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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-07-08 11:51:35.321043 | 2025-07-08 11:51:50.903312 | 9633430 | N/A | N/A | {'payer_id': '87726', 'payer_name': 'United Healthcare', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1947-08-18', 'date_of_service': '2025-07-10', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6411, 'subscriber_last_name': 'FABER', 'subscriber_member_id': '331524986-11', 'subscriber_first_name': 'LINDA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6522947/check_9633430_4232c225-7575-4038-be40-17e81766c3c3.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-10 | N/A | N/A | N/A | N/A | N/A | N/A | {'member_id': '331524986', 'plan_type': None, 'group_name': None, 'payer_name': 'UNITEDHEALTHCARE', 'payer_note': None, 'patient_dob': '1947-08-18', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'FABER', 'plan_sponsor_name': None, 'patient_first_name': 'LINDA', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6522947 | 2222 | N/A | N/A | N/A | 5146127 | 2025-07-08 11:51:50.903312 | 2025-06-20 17:58:23.371130 |
| 2025-07-08 11:51:29.848666 | 2025-07-08 11:51:33.653162 | 9633406 | N/A | N/A | {'payer_id': '87726', 'payer_name': 'United Healthcare', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1970-07-02', 'date_of_service': '2025-07-11', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6411, 'subscriber_last_name': 'FRIEDMAN', 'subscriber_member_id': 'G46825417', 'subscriber_first_name': 'JOEL'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/5540931/check_9633406_b0eae01b-1337-440c-a92d-f546e0950917.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540931/check_9633406_1ee4cc9b-b469-48e3-b4de-033f6fc6104e.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'G46825417', 'plan_type': None, 'group_name': 'GEHA MEDICAL FEHB/PSHB', 'payer_name': 'UMR', 'payer_note': None, 'patient_dob': '1970-07-02', 'plan_number': '767000416933002', 'group_number': '76416933', 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'SHELBURNE', 'plan_sponsor_name': None, 'patient_first_name': 'TANYA', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8197068356 | N/A | N/A | 5540931 | 2222 | N/A | 9350991 | N/A | 4213013 | 2025-07-08 11:51:33.653162 | 2025-05-13 04:29:37.227340 |
| 2025-07-08 11:51:27.537860 | 2025-07-08 11:51:31.258094 | 9633397 | N/A | N/A | {'payer_id': '87726', 'payer_name': 'United Healthcare', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1951-11-18', 'date_of_service': '2025-07-10', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6411, 'subscriber_last_name': 'JACOBY', 'subscriber_member_id': '34555828811', 'subscriber_first_name': 'LEAH'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6145941/check_9633397_9bb0c72f-f3af-4854-9085-73785f860a20.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6145941/check_9633397_2bfde7f8-f9d1-45d4-9301-77c39b576aee.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '345558288', 'plan_type': None, 'group_name': None, 'payer_name': 'UNITEDHEALTHCARE', 'payer_note': None, 'patient_dob': '1951-11-18', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'JACOBI', 'plan_sponsor_name': None, 'patient_first_name': 'LEAH', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6145941 | 2222 | N/A | 9350983 | N/A | 4786785 | 2025-07-08 11:51:31.258094 | 2025-06-13 00:55:48.629734 |
| 2025-07-08 11:51:26.593583 | 2025-07-08 11:51:30.582145 | 9633392 | N/A | N/A | {'payer_id': '87726', 'payer_name': 'United Healthcare', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1929-02-22', 'date_of_service': '2025-07-09', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6411, 'subscriber_last_name': 'SCOTT', 'subscriber_member_id': '076810624-11', 'subscriber_first_name': 'GEORGE'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6105989/check_9633392_a49ce806-e998-42bf-8a82-fc3cb10af0ad.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6105989/check_9633392_81c85b67-45d1-4207-a911-f9bd2bbb0375.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '076810624', 'plan_type': None, 'group_name': None, 'payer_name': 'UNITEDHEALTHCARE', 'payer_note': None, 'patient_dob': '1929-02-22', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'SCOTT', 'plan_sponsor_name': None, 'patient_first_name': 'GEORGE', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6105989 | 2222 | N/A | 9350979 | N/A | 4750274 | 2025-07-08 11:51:30.582145 | 2025-06-12 22:26:37.845238 |
