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 09:02:24.640856 | 2025-07-12 09:21:01.232955 | 9703914 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': '1114042165', 'trace_number': '9703914', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1961-03-07', 'date_of_service': '2025-07-11', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'PERLOV', 'subscriber_member_id': 'XEA905216171', 'subscriber_first_name': 'MERA'} | 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/2222/6814311/check_9703914_c6b35979-1f89-4a97-9e81-0a69756d163e.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XEA905216171', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'LA CARE HEALTH PLAN', 'payer_name': 'BLUE SHIELD CALIFORNIA', 'payer_note': None, 'patient_dob': '1961-03-07', 'plan_number': '1000PPOX0003', 'group_number': 'W0051027', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'PERLOV', 'plan_sponsor_name': None, 'patient_first_name': 'MERA', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2025-01-01', 'plan_coverage_description': 'LA CARE HEALTH PLAN PPO SAVINGS TWO TIER EMBEDDED', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8231406904 | N/A | N/A | 6814311 | 2222 | 4793 | 9480617 | N/A | 5856694 | 2025-07-12 09:21:01.232955 | 2025-07-07 18:45:06.287504 |
| 2025-07-11 09:02:24.509300 | 2025-07-12 02:02:34.676245 | 9703906 | N/A | N/A | {'payer_id': 'REGAL', 'payer_name': 'Regal Medical Group', 'provider_npi': '1114042165', 'trace_number': '9703906', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1941-06-01', 'date_of_service': '2025-07-11', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'LINDSEY', 'subscriber_member_id': '311197579', 'subscriber_first_name': 'MARGARET'} | 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/2222/6609411/check_9703906_ff292055-eafc-4f28-afc4-ccd93daefce4.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '311197579', 'plan_type': None, 'group_name': None, 'payer_name': 'REGAL MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1941-06-01', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'LINDSEY', '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 | 8231358315 | N/A | N/A | 6609411 | 2222 | 4801 | 9458262 | N/A | 5227785 | 2025-07-12 02:02:34.676245 | 2025-07-14 23:29:36.615245 |
| 2025-07-11 09:02:22.295753 | 2025-07-12 09:20:58.812679 | 9703779 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': '1114042165', 'trace_number': '9703779', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1976-09-20', 'date_of_service': '2025-07-11', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'subscriber_last_name': 'Bolton', 'subscriber_member_id': 'XEK910377236', 'subscriber_first_name': 'Stephen'} | 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/2222/6814151/check_9703779_febb8b89-d8fd-4ec2-ae15-ff4aa682c74b.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XEK910377236', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'IFP OFF EXCHANGE', 'payer_name': 'BLUE SHIELD CALIFORNIA', 'payer_note': None, 'patient_dob': '1976-09-20', 'plan_number': '2001ZJ002648', 'group_number': 'X0001000', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'BOLTON', 'plan_sponsor_name': None, 'patient_first_name': 'STEPHEN', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2021-02-01', 'plan_coverage_description': 'IFP EMB PED DPPO JAN15', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8231406898 | N/A | N/A | 6814151 | 2222 | 4793 | 9480610 | N/A | 5856522 | 2025-07-12 09:20:58.812679 | 2025-07-10 02:16:48.328344 |
| 2025-07-11 09:02:19.063512 | 2025-07-12 09:07:35.937205 | 9703605 | N/A | N/A | {'payer_id': '60054', 'payer_name': 'Aetna', 'provider_npi': '1114042165', 'trace_number': '9703605', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1982-01-04', 'date_of_service': '2025-07-11', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'BURKE', 'subscriber_member_id': 'W288072188', 'subscriber_first_name': 'DANIELLE'} | 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/2222/6813488/check_9703605_1524a290-ea38-4637-8078-44c0284d09aa.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'W288072188', 'plan_type': 'Point of Service (POS)', 'group_name': 'PRECISION CASTPARTS CORP.', 'payer_name': 'AETNA', 'payer_note': None, 'patient_dob': '1982-01-04', 'plan_number': '0804202', 'group_number': '080420201400030', 'insurance_type': None, 'plan_type_code': 'PS', 'enrolled_in_qmb': False, 'patient_last_name': 'BURKE', 'plan_sponsor_name': None, 'patient_first_name': 'DANIELLE', '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 | 8231406888 | N/A | N/A | 6813488 | 2222 | 4793 | 9473887 | N/A | 5855703 | 2025-07-12 09:07:35.937205 | 2025-07-09 18:25:42.890614 |
| 2025-07-11 09:02:06.066881 | 2025-07-12 09:07:38.138809 | 9702925 | N/A | N/A | {'payer_id': '60054', 'payer_name': 'Aetna', 'provider_npi': '1114042165', 'trace_number': '9702925', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1975-03-18', 'date_of_service': '2025-07-11', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'FARRUKH', 'subscriber_member_id': 'JXN208M92481', 'subscriber_first_name': 'ANBARIN'} | 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/2222/6811878/check_9702925_1ff4411d-8d84-4300-ac56-b1b5cf08cd68.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'JXN208M92481', 'plan_type': None, 'group_name': None, 'payer_name': 'AETNA INC', 'payer_note': None, 'patient_dob': '1975-03-18', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'FARRUKH', 'plan_sponsor_name': None, 'patient_first_name': 'ANBARIN', '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 | 8231406599 | N/A | N/A | 6811878 | 2222 | 4793 | 9473911 | N/A | 5854231 | 2025-07-12 09:07:38.138809 | 2025-07-07 16:52:38.056680 |
| 2025-07-11 03:54:48.471656 | 2025-07-11 03:54:51.310146 | 9700400 | N/A | N/A | {'payer_id': '95567', 'payer_name': 'Health Net of California and Oregon', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '2009-08-12', 'date_of_service': '2025-07-11', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 4709, 'subscriber_last_name': 'Aldana', 'subscriber_member_id': '95423949E', 'subscriber_first_name': 'George'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6568645/check_9700400_b99c68a0-ca63-4095-8596-0f79e59c14f6.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6568645/check_9700400_db7a05bb-1af5-459c-95eb-6559cbacbe66.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '95423949E', 'plan_type': None, 'group_name': None, 'payer_name': 'HEALTH NET, LLC', 'payer_note': None, 'patient_dob': '2009-08-12', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'ALDANA', 'plan_sponsor_name': None, 'patient_first_name': 'GEORGE', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6568645 | 2222 | N/A | 9436926 | N/A | 5190481 | 2025-07-11 03:54:51.310146 | 2025-06-24 17:29:30.756528 |
