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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-07-11 19:46:41.131212 | 2025-07-11 19:46:43.888342 | 9738887 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1982-01-08', 'date_of_service': '2025-07-11', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 4184, 'subscriber_last_name': 'CHRISTIAN', 'subscriber_member_id': 'NCF767A52319', 'subscriber_first_name': 'SETH'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/5536162/check_9738887_741c3c0c-56b7-497b-9135-41f669fe6097.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536162/check_9738887_0cf5c743-54f2-4512-b141-9b80bd396f7c.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'JMV767A52319', 'plan_type': 'Health Maintenance Organization (HMO)', 'group_name': 'IBEW LOCAL 18 HEALTH & WELFARE TRUST', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1982-01-08', 'plan_number': '040', 'group_number': '56677NR000', 'insurance_type': None, 'plan_type_code': 'HM', 'enrolled_in_qmb': False, 'patient_last_name': 'CHRISTIAN', 'plan_sponsor_name': None, 'patient_first_name': 'SETH', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2024-07-01', 'plan_coverage_description': 'BLUE CROSS HMO', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8236537945 | N/A | N/A | 5536162 | 2222 | N/A | 9456482 | N/A | 4208960 | 2025-07-11 19:46:43.888342 | 2025-07-11 19:38:20.011022 |
| 2025-07-11 18:10:02.271401 | 2025-07-11 18:10:06.035734 | 9738295 | N/A | N/A | {'payer_id': '87726', 'payer_name': 'United Healthcare', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1988-06-09', 'date_of_service': '2025-07-11', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6411, 'subscriber_last_name': 'RIVERO', 'subscriber_member_id': '776926401', 'subscriber_first_name': 'TANYA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542149/check_9738295_e312db74-b0a6-4e24-9602-f007655acbd0.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542149/check_9738295_97241967-908b-4dcb-a128-7b8a11bba218.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '776926401', 'plan_type': 'Commercial', 'group_name': None, 'payer_name': 'UNITEDHEALTHCARE', 'payer_note': 'PCP TO SUBMIT A SPECIALIST REFERRAL', 'patient_dob': '1988-06-09', 'plan_number': None, 'group_number': '682302', 'insurance_type': None, 'plan_type_code': 'C1', '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': 'SIGNATUREVALUE ALLIANCE HMO', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8235985060 | 5831 | N/A | 5542149 | 2222 | N/A | 9455783 | N/A | 4214103 | 2025-07-11 18:10:06.035734 | 2025-05-13 04:29:37.228419 |
| 2025-07-11 18:09:21.729656 | 2025-07-11 18:09:28.645190 | 9738289 | N/A | N/A | {'payer_id': '95567', 'payer_name': 'Health Net of California and Oregon', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '2009-08-12', 'date_of_service': '2025-07-11', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 4709, 'subscriber_last_name': 'Aldana', 'subscriber_member_id': '95423949E', 'subscriber_first_name': 'George'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6568645/check_9738289_b5407bc2-bde7-4bea-9d6c-5539c09e9591.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6568645/check_9738289_9914a142-c885-486b-a01d-0fc17354123e.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '95423949E', 'plan_type': None, 'group_name': None, 'payer_name': 'HEALTH NET, LLC', 'payer_note': None, 'patient_dob': '2009-08-12', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'ALDANA', 'plan_sponsor_name': None, 'patient_first_name': 'GEORGE', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'KCW MCALSTD', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8235981682 | 5831 | N/A | 6568645 | 2222 | N/A | 9455776 | N/A | 5190481 | 2025-07-11 18:09:28.645190 | 2025-06-24 17:29:30.756528 |
| 2025-07-11 17:46:36.486060 | 2025-07-11 17:46:39.252346 | 9738165 | 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': '2015-02-04', 'date_of_service': '2025-07-11', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'insurance_company_id': 4191, 'subscriber_last_name': 'ABI MALHAB', 'subscriber_member_id': 'KSI73549599C', 'subscriber_first_name': 'EMMIE'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542581/check_9738165_81a7b262-7ef8-4afc-aec1-75be31fa26e5.edi.txt | WAYSTAR | N/A | APPOINTMENT_PII_CHANGE | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542581/check_9738165_768a2ebd-17a9-42f3-a937-7eb88bfb5553.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'KSI73549599C', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'KARL STORZ ENDOSCOPY AMERICA INC', 'payer_name': 'BLUE SHIELD CALIFORNIA', 'payer_note': None, 'patient_dob': '2015-02-04', 'plan_number': '1000PPOX0003', 'group_number': 'W8002382', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'ABI MALHAB', 'plan_sponsor_name': None, 'patient_first_name': 'NADIM', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'KARL STORZ ENDOSCOPY AMERICA INC SHARED ADVANTAGE', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8235861544 | N/A | N/A | 5542581 | 2222 | N/A | 9455622 | N/A | 4214469 | 2025-07-11 17:46:39.252346 | 2025-05-13 04:29:37.228782 |
| 2025-07-11 17:21:51.440104 | 2025-07-11 17:21:59.339137 | 9738006 | N/A | N/A | {'payer_id': '87726', 'payer_name': 'United Healthcare', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1948-06-01', 'date_of_service': '2025-07-11', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6411, 'subscriber_last_name': 'MOWERY', 'subscriber_member_id': '9118772604', 'subscriber_first_name': 'LYNN'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6611792/check_9738006_840fa0ba-9684-4de8-8161-df8daedcd04f.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6611792/check_9738006_409d24bb-cd56-43f8-8b3b-392c4fedc8b4.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '988372709', 'plan_type': None, 'group_name': None, 'payer_name': 'UNITEDHEALTHCARE', 'payer_note': None, 'patient_dob': '1948-06-01', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': '', 'plan_sponsor_name': None, 'patient_first_name': '', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8235728305 | 9482 | N/A | 6611792 | 2222 | N/A | 9455452 | N/A | 5230196 | 2025-07-11 17:21:59.339137 | 2025-07-08 23:21:57.866357 |
| 2025-07-11 16:43:59.003018 | 2025-07-11 16:44:01.966679 | 9737662 | N/A | N/A | {'payer_id': 'CCHPC', 'payer_name': 'Alignment Health Care (Fee For Service)', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1959-09-28', 'date_of_service': '2025-06-25', 'subscriber_gender': 'F', 'service_type_codes': ['PT', 'AE'], 'insurance_company_id': 2630, 'subscriber_last_name': 'STEVENS', 'subscriber_member_id': '00000348252', 'subscriber_first_name': 'JANET'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/5540659/check_9737662_163925df-3338-4953-bd45-6ec48a876ef6.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540659/check_9737662_57d20d03-f6a9-43f1-9a69-854227ad5ee6.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '00000348252', 'plan_type': 'Health Maintenance Organization (HMO)', 'group_name': None, 'payer_name': 'MEDICARE', 'payer_note': 'OVERALL DEDUCTIBLE', 'patient_dob': '1959-09-28', 'plan_number': 'H3815028', 'group_number': None, 'insurance_type': None, 'plan_type_code': 'HM', 'enrolled_in_qmb': False, 'patient_last_name': 'STEVENS', 'plan_sponsor_name': None, 'patient_first_name': 'JANET', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'ALIGNMENT HEALTH MY CHOICE (HMO)', 'relationship_to_subscriber': None} | ['PT', 'AE'] | N/A | N/A | N/A | N/A | N/A | 8235521436 | 7689 | N/A | 5540659 | 2222 | N/A | 9455082 | N/A | 4212773 | 2025-07-11 16:44:01.966679 | 2025-05-13 04:29:37.227109 |