| 2025-07-08 11:51:23.826082 | 2025-07-08 11:51:27.528023 | 9633387 | N/A | N/A | {'payer_id': '87726', 'payer_name': 'United Healthcare', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1951-11-18', 'date_of_service': '2025-07-10', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6411, 'subscriber_last_name': 'JACOBY', 'subscriber_member_id': '34555828811', 'subscriber_first_name': 'LEAH'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6145941/check_9633387_413b0061-2c1a-4b37-9897-78fc9ccb5559.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-10 | N/A | N/A | N/A | N/A | N/A | N/A | {'member_id': '345558288', 'plan_type': None, 'group_name': None, 'payer_name': 'UNITEDHEALTHCARE', 'payer_note': None, 'patient_dob': '1951-11-18', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'JACOBI', 'plan_sponsor_name': None, 'patient_first_name': 'LEAH', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6145941 | 2222 | N/A | N/A | N/A | 4786785 | 2025-07-08 11:51:27.528023 | 2025-06-13 00:55:48.629734 |
| 2025-07-08 11:51:22.552597 | 2025-07-08 11:51:26.588133 | 9633382 | N/A | N/A | {'payer_id': '87726', 'payer_name': 'United Healthcare', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1929-02-22', 'date_of_service': '2025-07-09', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6411, 'subscriber_last_name': 'SCOTT', 'subscriber_member_id': '076810624-11', 'subscriber_first_name': 'GEORGE'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6105989/check_9633382_8d6dd8d0-eb03-433a-8249-d741b6503bd2.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-09 | N/A | N/A | N/A | N/A | N/A | N/A | {'member_id': '076810624', 'plan_type': None, 'group_name': None, 'payer_name': 'UNITEDHEALTHCARE', 'payer_note': None, 'patient_dob': '1929-02-22', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'SCOTT', 'plan_sponsor_name': None, 'patient_first_name': 'GEORGE', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6105989 | 2222 | N/A | N/A | N/A | 4750274 | 2025-07-08 11:51:26.588133 | 2025-06-12 22:26:37.845238 |
| 2025-07-08 11:51:17.204018 | 2025-07-08 11:51:21.048248 | 9633363 | N/A | N/A | {'payer_id': '87726', 'payer_name': 'United Healthcare', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1958-09-13', 'date_of_service': '2025-07-11', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6397, 'subscriber_last_name': 'DERR', 'subscriber_member_id': '353354100-11', 'subscriber_first_name': 'DENNIS'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/5874421/check_9633363_77d45d05-f1a1-40e2-925a-c617b8bb39fa.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874421/check_9633363_7be98f4b-8516-4bd0-905f-6a8ad32b396d.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '221344721', 'plan_type': None, 'group_name': None, 'payer_name': 'UNITEDHEALTHCARE', 'payer_note': None, 'patient_dob': '1958-09-28', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': '', 'plan_sponsor_name': None, 'patient_first_name': '', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5874421 | 2222 | N/A | 9350942 | N/A | 4534550 | 2025-07-08 11:51:21.048248 | 2025-10-15 18:36:58.255255 |
| 2025-07-08 11:51:06.546000 | 2025-07-08 11:51:17.196803 | 9633334 | N/A | N/A | {'payer_id': '87726', 'payer_name': 'United Healthcare', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1958-09-13', 'date_of_service': '2025-07-11', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6397, 'subscriber_last_name': 'DERR', 'subscriber_member_id': '353354100-11', 'subscriber_first_name': 'DENNIS'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/5874421/check_9633334_ae48c974-4d1b-4362-9bf7-cf244d417640.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-11 | N/A | N/A | N/A | N/A | N/A | N/A | {'member_id': '221344721', 'plan_type': None, 'group_name': None, 'payer_name': 'UNITEDHEALTHCARE', 'payer_note': None, 'patient_dob': '1958-09-28', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': '', 'plan_sponsor_name': None, 'patient_first_name': '', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5874421 | 2222 | N/A | N/A | N/A | 4534550 | 2025-07-08 11:51:17.196803 | 2025-10-15 18:36:58.255255 |
| 2025-07-08 11:49:58.471902 | 2025-07-08 11:50:00.289737 | 9633074 | N/A | N/A | {'payer_id': '87726', 'payer_name': 'United Healthcare', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1970-08-12', 'date_of_service': '2025-07-09', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6411, 'subscriber_last_name': 'Busselle', 'subscriber_member_id': '9322926831', 'subscriber_first_name': 'Max'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6821308/check_9633074_155d8aa8-e640-40ec-ba7f-93c7904c10ed.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6821308/check_9633074_4c634c76-d5ec-419b-b265-e37ff84c3942.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '9322926831', 'plan_type': None, 'group_name': None, 'payer_name': 'UNITEDHEALTHCARE', 'payer_note': None, 'patient_dob': '1970-08-12', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'BUSSELLE', 'plan_sponsor_name': None, 'patient_first_name': 'MAX', '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 | 6821308 | 2222 | N/A | 9350648 | N/A | 5863559 | 2025-07-08 11:50:00.289737 | 2025-07-07 21:52:08.345486 |