| 2025-07-11 03:54:41.831990 | 2025-07-11 03:54:48.462934 | 9700395 | N/A | N/A | {'payer_id': '95567', 'payer_name': 'Health Net of California and Oregon', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '2009-08-12', 'date_of_service': '2025-07-11', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 4709, 'subscriber_last_name': 'Aldana', 'subscriber_member_id': '95423949E', 'subscriber_first_name': 'George'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6568645/check_9700395_d2592903-205e-496a-a73c-3f5dca059515.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-11 | N/A | N/A | N/A | N/A | N/A | N/A | {'member_id': '95423949E', 'plan_type': None, 'group_name': None, 'payer_name': 'HEALTH NET, LLC', 'payer_note': None, 'patient_dob': '2009-08-12', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'ALDANA', 'plan_sponsor_name': None, 'patient_first_name': 'GEORGE', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6568645 | 2222 | N/A | N/A | N/A | 5190481 | 2025-07-11 03:54:48.462934 | 2025-06-24 17:29:30.756528 |
| 2025-07-11 00:40:20.219742 | 2025-07-11 00:40:22.018589 | 9697778 | N/A | N/A | {'payer_id': 'REGAL', 'payer_name': 'Regal Medical Group', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1952-01-26', 'date_of_service': '2025-07-25', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 23307, 'subscriber_last_name': 'AGHA ZADEH', 'subscriber_member_id': '40034093701', 'subscriber_first_name': 'FIMA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6582113/check_9697778_e8f8fde5-c7c2-4f37-a843-ca0b3e487c1a.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6582113/check_9697778_52d9fbda-45c8-4f53-b9f7-53eaae5cba25.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '40034093701', 'plan_type': None, 'group_name': None, 'payer_name': 'REGAL MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1952-01-26', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'AGHA ZADEH', 'plan_sponsor_name': None, 'patient_first_name': 'FIMA', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | N/A | 9195 | N/A | 6582113 | 2222 | N/A | 9421735 | N/A | 5201198 | 2025-07-11 00:40:22.018589 | 2025-07-11 22:39:28.411632 |
| 2025-07-11 00:40:18.654831 | 2025-07-11 00:40:20.217611 | 9697777 | N/A | N/A | {'payer_id': 'REGAL', 'payer_name': 'Regal Medical Group', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1952-01-26', 'date_of_service': '2025-07-25', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 23307, 'subscriber_last_name': 'AGHA ZADEH', 'subscriber_member_id': '40034093701', 'subscriber_first_name': 'FIMA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6582113/check_9697777_e473d9c2-3d09-4f98-884f-5a5bd37963d7.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-25 | N/A | N/A | N/A | N/A | N/A | N/A | {'member_id': '40034093701', 'plan_type': None, 'group_name': None, 'payer_name': 'REGAL MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1952-01-26', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'AGHA ZADEH', 'plan_sponsor_name': None, 'patient_first_name': 'FIMA', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | N/A | 9195 | N/A | 6582113 | 2222 | N/A | N/A | N/A | 5201198 | 2025-07-11 00:40:20.217611 | 2025-07-11 22:39:28.411632 |
| 2025-07-11 00:37:32.819432 | 2025-07-11 00:37:34.553599 | 9697774 | N/A | N/A | {'payer_id': '72261', 'payer_name': 'Scan Health Plan - California', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1952-01-26', 'date_of_service': '2025-07-25', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6237, 'subscriber_last_name': 'AGHA ZADEH', 'subscriber_member_id': '400340937-01', 'subscriber_first_name': 'FIMA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6582113/check_9697774_757f91c9-76b4-4b91-b5c7-994d17811d49.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6582113/check_9697774_2f90819b-0280-4580-ad64-77023fea15e0.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '400340937-01', 'plan_type': None, 'group_name': None, 'payer_name': 'SCAN HEALTH PLAN', 'payer_note': None, 'patient_dob': None, 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'AGHA ZADEH', 'plan_sponsor_name': None, 'patient_first_name': 'FIMA', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | N/A | 9195 | N/A | 6582113 | 2222 | N/A | 9421731 | N/A | 5201198 | 2025-07-11 00:37:34.553599 | 2025-07-11 22:39:28.411632 |
| 2025-07-11 00:37:29.232477 | 2025-07-11 00:37:32.816420 | 9697773 | N/A | N/A | {'payer_id': '72261', 'payer_name': 'Scan Health Plan - California', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1952-01-26', 'date_of_service': '2025-07-25', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6237, 'subscriber_last_name': 'AGHA ZADEH', 'subscriber_member_id': '400340937-01', 'subscriber_first_name': 'FIMA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6582113/check_9697773_b9854588-e88c-4742-a67f-a890b778dbfb.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-25 | N/A | N/A | N/A | N/A | N/A | N/A | {'member_id': '400340937-01', 'plan_type': None, 'group_name': None, 'payer_name': 'SCAN HEALTH PLAN', 'payer_note': None, 'patient_dob': None, 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'AGHA ZADEH', 'plan_sponsor_name': None, 'patient_first_name': 'FIMA', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | N/A | 9195 | N/A | 6582113 | 2222 | N/A | N/A | N/A | 5201198 | 2025-07-11 00:37:32.816420 | 2025-07-11 22:39:28.411632 |
| 2025-07-11 00:37:17.204694 | 2025-07-11 00:37:18.927243 | 9697772 | N/A | N/A | {'payer_id': '72261', 'payer_name': 'Scan Health Plan - California', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1952-01-26', 'date_of_service': '2025-07-25', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6237, 'subscriber_last_name': 'AGHA ZADEH', 'subscriber_member_id': '40034093701', 'subscriber_first_name': 'FIMA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6582113/check_9697772_4db54ff3-562f-49f9-9827-9594e6becf9e.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6582113/check_9697772_5d6d324f-27cc-49ad-8b4c-3de9a99eb5cc.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '40034093701', 'plan_type': None, 'group_name': None, 'payer_name': 'SCAN HEALTH PLAN', 'payer_note': None, 'patient_dob': None, 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'AGHA ZADEH', 'plan_sponsor_name': None, 'patient_first_name': 'FIMA', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | N/A | 9195 | N/A | 6582113 | 2222 | N/A | 9421729 | N/A | 5201198 | 2025-07-11 00:37:18.927243 | 2025-07-11 22:39:28.411632 |
| 2025-07-11 00:37:13.535067 | 2025-07-11 00:37:17.202843 | 9697771 | N/A | N/A | {'payer_id': '72261', 'payer_name': 'Scan Health Plan - California', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1952-01-26', 'date_of_service': '2025-07-25', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6237, 'subscriber_last_name': 'AGHA ZADEH', 'subscriber_member_id': '40034093701', 'subscriber_first_name': 'FIMA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6582113/check_9697771_7c7ee9f2-49cd-41b5-8b54-842bd6f65618.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-25 | N/A | N/A | N/A | N/A | N/A | N/A | {'member_id': '40034093701', 'plan_type': None, 'group_name': None, 'payer_name': 'SCAN HEALTH PLAN', 'payer_note': None, 'patient_dob': None, 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'AGHA ZADEH', 'plan_sponsor_name': None, 'patient_first_name': 'FIMA', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | N/A | 9195 | N/A | 6582113 | 2222 | N/A | N/A | N/A | 5201198 | 2025-07-11 00:37:17.202843 | 2025-07-11 22:39:28.411632 |