| 2025-07-11 16:18:14.605934 | 2025-07-11 16:18:16.344819 | 9737511 | N/A | N/A | {'payer_id': 'Z1073', 'payer_name': 'Medicare B California Southern', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1946-11-18', 'date_of_service': '2025-07-11', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 4497, 'subscriber_last_name': 'STECHER', 'subscriber_member_id': '4P42WA3QM82', 'subscriber_first_name': 'BRIAN'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543052/check_9737511_b6206a57-3f73-4184-97d9-bf60a2257953.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543052/check_9737511_7b74f921-2a77-40f8-91ca-95ffb028d9b9.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '4P42WA3QM82', 'plan_type': 'Medicare Part A', 'group_name': None, 'payer_name': 'WELLCARE PRESCRIPTION INSURANCE, INC.', 'payer_note': '0-BENEFICIARY INSURED DUE TO AGE OASI', 'patient_dob': '1946-11-18', 'plan_number': 'S4802', 'group_number': None, 'insurance_type': None, 'plan_type_code': 'MA', 'enrolled_in_qmb': False, 'patient_last_name': 'STECHER', 'plan_sponsor_name': None, 'patient_first_name': 'BRIAN', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8235379144 | N/A | N/A | 5543052 | 2222 | N/A | 9454912 | N/A | 4214891 | 2025-07-11 16:18:16.344819 | 2025-05-13 04:29:37.229214 |
| 2025-07-11 16:18:05.481537 | 2025-07-11 16:18:07.257052 | 9737509 | N/A | N/A | {'payer_id': 'Z1073', 'payer_name': 'Medicare B California Southern', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1946-11-18', 'date_of_service': '2025-07-11', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 4497, 'subscriber_last_name': 'STECHER', 'subscriber_member_id': '4P42WA3QM82', 'subscriber_first_name': 'BRIAN'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543052/check_9737509_92b39153-0607-4d26-b630-c9337e166e67.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543052/check_9737509_a26d84e9-a059-4812-a619-b6965066478f.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '4P42WA3QM82', 'plan_type': 'Medicare Part B', 'group_name': None, 'payer_name': 'WELLCARE PRESCRIPTION INSURANCE, INC.', 'payer_note': '0-BENEFICIARY INSURED DUE TO AGE OASI', 'patient_dob': '1946-11-18', 'plan_number': 'S4802', 'group_number': None, 'insurance_type': None, 'plan_type_code': 'MB', 'enrolled_in_qmb': False, 'patient_last_name': 'STECHER', 'plan_sponsor_name': None, 'patient_first_name': 'BRIAN', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8235378288 | N/A | N/A | 5543052 | 2222 | N/A | 9454911 | N/A | 4214891 | 2025-07-11 16:18:07.257052 | 2025-05-13 04:29:37.229214 |
| 2025-07-11 16:17:02.333615 | 2025-07-11 16:17:04.072075 | 9737502 | N/A | N/A | {'payer_id': 'Z1073', 'payer_name': 'Medicare B California Southern', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1946-11-18', 'date_of_service': '2025-07-11', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 4497, 'subscriber_last_name': 'STECHER', 'subscriber_member_id': '4P42WA3QM82', 'subscriber_first_name': 'BRIAN'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543052/check_9737502_6ab83885-a4ac-4bd2-890f-828ac1d09fd3.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543052/check_9737502_d33641e4-65d6-42c6-aa2d-8254fd6b3859.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '4P42WA3QM82', 'plan_type': 'Medicare Part B', 'group_name': None, 'payer_name': 'WELLCARE PRESCRIPTION INSURANCE, INC.', 'payer_note': '0-BENEFICIARY INSURED DUE TO AGE OASI', 'patient_dob': '1946-11-18', 'plan_number': 'S4802', 'group_number': None, 'insurance_type': None, 'plan_type_code': 'MB', 'enrolled_in_qmb': False, 'patient_last_name': 'STECHER', 'plan_sponsor_name': None, 'patient_first_name': 'BRIAN', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8235372566 | N/A | N/A | 5543052 | 2222 | N/A | 9454904 | N/A | 4214891 | 2025-07-11 16:17:04.072075 | 2025-05-13 04:29:37.229214 |
| 2025-07-11 16:16:41.219918 | 2025-07-11 16:16:43.082660 | 9737500 | N/A | N/A | {'payer_id': 'Z1073', 'payer_name': 'Medicare B California Southern', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1946-11-18', 'date_of_service': '2025-07-11', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 4497, 'subscriber_last_name': 'STECHER', 'subscriber_member_id': '4P42WA3QM82', 'subscriber_first_name': 'BRIAN'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543052/check_9737500_fed40cea-bb64-4efa-8a58-8dd7af85cc64.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543052/check_9737500_da84ac10-a3a7-4d0d-9471-d1b96c4cca03.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '4P42WA3QM82', 'plan_type': 'Medicare Part A', 'group_name': None, 'payer_name': 'WELLCARE PRESCRIPTION INSURANCE, INC.', 'payer_note': '0-BENEFICIARY INSURED DUE TO AGE OASI', 'patient_dob': '1946-11-18', 'plan_number': 'S4802', 'group_number': None, 'insurance_type': None, 'plan_type_code': 'MA', 'enrolled_in_qmb': False, 'patient_last_name': 'STECHER', 'plan_sponsor_name': None, 'patient_first_name': 'BRIAN', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8235370615 | N/A | N/A | 5543052 | 2222 | N/A | 9454900 | N/A | 4214891 | 2025-07-11 16:16:43.082660 | 2025-05-13 04:29:37.229214 |
| 2025-07-11 16:16:25.133103 | 2025-07-11 16:16:32.995485 | 9737499 | N/A | N/A | {'payer_id': 'Z1073', 'payer_name': 'Medicare B California Southern', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1946-11-18', 'date_of_service': '2025-07-11', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 4497, 'subscriber_last_name': 'STECHER', 'subscriber_member_id': '4P42WA3QM82', 'subscriber_first_name': 'BRIAN'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543052/check_9737499_2b3122db-9794-4225-a9a9-ddbab2878d04.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543052/check_9737499_90658074-3261-4e2a-9b32-ba8118b27eb5.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '4P42WA3QM82', 'plan_type': 'Medicare Part B', 'group_name': None, 'payer_name': 'WELLCARE PRESCRIPTION INSURANCE, INC.', 'payer_note': '0-BENEFICIARY INSURED DUE TO AGE OASI', 'patient_dob': '1946-11-18', 'plan_number': 'S4802', 'group_number': None, 'insurance_type': None, 'plan_type_code': 'MB', 'enrolled_in_qmb': False, 'patient_last_name': 'STECHER', 'plan_sponsor_name': None, 'patient_first_name': 'BRIAN', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8235369242 | N/A | N/A | 5543052 | 2222 | N/A | 9454897 | N/A | 4214891 | 2025-07-11 16:16:32.995485 | 2025-05-13 04:29:37.229214 |
