscriber_last_name': 'SHARE', 'subscriber_member_id': '40034093701', 'subscriber_first_name': 'FIMA AGHA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6582113/check_9739749_1720f959-df8f-45a0-a56f-0fefb1303f90.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6582113/check_9739749_6a6f4676-d603-441f-afd9-74a406138e5f.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '40034093701', 'plan_type': None, 'group_name': None, 'payer_name': 'REGAL MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1952-01-26', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'SHARE', 'plan_sponsor_name': None, 'patient_first_name': 'FIMA AGHA', '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 | 5831 | N/A | 6582113 | 2222 | N/A | 9457509 | N/A | 5201198 | 2025-07-11 22:37:03.699751 | 2025-07-11 22:39:28.411632 |
| 2025-07-11 22:37:00.345427 | 2025-07-11 22:37:01.915853 | 9739748 | N/A | N/A | {'payer_id': 'REGAL', 'payer_name': 'Regal Medical Group', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1952-01-26', 'date_of_service': '2025-07-17', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 23307, 'subscriber_last_name': 'SHARE', 'subscriber_member_id': '40034093701', 'subscriber_first_name': 'FIMA AGHA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6582113/check_9739748_3ba9e161-393c-40fe-9bdf-a9dec6c350a9.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-17 | N/A | N/A | N/A | N/A | N/A | N/A | {'member_id': '40034093701', 'plan_type': None, 'group_name': None, 'payer_name': 'REGAL MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1952-01-26', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'SHARE', 'plan_sponsor_name': None, 'patient_first_name': 'FIMA AGHA', '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 | 5831 | N/A | 6582113 | 2222 | N/A | N/A | N/A | 5201198 | 2025-07-11 22:37:01.915853 | 2025-07-11 22:39:28.411632 |
| 2025-07-11 22:36:40.584491 | 2025-07-11 22:36:42.362955 | 9739744 | N/A | N/A | {'payer_id': '72261', 'payer_name': 'Scan Health Plan - California', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1952-01-26', 'date_of_service': '2025-07-17', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6237, 'subscriber_last_name': 'AGHA SHARE', 'subscriber_member_id': '40034093701', 'subscriber_first_name': 'FIMA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6582113/check_9739744_dbf33687-dc67-4c17-856f-12ecc1fe9b64.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6582113/check_9739744_c1a5a5f1-0232-4127-91e1-f119ab1467b4.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '40034093701', 'plan_type': None, 'group_name': None, 'payer_name': 'SCAN HEALTH PLAN', 'payer_note': None, 'patient_dob': None, 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'AGHA SHARE', 'plan_sponsor_name': None, 'patient_first_name': 'FIMA', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | N/A | 5831 | N/A | 6582113 | 2222 | N/A | 9457504 | N/A | 5201198 | 2025-07-11 22:36:42.362955 | 2025-07-11 22:39:28.411632 |
| 2025-07-11 22:36:32.856481 | 2025-07-11 22:36:40.582178 | 9739743 | N/A | N/A | {'payer_id': '72261', 'payer_name': 'Scan Health Plan - California', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1952-01-26', 'date_of_service': '2025-07-17', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6237, 'subscriber_last_name': 'AGHA SHARE', 'subscriber_member_id': '40034093701', 'subscriber_first_name': 'FIMA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6582113/check_9739743_ca67e652-9ea5-46b8-a470-9831137cb179.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-17 | N/A | N/A | N/A | N/A | N/A | N/A | {'member_id': '40034093701', 'plan_type': None, 'group_name': None, 'payer_name': 'SCAN HEALTH PLAN', 'payer_note': None, 'patient_dob': None, 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'AGHA SHARE', 'plan_sponsor_name': None, 'patient_first_name': 'FIMA', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | N/A | 5831 | N/A | 6582113 | 2222 | N/A | N/A | N/A | 5201198 | 2025-07-11 22:36:40.582178 | 2025-07-11 22:39:28.411632 |
