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API Endpoints
Total rows: 63,403
| 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 09:05:43.952315 | 2025-07-12 09:20:57.410291 | 9712493 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': '1114042165', 'trace_number': '9712493', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1990-01-12', 'date_of_service': '2025-07-11', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'Ahdoot', 'subscriber_member_id': 'XED913946463', 'subscriber_first_name': 'Jennifer'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250711.115922229.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6947892/check_9712493_e176e99f-b0d9-4974-aeb8-9ad9ebf22d8e.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XED913946463', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'IFP ON EXCHANGE', 'payer_name': 'BLUE SHIELD CALIFORNIA', 'payer_note': None, 'patient_dob': '1990-01-12', 'plan_number': '2001ZK002184', 'group_number': 'X0001004', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'AHDOOT', 'plan_sponsor_name': None, 'patient_first_name': 'JENNIFER', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2025-01-01', 'plan_coverage_description': 'IFP EMB PED DPPO JAN15', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8231407752 | N/A | N/A | 6947892 | 2222 | 4802 | 9480607 | N/A | 5975888 | 2025-07-12 09:20:57.410291 | 2025-07-10 15:36:45.280553 |
| 2025-07-11 09:05:35.824580 | 2025-07-12 09:18:40.093095 | 9712104 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9712104', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1967-05-29', 'date_of_service': '2025-07-11', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'subscriber_last_name': 'FINN', 'subscriber_member_id': 'JQU683A20101', 'subscriber_first_name': 'PATRICK'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250711.115922229.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6938589/check_9712104_c03f1ad1-1131-4e92-a18d-abe795983226.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'JQU683A20101', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'GLOBALWIDE MEDIA INC', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1967-05-29', 'plan_number': '040', 'group_number': 'Q18255', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'FINN', 'plan_sponsor_name': None, 'patient_first_name': 'PATRICK', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2024-12-01', 'plan_coverage_description': 'CA SG ANTHEM PPO', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8231409397 | N/A | N/A | 6938589 | 2222 | 4793 | 9479843 | N/A | 5969280 | 2025-07-12 09:18:40.093095 | 2025-07-09 21:37:07.694893 |
| 2025-07-11 09:05:22.380034 | 2025-07-12 02:06:26.244320 | 9711570 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9711570', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '2008-06-03', 'date_of_service': '2025-07-11', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'subscriber_last_name': 'DATO', 'subscriber_member_id': 'NGO555A50496', 'subscriber_first_name': 'BRETT'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250711.115745542.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5551045/check_9711570_715d8888-b9fa-4cc9-ac2b-f39070349344.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'NGO555A50496', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'NORTHROP GRUMMAN CORP', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '2008-06-03', 'plan_number': '040', 'group_number': '174022MJAD', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'DATO', 'plan_sponsor_name': None, 'patient_first_name': 'GREGORY', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2021-01-02', 'plan_coverage_description': 'CDHP CA GENERIC HLTH SAVINGS ACCT', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8231356879 | N/A | N/A | 5551045 | 2222 | 4793 | 9460309 | N/A | 4219851 | 2025-07-12 02:06:26.244320 | 2025-05-13 04:29:37.230897 |
| 2025-07-11 09:05:22.138532 | 2025-07-12 02:09:55.009519 | 9711558 | N/A | N/A | {'payer_id': 'Z1073', 'payer_name': 'Medicare B California Southern', 'provider_npi': '1114042165', 'trace_number': '9711558', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1978-11-15', 'date_of_service': '2025-07-11', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'LEVIN', 'subscriber_member_id': '8UF4J49FH09', 'subscriber_first_name': 'SHANNON'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250711.115745542.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550976/check_9711558_8be28b8d-f06d-4f8d-b85e-83ab96a419e8.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '8UF4J49FH09', 'plan_type': 'Medicare Part B', 'group_name': None, 'payer_name': 'WELLCARE PRESCRIPTION INSURANCE, INC.', 'payer_note': '1-BENEFICIARY INSURED DUE TO DISABILITY', 'patient_dob': '1978-11-15', 'plan_number': 'S4802', 'group_number': None, 'insurance_type': None, 'plan_type_code': 'MB', 'enrolled_in_qmb': False, 'patient_last_name': 'LEVIN', 'plan_sponsor_name': None, 'patient_first_name': 'SHANNON', '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 | 8231356878 | N/A | N/A | 5550976 | 2222 | 4801 | 9462144 | N/A | 4219800 | 2025-07-12 02:09:55.009519 | 2025-05-13 04:29:37.230840 |
| 2025-07-11 09:05:21.879668 | 2025-07-12 02:06:27.685387 | 9711547 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9711547', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1962-04-09', 'date_of_service': '2025-07-11', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'HARDING', 'subscriber_member_id': 'XDP157A51099', 'subscriber_first_name': 'MICHELE'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250711.115745542.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550953/check_9711547_2729d151-9f5b-4500-b560-b4ca01ccf06e.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XDP157A51099', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'CALIFORNIA SCHOOL EMPLOYEE BENEFIT ORGANIZATION', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1962-04-09', 'plan_number': '040', 'group_number': '175092M330', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'HARDING', 'plan_sponsor_name': None, 'patient_first_name': 'MICHELE', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2024-01-01', 'plan_coverage_description': 'CA GENERIC HLTH SAVINGS ACCT', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8231356877 | N/A | N/A | 5550953 | 2222 | 4801 | 9460323 | N/A | 4219788 | 2025-07-12 02:06:27.685387 | 2025-06-06 22:01:46.271450 |
| 2025-07-11 09:05:21.642135 | 2025-07-12 02:06:58.376321 | 9711539 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': '1114042165', 'trace_number': '9711539', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1986-08-03', 'date_of_service': '2025-07-11', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'subscriber_last_name': 'AMENT', 'subscriber_member_id': 'XED913057951', 'subscriber_first_name': 'NATHAN'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250711.115745542.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550865/check_9711539_1109e5a9-d8f5-44d5-a989-9a13f72fb0f1.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XED913057951', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'IFP ON EXCHANGE', 'payer_name': 'BLUE SHIELD CALIFORNIA', 'payer_note': None, 'patient_dob': '1986-08-03', 'plan_number': '2001ZK002185', 'group_number': 'X0001004', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'AMENT', 'plan_sponsor_name': None, 'patient_first_name': 'NATHAN', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2024-03-01', 'plan_coverage_description': 'IFP EMB PED VISION', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8231356876 | N/A | N/A | 5550865 | 2222 | 4802 | 9460613 | N/A | 4215196 | 2025-07-12 02:06:58.376321 | 2025-05-13 04:29:37.229513 |