| 2025-07-11 15:39:27.812150 | 2025-07-11 15:39:30.609178 | 9737209 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1979-07-03', 'date_of_service': '2025-07-11', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'insurance_company_id': 4184, 'subscriber_last_name': 'KODE', 'subscriber_member_id': 'ZDO719W15148', 'subscriber_first_name': 'SHAILAKASH'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6811246/check_9737209_cc9ed77b-edfb-4afb-ae13-906afe5b0923.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6811246/check_9737209_b138f284-d21f-4651-8165-85c31d193924.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'ZDO719W15148', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'DOLE PACKAGED FOODS', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1979-07-03', 'plan_number': '040', 'group_number': '174140M4A1', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'KODE', 'plan_sponsor_name': None, 'patient_first_name': 'SHAILAKASH', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2024-01-01', 'plan_coverage_description': 'CA GENERIC HLTH SAVINGS ACCT', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8235025012 | 9482 | N/A | 6811246 | 2222 | N/A | 9454565 | N/A | 5853652 | 2025-07-11 15:39:30.609178 | 2025-07-11 15:39:21.675425 |
| 2025-07-11 15:38:19.469726 | 2025-07-11 15:38:21.292309 | 9737203 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1979-07-03', 'date_of_service': '2025-07-11', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'insurance_company_id': 4184, 'subscriber_last_name': 'KODE', 'subscriber_member_id': 'ZDO719W15148', 'subscriber_first_name': 'SHAIMAKASH'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6811246/check_9737203_2ef23bd8-d101-4ca3-8c02-83518bc35484.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6811246/check_9737203_6a3e31d8-338a-4c46-b980-ee67bd4fbcfa.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'ZDO719W15148', 'plan_type': None, 'group_name': None, 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1979-07-03', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'KODE', 'plan_sponsor_name': None, 'patient_first_name': 'SHAIMAKASH', '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 | N/A | 9482 | N/A | 6811246 | 2222 | N/A | 9454559 | N/A | 5853652 | 2025-07-11 15:38:21.292309 | 2025-07-11 15:39:21.675425 |
| 2025-07-11 15:38:17.873374 | 2025-07-11 15:38:19.468431 | 9737202 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1979-07-03', 'date_of_service': '2025-07-11', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'insurance_company_id': 4184, 'subscriber_last_name': 'KODE', 'subscriber_member_id': 'ZDO719W15148', 'subscriber_first_name': 'SHAIMAKASH'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6811246/check_9737202_b5c821fe-505d-4584-9f3f-e5d90e323536.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-11 | N/A | N/A | N/A | N/A | N/A | N/A | {'member_id': 'ZDO719W15148', 'plan_type': None, 'group_name': None, 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1979-07-03', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'KODE', 'plan_sponsor_name': None, 'patient_first_name': 'SHAIMAKASH', '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 | N/A | 9482 | N/A | 6811246 | 2222 | N/A | N/A | N/A | 5853652 | 2025-07-11 15:38:19.468431 | 2025-07-11 15:39:21.675425 |
| 2025-07-11 15:36:59.558096 | 2025-07-11 15:37:01.367382 | 9737194 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1979-07-03', 'date_of_service': '2025-07-11', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'insurance_company_id': 4185, 'subscriber_last_name': 'KODE', 'subscriber_member_id': 'ZDO719W15148', 'subscriber_first_name': 'SHAIMAKASH'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6811246/check_9737194_47ad2654-dcdb-4c73-a695-3eb132a0d0d9.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6811246/check_9737194_376cb549-c950-4543-9bbe-93ff518ca525.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'ZDO719W15148', 'plan_type': None, 'group_name': None, 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1979-07-03', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'KODE', 'plan_sponsor_name': None, 'patient_first_name': 'SHAIMAKASH', '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 | N/A | 9482 | N/A | 6811246 | 2222 | N/A | 9454548 | N/A | 5853652 | 2025-07-11 15:37:01.367382 | 2025-07-11 15:39:21.675425 |
| 2025-07-11 15:36:57.976283 | 2025-07-11 15:36:59.554376 | 9737193 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1979-07-03', 'date_of_service': '2025-07-11', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'insurance_company_id': 4185, 'subscriber_last_name': 'KODE', 'subscriber_member_id': 'ZDO719W15148', 'subscriber_first_name': 'SHAIMAKASH'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6811246/check_9737193_b294a2b9-5fcf-4566-a8ad-96a09298dd68.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-11 | N/A | N/A | N/A | N/A | N/A | N/A | {'member_id': 'ZDO719W15148', 'plan_type': None, 'group_name': None, 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1979-07-03', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'KODE', 'plan_sponsor_name': None, 'patient_first_name': 'SHAIMAKASH', '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 | N/A | 9482 | N/A | 6811246 | 2222 | N/A | N/A | N/A | 5853652 | 2025-07-11 15:36:59.554376 | 2025-07-11 15:39:21.675425 |
| 2025-07-11 15:36:51.203239 | 2025-07-11 15:36:54.084208 | 9737191 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1979-07-03', 'date_of_service': '2025-07-11', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'insurance_company_id': 4185, 'subscriber_last_name': 'KODE', 'subscriber_member_id': 'ZDO719W15148', 'subscriber_first_name': 'SHAIMAKASH'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6811246/check_9737191_dbfa2077-043e-45da-858f-5bd7807eb5c8.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6811246/check_9737191_bac0e201-05c1-41c8-b0db-e87e37a0bea7.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'ZDO719W15148', 'plan_type': None, 'group_name': None, 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1979-07-03', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'KODE', 'plan_sponsor_name': None, 'patient_first_name': 'SHAIMAKASH', '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 | N/A | 9482 | N/A | 6811246 | 2222 | N/A | 9454544 | N/A | 5853652 | 2025-07-11 15:36:54.084208 | 2025-07-11 15:39:21.675425 |
| 2025-07-11 15:36:49.534670 | 2025-07-11 15:36:51.198303 | 9737190 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1979-07-03', 'date_of_service': '2025-07-11', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'insurance_company_id': 4185, 'subscriber_last_name': 'KODE', 'subscriber_member_id': 'ZDO719W15148', 'subscriber_first_name': 'SHAIMAKASH'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6811246/check_9737190_0877d217-6fbd-4816-95f4-a9f5d6b32ba3.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-11 | N/A | N/A | N/A | N/A | N/A | N/A | {'member_id': 'ZDO719W15148', 'plan_type': None, 'group_name': None, 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1979-07-03', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'KODE', 'plan_sponsor_name': None, 'patient_first_name': 'SHAIMAKASH', '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 | N/A | 9482 | N/A | 6811246 | 2222 | N/A | N/A | N/A | 5853652 | 2025-07-11 15:36:51.198303 | 2025-07-11 15:39:21.675425 |
