Athletic API Dashboard
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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 09:05:05.531715 | 2025-07-12 02:05:28.182173 | 9710833 | N/A | N/A | {'payer_id': '72261', 'payer_name': 'Scan Health Plan - California', 'provider_npi': '1114042165', 'trace_number': '9710833', 'provider_name': '', 'subscriber_dob': '1958-02-11', 'date_of_service': '2025-07-11', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'LEVESQUE', 'subscriber_member_id': '097A2439020', 'subscriber_first_name': 'JACQUELINE'} | 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/2222/5539382/check_9710833_e6f94d86-5db3-4570-a55f-4b629ef44ed2.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '097A2439020', 'plan_type': None, 'group_name': None, 'payer_name': 'SCAN HEALTH PLAN - CALIFORNIA', 'payer_note': None, 'patient_dob': '1958-02-11', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'LEVESQUE', 'plan_sponsor_name': None, 'patient_first_name': 'JACQUELINE', '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 | 8231357037 | N/A | N/A | 5539382 | 2222 | 4793 | 9459775 | N/A | 4211704 | 2025-07-12 02:05:28.182173 | 2025-06-06 23:08:42.876895 |
| 2025-07-11 09:05:05.280865 | 2025-07-12 02:04:50.511431 | 9710824 | N/A | N/A | {'payer_id': '62308', 'payer_name': 'American Specialty Health', 'provider_npi': '1114042165', 'trace_number': '9710824', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1974-11-02', 'date_of_service': '2025-07-11', 'subscriber_gender': 'F', 'service_type_codes': ['AD'], 'subscriber_last_name': 'CHUNG', 'subscriber_member_id': 'U8197480201', 'subscriber_first_name': 'KRISTINA'} | 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/2222/5539237/check_9710824_b130592c-895f-4f1b-9959-28efbc5e042e.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'U8197480201', 'plan_type': None, 'group_name': 'KONAMI DIGITAL ENTERTAINMENT, 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': '1974-11-02', 'plan_number': None, 'group_number': '3344762', 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'CHUNG', 'plan_sponsor_name': None, 'patient_first_name': 'KRISTINA', '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 | 8231357036 | N/A | N/A | 5539237 | 2222 | 4802 | 9459431 | N/A | 4211568 | 2025-07-12 02:04:50.511431 | 2025-05-13 04:29:37.225900 |
| 2025-07-11 09:05:04.752501 | 2025-07-12 02:06:27.336505 | 9710800 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9710800', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1960-08-08', 'date_of_service': '2025-07-11', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'subscriber_last_name': 'GINSBERG', 'subscriber_member_id': 'JQU469A62630', 'subscriber_first_name': 'STEVEN'} | 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/2222/5538693/check_9710800_a185372d-b735-4270-a3a4-608d67f023ea.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': '1960-08-08', '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 | 8231357034 | N/A | N/A | 5538693 | 2222 | 4793 | 9460319 | N/A | 4211081 | 2025-07-12 02:06:27.336505 | 2025-05-13 04:29:37.225492 |
| 2025-07-11 09:05:04.564055 | 2025-07-12 02:07:01.339047 | 9710790 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': '1114042165', 'trace_number': '9710790', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1993-09-10', 'date_of_service': '2025-07-11', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'subscriber_last_name': 'WARD', 'subscriber_member_id': 'XED913389013', '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/2222/5538129/check_9710790_58bcf730-c202-417f-9f96-5fc0b4861c80.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XED913389013', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'IFP ON EXCHANGE', 'payer_name': 'BLUE SHIELD CALIFORNIA', 'payer_note': None, 'patient_dob': '1993-09-10', 'plan_number': '2001ZK002169', 'group_number': 'X0001004', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'WARD', 'plan_sponsor_name': None, 'patient_first_name': 'WILLIAM', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2024-08-01', 'plan_coverage_description': 'IFP EMB PED VISION', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8231357033 | N/A | N/A | 5538129 | 2222 | 4802 | 9460644 | N/A | 4210590 | 2025-07-12 02:07:01.339047 | 2025-05-13 04:29:37.225004 |
| 2025-07-11 09:05:04.416232 | 2025-07-12 02:07:09.304413 | 9710779 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': '1114042165', 'trace_number': '9710779', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1979-06-20', 'date_of_service': '2025-07-11', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'subscriber_last_name': 'RITENOUR', 'subscriber_member_id': 'NCF553A20679', 'subscriber_first_name': 'TIM'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250711.115745542.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537911/check_9710779_3c26e1de-c5d7-4ff4-b6f9-e89196f5ef2d.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'NCF553A20679', 'plan_type': 'Health Maintenance Organization (HMO)', 'group_name': 'LAUSD', 'payer_name': 'BLUE SHIELD OF CALIFORNIA', 'payer_note': None, 'patient_dob': '1979-06-20', 'plan_number': '040', 'group_number': '57AJCA', 'insurance_type': None, 'plan_type_code': 'HM', 'enrolled_in_qmb': False, 'patient_last_name': 'RITENOUR', 'plan_sponsor_name': None, 'patient_first_name': 'TIM', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2010-01-01', 'plan_coverage_description': 'POWER SELECT HMO NETWORK 126+', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8231357032 | N/A | N/A | 5537911 | 2222 | 4793 | 9460712 | N/A | 4210415 | 2025-07-12 02:07:09.304413 | 2025-06-11 20:40:26.862752 |
| 2025-07-11 09:05:04.251425 | 2025-07-12 02:06:30.737246 | 9710771 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9710771', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1964-10-19', 'date_of_service': '2025-07-11', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'subscriber_last_name': 'NIELSEN', 'subscriber_member_id': 'XDP057A76330', 'subscriber_first_name': 'ROY'} | 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/2222/5537188/check_9710771_25d00db6-09f6-49ce-b7e4-f11e51daffa0.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XDP057A76330', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'ADP TOTALSOURCE INC', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1964-10-19', 'plan_number': '040', 'group_number': '280629MN16', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'NIELSEN', 'plan_sponsor_name': None, 'patient_first_name': 'ROY', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2025-06-01', 'plan_coverage_description': 'PPO PRUDENT BUYER CLASSIC', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8231357031 | N/A | N/A | 5537188 | 2222 | 4802 | 9460352 | N/A | 4209789 | 2025-07-12 02:06:30.737246 | 2025-05-13 04:29:37.224215 |