| 2025-07-11 09:05:21.442800 | 2025-07-12 02:02:59.500927 | 9711532 | N/A | N/A | {'payer_id': '60054', 'payer_name': 'Aetna', 'provider_npi': '1114042165', 'trace_number': '9711532', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1991-03-21', 'date_of_service': '2025-07-11', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'CARDINALI', 'subscriber_member_id': 'W286606913', 'subscriber_first_name': 'NICOLE'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250711.115745542.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550850/check_9711532_4e72f553-fc31-48a0-b877-10a80cf95e32.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'W286606913', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'LHI GROUP INC.', 'payer_name': 'AETNA', 'payer_note': None, 'patient_dob': '1991-03-21', 'plan_number': '0887487', 'group_number': '088748701000001', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'CARDINALI', 'plan_sponsor_name': None, 'patient_first_name': 'NICOLE', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'OPEN CHOICE', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8231356875 | N/A | N/A | 5550850 | 2222 | 4802 | 9458457 | N/A | 4215195 | 2025-07-12 02:02:59.500927 | 2025-05-14 09:08:40.751930 |
| 2025-07-11 09:05:21.299543 | 2025-07-12 02:06:59.936487 | 9711525 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': '1114042165', 'trace_number': '9711525', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1975-08-17', 'date_of_service': '2025-07-11', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'PANDYA', 'subscriber_member_id': 'XEA913306283', 'subscriber_first_name': 'DHARA'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250711.115745542.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550845/check_9711525_cc856da1-dd86-4a4b-b658-15f12626cc84.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'VBG913306283', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'BLUE SHIELD OF CALIFORNIA EMPLOYER GROUP', 'payer_name': 'BLUE SHIELD CALIFORNIA', 'payer_note': None, 'patient_dob': '1975-08-17', 'plan_number': '1000VX000002', 'group_number': 'W0051414', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'PANDYA', 'plan_sponsor_name': None, 'patient_first_name': 'DHARA', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2024-06-03', 'plan_coverage_description': 'BLUE SHIELD OF CALIFORNIA ASO PPO DENTAL PLAN', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8231356874 | N/A | N/A | 5550845 | 2222 | 4801 | 9460629 | N/A | 4219713 | 2025-07-12 02:06:59.936487 | 2025-08-13 22:46:55.732965 |
| 2025-07-11 09:05:21.131501 | 2025-07-12 02:06:58.690277 | 9711519 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': '1114042165', 'trace_number': '9711519', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1979-05-08', 'date_of_service': '2025-07-11', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'JEBBARI DELSHAD', 'subscriber_member_id': 'XED913120799', 'subscriber_first_name': 'NEDA'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250711.115745542.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550827/check_9711519_5ba2d242-b057-4c1c-92c3-ec9410f571df.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XED913120799', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'IFP ON EXCHANGE', 'payer_name': 'BLUE SHIELD CALIFORNIA', 'payer_note': None, 'patient_dob': '1979-05-08', 'plan_number': '2001ZK002184', 'group_number': 'X0001004', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'DELSHAD', 'plan_sponsor_name': None, 'patient_first_name': 'ALLEN', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2025-01-01', 'plan_coverage_description': 'SILVER 94 PPO JAN25', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8231356873 | N/A | N/A | 5550827 | 2222 | 4802 | 9460616 | N/A | 4219700 | 2025-07-12 02:06:58.690277 | 2025-05-13 04:29:37.230745 |
| 2025-07-11 09:05:20.947556 | 2025-07-12 02:01:30.191229 | 9711510 | N/A | N/A | {'payer_id': 'REGAL', 'payer_name': 'Regal Medical Group', 'provider_npi': '1114042165', 'trace_number': '9711510', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1982-11-09', 'date_of_service': '2025-07-11', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'subscriber_last_name': 'JOHNSON', 'subscriber_member_id': 'XEH907100980', 'subscriber_first_name': 'DANIEL'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250711.115745542.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550815/check_9711510_c04d8b1e-8eb2-4878-8847-a5fd442c2c4f.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XEH907100980', 'plan_type': None, 'group_name': None, 'payer_name': 'REGAL MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1982-11-09', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'JOHNSON', 'plan_sponsor_name': None, 'patient_first_name': 'DANIEL', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8231356872 | N/A | N/A | 5550815 | 2222 | 4801 | 9457976 | N/A | 4219693 | 2025-07-12 02:01:30.191229 | 2025-05-13 04:29:37.230738 |
| 2025-07-11 09:05:20.442218 | 2025-07-12 02:09:54.311026 | 9711491 | N/A | N/A | {'payer_id': 'Z1073', 'payer_name': 'Medicare B California Southern', 'provider_npi': '1114042165', 'trace_number': '9711491', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1956-02-24', 'date_of_service': '2025-07-11', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'KUDLATOVA', 'subscriber_member_id': '9Q04X31JA99', 'subscriber_first_name': 'MARIE'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250711.115745542.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549471/check_9711491_529438da-7249-4778-b83a-920a40f6448e.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '9Q04X31JA99', 'plan_type': 'Medicare Part A', 'group_name': None, 'payer_name': 'CMS', 'payer_note': '0-BENEFICIARY INSURED DUE TO AGE OASI', 'patient_dob': '1956-02-24', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': 'MA', 'enrolled_in_qmb': False, 'patient_last_name': 'KUDLATOVA', 'plan_sponsor_name': None, 'patient_first_name': 'MARIE', '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 | 8231356870 | N/A | N/A | 5549471 | 2222 | 4801 | 9462138 | N/A | 4219128 | 2025-07-12 02:09:54.311026 | 2025-05-13 04:29:37.230146 |
| 2025-07-11 09:05:20.211351 | 2025-07-12 02:09:54.001315 | 9711478 | N/A | N/A | {'payer_id': 'Z1073', 'payer_name': 'Medicare B California Southern', 'provider_npi': '1114042165', 'trace_number': '9711478', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1942-04-09', 'date_of_service': '2025-07-11', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'JALLAD', 'subscriber_member_id': '7AY7QW7EK46', 'subscriber_first_name': 'IKRAM'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250711.115745542.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549454/check_9711478_9c1275d5-aba3-4c74-a311-aaf7ebebd6e0.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '7AY7QW7EK46', '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': '1942-04-09', 'plan_number': 'S5617', 'group_number': None, 'insurance_type': None, 'plan_type_code': 'MB', 'enrolled_in_qmb': False, 'patient_last_name': 'JALLAD', 'plan_sponsor_name': None, 'patient_first_name': 'IKRAM', '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 | 8231356869 | N/A | N/A | 5549454 | 2222 | 4801 | 9462136 | N/A | 4219116 | 2025-07-12 02:09:54.001315 | 2025-05-16 16:43:35.854220 |