| 2025-07-08 11:49:54.911376 | 2025-07-08 11:49:58.469858 | 9633057 | N/A | N/A | {'payer_id': '87726', 'payer_name': 'United Healthcare', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1970-08-12', 'date_of_service': '2025-07-09', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6411, 'subscriber_last_name': 'Busselle', 'subscriber_member_id': '9322926831', 'subscriber_first_name': 'Max'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6821308/check_9633057_bca59881-39cc-4848-a4b7-8e19295920b5.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-09 | N/A | N/A | N/A | N/A | N/A | N/A | {'member_id': '9322926831', 'plan_type': None, 'group_name': None, 'payer_name': 'UNITEDHEALTHCARE', 'payer_note': None, 'patient_dob': '1970-08-12', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'BUSSELLE', 'plan_sponsor_name': None, 'patient_first_name': 'MAX', '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 | 6821308 | 2222 | N/A | N/A | N/A | 5863559 | 2025-07-08 11:49:58.469858 | 2025-07-07 21:52:08.345486 |
| 2025-07-08 11:48:54.945040 | 2025-07-08 11:48:59.108579 | 9632814 | N/A | N/A | {'payer_id': '87726', 'payer_name': 'United Healthcare', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1948-06-01', 'date_of_service': '2025-07-11', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6411, 'subscriber_last_name': 'MOWERY', 'subscriber_member_id': '911-87726-04', 'subscriber_first_name': 'LYNN'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6611792/check_9632814_7668536f-e145-491f-a746-1a05aa00c572.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6611792/check_9632814_4163894f-2154-4faa-87c1-2fa7217762be.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '988372709', 'plan_type': None, 'group_name': None, 'payer_name': 'UNITEDHEALTHCARE', 'payer_note': None, 'patient_dob': '1948-06-01', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': '', 'plan_sponsor_name': None, 'patient_first_name': '', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8197055028 | N/A | N/A | 6611792 | 2222 | N/A | 9350397 | N/A | 5230196 | 2025-07-08 11:48:59.108579 | 2025-07-08 23:21:57.866357 |
| 2025-07-08 11:48:15.309899 | 2025-07-08 11:48:19.702304 | 9632719 | N/A | N/A | {'payer_id': '87726', 'payer_name': 'United Healthcare', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1988-08-12', 'date_of_service': '2025-07-11', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6411, 'subscriber_last_name': 'MILLER', 'subscriber_member_id': 'Y21933352', 'subscriber_first_name': 'MATTHEW'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6554009/check_9632719_a4fe7a15-6f41-4a91-959a-98268dd609c1.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6554009/check_9632719_ef46ebd4-fb42-4f31-bd79-cd53efc5a6b2.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'Y21933352', 'plan_type': None, 'group_name': 'AMERICAN ORTHODONTICS CORPORATION', 'payer_name': 'UMR', 'payer_note': None, 'patient_dob': '1988-08-12', 'plan_number': '767000410285001', 'group_number': '76410285', 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'MILLER', 'plan_sponsor_name': None, 'patient_first_name': 'MATTHEW', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8197051743 | N/A | N/A | 6554009 | 2222 | N/A | 9350296 | N/A | 5177173 | 2025-07-08 11:48:19.702304 | 2025-06-23 20:51:27.090412 |
| 2025-07-08 11:48:13.315948 | 2025-07-08 11:48:17.165185 | 9632713 | N/A | N/A | {'payer_id': '87726', 'payer_name': 'United Healthcare', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1980-09-12', 'date_of_service': '2025-07-11', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6411, 'subscriber_last_name': 'SAPATNEKAR', 'subscriber_member_id': '14388918', 'subscriber_first_name': 'AMEYA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6551060/check_9632713_8d9a73ed-1b42-4c79-bf81-003003d1b5f4.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6551060/check_9632713_9a49526a-5ac4-4983-acc5-911076187e90.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '14388918', 'plan_type': None, 'group_name': 'ZS ASSOCIATES, INC.', 'payer_name': 'UMR', 'payer_note': None, 'patient_dob': '1980-09-12', 'plan_number': '417007411289001', 'group_number': '76411289', 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'SAPATNEKAR', 'plan_sponsor_name': None, 'patient_first_name': 'AMEYA', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8197051604 | N/A | N/A | 6551060 | 2222 | N/A | 9350292 | N/A | 5174307 | 2025-07-08 11:48:17.165185 | 2025-07-31 17:40:30.683427 |