| 2025-07-11 09:05:04.105540 | 2025-07-12 02:06:30.410657 | 9710763 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9710763', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1954-03-31', 'date_of_service': '2025-07-11', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'subscriber_last_name': 'MILES', 'subscriber_member_id': 'MBL835W05431', 'subscriber_first_name': 'KEITH'} | 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/2222/5536896/check_9710763_37cfc384-b6dc-451d-8b86-574dc6f9e198.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'MBL835W05431', 'plan_type': None, 'group_name': 'LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD)', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1954-03-31', 'plan_number': '040', 'group_number': 'CAEGR005', 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'MILES', 'plan_sponsor_name': None, 'patient_first_name': 'KEITH', '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 | 8231357030 | N/A | N/A | 5536896 | 2222 | 4793 | 9460349 | N/A | 4209567 | 2025-07-12 02:06:30.410657 | 2025-05-13 04:29:37.223990 |
| 2025-07-11 09:05:03.979432 | 2025-07-12 02:09:51.975867 | 9710756 | N/A | N/A | {'payer_id': 'Z1073', 'payer_name': 'Medicare B California Southern', 'provider_npi': '1114042165', 'trace_number': '9710756', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1946-05-12', 'date_of_service': '2025-07-11', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'EGGLETON', 'subscriber_member_id': '9HG9HV5AM53', 'subscriber_first_name': 'PAUL'} | 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/2222/5536868/check_9710756_c1091c25-4a03-45f6-8a6a-3f2eaaf292a6.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '9HG9HV5AM53', 'plan_type': 'Medicare Part A', 'group_name': None, 'payer_name': 'MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY', 'payer_note': '0-BENEFICIARY INSURED DUE TO AGE OASI', 'patient_dob': '1946-05-12', 'plan_number': 'S5617', 'group_number': None, 'insurance_type': None, 'plan_type_code': 'MA', 'enrolled_in_qmb': False, 'patient_last_name': 'EGGLETON', 'plan_sponsor_name': None, 'patient_first_name': 'PAUL', '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 | 8231357029 | N/A | N/A | 5536868 | 2222 | 4801 | 9462120 | N/A | 4209543 | 2025-07-12 02:09:51.975867 | 2025-06-18 17:33:51.700160 |
| 2025-07-11 09:05:03.837581 | 2025-07-12 02:07:09.668701 | 9710749 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': '1114042165', 'trace_number': '9710749', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1966-11-30', 'date_of_service': '2025-07-11', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'SONDREAAL', 'subscriber_member_id': 'WMC125993776001', 'subscriber_first_name': 'DIANE'} | 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/2222/5536323/check_9710749_a17919d0-05b4-41e9-b9dc-95d7d0f0d638.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'WMC125993776001', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'WUNDERLICH-MALEC ENGINEERING, INC. CORE GROUP (PLAN 1) ACTIVES', 'payer_name': 'BLUE SHIELD OF CALIFORNIA', 'payer_note': 'FUNDING TYPE = SELF INSURED', 'patient_dob': '1966-11-30', 'plan_number': '725', 'group_number': '10272720', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'SONDREAAL', 'plan_sponsor_name': None, 'patient_first_name': 'PAUL', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2023-05-01', 'plan_coverage_description': 'MED/SURG - PPO', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8231357028 | N/A | N/A | 5536323 | 2222 | 4793 | 9460715 | N/A | 4209086 | 2025-07-12 02:07:09.668701 | 2025-05-13 04:29:37.223507 |
| 2025-07-11 09:05:03.723679 | 2025-07-12 02:09:52.292746 | 9710743 | N/A | N/A | {'payer_id': 'Z1073', 'payer_name': 'Medicare B California Southern', 'provider_npi': '1114042165', 'trace_number': '9710743', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1947-09-13', 'date_of_service': '2025-07-11', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'ELDRIDGE', 'subscriber_member_id': '2XD1AM4AP01', 'subscriber_first_name': 'MARGARET'} | 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/2222/5536109/check_9710743_a37e7288-42fa-4bd0-994b-76449fd0e533.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '2XD1AM4AP01', 'plan_type': 'Medicare Part A', 'group_name': None, 'payer_name': 'UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY', 'payer_note': '0-BENEFICIARY INSURED DUE TO AGE OASI', 'patient_dob': '1947-09-13', 'plan_number': 'S5921', 'group_number': None, 'insurance_type': None, 'plan_type_code': 'MA', 'enrolled_in_qmb': False, 'patient_last_name': 'ELDRIDGE', 'plan_sponsor_name': None, 'patient_first_name': 'MARGARET', '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 | 8231357027 | N/A | N/A | 5536109 | 2222 | 4793 | 9462122 | N/A | 4208915 | 2025-07-12 02:09:52.292746 | 2025-07-25 17:30:46.084330 |
| 2025-07-11 09:05:03.544026 | 2025-07-12 02:01:29.351346 | 9710733 | N/A | N/A | {'payer_id': 'REGAL', 'payer_name': 'Regal Medical Group', 'provider_npi': '1114042165', 'trace_number': '9710733', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1961-06-27', 'date_of_service': '2025-07-11', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'BRACKEN', 'subscriber_member_id': 'NCF378A67692', 'subscriber_first_name': 'CELINA'} | 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/2222/5535853/check_9710733_9a4b0f19-b110-4434-8c41-ca03d064c894.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'NCF378A67692', 'plan_type': None, 'group_name': None, 'payer_name': 'REGAL MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1961-06-27', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'BRACKEN', 'plan_sponsor_name': None, 'patient_first_name': 'CELINA', '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 | 8231357026 | N/A | N/A | 5535853 | 2222 | 4793 | 9457973 | N/A | 4208702 | 2025-07-12 02:01:29.351346 | 2025-05-13 04:29:37.223129 |
| 2025-07-11 09:05:03.396824 | 2025-07-12 02:09:53.695948 | 9710724 | N/A | N/A | {'payer_id': 'Z1073', 'payer_name': 'Medicare B California Southern', 'provider_npi': '1114042165', 'trace_number': '9710724', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1952-10-01', 'date_of_service': '2025-07-11', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'IMPELLIZZERI', 'subscriber_member_id': '3UJ4DN6CC87', 'subscriber_first_name': 'ROBERT'} | 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/2222/5535551/check_9710724_980c666c-ec86-4d8f-955b-933492d21c68.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '3UJ4DN6CC87', 'plan_type': 'Medicare Part A', 'group_name': None, 'payer_name': 'CMS', 'payer_note': '0-BENEFICIARY INSURED DUE TO AGE OASI', 'patient_dob': '1952-10-01', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': 'MA', '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': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8231357025 | N/A | N/A | 5535551 | 2222 | 4801 | 9462132 | N/A | 4208460 | 2025-07-12 02:09:53.695948 | 2026-01-01 00:19:01.120151 |