| 2025-07-11 09:05:19.832944 | 2025-07-12 02:06:29.459667 | 9711465 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9711465', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1962-01-25', 'date_of_service': '2025-07-11', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'LUCZYWEK', 'subscriber_member_id': 'HFD100011213709', 'subscriber_first_name': 'DEBORA'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250711.115745542.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549317/check_9711465_f313d4f0-82b6-481f-b538-47ee6af04ff0.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'HFD100011213709', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': None, 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': 'IF THE MEMBER QUALIFIES FOR COBRA COVERAGE,THE POLICY MAY BE SUBJECT TO RETROACTIVE CANCELLATION OR REINSTATEMENT, BASED ON THE PLAN DESIGN AND THE MEMBER COBRA ELECTION. FOR A COMPLETE LIST OF COVERED PREVENTIVE SERVICES PLEASE VISIT WWW.USPREVENTIVESERVICESTASKFORCE.ORG.THEN AT THE BOTTOM OF THE PAGE, UNDER RECOMMENDATIONS, CLICK ON THE LINK FOR USPSTF A AND B RECOMMENDATIONS.', 'patient_dob': '1962-01-25', 'plan_number': None, 'group_number': '716116N04', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'LUCZYWEK', 'plan_sponsor_name': None, 'patient_first_name': 'MARIUSZ', 'patient_middle_name': None, 'date_time_period_end': '2026-01-01', 'date_time_period_start': '2025-01-01', 'plan_coverage_description': 'PREFERRED_PROVIDER_ORG_(PPO)', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8231356868 | N/A | N/A | 5549317 | 2222 | 4801 | 9460339 | N/A | 4219010 | 2025-07-12 02:06:29.459667 | 2026-01-09 18:32:07.618867 |
| 2025-07-11 09:05:15.750867 | 2025-07-12 09:14:35.435661 | 9711283 | N/A | N/A | {'payer_id': 'Z1073', 'payer_name': 'Medicare B California Southern', 'provider_npi': '1114042165', 'trace_number': '9711283', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1929-02-22', 'date_of_service': '2025-07-11', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'SCOTT', 'subscriber_member_id': '2F27FV6KJ47', 'subscriber_first_name': 'GEORGE'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250711.115633772.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6105989/check_9711283_50926c54-f82f-43d0-bd85-8b77afb5d73f.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '2F27FV6KJ47', 'plan_type': 'Medicare Part A', 'group_name': None, 'payer_name': 'CMS', 'payer_note': '0-BENEFICIARY INSURED DUE TO AGE OASI', 'patient_dob': '1929-02-22', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': 'MA', '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 | 8231373060 | N/A | N/A | 6105989 | 2222 | 4802 | 9478182 | N/A | 4750274 | 2025-07-12 09:14:35.435661 | 2025-06-12 22:26:37.845238 |
| 2025-07-11 09:05:14.843717 | 2025-07-12 02:06:30.088983 | 9711250 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'ANTHEM BLUE CROSS', 'provider_npi': '1114042165', 'trace_number': '9711250', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1960-09-07', 'date_of_service': '2025-07-11', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'subscriber_last_name': 'MEINERT', 'subscriber_member_id': 'XEH912496752', 'subscriber_first_name': 'TIM'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250711.115745542.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543360/check_9711250_79ee9149-4e18-4638-a483-f00e7b852b43.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XEH912496752', 'plan_type': 'Health Maintenance Organization (HMO)', 'group_name': 'MILKEN COMMUNITY SCHOOLS', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1960-09-07', 'plan_number': '1000HMOX0001', 'group_number': 'W0070317', 'insurance_type': None, 'plan_type_code': 'HM', 'enrolled_in_qmb': False, 'patient_last_name': 'MEINERT', 'plan_sponsor_name': None, 'patient_first_name': 'TIMOTHY', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'ACCESS HMO R PER ADMIT 10 250', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8231356846 | N/A | N/A | 5543360 | 2222 | 4793 | 9460345 | 4184 | 4215161 | 2025-07-12 02:06:30.088983 | 2025-05-13 04:29:37.229478 |
| 2025-07-11 09:05:14.521278 | 2025-07-12 02:06:59.634297 | 9711238 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': '1114042165', 'trace_number': '9711238', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1987-10-17', 'date_of_service': '2025-07-11', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'PATEL', 'subscriber_member_id': 'XEA910759571', 'subscriber_first_name': 'MAMTABEN'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250711.115745542.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543327/check_9711238_2ad02c78-6391-4730-86eb-4b21cdfd6655.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XEA910759571', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'RELATIVITY SPACE INC', 'payer_name': 'BLUE SHIELD CALIFORNIA', 'payer_note': None, 'patient_dob': '1987-10-17', 'plan_number': '1000PPOX0004', 'group_number': 'W0071038', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'KROL', 'plan_sponsor_name': None, 'patient_first_name': 'JEREMY', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'FULL PPO SAVINGS TWO TIER EMBEDDED DEDUCTIBLE 1650', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8231356845 | N/A | N/A | 5543327 | 2222 | 4802 | 9460626 | N/A | 4215137 | 2025-07-12 02:06:59.634297 | 2025-10-13 23:09:53.444170 |
| 2025-07-11 09:05:14.234470 | 2025-07-12 02:01:25.416892 | 9711224 | N/A | N/A | {'payer_id': 'LMG01', 'payer_name': 'Lakeside Medical Group', 'provider_npi': '1114042165', 'trace_number': '9711224', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1962-05-10', 'date_of_service': '2025-07-11', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'ADHAMI', 'subscriber_member_id': '95671183F', 'subscriber_first_name': 'SOHAILA'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250711.115745542.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543265/check_9711224_cd988a30-5314-4c54-a4a0-665a8a518be8.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '95671183F', 'plan_type': None, 'group_name': None, 'payer_name': 'LAKESIDE MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1962-05-10', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'ADHAMI', 'plan_sponsor_name': None, 'patient_first_name': 'SOHAILA', '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 | 8231356844 | N/A | N/A | 5543265 | 2222 | 4802 | 9457960 | N/A | 4215082 | 2025-07-12 02:01:25.416892 | 2025-05-13 04:29:37.229397 |
| 2025-07-11 09:05:14.034312 | 2025-07-12 02:09:55.656197 | 9711216 | N/A | N/A | {'payer_id': 'Z1073', 'payer_name': 'Medicare B California Southern', 'provider_npi': '1114042165', 'trace_number': '9711216', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1953-05-17', 'date_of_service': '2025-07-11', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'SINGER', 'subscriber_member_id': '8XN3QF1XM78', 'subscriber_first_name': 'KAREN'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250711.115745542.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543247/check_9711216_dba9f6be-3953-4db7-a81f-d1360905e794.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '8XN3QF1XM78', 'plan_type': 'Medicare Part A', 'group_name': None, 'payer_name': 'SILVERSCRIPT INSURANCE COMPANY', 'payer_note': '0-BENEFICIARY INSURED DUE TO AGE OASI', 'patient_dob': '1953-05-17', 'plan_number': 'S5601', 'group_number': None, 'insurance_type': None, 'plan_type_code': 'MA', 'enrolled_in_qmb': False, 'patient_last_name': 'SINGER', 'plan_sponsor_name': None, 'patient_first_name': 'KAREN', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8231357069 | N/A | N/A | 5543247 | 2222 | 4793 | 9462149 | N/A | 4215066 | 2025-07-12 02:09:55.656197 | 2025-05-13 04:29:37.229384 |