| 2025-07-11 15:36:23.374883 | 2025-07-11 15:36:25.237071 | 9737187 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1979-07-03', 'date_of_service': '2025-07-11', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'insurance_company_id': 4184, 'subscriber_last_name': 'KODE', 'subscriber_member_id': 'ZDO719W15148', 'subscriber_first_name': 'SHAIMAKASH'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6811246/check_9737187_7f0d15f3-1fe7-4eb9-a574-2addb6233867.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6811246/check_9737187_08e8d9dd-45d1-4186-9050-7c2e5d6c5a36.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'ZDO719W15148', 'plan_type': None, 'group_name': None, 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1979-07-03', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'KODE', 'plan_sponsor_name': None, 'patient_first_name': 'SHAIMAKASH', '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 | N/A | 9482 | N/A | 6811246 | 2222 | N/A | 9454541 | N/A | 5853652 | 2025-07-11 15:36:25.237071 | 2025-07-11 15:39:21.675425 |
| 2025-07-11 15:36:21.781272 | 2025-07-11 15:36:23.373191 | 9737185 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1979-07-03', 'date_of_service': '2025-07-11', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'insurance_company_id': 4184, 'subscriber_last_name': 'KODE', 'subscriber_member_id': 'ZDO719W15148', 'subscriber_first_name': 'SHAIMAKASH'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6811246/check_9737185_5650bdf9-12ce-458e-9a53-94ba6b024b50.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-11 | N/A | N/A | N/A | N/A | N/A | N/A | {'member_id': 'ZDO719W15148', 'plan_type': None, 'group_name': None, 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1979-07-03', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'KODE', 'plan_sponsor_name': None, 'patient_first_name': 'SHAIMAKASH', '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 | N/A | 9482 | N/A | 6811246 | 2222 | N/A | N/A | N/A | 5853652 | 2025-07-11 15:36:23.373191 | 2025-07-11 15:39:21.675425 |
| 2025-07-11 15:16:27.459060 | 2025-07-11 15:16:31.327233 | 9737039 | 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': '2025-08-07', '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_9737039_a9c40fe8-3dd5-4eba-a272-8e1698996b01.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-08-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6582113/check_9737039_62999028-01c5-4b3c-b40d-0554dc39fbb3.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 | 9454385 | N/A | 5201198 | 2025-07-11 15:16:31.327233 | 2025-07-11 22:39:28.411632 |
| 2025-07-11 15:16:24.652755 | 2025-07-11 15:16:27.439959 | 9737038 | 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': '2025-08-07', '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_9737038_373b40c9-ac40-4d58-8da0-a18ecf0261bd.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-08-07 | 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 15:16:27.439959 | 2025-07-11 22:39:28.411632 |
| 2025-07-11 15:15:48.006758 | 2025-07-11 15:15:49.771105 | 9737035 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1979-07-03', 'date_of_service': '2025-07-11', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'insurance_company_id': 4184, 'subscriber_last_name': 'KODE', 'subscriber_member_id': 'ZDO719W15148', 'subscriber_first_name': 'SHAIMAKASH'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6811246/check_9737035_3b2d431d-1111-486f-aaf8-887eff983a2a.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6811246/check_9737035_9a347ba2-8aeb-4f04-be59-6519b8b33a5a.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'ZDO719W15148', 'plan_type': None, 'group_name': None, 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1979-07-03', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'KODE', 'plan_sponsor_name': None, 'patient_first_name': 'SHAIMAKASH', '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 | N/A | N/A | N/A | 6811246 | 2222 | N/A | 9454380 | N/A | 5853652 | 2025-07-11 15:15:49.771105 | 2025-07-11 15:39:21.675425 |
| 2025-07-11 15:15:45.351309 | 2025-07-11 15:15:48.000260 | 9737034 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1979-07-03', 'date_of_service': '2025-07-11', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'insurance_company_id': 4184, 'subscriber_last_name': 'KODE', 'subscriber_member_id': 'ZDO719W15148', 'subscriber_first_name': 'SHAIMAKASH'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6811246/check_9737034_017fb401-1317-4dff-bf13-f6cf5cc00275.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-11 | N/A | N/A | N/A | N/A | N/A | N/A | {'member_id': 'ZDO719W15148', 'plan_type': None, 'group_name': None, 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1979-07-03', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'KODE', 'plan_sponsor_name': None, 'patient_first_name': 'SHAIMAKASH', '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 | N/A | N/A | N/A | 6811246 | 2222 | N/A | N/A | N/A | 5853652 | 2025-07-11 15:15:48.000260 | 2025-07-11 15:39:21.675425 |
| 2025-07-11 15:07:32.972790 | 2025-07-11 15:07:35.956252 | 9736954 | N/A | N/A | {'payer_id': '14163', 'payer_name': 'Wellcare Health Plans', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1947-12-04', 'date_of_service': '2025-06-30', 'subscriber_gender': 'F', 'service_type_codes': ['PT', 'AE'], 'insurance_company_id': 6798, 'subscriber_last_name': 'MURRAY', 'subscriber_member_id': '27528113', 'subscriber_first_name': 'HESTER'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6225666/check_9736954_5a03d4c4-4588-4dca-ba4e-deca7570e3dd.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6225666/check_9736954_30d9b3d0-f9ec-4797-b5b4-62db6ebae11c.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '27528113', 'plan_type': None, 'group_name': None, 'payer_name': 'WELLCARE HEALTH PLANS', 'payer_note': None, 'patient_dob': '1947-12-04', 'plan_number': '406-024-000', 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'MURRAY', 'plan_sponsor_name': None, 'patient_first_name': 'HESTER', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['PT', 'AE'] | N/A | N/A | N/A | N/A | N/A | 8234591967 | 5686 | N/A | 6225666 | 2222 | N/A | 9454300 | N/A | 4873309 | 2025-07-11 15:07:35.956252 | 2025-06-30 14:46:58.881605 |
| 2025-07-11 14:11:07.077674 | 2025-07-11 14:11:08.920225 | 9736462 | N/A | N/A | {'payer_id': 'Z1073', 'payer_name': 'Medicare B California Southern', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1946-11-18', 'date_of_service': '2025-07-11', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 4497, 'subscriber_last_name': 'STECHER', 'subscriber_member_id': '4P42WA3QM82', 'subscriber_first_name': 'BRIAN'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543052/check_9736462_58a13ead-c22d-41cf-a5f1-535f53d6a140.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543052/check_9736462_879fa8f7-38da-4465-ae23-aa139e14070c.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '4P42WA3QM82', 'plan_type': 'Medicare Part B', 'group_name': None, 'payer_name': 'WELLCARE PRESCRIPTION INSURANCE, INC.', 'payer_note': '0-BENEFICIARY INSURED DUE TO AGE OASI', 'patient_dob': '1946-11-18', 'plan_number': 'S4802', 'group_number': None, 'insurance_type': None, 'plan_type_code': 'MB', 'enrolled_in_qmb': False, 'patient_last_name': 'STECHER', 'plan_sponsor_name': None, 'patient_first_name': 'BRIAN', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8234067325 | N/A | N/A | 5543052 | 2222 | N/A | 9453803 | N/A | 4214891 | 2025-07-11 14:11:08.920225 | 2025-05-13 04:29:37.229214 |