| 2025-07-11 09:05:03.263581 | 2025-07-12 02:01:26.913102 | 9710717 | N/A | N/A | {'payer_id': 'LMG01', 'payer_name': 'Lakeside Medical Group', 'provider_npi': '1114042165', 'trace_number': '9710717', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1941-04-16', 'date_of_service': '2025-07-11', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'RYAN', 'subscriber_member_id': '31026142401', 'subscriber_first_name': 'CAROL'} | 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/2222/5535455/check_9710717_9314ac7d-96ba-4fc3-9b57-2b0ab99d176a.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '31026142401', 'plan_type': None, 'group_name': None, 'payer_name': 'LAKESIDE MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1941-04-16', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'RYAN', 'plan_sponsor_name': None, 'patient_first_name': 'CAROL', '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 | 8231357024 | N/A | N/A | 5535455 | 2222 | 4793 | 9457965 | N/A | 4208375 | 2025-07-12 02:01:26.913102 | 2025-08-08 21:08:12.459471 |
| 2025-07-11 09:04:51.453370 | 2025-07-12 09:09:27.158947 | 9710150 | N/A | N/A | {'payer_id': 'CCHPC', 'payer_name': 'Alignment Health Care (Fee For Service)', 'provider_npi': '1114042165', 'trace_number': '9710150', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1954-02-25', 'date_of_service': '2025-07-11', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'ROBERTS', 'subscriber_member_id': '00000402630', 'subscriber_first_name': 'DEBRA'} | 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/2222/6085762/check_9710150_595aba5c-e280-43c2-882d-79101e45f619.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '00000402630', 'plan_type': 'Health Maintenance Organization (HMO)', 'group_name': None, 'payer_name': 'MEDICARE', 'payer_note': 'OVERALL DEDUCTIBLE', 'patient_dob': '1954-02-25', 'plan_number': 'H3815028', 'group_number': None, 'insurance_type': None, 'plan_type_code': 'HM', 'enrolled_in_qmb': False, 'patient_last_name': 'ROBERTS', 'plan_sponsor_name': None, 'patient_first_name': 'DEBRA', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'ALIGNMENT HEALTH MY CHOICE (HMO)', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8231374053 | N/A | N/A | 6085762 | 2222 | 4793 | 9474990 | N/A | 4729138 | 2025-07-12 09:09:27.158947 | 2025-05-31 14:20:56.156252 |
| 2025-07-11 09:04:45.817925 | 2025-07-12 02:12:37.422743 | 9709852 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'ANTHEM BLUE CROSS', 'provider_npi': '1114042165', 'trace_number': '9709852', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '2011-09-28', 'date_of_service': '2025-07-11', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'RANGEL', 'subscriber_member_id': '906212052003', 'subscriber_first_name': 'MAKENA'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250711.115540482.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6673106/check_9709852_76761357-1280-42cf-8305-207af7e1ab61.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '906212052003', 'plan_type': None, 'group_name': None, 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '2011-09-28', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'RANGEL', 'plan_sponsor_name': None, 'patient_first_name': 'MAKENA', '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 | 8231359374 | N/A | N/A | 6673106 | 2222 | 4793 | 9463648 | 4184 | 5285724 | 2025-07-12 02:12:37.422743 | 2025-07-06 14:44:13.621956 |
| 2025-07-11 09:04:41.827478 | 2025-07-12 09:11:34.296610 | 9709645 | N/A | N/A | {'payer_id': '62308', 'payer_name': 'CIGNA (Connecticut General, Equicor, Equitable)', 'provider_npi': '1114042165', 'trace_number': '9709645', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '2010-02-15', 'date_of_service': '2025-07-11', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'IRETON', 'subscriber_member_id': 'U8391216403', 'subscriber_first_name': 'DAYLA'} | 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/2222/6919829/check_9709645_0c33f4b8-0778-4b06-baa5-326a8e34227b.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'U8391216403', 'plan_type': 'Health Maintenance Organization (HMO)', 'group_name': 'SHEPHERD OF THE HILLS CHURCH DBA SHEPHER', 'payer_name': 'CGLIC', 'payer_note': 'PROVIDER IS IN NETWORK BASED ON NPI ID PROVIDED IN REQUEST PERSONAL HEALTH SOLUTIONS PLUS', 'patient_dob': '2010-02-15', 'plan_number': None, 'group_number': '3344770', 'insurance_type': None, 'plan_type_code': 'HM', 'enrolled_in_qmb': False, 'patient_last_name': 'IRETON', 'plan_sponsor_name': None, 'patient_first_name': 'DAYLA', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'HMO', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8231408999 | N/A | N/A | 6919829 | 2222 | 4801 | 9476296 | N/A | 5950865 | 2025-07-12 09:11:34.296610 | 2025-07-13 21:54:48.808763 |
| 2025-07-11 09:04:37.751110 | 2025-07-12 02:13:57.288878 | 9709452 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': '1114042165', 'trace_number': '9709452', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1961-03-12', 'date_of_service': '2025-07-11', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'MCNUTT', 'subscriber_member_id': 'XED904914958', 'subscriber_first_name': 'YOLANDA'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250711.115540482.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6668755/check_9709452_1211947e-128f-4206-acf8-d81e5513d833.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XED904914958', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'IFP ON EXCHANGE', 'payer_name': 'BLUE SHIELD CALIFORNIA', 'payer_note': None, 'patient_dob': '1961-03-12', 'plan_number': '2001ZK002184', 'group_number': 'X0001004', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'FERNANDEZ-MCNUTT', 'plan_sponsor_name': None, 'patient_first_name': 'YOLANDA', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2018-01-01', 'plan_coverage_description': 'IFP EMB PED VISION', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8231358196 | N/A | N/A | 6668755 | 2222 | 4801 | 9464294 | N/A | 5282877 | 2025-07-12 02:13:57.288878 | 2025-07-01 15:56:36.473431 |
| 2025-07-11 09:04:35.845661 | 2025-07-12 02:02:35.488788 | 9709358 | N/A | N/A | {'payer_id': 'REGAL', 'payer_name': 'Regal Medical Group', 'provider_npi': '1114042165', 'trace_number': '9709358', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1958-03-25', 'date_of_service': '2025-07-11', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'RABASA', 'subscriber_member_id': 'H9002483100', 'subscriber_first_name': 'PATRICIA'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250711.115540482.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6667925/check_9709358_db728216-bf4a-4cce-9a79-fc4dcd7f4a80.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'H9002483100', 'plan_type': None, 'group_name': None, 'payer_name': 'REGAL MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1958-03-25', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'RABASA', 'plan_sponsor_name': None, 'patient_first_name': 'PATRICIA', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8231358182 | N/A | N/A | 6667925 | 2222 | 4793 | 9458266 | N/A | 5281834 | 2025-07-12 02:02:35.488788 | 2025-09-11 16:48:19.720660 |