| 2025-07-11 00:36:37.344015 | 2025-07-11 00:36:49.313921 | 9697770 | N/A | N/A | {'payer_id': 'REGAL', 'payer_name': 'Regal Medical Group', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1952-01-26', 'date_of_service': '2025-07-25', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 23307, 'subscriber_last_name': 'AGHA ZADEH', 'subscriber_member_id': '40034093701', 'subscriber_first_name': 'FIMA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6582113/check_9697770_dd509ba5-557b-4ba9-a05c-8fa9cc24edfc.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6582113/check_9697770_54cf6442-857d-4f22-bdae-a6a90854e7b0.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '40034093701', 'plan_type': None, 'group_name': None, 'payer_name': 'REGAL MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1952-01-26', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'AGHA ZADEH', 'plan_sponsor_name': None, 'patient_first_name': 'FIMA', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | N/A | 9195 | N/A | 6582113 | 2222 | N/A | 9421727 | N/A | 5201198 | 2025-07-11 00:36:49.313921 | 2025-07-11 22:39:28.411632 |
| 2025-07-11 00:36:35.584779 | 2025-07-11 00:36:37.342123 | 9697769 | N/A | N/A | {'payer_id': 'REGAL', 'payer_name': 'Regal Medical Group', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1952-01-26', 'date_of_service': '2025-07-25', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 23307, 'subscriber_last_name': 'AGHA ZADEH', 'subscriber_member_id': '40034093701', 'subscriber_first_name': 'FIMA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6582113/check_9697769_45bf0ea2-b23b-42cf-b95c-e87a72f0d2cd.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-25 | N/A | N/A | N/A | N/A | N/A | N/A | {'member_id': '40034093701', 'plan_type': None, 'group_name': None, 'payer_name': 'REGAL MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1952-01-26', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'AGHA ZADEH', 'plan_sponsor_name': None, 'patient_first_name': 'FIMA', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | N/A | 9195 | N/A | 6582113 | 2222 | N/A | N/A | N/A | 5201198 | 2025-07-11 00:36:37.342123 | 2025-07-11 22:39:28.411632 |
| 2025-07-11 00:04:44.482205 | 2025-07-11 00:04:47.326660 | 9697749 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1962-07-13', 'date_of_service': '2025-07-21', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'insurance_company_id': 4191, 'subscriber_last_name': 'ZOU', 'subscriber_member_id': 'XEK906107672', 'subscriber_first_name': 'RONG'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6960966/check_9697749_e3da9a0d-907d-4c1d-8315-d90ae862f5a9.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6960966/check_9697749_6531f350-992e-49d4-bddc-5b005551215d.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XEK906107672', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'IFP OFF EXCHANGE', 'payer_name': 'BLUE SHIELD CALIFORNIA', 'payer_note': None, 'patient_dob': '1962-07-13', 'plan_number': '2001ZJ002648', 'group_number': 'X0001000', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'ZOU', 'plan_sponsor_name': None, 'patient_first_name': 'RONG', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2025-01-01', 'plan_coverage_description': 'SILVER 1750 PPO JAN25', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8226659162 | N/A | N/A | 6960966 | 2222 | N/A | 9421694 | N/A | 5985701 | 2025-07-11 00:04:47.326660 | 2025-07-10 23:55:25.921381 |
| 2025-07-10 23:12:51.815326 | 2025-07-10 23:12:53.562560 | 9697610 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1989-10-21', 'date_of_service': '2025-07-11', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'insurance_company_id': 4191, 'subscriber_last_name': 'Greif', 'subscriber_member_id': 'XED913506733', 'subscriber_first_name': 'Sarah'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6958051/check_9697610_c79da50c-e15c-4b08-a0c5-baff960cacf4.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6958051/check_9697610_e0a9960a-fbd3-4b36-b9a8-c148a2d5facd.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XED913506733', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'IFP ON EXCHANGE', 'payer_name': 'BLUE SHIELD CALIFORNIA', 'payer_note': None, 'patient_dob': '1989-10-21', 'plan_number': '2001ZK002166', 'group_number': 'X0001004', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'GREIF', 'plan_sponsor_name': None, 'patient_first_name': 'SARAH', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2024-10-01', 'plan_coverage_description': 'IFP EMB PED DPPO JAN15', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8226376877 | N/A | N/A | 6958051 | 2222 | N/A | 9421382 | N/A | 5983453 | 2025-07-10 23:12:53.562560 | 2025-07-10 21:00:26.641701 |
| 2025-07-10 23:10:17.425493 | 2025-07-10 23:10:22.219894 | 9697601 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1998-04-21', 'date_of_service': '2025-07-11', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'insurance_company_id': 4191, 'subscriber_last_name': 'Safi', 'subscriber_member_id': 'R61624866', 'subscriber_first_name': 'Nina'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6904255/check_9697601_d250ef98-40b5-4e6d-bef9-fe34b4df363b.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6904255/check_9697601_018aa8d0-d16d-4c90-b5b2-5ceac590d5af.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'R61624866', 'plan_type': 'Consolidated Omnibus Budget Reconciliation Act (COBRA)', 'group_name': None, 'payer_name': 'BLUE SHIELD OF CALIFORNIA', 'payer_note': None, 'patient_dob': '1998-04-21', 'plan_number': None, 'group_number': '111', 'insurance_type': None, 'plan_type_code': 'CO', 'enrolled_in_qmb': False, 'patient_last_name': 'SAFI', 'plan_sponsor_name': None, 'patient_first_name': 'NINA', 'patient_middle_name': None, 'date_time_period_end': '2026-12-03', 'date_time_period_start': '2025-06-05', 'plan_coverage_description': 'BASIC', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8226370968 | N/A | N/A | 6904255 | 2222 | N/A | 9421365 | N/A | 5936793 | 2025-07-10 23:10:22.219894 | 2025-07-08 20:49:54.397195 |
| 2025-07-10 23:02:31.590646 | 2025-07-10 23:02:33.360876 | 9697572 | N/A | N/A | {'payer_id': 'Z1073', 'payer_name': 'Medicare B California Southern', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1954-04-02', 'date_of_service': '2025-07-18', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 4497, 'subscriber_last_name': 'HIRSCH', 'subscriber_member_id': '3Y45YJ0JU88', 'subscriber_first_name': 'ELISA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6959069/check_9697572_bd4d5fdd-7300-4359-9d90-ec9ad86ccf60.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6959069/check_9697572_3084ee83-90bf-4ca1-a735-c8c310efb0c6.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '3Y45YJ0JU88', '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': '1954-04-02', 'plan_number': 'S4802', 'group_number': None, 'insurance_type': None, 'plan_type_code': 'MA', 'enrolled_in_qmb': False, 'patient_last_name': 'HIRSCH', 'plan_sponsor_name': None, 'patient_first_name': 'ELISA', '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 | 8226348234 | N/A | N/A | 6959069 | 2222 | N/A | 9421322 | N/A | 5984212 | 2025-07-10 23:02:33.360876 | 2025-07-10 22:53:20.928686 |