| 2025-07-11 22:33:23.597401 | 2025-07-11 22:33:25.496380 | 9739739 | N/A | N/A | {'payer_id': '72261', 'payer_name': 'Scan Health Plan - California', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1952-01-26', 'date_of_service': '2025-07-10', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6237, 'subscriber_last_name': 'SHARE', 'subscriber_member_id': '40034093701', 'subscriber_first_name': 'FIMA AGHA ZADEH'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6582113/check_9739739_0ba8b49d-b28a-4bd8-9f22-32c694cacbf9.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6582113/check_9739739_c1241b07-ce43-4505-8534-fc4f80ba3212.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '40034093701', 'plan_type': None, 'group_name': None, 'payer_name': 'SCAN HEALTH PLAN', 'payer_note': None, 'patient_dob': None, 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'SHARE', 'plan_sponsor_name': None, 'patient_first_name': 'FIMA AGHA ZADEH', '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 | 5831 | N/A | 6582113 | 2222 | N/A | 9457490 | N/A | 5201198 | 2025-07-11 22:33:25.496380 | 2025-07-11 22:39:28.411632 |
| 2025-07-11 22:33:16.975132 | 2025-07-11 22:33:23.594049 | 9739737 | N/A | N/A | {'payer_id': '72261', 'payer_name': 'Scan Health Plan - California', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1952-01-26', 'date_of_service': '2025-07-10', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6237, 'subscriber_last_name': 'SHARE', 'subscriber_member_id': '40034093701', 'subscriber_first_name': 'FIMA AGHA ZADEH'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6582113/check_9739737_5687e016-599f-45fc-97fb-8363d91521e7.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-10 | N/A | N/A | N/A | N/A | N/A | N/A | {'member_id': '40034093701', 'plan_type': None, 'group_name': None, 'payer_name': 'SCAN HEALTH PLAN', 'payer_note': None, 'patient_dob': None, 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'SHARE', 'plan_sponsor_name': None, 'patient_first_name': 'FIMA AGHA ZADEH', '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 | 5831 | N/A | 6582113 | 2222 | N/A | N/A | N/A | 5201198 | 2025-07-11 22:33:23.594049 | 2025-07-11 22:39:28.411632 |
| 2025-07-11 22:29:58.303806 | 2025-07-11 22:30:01.075935 | 9739720 | N/A | N/A | {'payer_id': '72261', 'payer_name': 'Scan Health Plan - California', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1952-01-26', 'date_of_service': '2025-08-04', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6237, 'subscriber_last_name': 'SHARE', 'subscriber_member_id': '40034093701', 'subscriber_first_name': 'FIMA AGHA ZADEH'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6582113/check_9739720_0fc55159-b39d-4810-92f7-7f08c82df0a0.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-08-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6582113/check_9739720_c5863ab1-7a9f-4970-a965-d17adeb2f294.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '40034093701', 'plan_type': None, 'group_name': None, 'payer_name': 'SCAN HEALTH PLAN', 'payer_note': None, 'patient_dob': None, 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'SHARE', 'plan_sponsor_name': None, 'patient_first_name': 'FIMA AGHA ZADEH', '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 | 5831 | N/A | 6582113 | 2222 | N/A | 9457470 | N/A | 5201198 | 2025-07-11 22:30:01.075935 | 2025-07-11 22:39:28.411632 |
| 2025-07-11 22:29:55.637525 | 2025-07-11 22:29:58.301251 | 9739718 | N/A | N/A | {'payer_id': '72261', 'payer_name': 'Scan Health Plan - California', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1952-01-26', 'date_of_service': '2025-08-04', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6237, 'subscriber_last_name': 'SHARE', 'subscriber_member_id': '40034093701', 'subscriber_first_name': 'FIMA AGHA ZADEH'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6582113/check_9739718_a01ff16e-afd1-4870-a1ad-ca531d545cf1.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-08-04 | N/A | N/A | N/A | N/A | N/A | N/A | {'member_id': '40034093701', 'plan_type': None, 'group_name': None, 'payer_name': 'SCAN HEALTH PLAN', 'payer_note': None, 'patient_dob': None, 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'SHARE', 'plan_sponsor_name': None, 'patient_first_name': 'FIMA AGHA ZADEH', '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 | 5831 | N/A | 6582113 | 2222 | N/A | N/A | N/A | 5201198 | 2025-07-11 22:29:58.301251 | 2025-07-11 22:39:28.411632 |