| 2025-07-11 09:05:13.844110 | 2025-07-12 02:07:00.973818 | 9711206 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': '1114042165', 'trace_number': '9711206', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '2002-06-02', 'date_of_service': '2025-07-11', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'subscriber_last_name': 'VIRGIL', 'subscriber_member_id': 'XEK905426435', 'subscriber_first_name': 'NICHOLAS'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250711.115745542.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543237/check_9711206_b0c35896-bf40-4ef4-b21b-ba479a745191.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XEK905426435', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'IFP OFF EXCHANGE', 'payer_name': 'BLUE SHIELD CALIFORNIA', 'payer_note': None, 'patient_dob': '2002-06-02', 'plan_number': '2001ZK002195', 'group_number': 'X0001000', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'VIRGIL', 'plan_sponsor_name': None, 'patient_first_name': 'JEFF', 'patient_middle_name': None, 'date_time_period_end': '2028-06-30', 'date_time_period_start': '2025-01-01', 'plan_coverage_description': 'BRONZE 60 HDHP PPO JAN25', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8231357068 | N/A | N/A | 5543237 | 2222 | 4802 | 9460640 | N/A | 4215054 | 2025-07-12 02:07:00.973818 | 2025-05-13 04:29:37.229375 |
| 2025-07-11 09:05:13.695959 | 2025-07-12 02:06:29.778027 | 9711201 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9711201', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '2003-10-09', 'date_of_service': '2025-07-11', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'LUKOWITSCH', 'subscriber_member_id': 'XDPCA8263500', 'subscriber_first_name': 'HALLIE'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250711.115745542.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543178/check_9711201_c9578a0a-6a1c-4563-b6fb-29eafd8978ae.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XDPCA8263500', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'UCLA - UNDERGRAD', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '2003-10-09', 'plan_number': '040', 'group_number': '275958P701', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'LUKOWITSCH', 'plan_sponsor_name': None, 'patient_first_name': 'HALLIE', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2024-09-23', 'plan_coverage_description': 'PPO UC SHIP', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8231357067 | N/A | N/A | 5543178 | 2222 | 4802 | 9460342 | N/A | 4215006 | 2025-07-12 02:06:29.778027 | 2025-05-13 04:29:37.229325 |
| 2025-07-11 09:05:13.528502 | 2025-07-12 02:06:29.103095 | 9711191 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9711191', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1994-02-19', 'date_of_service': '2025-07-11', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'subscriber_last_name': 'LIEBLEIN', 'subscriber_member_id': 'MSJ60221038001', 'subscriber_first_name': 'RYAN'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250711.115745542.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543099/check_9711191_735b240e-1689-4057-bcd6-982b4702ee79.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'MSJ60221038001', 'plan_type': 'Other', 'group_name': 'MICROSOFT', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1994-02-19', 'plan_number': None, 'group_number': '1000010', 'insurance_type': None, 'plan_type_code': 'OT', 'enrolled_in_qmb': False, 'patient_last_name': 'LIEBLEIN', 'plan_sponsor_name': None, 'patient_first_name': 'RYAN', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2017-07-10', 'plan_coverage_description': 'SELF-FUNDED HDHP HERITAGE', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8231357066 | N/A | N/A | 5543099 | 2222 | 4802 | 9460335 | N/A | 4214934 | 2025-07-12 02:06:29.103095 | 2025-05-13 04:29:37.229256 |
| 2025-07-11 09:05:13.397669 | 2025-07-12 02:09:53.265455 | 9711188 | N/A | N/A | {'payer_id': 'Z1073', 'payer_name': 'Medicare B California Southern', 'provider_npi': '1114042165', 'trace_number': '9711188', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1940-11-11', 'date_of_service': '2025-07-11', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'GOLDBERG', 'subscriber_member_id': '9EE6XY2TM41', 'subscriber_first_name': 'Michael'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250711.115745542.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542970/check_9711188_f00f789f-9f33-4244-bfe9-202256c03349.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '9EE6XY2TM41', 'plan_type': 'Medicare Part A', 'group_name': None, 'payer_name': 'SILVERSCRIPT INSURANCE COMPANY', 'payer_note': '0-BENEFICIARY INSURED DUE TO AGE OASI', 'patient_dob': '1940-11-11', 'plan_number': 'S5601', 'group_number': None, 'insurance_type': None, 'plan_type_code': 'MA', 'enrolled_in_qmb': False, 'patient_last_name': 'GOLDBERG', 'plan_sponsor_name': None, 'patient_first_name': 'MICHAEL', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8231357065 | N/A | N/A | 5542970 | 2222 | 4802 | 9462130 | N/A | 4214820 | 2025-07-12 02:09:53.265455 | 2025-06-30 02:56:23.324592 |
| 2025-07-11 09:05:13.260090 | 2025-07-12 02:09:52.933298 | 9711181 | N/A | N/A | {'payer_id': 'Z1073', 'payer_name': 'Medicare B California Southern', 'provider_npi': '1114042165', 'trace_number': '9711181', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1944-10-29', 'date_of_service': '2025-07-11', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'GOLDBERG', 'subscriber_member_id': '6YD7TP7AC72', 'subscriber_first_name': 'LINDA'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250711.115745542.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542935/check_9711181_4fd97d22-9fd1-493d-b078-f267e66a6e0f.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '6YD7TP7AC72', 'plan_type': 'Medicare Part A', 'group_name': None, 'payer_name': 'SILVERSCRIPT INSURANCE COMPANY', 'payer_note': '0-BENEFICIARY INSURED DUE TO AGE OASI', 'patient_dob': '1944-10-29', 'plan_number': 'S5601', 'group_number': None, 'insurance_type': None, 'plan_type_code': 'MA', 'enrolled_in_qmb': False, 'patient_last_name': 'GOLDBERG', 'plan_sponsor_name': None, 'patient_first_name': 'LINDA', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8231357064 | N/A | N/A | 5542935 | 2222 | 4802 | 9462128 | N/A | 4214789 | 2025-07-12 02:09:52.933298 | 2025-12-11 23:30:31.319246 |
| 2025-07-11 09:05:13.140293 | 2025-07-12 02:06:25.511856 | 9711177 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'ANTHEM BLUE CROSS', 'provider_npi': '1114042165', 'trace_number': '9711177', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '2007-05-15', 'date_of_service': '2025-07-11', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'subscriber_last_name': 'BAIRD', 'subscriber_member_id': 'XEH909620608', 'subscriber_first_name': 'WILLIAM'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250711.115745542.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542883/check_9711177_091b29b8-5944-4c59-8d47-8878088b78bf.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XEH909620608', 'plan_type': 'Health Maintenance Organization (HMO)', 'group_name': 'PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '2007-05-15', 'plan_number': '1479HMOX0001', 'group_number': 'W0051411', 'insurance_type': None, 'plan_type_code': 'HM', 'enrolled_in_qmb': False, 'patient_last_name': 'BAIRD', 'plan_sponsor_name': None, 'patient_first_name': 'SHAYA', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'CALPERS ACTIVE ACCESS HMO GROUP BILL', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8231357063 | N/A | N/A | 5542883 | 2222 | 4793 | 9460303 | 4184 | 4214747 | 2025-07-12 02:06:25.511856 | 2025-05-13 04:29:37.229066 |
| 2025-07-11 09:05:12.976370 | 2025-07-12 02:06:31.442331 | 9711171 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9711171', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '2009-08-28', 'date_of_service': '2025-07-11', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'subscriber_last_name': 'GARCIA', 'subscriber_member_id': 'FJB21294792M', 'subscriber_first_name': 'STARR'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250711.115745542.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542769/check_9711171_8ced507a-447c-481b-9f01-563a68575eab.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'FJB21294792M', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'BANK OF AMERICA CORPORATION', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '2009-08-28', 'plan_number': '101', 'group_number': '174549M111', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'RAY', 'plan_sponsor_name': None, 'patient_first_name': 'ALLISON', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2016-01-01', 'plan_coverage_description': 'BLUECARD PPO', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8231357062 | N/A | N/A | 5542769 | 2222 | 4801 | 9460359 | N/A | 4214641 | 2025-07-12 02:06:31.442331 | 2025-12-09 08:50:02.875071 |