| 2025-07-10 23:01:26.625885 | 2025-07-10 23:01:28.373521 | 9697567 | N/A | N/A | {'payer_id': 'Z1073', 'payer_name': 'Medicare B California Southern', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1954-04-02', 'date_of_service': '2025-07-18', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 4497, 'subscriber_last_name': 'HIRSCH', 'subscriber_member_id': '3Y45YJ0JU88', 'subscriber_first_name': 'ELISA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6959069/check_9697567_55131e2a-8316-49b6-910d-d914a87d0291.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6959069/check_9697567_6800d993-89cf-4779-a80d-03c27667e52d.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '3Y45YJ0JU88', 'plan_type': 'Medicare Part B', 'group_name': None, 'payer_name': 'WELLCARE PRESCRIPTION INSURANCE, INC.', 'payer_note': '0-BENEFICIARY INSURED DUE TO AGE OASI', 'patient_dob': '1954-04-02', 'plan_number': 'S4802', 'group_number': None, 'insurance_type': None, 'plan_type_code': 'MB', 'enrolled_in_qmb': False, 'patient_last_name': 'HIRSCH', 'plan_sponsor_name': None, 'patient_first_name': 'ELISA', '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 | 8226345802 | N/A | N/A | 6959069 | 2222 | N/A | 9421313 | N/A | 5984212 | 2025-07-10 23:01:28.373521 | 2025-07-10 22:53:20.928686 |
| 2025-07-10 22:59:08.606052 | 2025-07-10 22:59:11.373861 | 9697564 | N/A | N/A | {'payer_id': 'Z1073', 'payer_name': 'Medicare B California Southern', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1954-04-02', 'date_of_service': '2025-07-18', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 4497, 'subscriber_last_name': 'HIRSCH', 'subscriber_member_id': '3Y45YJ0JU88', 'subscriber_first_name': 'ELISA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6959069/check_9697564_d194f38d-7c1e-4fd7-9bc1-98b3b7110209.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6959069/check_9697564_e5e7f420-9b94-4d3b-aadf-a3e202f35a04.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '3Y45YJ0JU88', 'plan_type': 'Medicare Part B', 'group_name': None, 'payer_name': 'WELLCARE PRESCRIPTION INSURANCE, INC.', 'payer_note': '0-BENEFICIARY INSURED DUE TO AGE OASI', 'patient_dob': '1954-04-02', 'plan_number': 'S4802', 'group_number': None, 'insurance_type': None, 'plan_type_code': 'MB', 'enrolled_in_qmb': False, 'patient_last_name': 'HIRSCH', 'plan_sponsor_name': None, 'patient_first_name': 'ELISA', '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 | 8226338994 | N/A | N/A | 6959069 | 2222 | N/A | 9421304 | N/A | 5984212 | 2025-07-10 22:59:11.373861 | 2025-07-10 22:53:20.928686 |
| 2025-07-10 22:49:22.579407 | 2025-07-10 22:49:24.607533 | 9697538 | N/A | N/A | {'payer_id': '72261', 'payer_name': 'Scan Health Plan - California', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1951-11-24', 'date_of_service': '2025-07-10', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6237, 'subscriber_last_name': 'SILVA', 'subscriber_member_id': '40047267701', 'subscriber_first_name': 'ROSALIA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6445982/check_9697538_233304c9-c5c8-4c34-b523-1d194987f0f8.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6445982/check_9697538_e71743c4-e7b4-4dd6-a541-b235d1c6b0ba.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '40047267701', 'plan_type': None, 'group_name': None, 'payer_name': 'SCAN HEALTH PLAN', 'payer_note': None, 'patient_dob': None, 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'SILVA', 'plan_sponsor_name': None, 'patient_first_name': 'ROSALIA', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | N/A | 2182 | N/A | 6445982 | 2222 | N/A | 9421252 | N/A | 5085675 | 2025-07-10 22:49:24.607533 | 2025-11-17 23:46:25.232629 |
| 2025-07-10 22:49:18.868892 | 2025-07-10 22:49:22.577929 | 9697537 | N/A | N/A | {'payer_id': '72261', 'payer_name': 'Scan Health Plan - California', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1951-11-24', 'date_of_service': '2025-07-10', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6237, 'subscriber_last_name': 'SILVA', 'subscriber_member_id': '40047267701', 'subscriber_first_name': 'ROSALIA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6445982/check_9697537_fbb92d94-14cf-47a9-b923-9ac1c72bb818.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-10 | N/A | N/A | N/A | N/A | N/A | N/A | {'member_id': '40047267701', 'plan_type': None, 'group_name': None, 'payer_name': 'SCAN HEALTH PLAN', 'payer_note': None, 'patient_dob': None, 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'SILVA', 'plan_sponsor_name': None, 'patient_first_name': 'ROSALIA', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | N/A | 2182 | N/A | 6445982 | 2222 | N/A | N/A | N/A | 5085675 | 2025-07-10 22:49:22.577929 | 2025-11-17 23:46:25.232629 |
| 2025-07-10 22:47:12.290543 | 2025-07-10 22:47:16.175129 | 9697531 | N/A | N/A | {'payer_id': '72261', 'payer_name': 'Scan Health Plan - California', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1951-11-24', 'date_of_service': '2025-07-10', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6237, 'subscriber_last_name': 'SILVA', 'subscriber_member_id': '400472677-01', 'subscriber_first_name': 'ROSALIA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6445982/check_9697531_a36089e4-62fd-43ad-b928-78462ce9d75b.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6445982/check_9697531_b8027721-cac0-45fd-b6cf-6e24948304ad.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '40047267701', 'plan_type': None, 'group_name': None, 'payer_name': 'SCAN HEALTH PLAN', 'payer_note': 'CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS', 'patient_dob': '1951-11-24', 'plan_number': '2025H5425001', 'group_number': 'H5425M', 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'SILVA', 'plan_sponsor_name': None, 'patient_first_name': 'ROSALIA', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'SCAN CLASSIC (HMO), VENTURA', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8226316683 | 2182 | N/A | 6445982 | 2222 | N/A | 9421241 | N/A | 5085675 | 2025-07-10 22:47:16.175129 | 2025-11-17 23:46:25.232629 |
| 2025-07-10 22:42:47.407687 | 2025-07-10 22:42:49.122923 | 9697517 | N/A | N/A | {'payer_id': 'REGAL', 'payer_name': 'Regal Medical Group', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1951-11-24', 'date_of_service': '2025-07-10', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 23307, 'subscriber_last_name': 'SILVA', 'subscriber_member_id': '400472677-01', 'subscriber_first_name': 'ROSALIA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6445982/check_9697517_1b936647-8237-42c3-b1de-bd1b7d8bb63f.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6445982/check_9697517_2fa19e41-b1f6-4727-92eb-a4c7406b4f82.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '400472677-01', 'plan_type': None, 'group_name': None, 'payer_name': 'REGAL MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1951-11-24', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'SILVA', 'plan_sponsor_name': None, 'patient_first_name': 'ROSALIA', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | N/A | 2182 | N/A | 6445982 | 2222 | N/A | 9421212 | N/A | 5085675 | 2025-07-10 22:42:49.122923 | 2025-11-17 23:46:25.232629 |