| 2025-07-11 22:27:58.513532 | 2025-07-11 22:28:04.324724 | 9739710 | N/A | N/A | {'payer_id': '72261', 'payer_name': 'Scan Health Plan - California', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1952-01-26', 'date_of_service': '2025-07-30', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6237, 'subscriber_last_name': 'SHARE', 'subscriber_member_id': '40034093701', 'subscriber_first_name': 'FIMA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6582113/check_9739710_d4d09553-994a-4aa1-be58-2d195030da8a.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6582113/check_9739710_801d0a16-dfe4-4e15-9af4-63febb7a0d62.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '40034093701', 'plan_type': None, 'group_name': None, 'payer_name': 'SCAN HEALTH PLAN', 'payer_note': None, 'patient_dob': None, 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'SHARE', 'plan_sponsor_name': None, 'patient_first_name': 'FIMA', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | N/A | 5831 | N/A | 6582113 | 2222 | N/A | 9457460 | N/A | 5201198 | 2025-07-11 22:28:04.324724 | 2025-07-11 22:39:28.411632 |
| 2025-07-11 22:27:55.850774 | 2025-07-11 22:27:58.509976 | 9739709 | N/A | N/A | {'payer_id': '72261', 'payer_name': 'Scan Health Plan - California', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1952-01-26', 'date_of_service': '2025-07-30', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6237, 'subscriber_last_name': 'SHARE', 'subscriber_member_id': '40034093701', 'subscriber_first_name': 'FIMA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6582113/check_9739709_d3ed16bc-dfbd-4af8-9f4c-1ba183dc2488.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-30 | N/A | N/A | N/A | N/A | N/A | N/A | {'member_id': '40034093701', 'plan_type': None, 'group_name': None, 'payer_name': 'SCAN HEALTH PLAN', 'payer_note': None, 'patient_dob': None, 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'SHARE', 'plan_sponsor_name': None, 'patient_first_name': 'FIMA', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | N/A | 5831 | N/A | 6582113 | 2222 | N/A | N/A | N/A | 5201198 | 2025-07-11 22:27:58.509976 | 2025-07-11 22:39:28.411632 |
| 2025-07-11 22:27:12.425149 | 2025-07-11 22:27:15.243567 | 9739703 | N/A | N/A | {'payer_id': '72261', 'payer_name': 'Scan Health Plan - California', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1952-01-26', 'date_of_service': '2025-08-04', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6237, 'subscriber_last_name': 'AGHA ZADEH', 'subscriber_member_id': '40034093701', 'subscriber_first_name': 'FIMA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6582113/check_9739703_d93c90f1-c10e-41b3-aef5-ada0b44b282c.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-08-04 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6582113/check_9739703_390caf98-cec3-4479-9ef1-925ae64cf371.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '40034093701', 'plan_type': None, 'group_name': None, 'payer_name': 'SCAN HEALTH PLAN', 'payer_note': None, 'patient_dob': None, 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'AGHA ZADEH', 'plan_sponsor_name': None, 'patient_first_name': 'FIMA', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | N/A | 5831 | N/A | 6582113 | 2222 | N/A | 9457452 | N/A | 5201198 | 2025-07-11 22:27:15.243567 | 2025-07-11 22:39:28.411632 |
| 2025-07-11 22:27:07.689908 | 2025-07-11 22:27:12.423842 | 9739701 | N/A | N/A | {'payer_id': '72261', 'payer_name': 'Scan Health Plan - California', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1952-01-26', 'date_of_service': '2025-08-04', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6237, 'subscriber_last_name': 'AGHA ZADEH', 'subscriber_member_id': '40034093701', 'subscriber_first_name': 'FIMA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6582113/check_9739701_38007ca3-a0ec-4224-9e1d-bae9ff8a2983.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-08-04 | N/A | N/A | N/A | N/A | N/A | N/A | {'member_id': '40034093701', 'plan_type': None, 'group_name': None, 'payer_name': 'SCAN HEALTH PLAN', 'payer_note': None, 'patient_dob': None, 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'AGHA ZADEH', 'plan_sponsor_name': None, 'patient_first_name': 'FIMA', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | N/A | 5831 | N/A | 6582113 | 2222 | N/A | N/A | N/A | 5201198 | 2025-07-11 22:27:12.423842 | 2025-07-11 22:39:28.411632 |