| 2025-07-11 09:05:12.729133 | 2025-07-12 02:04:50.830715 | 9711158 | N/A | N/A | {'payer_id': '62308', 'payer_name': 'American Specialty Health', 'provider_npi': '1114042165', 'trace_number': '9711158', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1970-01-05', 'date_of_service': '2025-07-11', 'subscriber_gender': 'F', 'service_type_codes': ['AD'], 'subscriber_last_name': 'HOWELLS', 'subscriber_member_id': 'U4973334602', 'subscriber_first_name': 'EMMA'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250711.115745542.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542686/check_9711158_a1d3d109-81ff-4332-8a5c-a53871ea112a.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'U4973334602', 'plan_type': None, 'group_name': 'CRINETICS PHARMACEUTICALS, INC.', 'payer_name': 'CHLIC', 'payer_note': 'PROVIDER IS IN NETWORK BASED ON NPI ID PROVIDED IN REQUEST NEW BUSINESS RATES APPLIED PERSONAL HEALTH SOLUTIONS PLUS', 'patient_dob': '1970-01-05', 'plan_number': None, 'group_number': '3345982', 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'HOWELLS', 'plan_sponsor_name': None, 'patient_first_name': 'EMMA', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'OPEN ACCESS PLUS', 'relationship_to_subscriber': None} | ['AD'] | N/A | N/A | N/A | N/A | N/A | 8231357061 | N/A | N/A | 5542686 | 2222 | 4793 | 9459434 | N/A | 4214565 | 2025-07-12 02:04:50.830715 | 2025-05-13 04:29:37.228889 |
| 2025-07-11 09:05:12.567502 | 2025-07-12 02:06:28.349146 | 9711149 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9711149', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '2016-02-11', 'date_of_service': '2025-07-11', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'subscriber_last_name': 'KANG', 'subscriber_member_id': 'PVG127A71148', 'subscriber_first_name': 'NATHAN'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250711.115745542.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542649/check_9711149_acff5e46-8b6e-4214-a829-1902ccaa98b3.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'PVG127A71148', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'AVAGO TECHNOLOGIES INC', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '2016-02-11', 'plan_number': '040', 'group_number': '174205M6C9', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'KANG', 'plan_sponsor_name': None, 'patient_first_name': 'EUGENE', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2024-03-01', 'plan_coverage_description': 'CDHP CA GENERIC HLTH SAVINGS ACCT', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8231357060 | N/A | N/A | 5542649 | 2222 | 4793 | 9460329 | N/A | 4214536 | 2025-07-12 02:06:28.349146 | 2025-05-13 04:29:37.228862 |
| 2025-07-11 09:05:12.392838 | 2025-07-12 02:06:28.689194 | 9711142 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'ANTHEM BLUE CROSS', 'provider_npi': '1114042165', 'trace_number': '9711142', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1962-10-12', 'date_of_service': '2025-07-11', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'KOOMAN ANDERSON', 'subscriber_member_id': 'KXJ461W13871', 'subscriber_first_name': 'SARIE'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250711.115745542.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542565/check_9711142_61b1d5d8-4bf1-4912-8b81-cc7601a4adbf.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'KXJ461W13871', 'plan_type': 'Health Maintenance Organization (HMO)', 'group_name': 'OAKS CHRISTIAN SCHOOL', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1962-10-12', 'plan_number': '040', 'group_number': 'L03502H004', 'insurance_type': None, 'plan_type_code': 'HM', 'enrolled_in_qmb': False, 'patient_last_name': 'KOOMAN ANDERSON', 'plan_sponsor_name': None, 'patient_first_name': 'SARIE', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2024-09-01', 'plan_coverage_description': 'PREMIER SELECT HMO', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8231357059 | N/A | N/A | 5542565 | 2222 | 4793 | 9460333 | 4184 | 4214430 | 2025-07-12 02:06:28.689194 | 2025-06-03 20:17:16.657562 |
| 2025-07-11 09:05:12.267298 | 2025-07-12 02:09:51.649729 | 9711135 | N/A | N/A | {'payer_id': 'Z1073', 'payer_name': 'Medicare B California Southern', 'provider_npi': '1114042165', 'trace_number': '9711135', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1954-11-24', 'date_of_service': '2025-07-11', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'BLANCHFIELD', 'subscriber_member_id': '2RP5EF8DU55', 'subscriber_first_name': 'THOMAS'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250711.115745542.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542555/check_9711135_f31b2ef3-dfac-456d-ab4b-5d0aa36ccc13.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '2RP5EF8DU55', 'plan_type': 'Medicare Part A', 'group_name': None, 'payer_name': 'CMS', 'payer_note': '0-BENEFICIARY INSURED DUE TO AGE OASI', 'patient_dob': '1954-11-24', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': 'MA', 'enrolled_in_qmb': False, 'patient_last_name': 'BLANCHFIELD', 'plan_sponsor_name': None, 'patient_first_name': 'THOMAS', '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 | 8231357058 | N/A | N/A | 5542555 | 2222 | 4793 | 9462116 | N/A | 4214447 | 2025-07-12 02:09:51.649729 | 2025-05-13 04:29:37.228764 |
| 2025-07-11 09:05:12.053157 | 2025-07-12 02:09:56.006841 | 9711127 | N/A | N/A | {'payer_id': 'Z1073', 'payer_name': 'Medicare B California Southern', 'provider_npi': '1114042165', 'trace_number': '9711127', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1949-11-21', 'date_of_service': '2025-07-11', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'WOLFE', 'subscriber_member_id': '7JF6YW4EF47', 'subscriber_first_name': 'KEVIN'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250711.115745542.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542521/check_9711127_6242ae45-c5ef-4e4a-ab1a-8a37598f3aa9.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '7JF6YW4EF47', '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': '1949-11-21', 'plan_number': 'S4802', 'group_number': None, 'insurance_type': None, 'plan_type_code': 'MA', 'enrolled_in_qmb': False, 'patient_last_name': 'WOLFE', 'plan_sponsor_name': None, 'patient_first_name': 'KEVIN', '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 | 8231357057 | N/A | N/A | 5542521 | 2222 | 4801 | 9462151 | N/A | 4214422 | 2025-07-12 02:09:56.006841 | 2025-05-13 04:29:37.228745 |
| 2025-07-11 09:05:11.782035 | 2025-07-12 02:06:32.424904 | 9711114 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9711114', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1948-07-22', 'date_of_service': '2025-07-11', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'UTLEY', 'subscriber_member_id': 'MBL209M95251', 'subscriber_first_name': 'SHERIDAN'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250711.115745542.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542387/check_9711114_1bd9ef40-2c80-4394-9a57-b51732a7d86d.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'MBL209M95251', 'plan_type': None, 'group_name': 'MOTION PICTURE INDUSTRY HEALTH PLAN', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1948-07-22', 'plan_number': '040', 'group_number': 'CAEGR002', 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'UTLEY', 'plan_sponsor_name': None, 'patient_first_name': 'SHERIDAN', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2021-01-01', 'plan_coverage_description': 'CA GRS MPI H4036-802 ANTHEM MEDICARE PREFERRED MA', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8231357056 | N/A | N/A | 5542387 | 2222 | 4801 | 9460370 | N/A | 4214300 | 2025-07-12 02:06:32.424904 | 2025-06-17 13:03:57.252701 |