| 2025-07-10 22:42:37.760770 | 2025-07-10 22:42:47.403452 | 9697516 | N/A | N/A | {'payer_id': 'REGAL', 'payer_name': 'Regal Medical Group', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1951-11-24', 'date_of_service': '2025-07-10', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 23307, 'subscriber_last_name': 'SILVA', 'subscriber_member_id': '400472677-01', 'subscriber_first_name': 'ROSALIA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6445982/check_9697516_00e5adfe-8e97-4c1b-9742-1e1be631a97d.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-10 | N/A | N/A | N/A | N/A | N/A | N/A | {'member_id': '400472677-01', 'plan_type': None, 'group_name': None, 'payer_name': 'REGAL MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1951-11-24', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'SILVA', 'plan_sponsor_name': None, 'patient_first_name': 'ROSALIA', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | N/A | 2182 | N/A | 6445982 | 2222 | N/A | N/A | N/A | 5085675 | 2025-07-10 22:42:47.403452 | 2025-11-17 23:46:25.232629 |
| 2025-07-10 22:40:11.145339 | 2025-07-10 22:40:14.873852 | 9697513 | N/A | N/A | {'payer_id': '72261', 'payer_name': 'Scan Health Plan - California', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1951-11-24', 'date_of_service': '2025-07-10', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6237, 'subscriber_last_name': 'SILVA', 'subscriber_member_id': '40047267701', 'subscriber_first_name': 'ROSALIA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6445982/check_9697513_b22f5c1e-36bb-433a-8913-a5f5d397bac3.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6445982/check_9697513_3beb883d-098b-4869-acad-2e8a10faabde.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '40047267701', 'plan_type': None, 'group_name': None, 'payer_name': 'SCAN HEALTH PLAN', 'payer_note': None, 'patient_dob': None, 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'SILVA', 'plan_sponsor_name': None, 'patient_first_name': 'ROSALIA', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | N/A | 2182 | N/A | 6445982 | 2222 | N/A | 9421199 | N/A | 5085675 | 2025-07-10 22:40:14.873852 | 2025-11-17 23:46:25.232629 |
| 2025-07-10 22:40:09.464394 | 2025-07-10 22:40:11.143916 | 9697512 | N/A | N/A | {'payer_id': '72261', 'payer_name': 'Scan Health Plan - California', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1951-11-24', 'date_of_service': '2025-07-10', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6237, 'subscriber_last_name': 'SILVA', 'subscriber_member_id': '40047267701', 'subscriber_first_name': 'ROSALIA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6445982/check_9697512_d5fc1ec9-43f5-4049-a3d5-87d628339ca9.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-10 | N/A | N/A | N/A | N/A | N/A | N/A | {'member_id': '40047267701', 'plan_type': None, 'group_name': None, 'payer_name': 'SCAN HEALTH PLAN', 'payer_note': None, 'patient_dob': None, 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'SILVA', 'plan_sponsor_name': None, 'patient_first_name': 'ROSALIA', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | N/A | 2182 | N/A | 6445982 | 2222 | N/A | N/A | N/A | 5085675 | 2025-07-10 22:40:11.143916 | 2025-11-17 23:46:25.232629 |
| 2025-07-10 21:52:31.684807 | 2025-07-10 21:52:33.445613 | 9697246 | N/A | N/A | {'payer_id': '14163', 'payer_name': 'Wellcare Health Plans', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1948-05-29', 'date_of_service': '2025-07-10', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6798, 'subscriber_last_name': 'BEGGS', 'subscriber_member_id': '32842199', 'subscriber_first_name': 'KATHLEEN'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/5537371/check_9697246_52c866ab-a43d-4224-a30e-f3975acde54b.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537371/check_9697246_d09c340c-00e7-45da-a044-304e50a956a1.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '32842199', 'plan_type': None, 'group_name': None, 'payer_name': 'WELLCARE HEALTH PLANS', 'payer_note': None, 'patient_dob': '1948-05-29', 'plan_number': '406-024-000', 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'BEGGS', 'plan_sponsor_name': None, 'patient_first_name': 'KATHLEEN', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8226169713 | 9483 | N/A | 5537371 | 2222 | N/A | 9420824 | N/A | 4209950 | 2025-07-10 21:52:33.445613 | 2025-05-13 04:29:37.224374 |
| 2025-07-10 21:25:35.225667 | 2025-07-10 21:25:38.337136 | 9697082 | N/A | N/A | {'payer_id': 'Z1073', 'payer_name': 'Medicare B California Southern', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1946-11-18', 'date_of_service': '2025-07-10', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 4497, 'subscriber_last_name': 'STECHER', 'subscriber_member_id': '4P42WA3QM82', 'subscriber_first_name': 'BRIAN'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543052/check_9697082_a107f9ef-98eb-4614-bf3f-8f8fc5872a2f.edi.txt | WAYSTAR | N/A | APPOINTMENT_PII_CHANGE | 2025-07-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543052/check_9697082_9b89bc6c-5dd6-4e37-bf13-d8bd07db689d.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '4P42WA3QM82', 'plan_type': 'Medicare Part A', 'group_name': None, 'payer_name': 'WELLCARE PRESCRIPTION INSURANCE, INC.', 'payer_note': '0-BENEFICIARY INSURED DUE TO AGE OASI', 'patient_dob': '1946-11-18', 'plan_number': 'S4802', 'group_number': None, 'insurance_type': None, 'plan_type_code': 'MA', 'enrolled_in_qmb': False, 'patient_last_name': 'STECHER', 'plan_sponsor_name': None, 'patient_first_name': 'BRIAN', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8226085059 | N/A | N/A | 5543052 | 2222 | N/A | 9420626 | N/A | 4214891 | 2025-07-10 21:25:38.337136 | 2025-05-13 04:29:37.229214 |
| 2025-07-10 20:46:27.218402 | 2025-07-10 20:46:28.984521 | 9696937 | N/A | N/A | {'payer_id': 'REGAL', 'payer_name': 'Regal Medical Group', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1965-05-25', 'date_of_service': '2025-06-25', 'subscriber_gender': 'F', 'service_type_codes': ['PT', 'AE'], 'insurance_company_id': 23306, 'subscriber_last_name': 'CLOONAN', 'subscriber_member_id': 'XDM481M99931', 'subscriber_first_name': 'LINDA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6821541/check_9696937_cfa86c25-4ddc-4924-abba-c247507c828e.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6821541/check_9696937_095b96db-c393-4961-85d8-1238458a3825.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XDM481M99931', 'plan_type': None, 'group_name': None, 'payer_name': 'REGAL MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1965-05-25', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'CLOONAN', '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} | ['PT', 'AE'] | N/A | N/A | N/A | N/A | N/A | N/A | 7306 | N/A | 6821541 | 2222 | N/A | 9420411 | N/A | 4837995 | 2025-07-10 20:46:28.984521 | 2025-06-13 00:15:18.726975 |
| 2025-07-10 20:46:25.480017 | 2025-07-10 20:46:27.214243 | 9696936 | N/A | N/A | {'payer_id': 'REGAL', 'payer_name': 'Regal Medical Group', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1965-05-25', 'date_of_service': '2025-06-25', 'subscriber_gender': 'F', 'service_type_codes': ['PT', 'AE'], 'insurance_company_id': 23306, 'subscriber_last_name': 'CLOONAN', 'subscriber_member_id': 'XDM481M99931', 'subscriber_first_name': 'LINDA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6821541/check_9696936_f37992cd-88fa-4ad0-89e8-ce5a6c4c12d7.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-25 | N/A | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XDM481M99931', 'plan_type': None, 'group_name': None, 'payer_name': 'REGAL MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1965-05-25', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'CLOONAN', '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} | ['PT', 'AE'] | N/A | N/A | N/A | N/A | N/A | N/A | 7306 | N/A | 6821541 | 2222 | N/A | N/A | N/A | 4837995 | 2025-07-10 20:46:27.214243 | 2025-06-13 00:15:18.726975 |