| 2025-07-11 14:10:56.778900 | 2025-07-11 14:10:58.658674 | 9736461 | N/A | N/A | {'payer_id': 'Z1073', 'payer_name': 'Medicare B California Southern', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1946-11-18', 'date_of_service': '2025-07-11', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 4497, 'subscriber_last_name': 'STECHER', 'subscriber_member_id': '4P42WA3QM82', 'subscriber_first_name': 'BRIAN'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543052/check_9736461_ab7fc94c-e05c-4d2b-976b-27334bf6af99.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543052/check_9736461_7221598b-426e-4fbb-bc18-8b0f8c6e68d5.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '4P42WA3QM82', 'plan_type': 'Medicare Part A', 'group_name': None, 'payer_name': 'WELLCARE PRESCRIPTION INSURANCE, INC.', 'payer_note': '0-BENEFICIARY INSURED DUE TO AGE OASI', 'patient_dob': '1946-11-18', 'plan_number': 'S4802', 'group_number': None, 'insurance_type': None, 'plan_type_code': 'MA', 'enrolled_in_qmb': False, 'patient_last_name': 'STECHER', 'plan_sponsor_name': None, 'patient_first_name': 'BRIAN', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8234065711 | N/A | N/A | 5543052 | 2222 | N/A | 9453802 | N/A | 4214891 | 2025-07-11 14:10:58.658674 | 2025-05-13 04:29:37.229214 |
| 2025-07-11 14:10:50.097736 | 2025-07-11 14:10:51.941463 | 9736459 | N/A | N/A | {'payer_id': 'Z1073', 'payer_name': 'Medicare B California Southern', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1946-11-18', 'date_of_service': '2025-07-11', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 4497, 'subscriber_last_name': 'STECHER', 'subscriber_member_id': '4P42WA3QM82', 'subscriber_first_name': 'BRIAN'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543052/check_9736459_a8fb76b9-c7b3-4bb1-9fdc-8fc8ef65d143.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543052/check_9736459_4b934f53-ff5f-46a8-a5fa-3f621ef40d63.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '4P42WA3QM82', 'plan_type': 'Medicare Part A', 'group_name': None, 'payer_name': 'WELLCARE PRESCRIPTION INSURANCE, INC.', 'payer_note': '0-BENEFICIARY INSURED DUE TO AGE OASI', 'patient_dob': '1946-11-18', 'plan_number': 'S4802', 'group_number': None, 'insurance_type': None, 'plan_type_code': 'MA', 'enrolled_in_qmb': False, 'patient_last_name': 'STECHER', 'plan_sponsor_name': None, 'patient_first_name': 'BRIAN', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8234064384 | N/A | N/A | 5543052 | 2222 | N/A | 9453798 | N/A | 4214891 | 2025-07-11 14:10:51.941463 | 2025-05-13 04:29:37.229214 |
| 2025-07-11 14:10:33.909319 | 2025-07-11 14:10:35.721218 | 9736456 | N/A | N/A | {'payer_id': 'Z1073', 'payer_name': 'Medicare B California Southern', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1946-11-18', 'date_of_service': '2025-07-11', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 4497, 'subscriber_last_name': 'STECHER', 'subscriber_member_id': '4P42WA3QM82', 'subscriber_first_name': 'BRIAN'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543052/check_9736456_6a97287d-d208-4cbf-aca8-3b7588b692ad.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543052/check_9736456_5a88cb2d-6b7e-4d82-a2bb-60717ddcfa8f.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '4P42WA3QM82', 'plan_type': 'Medicare Part B', 'group_name': None, 'payer_name': 'WELLCARE PRESCRIPTION INSURANCE, INC.', 'payer_note': '0-BENEFICIARY INSURED DUE TO AGE OASI', 'patient_dob': '1946-11-18', 'plan_number': 'S4802', 'group_number': None, 'insurance_type': None, 'plan_type_code': 'MB', 'enrolled_in_qmb': False, 'patient_last_name': 'STECHER', 'plan_sponsor_name': None, 'patient_first_name': 'BRIAN', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8234060449 | N/A | N/A | 5543052 | 2222 | N/A | 9453796 | N/A | 4214891 | 2025-07-11 14:10:35.721218 | 2025-05-13 04:29:37.229214 |
| 2025-07-11 14:10:26.098911 | 2025-07-11 14:10:28.083286 | 9736455 | N/A | N/A | {'payer_id': 'Z1073', 'payer_name': 'Medicare B California Southern', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1946-11-18', 'date_of_service': '2025-07-11', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 4497, 'subscriber_last_name': 'STECHER', 'subscriber_member_id': '4P42WA3QM82', 'subscriber_first_name': 'BRIAN'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543052/check_9736455_30b07454-3bd7-426e-93a1-ee85e104ee18.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543052/check_9736455_39889932-27df-480e-89d5-40de8f7a9037.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '4P42WA3QM82', 'plan_type': 'Medicare Part A', 'group_name': None, 'payer_name': 'WELLCARE PRESCRIPTION INSURANCE, INC.', 'payer_note': '0-BENEFICIARY INSURED DUE TO AGE OASI', 'patient_dob': '1946-11-18', 'plan_number': 'S4802', 'group_number': None, 'insurance_type': None, 'plan_type_code': 'MA', 'enrolled_in_qmb': False, 'patient_last_name': 'STECHER', 'plan_sponsor_name': None, 'patient_first_name': 'BRIAN', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8234059004 | N/A | N/A | 5543052 | 2222 | N/A | 9453794 | N/A | 4214891 | 2025-07-11 14:10:28.083286 | 2025-05-13 04:29:37.229214 |
| 2025-07-11 11:21:34.075641 | 2025-07-11 11:21:37.134027 | 9733604 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1995-02-28', 'date_of_service': '2025-07-08', 'subscriber_gender': '', 'service_type_codes': ['PT', 'AE'], 'insurance_company_id': 4185, 'subscriber_last_name': 'JONES', 'subscriber_member_id': 'LTC290M90213', 'subscriber_first_name': 'CAROLINE'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6134260/check_9733604_a56810fc-fd4e-4aaf-bd60-735872d2d7b0.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6134260/check_9733604_bde6ec17-2dcf-4aa2-b35d-97a91928ac7e.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'LTC290M90213', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'THE AEROSPACE CORPORATION', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1995-02-28', 'plan_number': '040', 'group_number': '174151MCA3', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'JONES', 'plan_sponsor_name': None, 'patient_first_name': 'CAROLINE', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2025-01-01', 'plan_coverage_description': 'BC PPO INCENTIVE', 'relationship_to_subscriber': None} | ['PT', 'AE'] | N/A | N/A | N/A | N/A | N/A | 8231983651 | 1275 | N/A | 6134260 | 2222 | N/A | 9450754 | N/A | 4775735 | 2025-07-11 11:21:37.134027 | 2025-07-08 23:42:37.640916 |
| 2025-07-11 09:56:50.433828 | 2025-07-11 09:56:53.142916 | 9727422 | N/A | N/A | {'payer_id': '87726', 'payer_name': 'United Healthcare', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1951-11-18', 'date_of_service': '2025-07-14', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6411, 'subscriber_last_name': 'JACOBY', 'subscriber_member_id': '34555828811', 'subscriber_first_name': 'LEAH'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6145941/check_9727422_1f9c4784-240d-40d3-994f-ee1f2315a59f.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6145941/check_9727422_78cb13b9-be82-437e-994e-826b1a817ed0.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '345558288', 'plan_type': None, 'group_name': None, 'payer_name': 'UNITEDHEALTHCARE', 'payer_note': None, 'patient_dob': '1951-11-18', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'JACOBI', 'plan_sponsor_name': None, 'patient_first_name': 'LEAH', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6145941 | 2222 | N/A | 9444517 | N/A | 4786785 | 2025-07-11 09:56:53.142916 | 2025-06-13 00:55:48.629734 |