| 2025-07-11 09:04:33.887644 | 2025-07-12 09:10:49.420489 | 9709265 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': '1114042165', 'trace_number': '9709265', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1961-05-24', 'date_of_service': '2025-07-11', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'subscriber_last_name': 'TIDMORE', 'subscriber_member_id': 'XOX826489646', 'subscriber_first_name': 'FRED'} | 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/2222/6079116/check_9709265_903d330d-58f5-45f4-ad1e-c45eced10da5.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XOX826489646', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'SODICK, INC.', 'payer_name': 'BLUE SHIELD OF CALIFORNIA', 'payer_note': None, 'patient_dob': '1961-05-24', 'plan_number': None, 'group_number': '327914', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'TIDMORE', 'plan_sponsor_name': None, 'patient_first_name': 'FRED', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2023-10-01', 'plan_coverage_description': 'PPO DENTAL', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8231373889 | N/A | N/A | 6079116 | 2222 | 4801 | 9475809 | N/A | 4723148 | 2025-07-12 09:10:49.420489 | 2025-05-30 15:53:57.629593 |
| 2025-07-11 09:04:32.390744 | 2025-07-12 09:05:18.202902 | 9709184 | N/A | N/A | {'payer_id': '60054', 'payer_name': 'Aetna', 'provider_npi': '1114042165', 'trace_number': '9709184', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1999-04-14', 'date_of_service': '2025-07-11', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'FAGAN', 'subscriber_member_id': 'W275345811', 'subscriber_first_name': 'ARIEH'} | 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/2222/6078250/check_9709184_b698ff04-f3e0-4e4b-aef5-1738409d1a10.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'W275345811', 'plan_type': 'Point of Service (POS)', 'group_name': 'ARUP US, INC.', 'payer_name': 'AETNA', 'payer_note': None, 'patient_dob': '1999-04-14', 'plan_number': '0847223', 'group_number': '084722301300002', 'insurance_type': None, 'plan_type_code': 'PS', 'enrolled_in_qmb': False, 'patient_last_name': 'FAGAN', 'plan_sponsor_name': None, 'patient_first_name': 'ARIEH', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'HSA AETNA CHOICE POS II', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8231373877 | N/A | N/A | 6078250 | 2222 | 4802 | 9472544 | N/A | 4722504 | 2025-07-12 09:05:18.202902 | 2025-06-19 03:19:24.165458 |
| 2025-07-11 09:04:32.173734 | 2025-07-12 09:02:20.688930 | 9709171 | N/A | N/A | {'payer_id': 'REGAL', 'payer_name': 'Regal Medical Group', 'provider_npi': '1114042165', 'trace_number': '9709171', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1972-03-17', 'date_of_service': '2025-07-11', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'subscriber_last_name': 'BARNETT', 'subscriber_member_id': 'JMV357W05874', 'subscriber_first_name': 'MARK'} | 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/2222/6078082/check_9709171_54af7936-9ea1-4c7b-ae5b-f7e9f07c466d.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'JMV357W05874', 'plan_type': None, 'group_name': None, 'payer_name': 'REGAL MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1972-03-17', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'BARNETT', 'plan_sponsor_name': None, 'patient_first_name': 'MARK', '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 | 8231373875 | N/A | N/A | 6078082 | 2222 | 4793 | 9471605 | N/A | 4722340 | 2025-07-12 09:02:20.688930 | 2025-06-06 20:33:59.683125 |
| 2025-07-11 09:04:27.014185 | 2025-07-12 09:02:17.656241 | 9708890 | N/A | N/A | {'payer_id': 'LMG01', 'payer_name': 'Lakeside Medical Group', 'provider_npi': '1114042165', 'trace_number': '9708890', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1973-03-27', 'date_of_service': '2025-07-11', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'KAUFMAN', 'subscriber_member_id': 'R05917930FM1', 'subscriber_first_name': 'AMANDA'} | 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/2222/6074035/check_9708890_882cf6bf-ce57-4f69-84a1-9f2292b1e2d4.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'R05917930FM1', 'plan_type': None, 'group_name': None, 'payer_name': 'LAKESIDE MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1973-03-27', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'KAUFMAN', 'plan_sponsor_name': None, 'patient_first_name': 'AMANDA', '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 | 8231372980 | N/A | N/A | 6074035 | 2222 | 4801 | 9471593 | N/A | 4718592 | 2025-07-12 09:02:17.656241 | 2025-05-29 20:00:22.627186 |
| 2025-07-11 09:04:26.809674 | 2025-07-12 09:09:46.175001 | 9708876 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9708876', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '2005-11-11', 'date_of_service': '2025-07-11', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'subscriber_last_name': 'GORMLEY', 'subscriber_member_id': 'SIF727A55596', 'subscriber_first_name': 'VINCENT'} | 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/2222/6074031/check_9708876_e9f968b3-6df9-41d9-8a11-699337f9d054.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'SIF727A55596', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'SISC - SANTA MONICA MALIBU UNIFIED SCHOOL DISTRICT', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '2005-11-11', 'plan_number': '040', 'group_number': '40963A', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'GORMLEY', 'plan_sponsor_name': None, 'patient_first_name': 'BRYNN', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2023-01-01', 'plan_coverage_description': 'PPO PRUDENT BUYER CLASSIC', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8231372979 | N/A | N/A | 6074031 | 2222 | 4802 | 9475178 | N/A | 4718585 | 2025-07-12 09:09:46.175001 | 2025-05-29 22:33:31.881575 |
| 2025-07-11 09:04:25.760960 | 2025-07-12 09:14:36.639500 | 9708817 | N/A | N/A | {'payer_id': 'Z1073', 'payer_name': 'Medicare B California Southern', 'provider_npi': '1114042165', 'trace_number': '9708817', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1958-08-29', 'date_of_service': '2025-07-11', 'subscriber_gender': 'U', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'BARRE', 'subscriber_member_id': '4WR8HF0MV28', 'subscriber_first_name': 'RHONDA'} | 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/2222/6418037/check_9708817_3bb24a62-ff03-43a0-af03-47ece6e7297e.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '4WR8HF0MV28', 'plan_type': 'Medicare Part B', 'group_name': None, 'payer_name': 'STATE FUND - CLAIMS PROCESSING C', 'payer_note': '0-BENEFICIARY INSURED DUE TO AGE OASI', 'patient_dob': '1958-08-29', 'plan_number': None, 'group_number': 'DOL 02061998', 'insurance_type': None, 'plan_type_code': 'MB', 'enrolled_in_qmb': False, 'patient_last_name': 'BARRE', 'plan_sponsor_name': None, 'patient_first_name': 'RHONDA', '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 | 8231418201 | N/A | N/A | 6418037 | 2222 | 4802 | 9478190 | N/A | 5065797 | 2025-07-12 09:14:36.639500 | 2025-07-28 17:08:00.544400 |