| 2025-07-10 20:45:26.532986 | 2025-07-10 20:45:40.509682 | 9696933 | N/A | N/A | {'payer_id': '62308', 'payer_name': 'CIGNA (Connecticut General, Equicor, Equitable)', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1989-12-06', 'date_of_service': '2025-06-06', 'subscriber_gender': 'F', 'service_type_codes': ['PT', 'AE'], 'insurance_company_id': 4437, 'subscriber_last_name': 'Laraki', 'subscriber_member_id': '109965659', 'subscriber_first_name': 'Zineb'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6078110/check_9696933_162d8052-9e62-4a2e-8325-d760f80b75d3.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6078110/check_9696933_30c67a8d-eb4a-4ba6-bd99-79ee9b48602b.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '10996565900', 'plan_type': None, 'group_name': 'CONVERSICA, INC.', 'payer_name': 'CHLIC', 'payer_note': 'PROVIDER IS IN NETWORK BASED ON NPI ID PROVIDED IN REQUEST NEW BUSINESS RATES APPLIED COMPLETE CARE MANAGEMENT', 'patient_dob': '1989-12-06', 'plan_number': None, 'group_number': '00633890', 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'LARAKI', 'plan_sponsor_name': None, 'patient_first_name': 'ZINEB', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'OPEN ACCESS PLUS', 'relationship_to_subscriber': None} | ['PT', 'AE'] | N/A | N/A | N/A | N/A | N/A | 8225838459 | 5831 | N/A | 6078110 | 2222 | N/A | 9420408 | N/A | 4722393 | 2025-07-10 20:45:40.509682 | 2025-05-29 22:37:40.791959 |
| 2025-07-10 20:42:27.788829 | 2025-07-10 20:42:31.734794 | 9696918 | N/A | N/A | {'payer_id': '62308', 'payer_name': 'CIGNA (Connecticut General, Equicor, Equitable)', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1989-12-06', 'date_of_service': '2025-07-02', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 4437, 'subscriber_last_name': 'Laraki', 'subscriber_member_id': '109965659', 'subscriber_first_name': 'Zineb'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6078110/check_9696918_342faaf2-b4e9-4c05-94ed-d96fef7f6e73.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6078110/check_9696918_0b8b664e-5591-46aa-bb07-2efc241f114e.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '10996565900', 'plan_type': None, 'group_name': 'CONVERSICA, INC.', 'payer_name': 'CHLIC', 'payer_note': None, 'patient_dob': '1989-12-06', 'plan_number': None, 'group_number': '00633890', 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'LARAKI', 'plan_sponsor_name': None, 'patient_first_name': 'ZINEB', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'OPEN ACCESS PLUS', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8225825635 | 5831 | N/A | 6078110 | 2222 | N/A | 9420385 | N/A | 4722393 | 2025-07-10 20:42:31.734794 | 2025-05-29 22:37:40.791959 |
| 2025-07-10 20:42:03.799173 | 2025-07-10 20:42:06.961838 | 9696914 | N/A | N/A | {'payer_id': '62308', 'payer_name': 'CIGNA (Connecticut General, Equicor, Equitable)', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1989-12-06', 'date_of_service': '2025-07-02', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 4437, 'subscriber_last_name': 'Laraki', 'subscriber_member_id': '109965659 00', 'subscriber_first_name': 'Zineb'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6078110/check_9696914_6a013957-1594-4767-b60a-78df94814850.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6078110/check_9696914_07656bb5-74af-43cb-bf74-0f13d65ba25c.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '10996565900', 'plan_type': None, 'group_name': 'CONVERSICA, INC.', 'payer_name': 'CHLIC', 'payer_note': None, 'patient_dob': '1989-12-06', 'plan_number': None, 'group_number': '00633890', 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'LARAKI', 'plan_sponsor_name': None, 'patient_first_name': 'ZINEB', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'OPEN ACCESS PLUS', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8225824002 | 5831 | N/A | 6078110 | 2222 | N/A | 9420380 | N/A | 4722393 | 2025-07-10 20:42:06.961838 | 2025-05-29 22:37:40.791959 |
| 2025-07-10 20:41:31.248471 | 2025-07-10 20:41:32.973469 | 9696911 | N/A | N/A | {'payer_id': '62308', 'payer_name': 'CIGNA (Connecticut General, Equicor, Equitable)', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1989-12-06', 'date_of_service': '2025-07-02', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 4437, 'subscriber_last_name': 'Laraki', 'subscriber_member_id': 'I0996565900', 'subscriber_first_name': 'Zineb'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6078110/check_9696911_a94d73b2-70bc-42a8-897f-f01f9f4f97f8.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6078110/check_9696911_46b69abd-607a-4d20-867e-568caf8cb1f7.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'I0996565900', 'plan_type': None, 'group_name': None, 'payer_name': 'CIGNA HEALTH PLANS', 'payer_note': None, 'patient_dob': '1989-12-06', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'LARAKI', 'plan_sponsor_name': None, 'patient_first_name': 'ZINEB', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | N/A | 5831 | N/A | 6078110 | 2222 | N/A | 9420373 | N/A | 4722393 | 2025-07-10 20:41:32.973469 | 2025-05-29 22:37:40.791959 |
| 2025-07-10 20:41:29.439889 | 2025-07-10 20:41:31.242804 | 9696910 | N/A | N/A | {'payer_id': '62308', 'payer_name': 'CIGNA (Connecticut General, Equicor, Equitable)', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1989-12-06', 'date_of_service': '2025-07-02', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 4437, 'subscriber_last_name': 'Laraki', 'subscriber_member_id': 'I0996565900', 'subscriber_first_name': 'Zineb'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6078110/check_9696910_c9d5710b-1a6c-4420-863a-5002656fff56.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-02 | N/A | N/A | N/A | N/A | N/A | N/A | {'member_id': 'I0996565900', 'plan_type': None, 'group_name': None, 'payer_name': 'CIGNA HEALTH PLANS', 'payer_note': None, 'patient_dob': '1989-12-06', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'LARAKI', 'plan_sponsor_name': None, 'patient_first_name': 'ZINEB', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | N/A | 5831 | N/A | 6078110 | 2222 | N/A | N/A | N/A | 4722393 | 2025-07-10 20:41:31.242804 | 2025-05-29 22:37:40.791959 |