| 2025-07-11 09:56:47.932537 | 2025-07-11 09:56:50.431310 | 9727413 | N/A | N/A | {'payer_id': '87726', 'payer_name': 'United Healthcare', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1951-11-18', 'date_of_service': '2025-07-14', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6411, 'subscriber_last_name': 'JACOBY', 'subscriber_member_id': '34555828811', 'subscriber_first_name': 'LEAH'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6145941/check_9727413_06685dc1-6954-42d5-ae83-8e519866b4cd.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-14 | N/A | N/A | N/A | N/A | N/A | N/A | {'member_id': '345558288', 'plan_type': None, 'group_name': None, 'payer_name': 'UNITEDHEALTHCARE', 'payer_note': None, 'patient_dob': '1951-11-18', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'JACOBI', 'plan_sponsor_name': None, 'patient_first_name': 'LEAH', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6145941 | 2222 | N/A | N/A | N/A | 4786785 | 2025-07-11 09:56:50.431310 | 2025-06-13 00:55:48.629734 |
| 2025-07-11 09:56:47.170685 | 2025-07-11 09:57:00.199506 | 9727411 | N/A | N/A | {'payer_id': '87726', 'payer_name': 'United Healthcare', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1929-02-22', 'date_of_service': '2025-07-14', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6411, 'subscriber_last_name': 'SCOTT', 'subscriber_member_id': '076810624-11', 'subscriber_first_name': 'GEORGE'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6105989/check_9727411_afea1234-79b5-493a-8c18-eaf38b1e5baf.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6105989/check_9727411_a89c6a83-9357-42cf-90bf-614d522439c7.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '076810624', 'plan_type': None, 'group_name': None, 'payer_name': 'UNITEDHEALTHCARE', 'payer_note': None, 'patient_dob': '1929-02-22', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'SCOTT', 'plan_sponsor_name': None, 'patient_first_name': 'GEORGE', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6105989 | 2222 | N/A | 9444539 | N/A | 4750274 | 2025-07-11 09:57:00.199506 | 2025-06-12 22:26:37.845238 |
| 2025-07-11 09:56:44.413915 | 2025-07-11 09:56:47.163174 | 9727399 | N/A | N/A | {'payer_id': '87726', 'payer_name': 'United Healthcare', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1929-02-22', 'date_of_service': '2025-07-14', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6411, 'subscriber_last_name': 'SCOTT', 'subscriber_member_id': '076810624-11', 'subscriber_first_name': 'GEORGE'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6105989/check_9727399_0ab32e47-72db-4afa-bcc6-7a06de242ba0.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-14 | N/A | N/A | N/A | N/A | N/A | N/A | {'member_id': '076810624', 'plan_type': None, 'group_name': None, 'payer_name': 'UNITEDHEALTHCARE', 'payer_note': None, 'patient_dob': '1929-02-22', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'SCOTT', 'plan_sponsor_name': None, 'patient_first_name': 'GEORGE', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6105989 | 2222 | N/A | N/A | N/A | 4750274 | 2025-07-11 09:56:47.163174 | 2025-06-12 22:26:37.845238 |
| 2025-07-11 09:56:38.198731 | 2025-07-11 09:56:41.998134 | 9727378 | N/A | N/A | {'payer_id': '87726', 'payer_name': 'United Healthcare', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1952-07-25', 'date_of_service': '2025-07-14', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6411, 'subscriber_last_name': 'LANE', 'subscriber_member_id': 'MISSINGPOLICYNUMBER', 'subscriber_first_name': 'STEVEN'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/5928917/check_9727378_24488f22-5bb1-4b30-8bd1-b4cde55319b9.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5928917/check_9727378_f76a103e-098b-4790-8188-79dd5f0123a0.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '328563857', 'plan_type': None, 'group_name': None, 'payer_name': 'UNITEDHEALTHCARE', 'payer_note': None, 'patient_dob': '1952-07-25', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'LANE', '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': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5928917 | 2222 | N/A | 9444476 | N/A | 4219832 | 2025-07-11 09:56:41.998134 | 2025-05-13 04:29:37.230877 |
| 2025-07-11 09:56:34.617361 | 2025-07-11 09:56:38.196303 | 9727360 | N/A | N/A | {'payer_id': '87726', 'payer_name': 'United Healthcare', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1952-07-25', 'date_of_service': '2025-07-14', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6411, 'subscriber_last_name': 'LANE', 'subscriber_member_id': 'MISSINGPOLICYNUMBER', 'subscriber_first_name': 'STEVEN'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/5928917/check_9727360_bd1a9ff0-5d01-4276-92fd-0a018a3ce761.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-14 | N/A | N/A | N/A | N/A | N/A | N/A | {'member_id': '328563857', 'plan_type': None, 'group_name': None, 'payer_name': 'UNITEDHEALTHCARE', 'payer_note': None, 'patient_dob': '1952-07-25', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'LANE', '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': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5928917 | 2222 | N/A | N/A | N/A | 4219832 | 2025-07-11 09:56:38.196303 | 2025-05-13 04:29:37.230877 |
| 2025-07-11 09:55:39.717721 | 2025-07-11 09:55:43.445317 | 9727156 | N/A | N/A | {'payer_id': '87726', 'payer_name': 'United Healthcare', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1970-07-02', 'date_of_service': '2025-07-11', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6411, 'subscriber_last_name': 'FRIEDMAN', 'subscriber_member_id': 'G46825417', 'subscriber_first_name': 'JOEL'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/5540931/check_9727156_4466934a-0456-4147-be36-48cdcff9d1d3.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540931/check_9727156_61dba8be-d5b2-4f10-9929-b7c0899f8b6e.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'G46825417', 'plan_type': None, 'group_name': 'GEHA MEDICAL FEHB/PSHB', 'payer_name': 'UMR', 'payer_note': None, 'patient_dob': '1970-07-02', 'plan_number': '767000416933002', 'group_number': '76416933', 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'SHELBURNE', 'plan_sponsor_name': None, 'patient_first_name': 'TANYA', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8231594802 | N/A | N/A | 5540931 | 2222 | N/A | 9444267 | N/A | 4213013 | 2025-07-11 09:55:43.445317 | 2025-05-13 04:29:37.227340 |
| 2025-07-11 09:54:40.233305 | 2025-07-11 09:54:50.054867 | 9726998 | N/A | N/A | {'payer_id': '87726', 'payer_name': 'United Healthcare', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1958-08-11', 'date_of_service': '2025-07-14', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6411, 'subscriber_last_name': 'KUMAMOTO MILLIKAEN', 'subscriber_member_id': '024563900', 'subscriber_first_name': 'LESLIE'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6819187/check_9726998_e87c068a-7a7a-486a-be9c-2712fa08770b.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6819187/check_9726998_657c46b9-e9d6-42e6-8be1-37f223da0b12.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '024563900', 'plan_type': None, 'group_name': 'DELTA AIR LINES, INC.', 'payer_name': 'UMR', 'payer_note': None, 'patient_dob': '1958-08-11', 'plan_number': '767000415637061', 'group_number': '76415637', 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'KUMAMOTO MILLIKEN', '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 | 8231592908 | N/A | N/A | 6819187 | 2222 | N/A | 9444113 | N/A | 5861394 | 2025-07-11 09:54:50.054867 | 2025-07-13 22:09:56.766500 |