| 2025-07-08 11:46:57.846983 | 2025-07-08 11:47:01.527875 | 9632500 | N/A | N/A | {'payer_id': '87726', 'payer_name': 'United Healthcare', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1988-11-03', 'date_of_service': '2025-07-11', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6411, 'subscriber_last_name': 'PARADI', 'subscriber_member_id': '989539094', 'subscriber_first_name': 'SUZANNE'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6134645/check_9632500_b9d87a7c-460b-4c90-a36a-38764a9c3f74.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6134645/check_9632500_79353cc7-4eb8-4453-ba68-8ff1e1cbe755.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '989539094', 'plan_type': 'Commercial', 'group_name': 'ANSCHUTZ ENTERTAINMENT GROUP', 'payer_name': 'UNITEDHEALTHCARE', 'payer_note': 'FUNDING TYPE = SELF INSURED - LARGE GROUP A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED', 'patient_dob': '1988-11-03', 'plan_number': '0014 0014', 'group_number': '744401', 'insurance_type': None, 'plan_type_code': 'C1', 'enrolled_in_qmb': False, 'patient_last_name': 'PARADI', 'plan_sponsor_name': None, 'patient_first_name': 'SUZANNE', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'UNITEDHEALTHCARE CHOICE PLUS', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8197046286 | N/A | N/A | 6134645 | 2222 | N/A | 9350081 | N/A | 4775949 | 2025-07-08 11:47:01.527875 | 2025-06-11 16:52:59.646941 |
| 2025-07-08 11:46:46.351056 | 2025-07-08 11:46:53.214305 | 9632462 | N/A | N/A | {'payer_id': '87726', 'payer_name': 'United Healthcare', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1996-09-04', 'date_of_service': '2025-07-11', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6411, 'subscriber_last_name': 'Popish', 'subscriber_member_id': '31433817600', 'subscriber_first_name': 'Elijah'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6104677/check_9632462_0f8a859f-da7e-4cbf-a7b2-33889a289adc.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6104677/check_9632462_ff68d484-3aaf-420b-bbb3-0065990037d6.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '31433817600', 'plan_type': 'Commercial', 'group_name': None, 'payer_name': 'UNITEDHEALTHCARE BENEFITS PLAN OF CALIFORNIA', 'payer_note': 'FUNDING TYPE = FULLY INSURED - SMALL GROUP', 'patient_dob': '1996-09-04', 'plan_number': None, 'group_number': '1626005', 'insurance_type': None, 'plan_type_code': 'C1', 'enrolled_in_qmb': False, 'patient_last_name': 'POPISH', 'plan_sponsor_name': None, 'patient_first_name': 'ELIJAH', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'SELECT PLUS', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8197045555 | N/A | N/A | 6104677 | 2222 | N/A | 9350047 | N/A | 4749059 | 2025-07-08 11:46:53.214305 | 2025-06-02 16:35:32.560533 |
| 2025-07-08 11:46:33.543388 | 2025-07-08 11:46:48.095429 | 9632421 | N/A | N/A | {'payer_id': '87726', 'payer_name': 'United Healthcare', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1941-04-30', 'date_of_service': '2025-07-11', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6411, 'subscriber_last_name': 'URBACH', 'subscriber_member_id': '986803155-00', 'subscriber_first_name': 'MARY'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6068052/check_9632421_7de98466-a3aa-4c14-a36d-4178293aa55d.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6068052/check_9632421_0dd2ee4b-6dea-4146-98f4-ec703b086718.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '209654791', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': None, 'payer_name': 'UNITEDHEALTHCARE', 'payer_note': 'A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED', 'patient_dob': '1941-04-30', 'plan_number': None, 'group_number': '74134', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': '', 'plan_sponsor_name': None, 'patient_first_name': '', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'LPPO-AARP MEDICARE ADVANTAGE FROM UHC CA-0038 (PPO', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8197045037 | N/A | N/A | 6068052 | 2222 | N/A | 9350034 | N/A | 4712993 | 2025-07-08 11:46:48.095429 | 2025-06-12 23:03:47.433557 |