| 2025-07-11 09:04:17.622480 | 2025-07-12 09:09:36.713125 | 9708460 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9708460', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '2004-01-06', 'date_of_service': '2025-07-11', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'subscriber_last_name': 'SHIFRIN', 'subscriber_member_id': 'JQV205W22902', 'subscriber_first_name': 'BORUCH'} | 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/2222/6415606/check_9708460_12cefcdc-5f56-4f3a-9fae-98271c271715.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'JQV205W22902', 'plan_type': 'Health Maintenance Organization (HMO)', 'group_name': 'ROYAL WINE CORP', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '2004-01-06', 'plan_number': '040', 'group_number': 'U21029', 'insurance_type': None, 'plan_type_code': 'HM', 'enrolled_in_qmb': False, 'patient_last_name': 'SHIFRIN', 'plan_sponsor_name': None, 'patient_first_name': 'ZEV', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2025-01-01', 'plan_coverage_description': 'CA SG SELECT HMO', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8231418145 | N/A | N/A | 6415606 | 2222 | 4793 | 9475089 | N/A | 5063399 | 2025-07-12 09:09:36.713125 | 2025-06-30 20:57:45.480688 |
| 2025-07-11 09:04:13.340421 | 2025-07-12 09:10:41.234602 | 9708276 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': '1114042165', 'trace_number': '9708276', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '2005-10-28', 'date_of_service': '2025-07-11', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'subscriber_last_name': 'SIKDER', 'subscriber_member_id': 'XEZ900049108', 'subscriber_first_name': 'SHAWN'} | 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/2222/6414459/check_9708276_6df9b43b-797e-4117-a125-49de7dbcc879.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XEK900049108', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'IFP OFF EXCHANGE', 'payer_name': 'BLUE SHIELD CALIFORNIA', 'payer_note': None, 'patient_dob': '2005-10-28', 'plan_number': '2001ZJ002648', 'group_number': 'X0001000', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'SIKDER', 'plan_sponsor_name': None, 'patient_first_name': 'SHAWN', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'SILVER 1750 PPO JAN25', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8231417936 | N/A | N/A | 6414459 | 2222 | 4802 | 9475735 | N/A | 5061929 | 2025-07-12 09:10:41.234602 | 2025-06-19 23:42:27.460818 |
| 2025-07-11 09:04:09.478118 | 2025-07-12 09:09:36.351404 | 9708130 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9708130', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1983-10-26', 'date_of_service': '2025-07-11', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'HSU', 'subscriber_member_id': 'PVG127A71148', 'subscriber_first_name': 'CHERYL'} | 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/2222/6414019/check_9708130_f9967fd7-61d3-49a9-94b9-ca765ecc7448.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': '1983-10-26', '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 | 8231417926 | N/A | N/A | 6414019 | 2222 | 4793 | 9475087 | N/A | 5061374 | 2025-07-12 09:09:36.351404 | 2025-06-17 16:22:41.102955 |
| 2025-07-11 09:03:51.200147 | 2025-07-12 02:12:13.210203 | 9707446 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': '1114042165', 'trace_number': '9707446', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1953-06-17', 'date_of_service': '2025-07-11', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'THOMPSON', 'subscriber_member_id': 'XEM906571592', 'subscriber_first_name': 'JAMES'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250711.115426387.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6577665/check_9707446_3b0f4d10-6288-4c0a-a333-b5b0d43b272b.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XEM906571592', 'plan_type': 'Other', 'group_name': 'MEDICARE SUPPLEMENT', 'payer_name': 'MEDICARE PART A AND B', 'payer_note': None, 'patient_dob': '1953-06-17', 'plan_number': '2004SF000028', 'group_number': 'X0001002', 'insurance_type': None, 'plan_type_code': 'OT', 'enrolled_in_qmb': False, 'patient_last_name': 'THOMPSON', 'plan_sponsor_name': None, 'patient_first_name': 'JAMES', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'MEDICARE SUPPLEMENT PLAN G', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8231363064 | N/A | N/A | 6577665 | 2222 | 4793 | 9463416 | N/A | 5197700 | 2025-07-12 02:12:13.210203 | 2025-06-30 15:33:47.069983 |
| 2025-07-11 09:03:38.710886 | 2025-07-12 02:01:51.736867 | 9706887 | N/A | N/A | {'payer_id': 'REGAL', 'payer_name': 'Regal Medical Group', 'provider_npi': '1114042165', 'trace_number': '9706887', '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/272741.20250711.115426387.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6528155/check_9706887_db6d9116-1b95-4789-99b1-5dd8e4b433de.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '2RP5EF8DU55', 'plan_type': None, 'group_name': None, 'payer_name': 'REGAL MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1954-11-24', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, '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 | 8231362328 | N/A | N/A | 6528155 | 2222 | 4793 | 9458054 | N/A | 4214447 | 2025-07-12 02:01:51.736867 | 2025-05-13 04:29:37.228764 |
| 2025-07-11 09:03:30.214335 | 2025-07-12 02:03:34.018489 | 9706478 | N/A | N/A | {'payer_id': '36273', 'payer_name': 'AARP Medicare Supplement by UnitedHealthcare', 'provider_npi': '1114042165', 'trace_number': '9706478', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1957-03-29', 'date_of_service': '2025-07-11', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'WALDEN', 'subscriber_member_id': '33405035111', 'subscriber_first_name': 'REGAN'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250711.115426387.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6472487/check_9706478_b08aa45d-abf5-44b2-affd-6c273039712f.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '33405035111', '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': '1957-03-29', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': 'SP', 'enrolled_in_qmb': False, 'patient_last_name': 'WALDEN', 'plan_sponsor_name': None, 'patient_first_name': 'REGAN', '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 | 8231362178 | N/A | N/A | 6472487 | 2222 | 4801 | 9458739 | N/A | 5105545 | 2025-07-12 02:03:34.018489 | 2025-07-07 15:29:01.484955 |
| 2025-07-11 09:03:28.287255 | 2025-07-12 09:09:35.584752 | 9706360 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9706360', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1967-08-29', 'date_of_service': '2025-07-11', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'subscriber_last_name': 'HARDING', 'subscriber_member_id': 'XDP157A51099', 'subscriber_first_name': 'NATHAN'} | 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/2222/6398773/check_9706360_0dd7c477-230f-4c02-bd0f-e323741947c7.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': '1967-08-29', '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 | 8231417818 | N/A | N/A | 6398773 | 2222 | 4801 | 9475077 | N/A | 5046326 | 2025-07-12 09:09:35.584752 | 2025-06-30 17:04:21.721546 |