| 2025-07-11 20:10:53.794024 | 2025-07-11 20:10:55.537311 | 9738976 | N/A | N/A | {'payer_id': '72261', 'payer_name': 'Scan Health Plan - California', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1952-01-26', 'date_of_service': '2025-07-23', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6237, 'subscriber_last_name': 'AGHA ZADEH', 'subscriber_member_id': '400472677-01', 'subscriber_first_name': 'FIMA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6582113/check_9738976_2b8708e7-87bc-477f-97e7-b8eebd461269.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6582113/check_9738976_054c30b1-2b1d-4f2d-ab1b-0772d5d98837.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '400472677-01', 'plan_type': None, 'group_name': None, 'payer_name': 'SCAN HEALTH PLAN', 'payer_note': None, 'patient_dob': None, 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'AGHA ZADEH', 'plan_sponsor_name': None, 'patient_first_name': 'FIMA', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | N/A | 7929 | N/A | 6582113 | 2222 | N/A | 9456604 | N/A | 5201198 | 2025-07-11 20:10:55.537311 | 2025-07-11 22:39:28.411632 |
| 2025-07-11 20:10:50.190883 | 2025-07-11 20:10:53.792193 | 9738975 | N/A | N/A | {'payer_id': '72261', 'payer_name': 'Scan Health Plan - California', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1952-01-26', 'date_of_service': '2025-07-23', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6237, 'subscriber_last_name': 'AGHA ZADEH', 'subscriber_member_id': '400472677-01', 'subscriber_first_name': 'FIMA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6582113/check_9738975_1384cc54-98eb-413a-acff-c8ca80bb0f19.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-23 | N/A | N/A | N/A | N/A | N/A | N/A | {'member_id': '400472677-01', 'plan_type': None, 'group_name': None, 'payer_name': 'SCAN HEALTH PLAN', 'payer_note': None, 'patient_dob': None, 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'AGHA ZADEH', 'plan_sponsor_name': None, 'patient_first_name': 'FIMA', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | N/A | 7929 | N/A | 6582113 | 2222 | N/A | N/A | N/A | 5201198 | 2025-07-11 20:10:53.792193 | 2025-07-11 22:39:28.411632 |
| 2025-07-11 20:10:31.090704 | 2025-07-11 20:10:32.839617 | 9738973 | N/A | N/A | {'payer_id': 'REGAL', 'payer_name': 'Regal Medical Group', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1952-01-26', 'date_of_service': '2025-07-23', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 23297, 'subscriber_last_name': 'AGHA ZADEH', 'subscriber_member_id': '400472677-01', 'subscriber_first_name': 'FIMA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6582113/check_9738973_b5ae84ef-d8fa-4cc9-8e26-340e31264cb9.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6582113/check_9738973_65978f1e-c30e-49cf-9f1b-3222b64cc1e5.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '400472677-01', 'plan_type': None, 'group_name': None, 'payer_name': 'REGAL MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1952-01-26', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'AGHA ZADEH', 'plan_sponsor_name': None, 'patient_first_name': 'FIMA', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | N/A | 7929 | N/A | 6582113 | 2222 | N/A | 9456601 | N/A | 5201198 | 2025-07-11 20:10:32.839617 | 2025-07-11 22:39:28.411632 |
| 2025-07-11 20:10:23.439447 | 2025-07-11 20:10:31.086414 | 9738971 | N/A | N/A | {'payer_id': 'REGAL', 'payer_name': 'Regal Medical Group', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1952-01-26', 'date_of_service': '2025-07-23', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 23297, 'subscriber_last_name': 'AGHA ZADEH', 'subscriber_member_id': '400472677-01', 'subscriber_first_name': 'FIMA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6582113/check_9738971_4738ed19-b3a9-43e0-8d74-872e15d0b475.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-23 | N/A | N/A | N/A | N/A | N/A | N/A | {'member_id': '400472677-01', 'plan_type': None, 'group_name': None, 'payer_name': 'REGAL MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1952-01-26', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'AGHA ZADEH', 'plan_sponsor_name': None, 'patient_first_name': 'FIMA', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | N/A | 7929 | N/A | 6582113 | 2222 | N/A | N/A | N/A | 5201198 | 2025-07-11 20:10:31.086414 | 2025-07-11 22:39:28.411632 |