| 2025-07-10 20:40:13.742895 | 2025-07-10 20:40:19.620409 | 9696907 | N/A | N/A | {'payer_id': '62308', 'payer_name': 'CIGNA (Connecticut General, Equicor, Equitable)', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1989-12-06', 'date_of_service': '2025-07-02', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 4437, 'subscriber_last_name': 'Laraki', 'subscriber_member_id': '10996565900', 'subscriber_first_name': 'Zineb'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6078110/check_9696907_5d422dd8-8b20-4f19-88b1-8241c5e727df.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6078110/check_9696907_7d0a2917-6fbe-4afa-a92c-8f2dcc26d293.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '10996565900', 'plan_type': None, 'group_name': 'CONVERSICA, INC.', 'payer_name': 'CHLIC', 'payer_note': None, 'patient_dob': '1989-12-06', 'plan_number': None, 'group_number': '00633890', 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'LARAKI', 'plan_sponsor_name': None, 'patient_first_name': 'ZINEB', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'OPEN ACCESS PLUS', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8225815761 | 5831 | N/A | 6078110 | 2222 | N/A | 9420366 | N/A | 4722393 | 2025-07-10 20:40:19.620409 | 2025-05-29 22:37:40.791959 |
| 2025-07-10 20:36:16.587682 | 2025-07-10 20:36:19.415445 | 9696895 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '2005-07-19', 'date_of_service': '2025-07-16', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'insurance_company_id': 4184, 'subscriber_last_name': 'MOORE', 'subscriber_member_id': 'WZA952W18561', 'subscriber_first_name': 'FAITH'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6644228/check_9696895_5f2f4a40-6bb3-4dc0-8857-389128259e2d.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6644228/check_9696895_b30a6634-2d56-4d5e-ae26-bb4f69e6137a.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'WZA952W18561', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'WARNER BROS DISCOVERY INC', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '2005-07-19', 'plan_number': '130', 'group_number': '270240M25A', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'MOORE', 'plan_sponsor_name': None, 'patient_first_name': 'YOLANDA', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2024-01-01', 'plan_coverage_description': 'CDHP IN HEALTH SAVINGS ACCOUNT', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8225794516 | 5831 | N/A | 6644228 | 2222 | N/A | 9420341 | N/A | 5251545 | 2025-07-10 20:36:19.415445 | 2025-07-16 15:52:27.392778 |
| 2025-07-10 20:35:40.244064 | 2025-07-10 20:35:42.069839 | 9696892 | N/A | N/A | {'payer_id': '62308', 'payer_name': 'CIGNA (Connecticut General, Equicor, Equitable)', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1989-12-06', 'date_of_service': '2025-06-06', 'subscriber_gender': 'F', 'service_type_codes': ['PT', 'AE'], 'insurance_company_id': 4437, 'subscriber_last_name': 'Laraki', 'subscriber_member_id': '10995665900', 'subscriber_first_name': 'Zineb'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6078110/check_9696892_6fc47966-2045-4b50-b514-f1b877a94c67.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-06 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6078110/check_9696892_e5014077-2b12-4db5-bf48-1bb9f838d5f4.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '10995665900', 'plan_type': None, 'group_name': None, 'payer_name': 'CIGNA HEALTH PLANS', 'payer_note': None, 'patient_dob': '1989-12-06', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'LARAKI', 'plan_sponsor_name': None, 'patient_first_name': 'ZINEB', '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 | N/A | 5831 | N/A | 6078110 | 2222 | N/A | 9420337 | N/A | 4722393 | 2025-07-10 20:35:42.069839 | 2025-05-29 22:37:40.791959 |
| 2025-07-10 20:35:30.398065 | 2025-07-10 20:35:40.241791 | 9696891 | N/A | N/A | {'payer_id': '62308', 'payer_name': 'CIGNA (Connecticut General, Equicor, Equitable)', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1989-12-06', 'date_of_service': '2025-06-06', 'subscriber_gender': 'F', 'service_type_codes': ['PT', 'AE'], 'insurance_company_id': 4437, 'subscriber_last_name': 'Laraki', 'subscriber_member_id': '10995665900', 'subscriber_first_name': 'Zineb'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6078110/check_9696891_5fe4a3c4-ab00-483c-a79c-20333addbbda.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-06 | N/A | N/A | N/A | N/A | N/A | N/A | {'member_id': '10995665900', 'plan_type': None, 'group_name': None, 'payer_name': 'CIGNA HEALTH PLANS', 'payer_note': None, 'patient_dob': '1989-12-06', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'LARAKI', 'plan_sponsor_name': None, 'patient_first_name': 'ZINEB', '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 | N/A | 5831 | N/A | 6078110 | 2222 | N/A | N/A | N/A | 4722393 | 2025-07-10 20:35:40.241791 | 2025-05-29 22:37:40.791959 |
| 2025-07-10 20:12:11.523207 | 2025-07-10 20:12:14.376603 | 9696739 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1997-07-14', 'date_of_service': '2025-07-11', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'insurance_company_id': 4191, 'subscriber_last_name': 'SHERBETJIAN', 'subscriber_member_id': 'XED910281081', 'subscriber_first_name': 'JACK'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/5540558/check_9696739_c9e07e26-7b58-42e3-b0ae-29301c0f41c1.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540558/check_9696739_f6de72ab-0f24-48a8-9c84-a76ca630b8de.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XED910281081', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'IFP ON EXCHANGE', 'payer_name': 'BLUE SHIELD CALIFORNIA', 'payer_note': None, 'patient_dob': '1997-07-14', 'plan_number': '2001ZK002184', 'group_number': 'X0001004', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'SHERBETJIAN', 'plan_sponsor_name': None, 'patient_first_name': 'JACK', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '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 | 8225668664 | N/A | N/A | 5540558 | 2222 | N/A | 9420133 | N/A | 4212698 | 2025-07-10 20:12:14.376603 | 2025-05-13 04:29:37.227042 |
| 2025-07-10 19:16:03.391916 | 2025-07-10 19:16:07.256091 | 9696206 | N/A | N/A | {'payer_id': '94134', 'payer_name': 'Kaiser Foundation Health Plan of Southern CA Region', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1958-01-09', 'date_of_service': '2025-07-10', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 5505, 'subscriber_last_name': 'MEISTER', 'subscriber_member_id': '000004042289', 'subscriber_first_name': 'JACQUELINE'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6518751/check_9696206_370ccb59-54cb-4004-b95c-cbb09c4d2235.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6518751/check_9696206_99f1efc7-a7e1-46d3-a445-b29199a65f60.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '000004042289', 'plan_type': None, 'group_name': None, 'payer_name': 'KFHP 1000', 'payer_note': 'HMO - HMO COMMERCIAL', 'patient_dob': '1958-01-09', 'plan_number': '4319864', 'group_number': '101877', 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'MEISTER', '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': 'CONEJO VALLEY UNIFIED SCHOOL DISTRICT CONEJO VALLE', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8225367841 | N/A | N/A | 6518751 | 2222 | N/A | 9419505 | N/A | 4766789 | 2025-07-10 19:16:07.256091 | 2025-06-04 04:12:38.642669 |