| 2025-07-11 09:03:27.442963 | 2025-07-12 09:14:37.113696 | 9706317 | N/A | N/A | {'payer_id': 'Z1073', 'payer_name': 'Medicare B California Southern', 'provider_npi': '1114042165', 'trace_number': '9706317', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1955-03-14', 'date_of_service': '2025-07-11', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'GOTTLIEB', 'subscriber_member_id': '5QC5Y42RU84', 'subscriber_first_name': 'ROY'} | 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/2222/6398701/check_9706317_7d1f511d-cd18-43e3-b87a-acc030534c8d.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '5QC5Y42RU84', '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': '1955-03-14', 'plan_number': 'S5617', 'group_number': None, 'insurance_type': None, 'plan_type_code': 'MB', 'enrolled_in_qmb': False, 'patient_last_name': 'GOTTLIEB', 'plan_sponsor_name': None, 'patient_first_name': 'ROY', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8231417815 | N/A | N/A | 6398701 | 2222 | 4793 | 9478194 | N/A | 5046257 | 2025-07-12 09:14:37.113696 | 2025-06-15 19:16:28.356486 |
| 2025-07-11 09:03:08.894163 | 2025-07-12 02:12:11.687641 | 9705642 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': '1114042165', 'trace_number': '9705642', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1955-03-14', 'date_of_service': '2025-07-11', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'GOTTLIEB', 'subscriber_member_id': 'XEM909776828', 'subscriber_first_name': 'ROY'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250711.115426387.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6398702/check_9705642_711fc2c8-8d66-4ba8-9914-c88116487c23.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XEM909776828', 'plan_type': 'Other', 'group_name': 'MEDICARE SUPPLEMENT', 'payer_name': 'MEDICARE PART A AND B', 'payer_note': None, 'patient_dob': '1955-03-14', 'plan_number': '2002SF000029', 'group_number': 'X0001002', 'insurance_type': None, 'plan_type_code': 'OT', 'enrolled_in_qmb': False, 'patient_last_name': 'GOTTLIEB', 'plan_sponsor_name': None, 'patient_first_name': 'ROY', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'MEDICARE SUPPLEMENT PLAN F EXTRA', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8231363011 | N/A | N/A | 6398702 | 2222 | 4793 | 9463400 | N/A | 5046257 | 2025-07-12 02:12:11.687641 | 2025-06-15 19:16:28.356486 |
| 2025-07-11 09:02:54.378604 | 2025-07-12 02:12:12.260737 | 9705151 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': '1114042165', 'trace_number': '9705151', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1959-04-20', 'date_of_service': '2025-07-11', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'GRANT', 'subscriber_member_id': 'xem914408420', 'subscriber_first_name': 'ROBERT'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250711.115426387.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6211380/check_9705151_bb0b5e4b-4158-4a44-80c1-6c614b38c04c.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XEM914408420', 'plan_type': 'Other', 'group_name': 'MEDICARE SUPPLEMENT', 'payer_name': 'MEDICARE PART A AND B', 'payer_note': None, 'patient_dob': '1959-04-20', 'plan_number': '2002SEW00028', 'group_number': 'X0001002', 'insurance_type': None, 'plan_type_code': 'OT', 'enrolled_in_qmb': False, 'patient_last_name': 'GRANT', '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': 'MEDICARE SUPPLEMENT PLAN G', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8231362874 | N/A | N/A | 6211380 | 2222 | 4793 | 9463405 | N/A | 4214087 | 2025-07-12 02:12:12.260737 | 2025-05-13 04:29:37.228402 |
| 2025-07-11 09:02:50.582040 | 2025-07-12 02:12:11.243028 | 9705025 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': '1114042165', 'trace_number': '9705025', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1945-10-03', 'date_of_service': '2025-07-11', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'CAVELLA', 'subscriber_member_id': 'XEA913628752', 'subscriber_first_name': 'EMIL'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250711.115426387.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6203312/check_9705025_83f2b1ee-91a3-4311-825d-16a2c3d629e8.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XAN913628752', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM', 'payer_name': 'MEDICARE PART A AND B', 'payer_note': None, 'patient_dob': '1945-10-03', 'plan_number': '1002VX000001', 'group_number': 'W0051411', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'CAVELLA', 'plan_sponsor_name': None, 'patient_first_name': 'EMIL', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'CALPERS ASO PLATINUM PPO SUPPLEMENT TO MEDICARE', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8231362850 | N/A | N/A | 6203312 | 2222 | 4801 | 9463394 | N/A | 4846213 | 2025-07-12 02:12:11.243028 | 2025-06-10 21:58:09.734801 |
| 2025-07-11 09:02:40.028620 | 2025-07-12 02:12:12.784793 | 9704627 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': '1114042165', 'trace_number': '9704627', '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': 'XEM912219422', 'subscriber_first_name': 'MARY'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250711.115426387.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6175091/check_9704627_7a1fa0b0-6546-4c63-b538-eeb4bce30fc7.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XEM912219422', 'plan_type': 'Other', 'group_name': 'MEDICARE SUPPLEMENT', 'payer_name': 'MEDICARE PART A AND B', 'payer_note': None, 'patient_dob': '1958-05-19', 'plan_number': '2002SE000030', 'group_number': 'X0001002', 'insurance_type': None, 'plan_type_code': 'OT', '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': 'MEDICARE SUPPLEMENT PLAN G EXTRA', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8231362112 | N/A | N/A | 6175091 | 2222 | 4801 | 9463410 | N/A | 4213917 | 2025-07-12 02:12:12.784793 | 2025-06-25 01:53:37.609327 |
| 2025-07-11 09:02:39.826049 | 2025-07-12 09:02:40.523603 | 9704618 | N/A | N/A | {'payer_id': 'REGAL', 'payer_name': 'Regal Medical Group', 'provider_npi': '1114042165', 'trace_number': '9704618', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '2005-03-11', 'date_of_service': '2025-07-11', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'GOODIN IV', 'subscriber_member_id': '240431503', 'subscriber_first_name': 'THOMAS'} | 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/2222/6821324/check_9704618_49b74350-4675-40a7-9e3f-28a0181d7af1.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '240431503', 'plan_type': None, 'group_name': None, 'payer_name': 'REGAL MEDICAL GROUP', 'payer_note': None, 'patient_dob': '2005-03-11', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'GOODIN IV', '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 | 8231407077 | N/A | N/A | 6821324 | 2222 | 4793 | 9471666 | N/A | 5863588 | 2025-07-12 09:02:40.523603 | 2025-07-14 15:42:23.336140 |