| 2025-07-08 11:45:51.334765 | 2025-07-08 11:45:54.235119 | 9632227 | N/A | N/A | {'payer_id': '87726', 'payer_name': 'United Healthcare', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1945-08-03', 'date_of_service': '2025-07-11', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6411, 'subscriber_last_name': 'GORMLEY', 'subscriber_member_id': '4UH0QA1WF00', 'subscriber_first_name': 'MICHAEL'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/5536816/check_9632227_3b7c9823-3be2-4fa5-8683-2acd35225662.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536816/check_9632227_5709f0c2-a37e-4be9-8088-3a88f049d886.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '105598581', 'plan_type': None, 'group_name': None, 'payer_name': 'UNITEDHEALTHCARE', 'payer_note': None, 'patient_dob': '1945-08-03', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': '', 'plan_sponsor_name': None, 'patient_first_name': '', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5536816 | 2222 | N/A | 9349812 | N/A | 4209498 | 2025-07-08 11:45:54.235119 | 2025-09-22 06:46:20.286658 |
| 2025-07-08 11:45:46.482285 | 2025-07-08 11:45:51.283835 | 9632209 | N/A | N/A | {'payer_id': '87726', 'payer_name': 'United Healthcare', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1951-10-15', 'date_of_service': '2025-07-10', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6411, 'subscriber_last_name': 'WHITAKER', 'subscriber_member_id': '929479394-00', 'subscriber_first_name': 'GAYLE'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550740/check_9632209_a6556b2e-eea9-47be-8739-1e6f81e2eb95.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550740/check_9632209_498f7651-1c4a-4a52-9dc2-fa5e7a20b121.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '929479394', 'plan_type': None, 'group_name': None, 'payer_name': 'UNITEDHEALTHCARE', 'payer_note': None, 'patient_dob': '1951-10-15', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': '', 'plan_sponsor_name': None, 'patient_first_name': '', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8197040213 | N/A | N/A | 5550740 | 2222 | N/A | 9349794 | N/A | 4219644 | 2025-07-08 11:45:51.283835 | 2025-05-13 04:29:37.230686 |
| 2025-07-08 11:45:45.343437 | 2025-07-08 11:45:49.157538 | 9632205 | N/A | N/A | {'payer_id': '87726', 'payer_name': 'United Healthcare', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1976-12-05', 'date_of_service': '2025-07-09', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6411, 'subscriber_last_name': 'BIERNER', 'subscriber_member_id': '941921536', 'subscriber_first_name': 'RACHEL'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543373/check_9632205_626ebf7a-6984-4493-910c-e0888798ff6a.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543373/check_9632205_5cd418d7-9392-4265-a71f-6cc7f92294d1.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '941921536', 'plan_type': 'Commercial', 'group_name': 'APPLE INC.', 'payer_name': 'UNITEDHEALTHCARE', 'payer_note': 'FUNDING TYPE = SELF INSURED - LARGE GROUP A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED', 'patient_dob': '1976-12-05', 'plan_number': '1254 1254', 'group_number': '700406', 'insurance_type': None, 'plan_type_code': 'C1', 'enrolled_in_qmb': False, 'patient_last_name': 'BIERNER', 'plan_sponsor_name': None, 'patient_first_name': 'JACOB', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'SELECT PLUS', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8197040065 | N/A | N/A | 5543373 | 2222 | N/A | 9349787 | N/A | 4215173 | 2025-07-08 11:45:49.157538 | 2025-05-13 04:29:37.229490 |
| 2025-07-08 11:45:44.618728 | 2025-07-08 11:45:48.503222 | 9632203 | N/A | N/A | {'payer_id': '87726', 'payer_name': 'United Healthcare', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1999-09-11', 'date_of_service': '2025-07-11', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6411, 'subscriber_last_name': 'PETERSON', 'subscriber_member_id': '987565290', 'subscriber_first_name': 'CONNOR'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543238/check_9632203_625c9b64-430b-4984-8301-5a82b53c31d3.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543238/check_9632203_74d47bcc-ad58-4268-ada0-b488ad7345df.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '987565290', 'plan_type': 'Commercial', 'group_name': 'ORACLE', 'payer_name': 'UNITEDHEALTHCARE', 'payer_note': 'FUNDING TYPE = SELF INSURED - LARGE GROUP A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED', 'patient_dob': '1999-09-11', 'plan_number': '0181 0181', 'group_number': '228485', 'insurance_type': None, 'plan_type_code': 'C1', 'enrolled_in_qmb': False, 'patient_last_name': 'PETERSON', 'plan_sponsor_name': None, 'patient_first_name': 'CONNOR', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'SELECT PLUS', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8197039981 | N/A | N/A | 5543238 | 2222 | N/A | 9349784 | N/A | 4215055 | 2025-07-08 11:45:48.503222 | 2025-05-13 04:29:37.229376 |