| 2025-07-10 18:35:20.431678 | 2025-07-10 18:35:23.271888 | 9695965 | N/A | N/A | {'payer_id': '14163', 'payer_name': 'Wellcare Health Plans', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1948-05-29', 'date_of_service': '2025-07-10', 'subscriber_gender': 'F', 'service_type_codes': ['PT', 'AE'], 'insurance_company_id': 6798, 'subscriber_last_name': 'BEGGS', 'subscriber_member_id': '32842199', 'subscriber_first_name': 'KATHLEEN'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/5537371/check_9695965_40155129-f986-421b-b49f-82abb738a7fd.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537371/check_9695965_399ddfd8-88f3-4512-bfb5-c1e69be7dcf8.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '32842199', 'plan_type': None, 'group_name': None, 'payer_name': 'WELLCARE HEALTH PLANS', 'payer_note': None, 'patient_dob': '1948-05-29', 'plan_number': '406-024-000', 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'BEGGS', 'plan_sponsor_name': None, 'patient_first_name': 'KATHLEEN', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['PT', 'AE'] | N/A | N/A | N/A | N/A | N/A | 8225115342 | 9483 | N/A | 5537371 | 2222 | N/A | 9419196 | N/A | 4209950 | 2025-07-10 18:35:23.271888 | 2025-05-13 04:29:37.224374 |
| 2025-07-10 17:08:15.513191 | 2025-07-10 17:08:17.525970 | 9695186 | N/A | N/A | {'payer_id': 'REGAL', 'payer_name': 'Regal Medical Group', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1951-11-24', 'date_of_service': '2025-07-10', 'subscriber_gender': 'F', 'service_type_codes': ['PT', 'AE'], 'insurance_company_id': 23307, 'subscriber_last_name': 'SILVA', 'subscriber_member_id': '40047267701', 'subscriber_first_name': 'ROSALIA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6445982/check_9695186_9ada7763-00da-4cc2-997f-197d41fbb008.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6445982/check_9695186_ce8750f5-2d25-498b-bc0f-8fc31f9740d3.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '40047267701', 'plan_type': None, 'group_name': None, 'payer_name': 'REGAL MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1951-11-24', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'SILVA', 'plan_sponsor_name': None, 'patient_first_name': 'ROSALIA', '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 | N/A | 9483 | N/A | 6445982 | 2222 | N/A | 9418269 | N/A | 5085675 | 2025-07-10 17:08:17.525970 | 2025-11-17 23:46:25.232629 |
| 2025-07-10 17:08:13.825047 | 2025-07-10 17:08:15.510728 | 9695185 | N/A | N/A | {'payer_id': 'REGAL', 'payer_name': 'Regal Medical Group', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1951-11-24', 'date_of_service': '2025-07-10', 'subscriber_gender': 'F', 'service_type_codes': ['PT', 'AE'], 'insurance_company_id': 23307, 'subscriber_last_name': 'SILVA', 'subscriber_member_id': '40047267701', 'subscriber_first_name': 'ROSALIA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6445982/check_9695185_d4dab016-f75e-4c2d-8ba3-da8534dd0174.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-10 | N/A | N/A | N/A | N/A | N/A | N/A | {'member_id': '40047267701', 'plan_type': None, 'group_name': None, 'payer_name': 'REGAL MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1951-11-24', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'SILVA', 'plan_sponsor_name': None, 'patient_first_name': 'ROSALIA', '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 | N/A | 9483 | N/A | 6445982 | 2222 | N/A | N/A | N/A | 5085675 | 2025-07-10 17:08:15.510728 | 2025-11-17 23:46:25.232629 |
| 2025-07-10 16:22:11.673364 | 2025-07-10 16:22:13.439329 | 9694797 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '2006-05-31', 'date_of_service': '2025-07-10', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'insurance_company_id': 4191, 'subscriber_last_name': 'Stephan', 'subscriber_member_id': 'HQD811101580', 'subscriber_first_name': 'Chloe'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6938603/check_9694797_86ea7344-cd3d-422b-a23d-4094232a2bb2.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6938603/check_9694797_23cbfe6d-d482-4051-8e0f-4bef62631c2c.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'HQD811101580', 'plan_type': None, 'group_name': None, 'payer_name': 'BLUE SHIELD OF CALIFORNIA', 'payer_note': None, 'patient_dob': '2006-05-31', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'STEPHAN', 'plan_sponsor_name': None, 'patient_first_name': 'CHLOE', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | N/A | 160084 | N/A | 6938603 | 2222 | N/A | 9417823 | N/A | 5969294 | 2025-07-10 16:22:13.439329 | 2025-07-09 21:38:01.785780 |
| 2025-07-10 16:22:06.010031 | 2025-07-10 16:22:11.670023 | 9694796 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '2006-05-31', 'date_of_service': '2025-07-10', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'insurance_company_id': 4191, 'subscriber_last_name': 'Stephan', 'subscriber_member_id': 'HQD811101580', 'subscriber_first_name': 'Chloe'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6938603/check_9694796_67bacb0e-f318-49b1-87cb-48cb095c0d37.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-10 | N/A | N/A | N/A | N/A | N/A | N/A | {'member_id': 'HQD811101580', 'plan_type': None, 'group_name': None, 'payer_name': 'BLUE SHIELD OF CALIFORNIA', 'payer_note': None, 'patient_dob': '2006-05-31', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'STEPHAN', 'plan_sponsor_name': None, 'patient_first_name': 'CHLOE', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | N/A | 160084 | N/A | 6938603 | 2222 | N/A | N/A | N/A | 5969294 | 2025-07-10 16:22:11.670023 | 2025-07-09 21:38:01.785780 |
| 2025-07-10 16:21:56.274306 | 2025-07-10 16:21:58.089533 | 9694794 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '2006-05-31', 'date_of_service': '2025-07-10', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'insurance_company_id': 4191, 'subscriber_last_name': 'Stephan', 'subscriber_member_id': 'HQD811101580', 'subscriber_first_name': 'Chloe'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6938603/check_9694794_45e4182d-bc14-4db4-a9f2-1e02ebca11c2.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6938603/check_9694794_87134d6f-ea07-4d35-a399-e613b7c01310.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'HQD811101580', 'plan_type': None, 'group_name': None, 'payer_name': 'BLUE SHIELD OF CALIFORNIA', 'payer_note': None, 'patient_dob': '2006-05-31', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'STEPHAN', 'plan_sponsor_name': None, 'patient_first_name': 'CHLOE', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | N/A | 160084 | N/A | 6938603 | 2222 | N/A | 9417819 | N/A | 5969294 | 2025-07-10 16:21:58.089533 | 2025-07-09 21:38:01.785780 |
| 2025-07-10 16:21:46.336072 | 2025-07-10 16:21:56.269985 | 9694792 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '2006-05-31', 'date_of_service': '2025-07-10', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'insurance_company_id': 4191, 'subscriber_last_name': 'Stephan', 'subscriber_member_id': 'HQD811101580', 'subscriber_first_name': 'Chloe'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6938603/check_9694792_4ced2008-5aca-4132-a543-b32d05e4b222.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-10 | N/A | N/A | N/A | N/A | N/A | N/A | {'member_id': 'HQD811101580', 'plan_type': None, 'group_name': None, 'payer_name': 'BLUE SHIELD OF CALIFORNIA', 'payer_note': None, 'patient_dob': '2006-05-31', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'STEPHAN', 'plan_sponsor_name': None, 'patient_first_name': 'CHLOE', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | N/A | 160084 | N/A | 6938603 | 2222 | N/A | N/A | N/A | 5969294 | 2025-07-10 16:21:56.269985 | 2025-07-09 21:38:01.785780 |