| 2025-07-11 09:02:38.809812 | 2025-07-12 09:07:36.990117 | 9704578 | N/A | N/A | {'payer_id': '60054', 'payer_name': 'Aetna', 'provider_npi': '1114042165', 'trace_number': '9704578', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1988-05-26', 'date_of_service': '2025-07-11', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'Leonard', 'subscriber_member_id': 'W268995406', 'subscriber_first_name': 'Alistar'} | 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/2222/6821106/check_9704578_30327e35-3573-4be6-9911-8927dbd5caa0.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'W268995406', 'plan_type': 'Point of Service (POS)', 'group_name': 'THE BOSTON CONSULTING GROUP, INC.', 'payer_name': 'AETNA', 'payer_note': None, 'patient_dob': '1988-05-26', 'plan_number': '0657263', 'group_number': '065726301000101', 'insurance_type': None, 'plan_type_code': 'PS', 'enrolled_in_qmb': False, 'patient_last_name': 'LEONARD', 'plan_sponsor_name': None, 'patient_first_name': 'ALISTAIR', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'AETNA CHOICE POS II', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8231406950 | N/A | N/A | 6821106 | 2222 | 4802 | 9473900 | N/A | 5863122 | 2025-07-12 09:07:36.990117 | 2025-07-09 19:37:46.077751 |
| 2025-07-11 09:02:31.863441 | 2025-07-12 09:09:09.626756 | 9704301 | N/A | N/A | {'payer_id': '94134', 'payer_name': 'Kaiser Foundation Health Plan of Southern CA Region', 'provider_npi': '1114042165', 'trace_number': '9704301', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '2002-09-02', 'date_of_service': '2025-07-11', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'TCHORBAJIAN', 'subscriber_member_id': '000015560662', 'subscriber_first_name': 'AREN'} | 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/2222/5993954/check_9704301_ea0a8609-ac19-497c-a4ea-4354548e5343.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '000015560662', 'plan_type': None, 'group_name': None, 'payer_name': 'KFHP 1000', 'payer_note': 'HMO - HMO COMMERCIAL', 'patient_dob': '2002-09-02', 'plan_number': '3003378', 'group_number': '1650095001', 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'TCHORBAJIAN', 'plan_sponsor_name': None, 'patient_first_name': 'AREN', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'GF JANUARY - KPIF COPAY COPAYMENT $25 HMO', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8231373309 | N/A | N/A | 5993954 | 2222 | 4801 | 9474827 | N/A | 4642889 | 2025-07-12 09:09:09.626756 | 2025-06-13 05:53:58.450942 |
| 2025-07-11 09:02:31.742566 | 2025-07-12 09:02:16.941675 | 9704295 | N/A | N/A | {'payer_id': 'LMG01', 'payer_name': 'Lakeside Medical Group', 'provider_npi': '1114042165', 'trace_number': '9704295', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1969-01-08', 'date_of_service': '2025-07-11', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'ALROMAIH', 'subscriber_member_id': '91237812E', 'subscriber_first_name': 'SARAH'} | 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/2222/5993940/check_9704295_0b819cb6-c111-47ab-b4ed-59ac611d4595.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '91237812E', 'plan_type': None, 'group_name': None, 'payer_name': 'LAKESIDE MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1969-01-08', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'ALROMAIH', 'plan_sponsor_name': None, 'patient_first_name': 'SARAH', '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 | 8231373308 | N/A | N/A | 5993940 | 2222 | 4802 | 9471591 | N/A | 4642877 | 2025-07-12 09:02:16.941675 | 2025-12-23 23:49:16.627667 |
| 2025-07-11 09:02:31.733514 | 2025-07-12 02:02:38.754250 | 9704293 | N/A | N/A | {'payer_id': '92916', 'payer_name': 'UNITED AMERICAN INSURANCE COMPANY', 'provider_npi': '1114042165', 'trace_number': '9704293', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1994-04-04', 'date_of_service': '2025-07-11', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'Nowain', 'subscriber_member_id': '980712601', 'subscriber_first_name': 'Ashley'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250711.115540482.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6612596/check_9704293_8e6a165b-3f97-4f87-934c-6780848e8188.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '980712601', 'plan_type': None, 'group_name': None, 'payer_name': 'UNITED AMERICAN INSURANCE COMPANY', 'payer_note': None, 'patient_dob': '1994-04-04', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'NOWAIN', 'plan_sponsor_name': None, 'patient_first_name': 'ASHLEY', '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 | 8231358634 | N/A | N/A | 6612596 | 2222 | 4802 | 9458289 | N/A | 5231036 | 2025-07-12 02:02:38.754250 | 2025-07-02 23:02:21.641930 |
| 2025-07-11 09:02:31.638038 | 2025-07-12 09:10:33.609784 | 9704287 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': '1114042165', 'trace_number': '9704287', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1997-07-22', 'date_of_service': '2025-07-11', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'subscriber_last_name': 'BUCKWALD', 'subscriber_member_id': 'XED914061341', 'subscriber_first_name': 'BLAKE'} | 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/2222/5993926/check_9704287_99b4daed-8c59-46da-aef2-d201d00d8598.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XED914061341', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'IFP ON EXCHANGE', 'payer_name': 'BLUE SHIELD CALIFORNIA', 'payer_note': None, 'patient_dob': '1997-07-22', 'plan_number': '2001ZK002186', 'group_number': 'X0001004', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'BUCKWALD', 'plan_sponsor_name': None, 'patient_first_name': 'BLAKE', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'IFP EMB PED DPPO JAN15', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8231373307 | N/A | N/A | 5993926 | 2222 | 4802 | 9475664 | N/A | 4642862 | 2025-07-12 09:10:33.609784 | 2025-05-28 20:59:09.029689 |
| 2025-07-11 09:02:31.509807 | 2025-07-12 09:14:34.678534 | 9704280 | N/A | N/A | {'payer_id': 'Z1073', 'payer_name': 'Medicare B California Southern', 'provider_npi': '1114042165', 'trace_number': '9704280', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1955-12-01', 'date_of_service': '2025-07-11', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'PARLIER', 'subscriber_member_id': '7D70AM9KX14', 'subscriber_first_name': 'MERILEE'} | 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/2222/5993924/check_9704280_774deafe-9303-4c78-93f9-ad0fba8133c5.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '7D70AM9KX14', 'plan_type': 'Medicare Part A', 'group_name': None, 'payer_name': 'ANTHEM INSURANCE COMPANIES, INC.', 'payer_note': '0-BENEFICIARY INSURED DUE TO AGE OASI', 'patient_dob': '1955-12-01', 'plan_number': 'H4036', 'group_number': None, 'insurance_type': None, 'plan_type_code': 'MA', 'enrolled_in_qmb': False, 'patient_last_name': 'PARLIER', 'plan_sponsor_name': None, 'patient_first_name': 'MERILEE', '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 | 8231373306 | N/A | N/A | 5993924 | 2222 | 4801 | 9478176 | N/A | 4642861 | 2025-07-12 09:14:34.678534 | 2025-11-25 19:25:55.074534 |