| 2025-07-08 11:45:44.624092 | 2025-07-08 11:45:48.466491 | 9632202 | N/A | N/A | {'payer_id': '87726', 'payer_name': 'United Healthcare', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '2007-11-30', 'date_of_service': '2025-07-10', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6411, 'subscriber_last_name': 'BIERNER', 'subscriber_member_id': '941921536', 'subscriber_first_name': 'ISABEL'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543359/check_9632202_f59bea96-1fe8-4b0a-916e-36599dc0d82a.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543359/check_9632202_503b7073-99d4-4a3a-bb7d-4818ad0367ec.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '941921536', 'plan_type': 'Commercial', 'group_name': 'APPLE INC.', 'payer_name': 'UNITEDHEALTHCARE', 'payer_note': 'FUNDING TYPE = SELF INSURED - LARGE GROUP A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED', 'patient_dob': '2007-11-30', 'plan_number': '1254 1254', 'group_number': '700406', 'insurance_type': None, 'plan_type_code': 'C1', 'enrolled_in_qmb': False, 'patient_last_name': 'BIERNER', 'plan_sponsor_name': None, 'patient_first_name': 'JACOB', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'SELECT PLUS', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8197039984 | N/A | N/A | 5543359 | 2222 | N/A | 9349783 | N/A | 4215160 | 2025-07-08 11:45:48.466491 | 2025-05-13 04:29:37.229477 |
| 2025-07-08 11:45:44.486333 | 2025-07-08 11:45:48.755062 | 9632201 | N/A | N/A | {'payer_id': '87726', 'payer_name': 'United Healthcare', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1958-01-24', 'date_of_service': '2025-07-11', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6411, 'subscriber_last_name': 'SAUER', 'subscriber_member_id': '995746438', 'subscriber_first_name': 'MARCOS'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/5539785/check_9632201_b3f09555-e9ac-43a4-9daa-8c9acef7dab8.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539785/check_9632201_9747a1a7-534a-4c01-b9d7-6bdba059d0eb.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '995746438', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': None, 'payer_name': 'UNITEDHEALTHCARE', 'payer_note': 'A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED', 'patient_dob': '1958-01-24', 'plan_number': None, 'group_number': '74126', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'SAUER', 'plan_sponsor_name': None, 'patient_first_name': 'MARCOS', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'LPPO-AARP MEDICARE ADVANTAGE FROM UHC CA-0029 (PPO', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8197039982 | N/A | N/A | 5539785 | 2222 | N/A | 9349785 | N/A | 4212024 | 2025-07-08 11:45:48.755062 | 2025-05-28 20:17:35.019662 |
| 2025-07-08 11:45:43.914182 | 2025-07-08 11:45:51.612760 | 9632197 | N/A | N/A | {'payer_id': '87726', 'payer_name': 'United Healthcare', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '2008-07-13', 'date_of_service': '2025-07-11', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6411, 'subscriber_last_name': 'CONNOLLY', 'subscriber_member_id': '974474822', 'subscriber_first_name': 'ELAINE'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/5540675/check_9632197_cfb1b631-424c-49db-901e-377eef08e800.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540675/check_9632197_fb029227-0c71-41f0-ab13-f9b420e69e7e.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '974474822', 'plan_type': 'Commercial', 'group_name': 'LEVI STRAUSS & CO.', 'payer_name': 'UNITEDHEALTHCARE', 'payer_note': 'FUNDING TYPE = SELF INSURED - LARGE GROUP A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED', 'patient_dob': '2008-07-13', 'plan_number': '0069 0069', 'group_number': '923812', 'insurance_type': None, 'plan_type_code': 'C1', 'enrolled_in_qmb': False, 'patient_last_name': 'HILL', 'plan_sponsor_name': None, 'patient_first_name': 'JENNIFER', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'UNITEDHEALTHCARE SELECT PLUS', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8197039891 | N/A | N/A | 5540675 | 2222 | N/A | 9349796 | N/A | 4212786 | 2025-07-08 11:45:51.612760 | 2025-05-13 04:29:37.227120 |