| 2025-07-11 09:53:18.223182 | 2025-07-11 09:53:21.984256 | 9726794 | N/A | N/A | {'payer_id': '87726', 'payer_name': 'United Healthcare', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1948-06-01', 'date_of_service': '2025-07-14', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6411, 'subscriber_last_name': 'MOWERY', 'subscriber_member_id': '9118772604', 'subscriber_first_name': 'LYNN'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6611792/check_9726794_e4c1650b-ccfc-4fe2-ba48-bad32ea0bff1.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6611792/check_9726794_cfdcd150-57a8-4b68-9a97-e771f1b6eab7.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '988372709', 'plan_type': None, 'group_name': None, 'payer_name': 'UNITEDHEALTHCARE', 'payer_note': None, 'patient_dob': '1948-06-01', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': '', 'plan_sponsor_name': None, 'patient_first_name': '', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8231590234 | N/A | N/A | 6611792 | 2222 | N/A | 9443897 | N/A | 5230196 | 2025-07-11 09:53:21.984256 | 2025-07-08 23:21:57.866357 |
| 2025-07-11 09:53:02.717942 | 2025-07-11 09:53:06.394523 | 9726751 | N/A | N/A | {'payer_id': '87726', 'payer_name': 'United Healthcare', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1967-08-24', 'date_of_service': '2025-07-14', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6411, 'subscriber_last_name': 'DEL CAMPO', 'subscriber_member_id': '936778989', 'subscriber_first_name': 'PAULA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6583335/check_9726751_e172e73b-764c-4217-b83f-d511147adcd9.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6583335/check_9726751_b11f1cc5-9654-4c24-aed8-272eed60aa21.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '936778989', 'plan_type': 'Commercial', 'group_name': 'FEDEX CORPORATION', 'payer_name': 'UNITEDHEALTHCARE', 'payer_note': 'FUNDING TYPE = SELF INSURED - LARGE GROUP A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED', 'patient_dob': '1967-08-24', 'plan_number': '0780 0780', 'group_number': '920923', 'insurance_type': None, 'plan_type_code': 'C1', 'enrolled_in_qmb': False, 'patient_last_name': 'DRECKMANN', 'plan_sponsor_name': None, 'patient_first_name': 'JEAN PHILI', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'SELECT EPO', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8231589813 | N/A | N/A | 6583335 | 2222 | N/A | 9443858 | N/A | 5202234 | 2025-07-11 09:53:06.394523 | 2025-07-09 21:36:44.603599 |
| 2025-07-11 09:52:28.649876 | 2025-07-11 09:52:32.443182 | 9726654 | N/A | N/A | {'payer_id': '87726', 'payer_name': 'United Healthcare', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1988-08-12', 'date_of_service': '2025-07-14', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6411, 'subscriber_last_name': 'MILLER', 'subscriber_member_id': 'Y21933352', 'subscriber_first_name': 'MATTHEW'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6554009/check_9726654_f2afbf66-5308-428c-9f82-f39a61e72bed.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6554009/check_9726654_c7cebbb5-cf14-4cea-9c6b-c425a1f815a0.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'Y21933352', 'plan_type': None, 'group_name': 'AMERICAN ORTHODONTICS CORPORATION', 'payer_name': 'UMR', 'payer_note': None, 'patient_dob': '1988-08-12', 'plan_number': '767000410285001', 'group_number': '76410285', 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'MILLER', 'plan_sponsor_name': None, 'patient_first_name': 'MATTHEW', '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 | 8231588762 | N/A | N/A | 6554009 | 2222 | N/A | 9443757 | N/A | 5177173 | 2025-07-11 09:52:32.443182 | 2025-06-23 20:51:27.090412 |
| 2025-07-11 09:52:27.109216 | 2025-07-11 09:52:31.258344 | 9726648 | N/A | N/A | {'payer_id': '87726', 'payer_name': 'United Healthcare', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1980-09-12', 'date_of_service': '2025-07-14', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6411, 'subscriber_last_name': 'SAPATNEKAR', 'subscriber_member_id': '14388918', 'subscriber_first_name': 'AMEYA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6551060/check_9726648_3fbece95-736e-4abc-9329-70872f9060ba.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6551060/check_9726648_3af360c2-3b4f-403f-a1b8-0e45fbff0a63.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '14388918', 'plan_type': None, 'group_name': 'ZS ASSOCIATES, INC.', 'payer_name': 'UMR', 'payer_note': None, 'patient_dob': '1980-09-12', 'plan_number': '417007411289001', 'group_number': '76411289', 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'SAPATNEKAR', 'plan_sponsor_name': None, 'patient_first_name': 'AMEYA', '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 | 8231588716 | N/A | N/A | 6551060 | 2222 | N/A | 9443753 | N/A | 5174307 | 2025-07-11 09:52:31.258344 | 2025-07-31 17:40:30.683427 |
| 2025-07-11 09:50:20.069040 | 2025-07-11 09:50:24.001703 | 9726342 | N/A | N/A | {'payer_id': '87726', 'payer_name': 'United Healthcare', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1975-07-15', 'date_of_service': '2025-07-14', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6411, 'subscriber_last_name': 'SKLAR', 'subscriber_member_id': '997341869', 'subscriber_first_name': 'ANDREA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6124041/check_9726342_02c4662f-c08f-43e3-936d-b229bcf1581f.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6124041/check_9726342_15c7e194-a352-4d47-96aa-ad377760b4d5.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '997341869', 'plan_type': 'Commercial', 'group_name': 'PFIZER INC', 'payer_name': 'UNITEDHEALTHCARE', 'payer_note': 'FUNDING TYPE = SELF INSURED - LARGE GROUP A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED', 'patient_dob': '1975-07-15', 'plan_number': '2366 2022', 'group_number': '183644', 'insurance_type': None, 'plan_type_code': 'C1', 'enrolled_in_qmb': False, 'patient_last_name': 'SKLAR', 'plan_sponsor_name': None, 'patient_first_name': 'ANDREA', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'POS CHOICE PLUS', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8231580634 | N/A | N/A | 6124041 | 2222 | N/A | 9443442 | N/A | 4766742 | 2025-07-11 09:50:24.001703 | 2025-06-04 15:23:35.717260 |