| 2025-07-11 09:02:31.377162 | 2025-07-12 09:10:34.083810 | 9704269 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': '1114042165', 'trace_number': '9704269', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1984-05-19', 'date_of_service': '2025-07-11', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'DANG', 'subscriber_member_id': 'XAN913823841', 'subscriber_first_name': 'TRAM'} | 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/2222/5993908/check_9704269_e6afeea7-9b31-4ab5-a18a-e7af06ba9322.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XAN913823841', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM', 'payer_name': 'BLUE SHIELD CALIFORNIA', 'payer_note': None, 'patient_dob': '1984-05-16', 'plan_number': '1479PPOX0002', 'group_number': 'W0051411', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'DANG', 'plan_sponsor_name': None, 'patient_first_name': 'TRAM', '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 | 8231373305 | N/A | N/A | 5993908 | 2222 | 4802 | 9475667 | N/A | 4534561 | 2025-07-12 09:10:34.083810 | 2025-06-02 15:59:21.578406 |
| 2025-07-11 09:02:31.248567 | 2025-07-12 09:09:09.984049 | 9704261 | N/A | N/A | {'payer_id': '95567', 'payer_name': 'Health Net of California and Oregon', 'provider_npi': '1114042165', 'trace_number': '9704261', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1983-05-31', 'date_of_service': '2025-07-11', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'JOHNSON', 'subscriber_member_id': 'R04617470MM1', 'subscriber_first_name': 'ROTH'} | 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/2222/5993907/check_9704261_14c27711-7c32-4387-985b-96c55f0cd471.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'R04617470MM1', 'plan_type': None, 'group_name': None, 'payer_name': 'HEALTH NET, LLC', 'payer_note': None, 'patient_dob': '1983-05-31', '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': 'ROTH', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'K7Z PPOSBG', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8231373304 | N/A | N/A | 5993907 | 2222 | 4793 | 9474832 | N/A | 4534544 | 2025-07-12 09:09:09.984049 | 2025-05-28 20:51:40.104091 |
| 2025-07-11 09:02:31.069170 | 2025-07-12 09:09:47.654200 | 9704254 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9704254', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1996-01-20', 'date_of_service': '2025-07-11', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'WORDEN', 'subscriber_member_id': 'ORU910469318', 'subscriber_first_name': 'SARAH'} | 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/2222/5993479/check_9704254_9c029af5-1765-4cb5-9ae0-b4a06ef55315.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'ORU910469318', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'OAK RIDGE ASSOCIATED UNIVERSITIES', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1996-01-20', 'plan_number': 'MBPORAU0', 'group_number': '89513', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'WORDEN', 'plan_sponsor_name': None, 'patient_first_name': 'SARAH', 'patient_middle_name': None, 'date_time_period_end': '2199-12-31', 'date_time_period_start': '2024-07-16', 'plan_coverage_description': 'BLUE NETWORK P', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8231373303 | N/A | N/A | 5993479 | 2222 | 4801 | 9475192 | N/A | 4219476 | 2025-07-12 09:09:47.654200 | 2025-05-28 20:18:04.039855 |
| 2025-07-11 09:02:30.958832 | 2025-07-12 02:12:36.036422 | 9704247 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9704247', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1967-03-31', 'date_of_service': '2025-07-11', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'BARRERA', 'subscriber_member_id': 'XEH903389121', 'subscriber_first_name': 'LOLA'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250711.115540482.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6611912/check_9704247_b8bf6549-6639-44aa-89d4-68fc0f62d858.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XEH903389121', 'plan_type': None, 'group_name': None, 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1967-03-31', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'BARRERA', 'plan_sponsor_name': None, 'patient_first_name': 'LOLA', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8231358630 | N/A | N/A | 6611912 | 2222 | 4793 | 9463636 | N/A | 5230345 | 2025-07-12 02:12:36.036422 | 2025-07-11 20:32:03.183345 |
| 2025-07-11 09:02:25.884289 | 2025-07-12 02:11:09.864480 | 9703982 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9703982', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1955-12-01', 'date_of_service': '2025-07-11', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'PARLIER', 'subscriber_member_id': 'MBL624W07406', 'subscriber_first_name': 'MERILEE'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250711.115426387.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6143804/check_9703982_5affe65c-99eb-44f9-a17b-177f54861106.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'MBL624W07406', 'plan_type': None, 'group_name': 'MOTION PICTURE INDUSTRY HEALTH PLAN', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1955-12-01', 'plan_number': '040', 'group_number': 'CAEGR002', 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'PARLIER', 'plan_sponsor_name': None, 'patient_first_name': 'MERILEE', '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} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8231362676 | N/A | N/A | 6143804 | 2222 | 4801 | 9462822 | N/A | 4642861 | 2025-07-12 02:11:09.864480 | 2025-11-25 19:25:55.074534 |
| 2025-07-11 09:02:25.224255 | 2025-07-12 09:21:00.256803 | 9703946 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': '1114042165', 'trace_number': '9703946', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1980-03-06', 'date_of_service': '2025-07-11', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'subscriber_last_name': 'Lane', 'subscriber_member_id': 'XEK904721388', 'subscriber_first_name': 'Jason'} | 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/2222/6814774/check_9703946_af64a713-1cd8-4e7c-91a9-85701613187f.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XEK904721388', 'plan_type': None, 'group_name': None, 'payer_name': 'BLUE SHIELD CALIFORNIA', 'payer_note': None, 'patient_dob': '1980-03-06', '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': 'JASON', '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 | 8231406905 | N/A | N/A | 6814774 | 2222 | 4802 | 9480613 | N/A | 5857104 | 2025-07-12 09:21:00.256803 | 2025-07-08 17:08:11.593095 |
| 2025-07-11 09:02:24.775424 | 2025-07-12 02:10:03.495694 | 9703922 | N/A | N/A | {'payer_id': '72261', 'payer_name': 'Scan Health Plan - California', 'provider_npi': '1114042165', 'trace_number': '9703922', 'provider_name': '', 'subscriber_dob': '1954-03-02', 'date_of_service': '2025-07-11', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'THOMPSON', 'subscriber_member_id': '40064864701', 'subscriber_first_name': 'PORNTIPA'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250711.115540482.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6609536/check_9703922_528a55bf-2843-4d35-8caf-688da78c9078.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '40064864701', 'plan_type': None, 'group_name': None, 'payer_name': 'SCAN HEALTH PLAN - CALIFORNIA', 'payer_note': None, 'patient_dob': '1954-03-02', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'THOMPSON', 'plan_sponsor_name': None, 'patient_first_name': 'PORNTIPA', '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 | 8231358316 | N/A | N/A | 6609536 | 2222 | 4801 | 9462215 | N/A | 4209233 | 2025-07-12 02:10:03.495694 | 2025-06-26 16:05:40.963247 |