| 2025-07-11 20:09:22.108858 | 2025-07-11 20:09:23.963850 | 9738969 | N/A | N/A | {'payer_id': '72261', 'payer_name': 'Scan Health Plan - California', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1952-01-26', 'date_of_service': '2025-07-23', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6237, 'subscriber_last_name': 'AGHA ZADEH', 'subscriber_member_id': '400340937-01', 'subscriber_first_name': 'FIMA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6582113/check_9738969_a9374154-a790-4732-be25-8a4bf7ad05b2.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6582113/check_9738969_4908d2dd-53b1-47e0-bbb7-7218a6bfac91.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '400340937-01', 'plan_type': None, 'group_name': None, 'payer_name': 'SCAN HEALTH PLAN', 'payer_note': None, 'patient_dob': None, 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'AGHA ZADEH', 'plan_sponsor_name': None, 'patient_first_name': 'FIMA', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | N/A | 7929 | N/A | 6582113 | 2222 | N/A | 9456596 | N/A | 5201198 | 2025-07-11 20:09:23.963850 | 2025-07-11 22:39:28.411632 |
| 2025-07-11 20:09:18.367353 | 2025-07-11 20:09:22.107067 | 9738968 | N/A | N/A | {'payer_id': '72261', 'payer_name': 'Scan Health Plan - California', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1952-01-26', 'date_of_service': '2025-07-23', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6237, 'subscriber_last_name': 'AGHA ZADEH', 'subscriber_member_id': '400340937-01', 'subscriber_first_name': 'FIMA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6582113/check_9738968_7a04131e-8887-43c6-b28d-49c166af4653.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-23 | N/A | N/A | N/A | N/A | N/A | N/A | {'member_id': '400340937-01', 'plan_type': None, 'group_name': None, 'payer_name': 'SCAN HEALTH PLAN', 'payer_note': None, 'patient_dob': None, 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'AGHA ZADEH', 'plan_sponsor_name': None, 'patient_first_name': 'FIMA', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | N/A | 7929 | N/A | 6582113 | 2222 | N/A | N/A | N/A | 5201198 | 2025-07-11 20:09:22.107067 | 2025-07-11 22:39:28.411632 |
| 2025-07-11 20:09:02.544683 | 2025-07-11 20:09:04.327122 | 9738965 | N/A | N/A | {'payer_id': 'REGAL', 'payer_name': 'Regal Medical Group', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1952-01-26', 'date_of_service': '2025-07-23', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 23307, 'subscriber_last_name': 'AGHA ZADEH', 'subscriber_member_id': '400340937-01', 'subscriber_first_name': 'FIMA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6582113/check_9738965_0d39bfc8-86cb-4507-85e5-4aa7e4a6411d.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6582113/check_9738965_c935cefd-6274-4615-a9d7-9aaace9fed80.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '400340937-01', 'plan_type': None, 'group_name': None, 'payer_name': 'REGAL MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1952-01-26', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'AGHA ZADEH', 'plan_sponsor_name': None, 'patient_first_name': 'FIMA', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | N/A | 7929 | N/A | 6582113 | 2222 | N/A | 9456591 | N/A | 5201198 | 2025-07-11 20:09:04.327122 | 2025-07-11 22:39:28.411632 |
| 2025-07-11 20:09:00.787948 | 2025-07-11 20:09:02.542541 | 9738964 | N/A | N/A | {'payer_id': 'REGAL', 'payer_name': 'Regal Medical Group', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1952-01-26', 'date_of_service': '2025-07-23', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 23307, 'subscriber_last_name': 'AGHA ZADEH', 'subscriber_member_id': '400340937-01', 'subscriber_first_name': 'FIMA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6582113/check_9738964_ff4be2ca-1f59-482f-9b47-f144b1722805.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-23 | N/A | N/A | N/A | N/A | N/A | N/A | {'member_id': '400340937-01', 'plan_type': None, 'group_name': None, 'payer_name': 'REGAL MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1952-01-26', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'AGHA ZADEH', 'plan_sponsor_name': None, 'patient_first_name': 'FIMA', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | N/A | 7929 | N/A | 6582113 | 2222 | N/A | N/A | N/A | 5201198 | 2025-07-11 20:09:02.542541 | 2025-07-11 22:39:28.411632 |