| 2025-07-11 09:05:11.572700 | 2025-07-12 02:06:59.282078 | 9711104 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': '1114042165', 'trace_number': '9711104', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1959-03-16', 'date_of_service': '2025-07-11', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'KATZ', 'subscriber_member_id': 'XEA913769083', 'subscriber_first_name': 'LYNNE'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250711.115745542.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542358/check_9711104_ccf4c040-bfbe-4049-8d20-7681fe32d8ee.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XAN913769083', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM', 'payer_name': 'BLUE SHIELD CALIFORNIA', 'payer_note': None, 'patient_dob': '1959-03-16', 'plan_number': '1000PPOX0002', 'group_number': 'W0051411', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'KATZ', 'plan_sponsor_name': None, 'patient_first_name': 'GARY', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'CALPERS ASO PLATINUM PPO GROUP BILL', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8231357055 | N/A | N/A | 5542358 | 2222 | 4801 | 9460623 | N/A | 4214270 | 2025-07-12 02:06:59.282078 | 2025-05-13 04:29:37.228601 |
| 2025-07-11 09:05:11.271134 | 2025-07-12 02:06:58.976881 | 9711091 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': '1114042165', 'trace_number': '9711091', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '2016-06-10', 'date_of_service': '2025-07-11', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'subscriber_last_name': 'KARZI', 'subscriber_member_id': 'XEK904667385', 'subscriber_first_name': 'DAMAN'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250711.115745542.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542225/check_9711091_b4f80092-e3a4-40e8-8d81-6716fac927df.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XEK904667385', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'IFP OFF EXCHANGE', 'payer_name': 'BLUE SHIELD CALIFORNIA', 'payer_note': None, 'patient_dob': '2016-06-10', 'plan_number': '2001ZH002662', 'group_number': 'X0001000', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'KARZI', 'plan_sponsor_name': None, 'patient_first_name': 'AHSAN', 'patient_middle_name': None, 'date_time_period_end': '2042-06-30', 'date_time_period_start': '2025-01-01', 'plan_coverage_description': 'SILVER 70 OFF EXCHANGE PPO JAN25', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8231357054 | N/A | N/A | 5542225 | 2222 | 4801 | 9460619 | N/A | 4214165 | 2025-07-12 02:06:58.976881 | 2025-06-06 02:22:28.229626 |
| 2025-07-11 09:05:10.887574 | 2025-07-12 02:06:31.114000 | 9711078 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9711078', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '2008-04-12', 'date_of_service': '2025-07-11', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'subscriber_last_name': 'PULS', 'subscriber_member_id': 'XTS068A69201', 'subscriber_first_name': 'LUKE'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250711.115745542.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542214/check_9711078_cfefbf00-07a6-4c57-9b7f-dccb63cf1d89.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XTS068A69201', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'SEMTECH CORPORATION CA/OOS', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '2008-04-12', 'plan_number': '040', 'group_number': '277405M037', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'PULS', 'plan_sponsor_name': None, 'patient_first_name': 'TIMOTHY', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2023-01-01', 'plan_coverage_description': 'CA GENERIC HLTH SAVINGS ACCT', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8231357053 | N/A | N/A | 5542214 | 2222 | 4793 | 9460357 | N/A | 4214158 | 2025-07-12 02:06:31.114000 | 2025-05-13 04:29:37.228486 |
| 2025-07-11 09:05:10.399368 | 2025-07-12 02:06:26.667125 | 9711059 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9711059', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1970-03-27', 'date_of_service': '2025-07-11', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'DATO', 'subscriber_member_id': 'NGO555A50496', 'subscriber_first_name': 'JEN'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250711.115745542.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542196/check_9711059_33dfc12c-2c8b-4dbb-98eb-c410afb2d8e3.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'NGO555A50496', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'NORTHROP GRUMMAN CORP', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1970-03-27', 'plan_number': '040', 'group_number': '174022MJAD', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'DATO', 'plan_sponsor_name': None, 'patient_first_name': 'GREGORY', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2021-01-02', 'plan_coverage_description': 'CDHP CA GENERIC HLTH SAVINGS ACCT', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8231357052 | N/A | N/A | 5542196 | 2222 | 4793 | 9460313 | N/A | 4214140 | 2025-07-12 02:06:26.667125 | 2025-05-13 04:29:37.228468 |
| 2025-07-11 09:05:10.079986 | 2025-07-12 02:01:30.572314 | 9711046 | N/A | N/A | {'payer_id': 'REGAL', 'payer_name': 'Regal Medical Group', 'provider_npi': '1114042165', 'trace_number': '9711046', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1981-08-30', 'date_of_service': '2025-07-11', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'SUMBY', 'subscriber_member_id': 'XEH905944609', 'subscriber_first_name': 'ANNIKA'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250711.115745542.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542158/check_9711046_88210be1-f49d-497f-8b20-08fc65869617.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XEH905944609', 'plan_type': None, 'group_name': None, 'payer_name': 'REGAL MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1981-08-30', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'SUMBY', 'plan_sponsor_name': None, 'patient_first_name': 'ANNIKA', '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 | 8231357051 | N/A | N/A | 5542158 | 2222 | 4801 | 9457978 | N/A | 4214108 | 2025-07-12 02:01:30.572314 | 2025-05-13 04:29:37.228423 |
| 2025-07-11 09:05:09.767564 | 2025-07-12 02:01:30.970899 | 9711032 | N/A | N/A | {'payer_id': 'REGAL', 'payer_name': 'Regal Medical Group', 'provider_npi': '1114042165', 'trace_number': '9711032', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1947-02-01', 'date_of_service': '2025-07-11', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'YEE', 'subscriber_member_id': '412922301', 'subscriber_first_name': 'HARRY'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250711.115745542.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541972/check_9711032_8ed8e943-bb1d-40d1-9be8-c2c59f6b5818.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '412922301', 'plan_type': None, 'group_name': None, 'payer_name': 'REGAL MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1947-02-01', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'YEE', 'plan_sponsor_name': None, 'patient_first_name': 'HARRY', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8231357050 | N/A | N/A | 5541972 | 2222 | 4793 | 9457979 | N/A | 4213941 | 2025-07-12 02:01:30.970899 | 2025-05-13 04:29:37.228259 |