| 2025-07-08 11:45:43.840791 | 2025-07-08 11:45:47.711094 | 9632196 | N/A | N/A | {'payer_id': '87726', 'payer_name': 'United Healthcare', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1945-04-21', 'date_of_service': '2025-07-11', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6411, 'subscriber_last_name': 'ENGBER', 'subscriber_member_id': '951452113-00', 'subscriber_first_name': 'KERRY'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/5540085/check_9632196_3f36b746-b0f7-47dd-9bd2-591fdbd7b065.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540085/check_9632196_d832f0e8-7027-4414-bddb-06239dc7a132.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '951452113', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': None, 'payer_name': 'UNITEDHEALTHCARE', 'payer_note': 'A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED', 'patient_dob': '1945-04-21', 'plan_number': None, 'group_number': '15896', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'ENGBER', 'plan_sponsor_name': None, 'patient_first_name': 'KERRY', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'LPPO-UNITEDHEALTHCARE GROUP MEDICARE ADVANTAGE (PP', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8197039885 | N/A | N/A | 5540085 | 2222 | N/A | 9349781 | N/A | 4212291 | 2025-07-08 11:45:47.711094 | 2025-05-13 04:29:37.226630 |
| 2025-07-08 11:45:43.645218 | 2025-07-08 11:45:51.328947 | 9632194 | N/A | N/A | {'payer_id': '87726', 'payer_name': 'United Healthcare', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1945-08-03', 'date_of_service': '2025-07-11', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6411, 'subscriber_last_name': 'GORMLEY', 'subscriber_member_id': '4UH0QA1WF00', 'subscriber_first_name': 'MICHAEL'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/5536816/check_9632194_3298d8ee-7eee-47fc-b4d5-45c808b7456b.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-11 | N/A | N/A | N/A | N/A | N/A | N/A | {'member_id': '105598581', 'plan_type': None, 'group_name': None, 'payer_name': 'UNITEDHEALTHCARE', 'payer_note': None, 'patient_dob': '1945-08-03', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': '', 'plan_sponsor_name': None, 'patient_first_name': '', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5536816 | 2222 | N/A | N/A | N/A | 4209498 | 2025-07-08 11:45:51.328947 | 2025-09-22 06:46:20.286658 |
| 2025-07-08 11:42:54.267774 | 2025-07-08 11:43:04.026451 | 9631540 | N/A | N/A | {'payer_id': '87726', 'payer_name': 'United Healthcare', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1951-10-15', 'date_of_service': '2025-07-08', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6411, 'subscriber_last_name': 'WHITAKER', 'subscriber_member_id': '929479394-00', 'subscriber_first_name': 'GAYLE'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550740/check_9631540_929aaa3b-90de-4d52-9025-dfdd9fee2f15.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550740/check_9631540_c3e69d96-fb92-4bce-9209-6818fb532e07.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '929479394', 'plan_type': None, 'group_name': None, 'payer_name': 'UNITEDHEALTHCARE', 'payer_note': None, 'patient_dob': '1951-10-15', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': '', 'plan_sponsor_name': None, 'patient_first_name': '', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8197026668 | N/A | N/A | 5550740 | 2222 | N/A | 9349123 | N/A | 4219644 | 2025-07-08 11:43:04.026451 | 2025-05-13 04:29:37.230686 |
| 2025-07-08 11:27:28.532073 | 2025-07-08 11:28:02.438183 | 9630215 | N/A | N/A | {'payer_id': 'TDFIC', 'payer_name': 'TRICARE FOR LIFE', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '2011-05-18', 'date_of_service': '2025-07-09', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6338, 'subscriber_last_name': 'YUNG', 'subscriber_member_id': '00854676304', 'subscriber_first_name': 'MAYA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543379/check_9630215_12a33162-0549-4979-9db5-038ae74aff80.json | AVAILITY | N/A | GOOGLE_CLOUD | 2025-07-09 | N/A | N/A | N/A | N/A | N/A | N/A | {'member_id': '00854676304', 'plan_type': None, 'group_name': None, 'payer_name': 'TRICARE FOR LIFE', 'payer_note': None, 'patient_dob': '2011-05-18', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'YUNG', 'plan_sponsor_name': None, 'patient_first_name': 'MAYA', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543379 | 2222 | N/A | N/A | N/A | 4215179 | 2025-07-08 11:28:02.438183 | 2025-05-13 04:29:37.229495 |
| 2025-07-08 11:23:59.091941 | 2025-07-09 02:13:42.012878 | 9628495 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': '1114042165', 'trace_number': '9628495', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '2002-02-06', 'date_of_service': '2025-07-08', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'MANALO LAMANNA', 'subscriber_member_id': 'GSC134174111001', 'subscriber_first_name': 'ISADORE'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250708.143143001.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6554790/check_9628495_24af4e4e-c12e-41d9-8856-e7492cc390e9.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'GSC134174111001', 'plan_type': None, 'group_name': None, 'payer_name': 'BLUE SHIELD CALIFORNIA', 'payer_note': None, 'patient_dob': '2002-02-06', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'MANALO LAMANNA', 'plan_sponsor_name': None, 'patient_first_name': 'ISADORE', '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 | 8196994039 | N/A | N/A | 6554790 | 2222 | 4793 | 9370958 | N/A | 5177947 | 2025-07-09 02:13:42.012878 | 2025-07-01 19:04:04.764299 |