| 2025-07-11 20:07:10.076125 | 2025-07-11 20:07:11.832261 | 9738955 | N/A | N/A | {'payer_id': 'REGAL', 'payer_name': 'Regal Medical Group', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1952-01-26', 'date_of_service': '2025-08-11', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 23307, 'subscriber_last_name': 'AGHA ZADEH', 'subscriber_member_id': '40034093701', 'subscriber_first_name': 'FIMA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6582113/check_9738955_4a5ce965-ca3a-4ae9-8604-d30b1e48bcce.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-08-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6582113/check_9738955_29fd5ee9-b79e-4c8f-b32e-2389663e4630.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '40034093701', 'plan_type': None, 'group_name': None, 'payer_name': 'REGAL MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1952-01-26', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'AGHA ZADEH', 'plan_sponsor_name': None, 'patient_first_name': 'FIMA', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | N/A | 7929 | N/A | 6582113 | 2222 | N/A | 9456577 | N/A | 5201198 | 2025-07-11 20:07:11.832261 | 2025-07-11 22:39:28.411632 |
| 2025-07-11 20:07:08.399528 | 2025-07-11 20:07:10.073785 | 9738954 | N/A | N/A | {'payer_id': 'REGAL', 'payer_name': 'Regal Medical Group', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1952-01-26', 'date_of_service': '2025-08-11', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 23307, 'subscriber_last_name': 'AGHA ZADEH', 'subscriber_member_id': '40034093701', 'subscriber_first_name': 'FIMA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6582113/check_9738954_32f926c8-ae4d-48b2-9f72-ef39765fe2aa.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-08-11 | N/A | N/A | N/A | N/A | N/A | N/A | {'member_id': '40034093701', 'plan_type': None, 'group_name': None, 'payer_name': 'REGAL MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1952-01-26', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'AGHA ZADEH', 'plan_sponsor_name': None, 'patient_first_name': 'FIMA', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | N/A | 7929 | N/A | 6582113 | 2222 | N/A | N/A | N/A | 5201198 | 2025-07-11 20:07:10.073785 | 2025-07-11 22:39:28.411632 |
| 2025-07-11 20:06:37.552541 | 2025-07-11 20:06:39.311894 | 9738951 | N/A | N/A | {'payer_id': 'REGAL', 'payer_name': 'Regal Medical Group', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1952-01-26', 'date_of_service': '2025-08-11', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 23307, 'subscriber_last_name': 'AGHA ZADEH', 'subscriber_member_id': '400340937 01', 'subscriber_first_name': 'FIMA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6582113/check_9738951_dee9fdc9-630b-4c88-b00a-e19e959795e5.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-08-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6582113/check_9738951_a0e2a979-6c68-421e-8e83-b0a29331d7f0.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '400340937 01', 'plan_type': None, 'group_name': None, 'payer_name': 'REGAL MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1952-01-26', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'AGHA ZADEH', 'plan_sponsor_name': None, 'patient_first_name': 'FIMA', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | N/A | 7929 | N/A | 6582113 | 2222 | N/A | 9456572 | N/A | 5201198 | 2025-07-11 20:06:39.311894 | 2025-07-11 22:39:28.411632 |
| 2025-07-11 20:06:35.931096 | 2025-07-11 20:06:37.549554 | 9738949 | N/A | N/A | {'payer_id': 'REGAL', 'payer_name': 'Regal Medical Group', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1952-01-26', 'date_of_service': '2025-08-11', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 23307, 'subscriber_last_name': 'AGHA ZADEH', 'subscriber_member_id': '400340937 01', 'subscriber_first_name': 'FIMA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6582113/check_9738949_22377f3a-cfaa-4916-8a77-e9212138f19e.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-08-11 | N/A | N/A | N/A | N/A | N/A | N/A | {'member_id': '400340937 01', 'plan_type': None, 'group_name': None, 'payer_name': 'REGAL MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1952-01-26', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'AGHA ZADEH', 'plan_sponsor_name': None, 'patient_first_name': 'FIMA', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | N/A | 7929 | N/A | 6582113 | 2222 | N/A | N/A | N/A | 5201198 | 2025-07-11 20:06:37.549554 | 2025-07-11 22:39:28.411632 |