| 2025-07-11 09:05:09.457765 | 2025-07-12 02:09:55.322975 | 9711018 | N/A | N/A | {'payer_id': 'Z1073', 'payer_name': 'Medicare B California Southern', 'provider_npi': '1114042165', 'trace_number': '9711018', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1958-05-19', 'date_of_service': '2025-07-11', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'MAYER', 'subscriber_member_id': '5J41QM7YN93', 'subscriber_first_name': 'MARY'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250711.115745542.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541938/check_9711018_2b6fa7d9-7af5-4bc0-b5be-63037ef3a799.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '5J41QM7YN93', 'plan_type': 'Medicare Part B', 'group_name': None, 'payer_name': 'HUMANA INSURANCE COMPANY', 'payer_note': '0-BENEFICIARY INSURED DUE TO AGE OASI', 'patient_dob': '1958-05-19', 'plan_number': 'S5884', 'group_number': None, 'insurance_type': None, 'plan_type_code': 'MB', 'enrolled_in_qmb': False, 'patient_last_name': 'MAYER', 'plan_sponsor_name': None, 'patient_first_name': 'MARY', '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 | 8231357049 | N/A | N/A | 5541938 | 2222 | 4801 | 9462146 | N/A | 4213917 | 2025-07-12 02:09:55.322975 | 2025-06-25 01:53:37.609327 |
| 2025-07-11 09:05:09.216855 | 2025-07-12 02:06:32.081984 | 9711007 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9711007', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1940-08-31', 'date_of_service': '2025-07-11', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'subscriber_last_name': 'STEINBERG', 'subscriber_member_id': 'MBL875M98441', 'subscriber_first_name': 'HARRIS'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250711.115745542.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541917/check_9711007_80281a58-48bf-4bcf-a17d-306123ecb1bb.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'MBL875M98441', 'plan_type': None, 'group_name': 'LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD)', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1940-08-31', 'plan_number': '040', 'group_number': 'CAEGR005', 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'STEINBERG', 'plan_sponsor_name': None, 'patient_first_name': 'HARRIS', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2021-01-01', 'plan_coverage_description': 'CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8231357048 | N/A | N/A | 5541917 | 2222 | 4793 | 9460366 | N/A | 4213891 | 2025-07-12 02:06:32.081984 | 2025-05-13 04:29:37.228207 |
| 2025-07-11 09:05:08.782112 | 2025-07-12 02:07:00.617956 | 9710988 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': '1114042165', 'trace_number': '9710988', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1981-08-26', 'date_of_service': '2025-07-11', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'subscriber_last_name': 'TOHLCHINSKY', 'subscriber_member_id': 'XEA901508061', 'subscriber_first_name': 'MICHAEL'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250711.115745542.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541542/check_9710988_fed17a38-a66e-46fd-9d01-4c5e6775c297.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XEA901508061', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'TOHL ENTERPRISES INC', 'payer_name': 'BLUE SHIELD CALIFORNIA', 'payer_note': None, 'patient_dob': '1981-08-26', 'plan_number': '1000VX000102', 'group_number': 'W0006154', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'TOHLCHINSKY', 'plan_sponsor_name': None, 'patient_first_name': 'MICHAEL', 'patient_middle_name': None, 'date_time_period_end': '2025-11-30', 'date_time_period_start': '2024-12-01', 'plan_coverage_description': 'BLUE SHIELD OF CALIFORNIA CHILDREN S DENTAL', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8231357047 | N/A | N/A | 5541542 | 2222 | 4793 | 9460636 | N/A | 4213542 | 2025-07-12 02:07:00.617956 | 2025-06-03 22:12:38.498592 |
| 2025-07-11 09:05:08.497654 | 2025-07-12 02:01:27.351989 | 9710973 | N/A | N/A | {'payer_id': 'LMG01', 'payer_name': 'Lakeside Medical Group', 'provider_npi': '1114042165', 'trace_number': '9710973', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1985-02-07', 'date_of_service': '2025-07-11', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'SHEPHERD', 'subscriber_member_id': '93180838F', 'subscriber_first_name': 'EMILY'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250711.115745542.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541519/check_9710973_b9ee79cd-c8a7-4c84-82a5-dc224f1a63ac.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '93180838F', 'plan_type': None, 'group_name': None, 'payer_name': 'LAKESIDE MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1985-02-07', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'SHEPHERD', 'plan_sponsor_name': None, 'patient_first_name': 'EMILY', '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 | 8231357046 | N/A | N/A | 5541519 | 2222 | 4802 | 9457966 | N/A | 4213530 | 2025-07-12 02:01:27.351989 | 2025-05-13 04:29:37.227860 |
| 2025-07-11 09:05:08.287490 | 2025-07-12 02:06:31.750829 | 9710963 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9710963', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1974-12-26', 'date_of_service': '2025-07-11', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'subscriber_last_name': 'SALEWSKE', 'subscriber_member_id': 'SZR600905624', 'subscriber_first_name': 'TYSON'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250711.115745542.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541518/check_9710963_af5d86fd-4fd0-4387-83ac-2f74a740b921.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'SZR60090562401', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'SCHWEITZER ENGINEERING LABORATORIES, INC.', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1974-12-26', 'plan_number': None, 'group_number': '1038812', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'SALEWSKE', 'plan_sponsor_name': None, 'patient_first_name': 'TYSON', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2023-01-01', 'plan_coverage_description': 'SELF-FUNDED EXP HERITAGE', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8231357045 | N/A | N/A | 5541518 | 2222 | 4793 | 9460363 | N/A | 4213526 | 2025-07-12 02:06:31.750829 | 2025-11-13 19:34:43.197819 |
| 2025-07-11 09:05:07.976509 | 2025-07-12 02:01:26.556023 | 9710949 | N/A | N/A | {'payer_id': 'LMG01', 'payer_name': 'Lakeside Medical Group', 'provider_npi': '1114042165', 'trace_number': '9710949', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1968-03-30', 'date_of_service': '2025-07-11', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'FARAHMAND', 'subscriber_member_id': '91957675E', 'subscriber_first_name': 'ALEX'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250711.115745542.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541163/check_9710949_7ecfc36a-3533-4de6-9fd3-11d6b7b6de5a.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '91957675E', 'plan_type': None, 'group_name': None, 'payer_name': 'LAKESIDE MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1968-03-30', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'FARAHMAND', 'plan_sponsor_name': None, 'patient_first_name': 'ALEX', '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 | 8231357044 | N/A | N/A | 5541163 | 2222 | 4802 | 9457964 | N/A | 4213207 | 2025-07-12 02:01:26.556023 | 2025-05-13 04:29:37.227536 |