| 2025-07-11 09:49:00.070036 | 2025-07-11 09:49:04.107087 | 9726154 | N/A | N/A | {'payer_id': '87726', 'payer_name': 'United Healthcare', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1957-01-27', 'date_of_service': '2025-07-14', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6411, 'subscriber_last_name': 'SHIRALI', 'subscriber_member_id': '821763668', 'subscriber_first_name': 'MONAVAR'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/5676381/check_9726154_8e1bd430-37b0-4c0d-ae82-24bcc3d14221.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676381/check_9726154_893f2d31-6274-43d9-a305-990fe1cf16bc.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '821763668', 'plan_type': 'Commercial', 'group_name': 'BANK OF AMERICA', 'payer_name': 'UNITEDHEALTHCARE', 'payer_note': 'FUNDING TYPE = SELF INSURED - LARGE GROUP A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED', 'patient_dob': '1957-01-27', 'plan_number': '0001 0001', 'group_number': '905531', 'insurance_type': None, 'plan_type_code': 'C1', 'enrolled_in_qmb': False, 'patient_last_name': 'SHIRALI', 'plan_sponsor_name': None, 'patient_first_name': 'MONAVAR', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'POS CHOICE PLUS', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8231576638 | N/A | N/A | 5676381 | 2222 | N/A | 9443263 | N/A | 4343436 | 2025-07-11 09:49:04.107087 | 2025-06-05 16:13:34.180012 |
| 2025-07-11 09:48:41.203590 | 2025-07-11 09:48:44.368395 | 9726116 | N/A | N/A | {'payer_id': '87726', 'payer_name': 'UHC Shared Services', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1965-07-31', 'date_of_service': '2025-07-14', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 21981, 'subscriber_last_name': 'GUEVARA', 'subscriber_member_id': 'G45053839', 'subscriber_first_name': 'DIANE'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550940/check_9726116_070eb8b7-5257-4a2b-b9da-4cefee1c98d6.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550940/check_9726116_e81a2967-5dd9-4993-be4e-190e1a9e5cd9.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'G45053839', 'plan_type': None, 'group_name': 'GEHA MEDICAL FEHB/PSHB', 'payer_name': 'UMR', 'payer_note': None, 'patient_dob': '1965-07-31', 'plan_number': '767000416933001', 'group_number': '76416933', 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'GUEVARA', 'plan_sponsor_name': None, 'patient_first_name': 'DIANE', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8231575387 | N/A | N/A | 5550940 | 2222 | N/A | 9443225 | N/A | 4219779 | 2025-07-11 09:48:44.368395 | 2025-05-13 04:29:37.230820 |
| 2025-07-11 09:48:15.502622 | 2025-07-11 09:48:25.849891 | 9726076 | N/A | N/A | {'payer_id': '87726', 'payer_name': 'United Healthcare', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '2007-11-30', 'date_of_service': '2025-07-14', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6411, 'subscriber_last_name': 'BIERNER', 'subscriber_member_id': '941921536', 'subscriber_first_name': 'ISABEL'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543359/check_9726076_399457f9-efb6-4ec5-9264-4634c5f3237b.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543359/check_9726076_c9100763-8bbb-41c0-befa-c50a3319475f.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '941921536', 'plan_type': 'Commercial', 'group_name': 'APPLE INC.', 'payer_name': 'UNITEDHEALTHCARE', 'payer_note': 'FUNDING TYPE = SELF INSURED - LARGE GROUP A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED', 'patient_dob': '2007-11-30', 'plan_number': '1254 1254', 'group_number': '700406', 'insurance_type': None, 'plan_type_code': 'C1', 'enrolled_in_qmb': False, 'patient_last_name': 'BIERNER', 'plan_sponsor_name': None, 'patient_first_name': 'JACOB', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'SELECT PLUS', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8231573828 | N/A | N/A | 5543359 | 2222 | N/A | 9443194 | N/A | 4215160 | 2025-07-11 09:48:25.849891 | 2025-05-13 04:29:37.229477 |
| 2025-07-11 09:36:48.223600 | 2025-07-11 09:37:06.573892 | 9724940 | N/A | N/A | {'payer_id': 'TDFIC', 'payer_name': 'TRICARE FOR LIFE', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1952-10-01', 'date_of_service': '2025-07-14', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6338, 'subscriber_last_name': 'IMPELLIZZERI', 'subscriber_member_id': '154-46-1677', 'subscriber_first_name': 'ROBERT'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/5535554/check_9724940_570024cd-588f-4b9d-83b5-99a550377368.json | AVAILITY | N/A | GOOGLE_CLOUD | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535554/check_9724940_24fe8557-989e-457a-9d22-70f7d4ea88e6.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '154461677', 'plan_type': 'Group Policy', 'group_name': None, 'payer_name': 'TRICARE FOR LIFE', 'payer_note': None, 'patient_dob': '1952-10-01', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': 'GP', 'enrolled_in_qmb': False, 'patient_last_name': 'IMPELLIZZERI', 'plan_sponsor_name': None, 'patient_first_name': 'ROBERT', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'TRICARE FOR LIFE', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5535554 | 2222 | N/A | 9442059 | N/A | 4208460 | 2025-07-11 09:37:06.573892 | 2026-01-01 00:19:01.120151 |
| 2025-07-11 09:22:01.812614 | 2025-07-11 09:22:36.962376 | 9724185 | N/A | N/A | {'payer_id': 'TDFIC', 'payer_name': 'TRICARE FOR LIFE', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '2011-05-18', 'date_of_service': '2025-07-14', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6338, 'subscriber_last_name': 'YUNG', 'subscriber_member_id': '00854676304', 'subscriber_first_name': 'MAYA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543379/check_9724185_c9c05538-4db0-4a47-86af-9a189ad22f0e.json | AVAILITY | N/A | GOOGLE_CLOUD | 2025-07-14 | N/A | N/A | N/A | N/A | N/A | N/A | {'member_id': '00854676304', 'plan_type': None, 'group_name': None, 'payer_name': 'TRICARE FOR LIFE', 'payer_note': None, 'patient_dob': '2011-05-18', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'YUNG', 'plan_sponsor_name': None, 'patient_first_name': 'MAYA', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543379 | 2222 | N/A | N/A | N/A | 4215179 | 2025-07-11 09:22:36.962376 | 2025-05-13 04:29:37.229495 |
| 2025-07-11 09:12:35.567575 | 2025-07-11 09:12:48.408925 | 9723367 | N/A | N/A | {'payer_id': '36273', 'payer_name': 'AARP Medicare Supplement by UnitedHealthcare', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1946-11-18', 'date_of_service': '2025-07-11', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 3842, 'subscriber_last_name': 'STECHER', 'subscriber_member_id': '34232537512', 'subscriber_first_name': 'BRIAN'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543053/check_9723367_cc1dfcc2-5b24-4825-bb08-ba4f98c31bfe.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543053/check_9723367_664640f8-a676-4d4a-9150-b0df8c7d1f35.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '34232537512', 'plan_type': 'Supplemental Policy', 'group_name': None, 'payer_name': 'AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE', 'payer_note': "THE ELIGIBILITY AND BENEFIT INFORMATION PROVIDED IS NOT A GUARANTEE OR PROMISE OF PAYMENT. PAYMENT DETERMINATION ONLY OCCURS AFTER THE CLAIM IS PROCESSED BY MEDICARE AND BY THE SUPPLEMENTAL PLAN ACCORDING TO THE MEMBER'S BENEFITS.", 'patient_dob': '1946-11-18', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': 'SP', 'enrolled_in_qmb': False, 'patient_last_name': 'STECHER', 'plan_sponsor_name': None, 'patient_first_name': 'BRIAN', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'AARP MEDICARE SUPPLEMENT PLAN G', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8231419021 | N/A | N/A | 5543053 | 2222 | N/A | 9440457 | N/A | 4214891 | 2025-07-11 09:12:48.408925 | 2025-05-13 04:29:37.229214 |