| 2025-07-11 20:06:24.296667 | 2025-07-11 20:06:26.098690 | 9738948 | N/A | N/A | {'payer_id': 'REGAL', 'payer_name': 'Regal Medical Group', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1952-01-26', 'date_of_service': '2025-08-11', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 23307, 'subscriber_last_name': 'AGHA ZADEH', 'subscriber_member_id': '400340937-01', 'subscriber_first_name': 'FIMA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6582113/check_9738948_c4f879f4-5185-4b40-ade5-6fb22a017836.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-08-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6582113/check_9738948_3ac1989f-052e-450f-bf85-ae6a48e2fe74.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '400340937-01', 'plan_type': None, 'group_name': None, 'payer_name': 'REGAL MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1952-01-26', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'AGHA ZADEH', 'plan_sponsor_name': None, 'patient_first_name': 'FIMA', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | N/A | 7929 | N/A | 6582113 | 2222 | N/A | 9456569 | N/A | 5201198 | 2025-07-11 20:06:26.098690 | 2025-07-11 22:39:28.411632 |
| 2025-07-11 20:06:22.667763 | 2025-07-11 20:06:24.293608 | 9738947 | N/A | N/A | {'payer_id': 'REGAL', 'payer_name': 'Regal Medical Group', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1952-01-26', 'date_of_service': '2025-08-11', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 23307, 'subscriber_last_name': 'AGHA ZADEH', 'subscriber_member_id': '400340937-01', 'subscriber_first_name': 'FIMA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6582113/check_9738947_48a83978-4f1d-46b7-ad88-d1dfc3195182.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-08-11 | N/A | N/A | N/A | N/A | N/A | N/A | {'member_id': '400340937-01', 'plan_type': None, 'group_name': None, 'payer_name': 'REGAL MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1952-01-26', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'AGHA ZADEH', 'plan_sponsor_name': None, 'patient_first_name': 'FIMA', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | N/A | 7929 | N/A | 6582113 | 2222 | N/A | N/A | N/A | 5201198 | 2025-07-11 20:06:24.293608 | 2025-07-11 22:39:28.411632 |
| 2025-07-11 20:05:39.611159 | 2025-07-11 20:05:44.533299 | 9738946 | N/A | N/A | {'payer_id': '72261', 'payer_name': 'Scan Health Plan - California', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1952-01-26', 'date_of_service': '2025-08-11', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6237, 'subscriber_last_name': 'AGHA ZADEH', 'subscriber_member_id': '40034093701', 'subscriber_first_name': 'FIMA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6582113/check_9738946_22ec9e2b-52f7-40c5-9b41-0441db4cd645.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-08-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6582113/check_9738946_e2c82ef0-b0d6-4ac1-a99a-0cb3c678ac75.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '40034093701', 'plan_type': None, 'group_name': None, 'payer_name': 'SCAN HEALTH PLAN', 'payer_note': None, 'patient_dob': None, 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'AGHA ZADEH', 'plan_sponsor_name': None, 'patient_first_name': 'FIMA', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | N/A | 7929 | N/A | 6582113 | 2222 | N/A | 9456566 | N/A | 5201198 | 2025-07-11 20:05:44.533299 | 2025-07-11 22:39:28.411632 |
| 2025-07-11 20:05:36.975402 | 2025-07-11 20:05:39.609004 | 9738945 | N/A | N/A | {'payer_id': '72261', 'payer_name': 'Scan Health Plan - California', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1952-01-26', 'date_of_service': '2025-08-11', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6237, 'subscriber_last_name': 'AGHA ZADEH', 'subscriber_member_id': '40034093701', 'subscriber_first_name': 'FIMA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6582113/check_9738945_57797261-83eb-4576-8a08-f29e00a62789.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-08-11 | N/A | N/A | N/A | N/A | N/A | N/A | {'member_id': '40034093701', 'plan_type': None, 'group_name': None, 'payer_name': 'SCAN HEALTH PLAN', 'payer_note': None, 'patient_dob': None, 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'AGHA ZADEH', 'plan_sponsor_name': None, 'patient_first_name': 'FIMA', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | N/A | 7929 | N/A | 6582113 | 2222 | N/A | N/A | N/A | 5201198 | 2025-07-11 20:05:39.609004 | 2025-07-11 22:39:28.411632 |