| 2025-07-11 09:05:07.582047 | 2025-07-12 09:03:49.175483 | 9710933 | N/A | N/A | {'payer_id': 'LMG01', 'payer_name': 'Lakeside Medical Group', 'provider_npi': '1114042165', 'trace_number': '9710933', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1998-01-12', 'date_of_service': '2025-07-11', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'GUTIERREZ DE LA TORR', 'subscriber_member_id': '99184430E', 'subscriber_first_name': 'JOEL'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250711.115951902.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6436444/check_9710933_96b678df-890e-455e-80eb-d1c5b5419dee.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '99184430E', 'plan_type': None, 'group_name': None, 'payer_name': 'LAKESIDE MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1998-01-12', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'GUTIERREZ DE LA TORR', 'plan_sponsor_name': None, 'patient_first_name': 'JOEL', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8231417525 | N/A | N/A | 6436444 | 2222 | 4802 | 9471961 | N/A | 5082110 | 2025-07-12 09:03:49.175483 | 2025-06-24 20:17:03.860413 |
| 2025-07-11 09:05:07.546242 | 2025-07-12 02:01:25.817820 | 9710929 | N/A | N/A | {'payer_id': 'LMG01', 'payer_name': 'Lakeside Medical Group', 'provider_npi': '1114042165', 'trace_number': '9710929', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '2008-09-18', 'date_of_service': '2025-07-11', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'BENDAVID', 'subscriber_member_id': '95318118F', 'subscriber_first_name': 'TALIA'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250711.115745542.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540893/check_9710929_7090781b-984f-489d-8576-ed9694adb86a.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '95318118F', 'plan_type': None, 'group_name': None, 'payer_name': 'LAKESIDE MEDICAL GROUP', 'payer_note': None, 'patient_dob': '2008-09-18', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'BENDAVID', 'plan_sponsor_name': None, 'patient_first_name': 'TALIA', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8231357043 | N/A | N/A | 5540893 | 2222 | 4793 | 9457961 | N/A | 4212979 | 2025-07-12 02:01:25.817820 | 2025-06-04 21:11:15.590634 |
| 2025-07-11 09:05:06.898444 | 2025-07-12 02:01:29.791066 | 9710903 | N/A | N/A | {'payer_id': 'REGAL', 'payer_name': 'Regal Medical Group', 'provider_npi': '1114042165', 'trace_number': '9710903', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1956-12-04', 'date_of_service': '2025-07-11', 'subscriber_gender': 'F', 'service_type_codes': ['PT', 'AE'], 'subscriber_last_name': 'HUH', 'subscriber_member_id': '5851983001', 'subscriber_first_name': 'SOON'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250711.115745542.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540683/check_9710903_df7cf896-7f2a-41ab-8f1e-51661124f28c.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '5851983001', 'plan_type': None, 'group_name': None, 'payer_name': 'REGAL MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1956-12-04', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'HUH', 'plan_sponsor_name': None, 'patient_first_name': 'SOON', '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 | 8231357042 | N/A | N/A | 5540683 | 2222 | 4801 | 9457975 | N/A | 4212802 | 2025-07-12 02:01:29.791066 | 2025-05-27 20:48:04.588198 |
| 2025-07-11 09:05:06.621435 | 2025-07-12 02:06:28.019518 | 9710888 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9710888', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1967-09-15', 'date_of_service': '2025-07-11', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'subscriber_last_name': 'HELLER', 'subscriber_member_id': 'XDL463A68495', 'subscriber_first_name': 'MATT'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250711.115745542.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540316/check_9710888_03873164-6ccc-4f8a-86a2-08f19fcd731c.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XDL463A68495', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': None, 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1967-09-15', 'plan_number': '040', 'group_number': 'Z13100', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'HELLER', 'plan_sponsor_name': None, 'patient_first_name': 'MATTHEW', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2009-08-01', 'plan_coverage_description': 'LUMENOS HSA', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8231357041 | N/A | N/A | 5540316 | 2222 | 4793 | 9460325 | N/A | 4212462 | 2025-07-12 02:06:28.019518 | 2025-06-24 20:27:22.939881 |
| 2025-07-11 09:05:06.345658 | 2025-07-12 02:06:25.880043 | 9710869 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9710869', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1936-06-28', 'date_of_service': '2025-07-11', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'BOYLAN', 'subscriber_member_id': 'MBL857M98403', 'subscriber_first_name': 'JOAN'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250711.115745542.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540074/check_9710869_0a697c45-aa91-432c-9746-4b4fedc2d6fc.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'MBL857M98403', 'plan_type': None, 'group_name': 'LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD)', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1936-06-28', 'plan_number': '040', 'group_number': 'CAEGR005', 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'BOYLAN', 'plan_sponsor_name': None, 'patient_first_name': 'JOAN', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2021-01-01', 'plan_coverage_description': 'CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8231357040 | N/A | N/A | 5540074 | 2222 | 4802 | 9460308 | N/A | 4212282 | 2025-07-12 02:06:25.880043 | 2025-05-13 04:29:37.226623 |
| 2025-07-11 09:05:05.978175 | 2025-07-12 02:06:32.733995 | 9710853 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9710853', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1968-12-03', 'date_of_service': '2025-07-11', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'YANG', 'subscriber_member_id': 'FJB27468841M', 'subscriber_first_name': 'JINING'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250711.115745542.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539727/check_9710853_bbac5689-7be5-46be-9597-f474ba12ceef.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'FJB27468841M', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'ALL', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1968-12-03', 'plan_number': '101', 'group_number': '174549M311', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'YANG', 'plan_sponsor_name': None, 'patient_first_name': 'JINING', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2021-01-01', 'plan_coverage_description': 'BLUECARD PPO', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8231357039 | N/A | N/A | 5539727 | 2222 | 4793 | 9460373 | N/A | 4211988 | 2025-07-12 02:06:32.733995 | 2025-07-02 16:33:22.389736 |
| 2025-07-11 09:05:05.707640 | 2025-07-12 02:06:27.000799 | 9710840 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9710840', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1963-05-25', 'date_of_service': '2025-07-11', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'GINSBERG', 'subscriber_member_id': 'JQU469A62630', 'subscriber_first_name': 'LISA'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250711.115745542.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539612/check_9710840_7ad26f49-c1a0-4959-af23-b14dfe0c2aff.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'JQU469A62630', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'CAL CHOICE JANUARY 1.00', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1963-05-25', 'plan_number': '040', 'group_number': '476522', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'GINSBERG', 'plan_sponsor_name': None, 'patient_first_name': 'LISA', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2025-01-01', 'plan_coverage_description': 'ANTHEM SILVER PPO HSA/H 2000/3300/4000 35% PREVRX', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8231357038 | N/A | N/A | 5539612 | 2222 | 4793 | 9460316 | N/A | 4211892 | 2025-07-12 02:06:27.000799 | 2025-11-02 22:03:21.557202 |