| 2025-07-08 11:23:54.464670 | 2025-07-09 02:09:24.433872 | 9628440 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': '1114042165', 'trace_number': '9628440', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1983-11-04', 'date_of_service': '2025-07-08', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'Gordon', 'subscriber_member_id': 'XEK913013590', 'subscriber_first_name': 'Melissa'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250708.143150507.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6768302/check_9628440_b460340b-b76f-4127-bbab-b7dd0e7936d2.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XEK913013590', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'IFP OFF EXCHANGE', 'payer_name': 'BLUE SHIELD CALIFORNIA', 'payer_note': None, 'patient_dob': '1983-11-04', 'plan_number': '2001ZH002662', 'group_number': 'X0001000', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'GORDON', 'plan_sponsor_name': None, 'patient_first_name': 'MELISSA', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2024-02-01', 'plan_coverage_description': 'IFP EMB PED DPPO JAN15', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8196995467 | N/A | N/A | 6768302 | 2222 | 4802 | 9367530 | N/A | 5707008 | 2025-07-09 02:09:24.433872 | 2025-07-02 21:20:06.678093 |
| 2025-07-08 11:23:54.355736 | 2025-07-09 02:12:09.250355 | 9628439 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9628439', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '2006-03-24', 'date_of_service': '2025-07-08', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'subscriber_last_name': 'STRUYK', 'subscriber_member_id': 'KXJ856W22729', 'subscriber_first_name': 'WILLIAM'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250708.143143001.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6554190/check_9628439_97cb08ae-3c4e-4b48-abbc-c8cf8a6f3531.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'KXJ856W22729', 'plan_type': None, 'group_name': None, 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '2006-03-24', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'STRUYK', 'plan_sponsor_name': None, 'patient_first_name': 'WILLIAM', '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 | 8196994030 | N/A | N/A | 6554190 | 2222 | 4793 | 9369684 | N/A | 5177382 | 2025-07-09 02:12:09.250355 | 2025-06-30 00:02:38.867255 |
| 2025-07-08 11:23:51.172833 | 2025-07-09 02:18:55.768565 | 9628405 | N/A | N/A | {'payer_id': 'Z1073', 'payer_name': 'Medicare B California Southern', 'provider_npi': '1114042165', 'trace_number': '9628405', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1939-06-18', 'date_of_service': '2025-07-08', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'SEGURA', 'subscriber_member_id': '8DD9YX8FN41', 'subscriber_first_name': 'CIRA'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250708.143143001.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6553930/check_9628405_6ef09529-f958-4c63-bfde-8ada0a5d2a1c.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '8DD9YX8FN41', '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': '1939-06-18', 'plan_number': 'S5617', 'group_number': None, 'insurance_type': None, 'plan_type_code': 'MA', 'enrolled_in_qmb': False, 'patient_last_name': 'SEGURA', 'plan_sponsor_name': None, 'patient_first_name': 'CIRA', '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 | 8196994022 | N/A | N/A | 6553930 | 2222 | 4801 | 9375212 | N/A | 5177091 | 2025-07-09 02:18:55.768565 | 2025-06-23 20:23:14.340232 |
| 2025-07-08 11:21:19.962736 | 2025-07-09 02:11:42.511792 | 9626505 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9626505', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1996-07-04', 'date_of_service': '2025-07-08', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'STOLTZ', 'subscriber_member_id': 'JQY361W23827', 'subscriber_first_name': 'ARDENN'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250708.143229577.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6605808/check_9626505_1772592a-ec17-473a-92a4-2abad53307d2.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'JQY361W23827', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'KENT TAKEMOTO, M.D., INC.', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1996-07-04', 'plan_number': '040', 'group_number': 'Q62351', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'STOLZ', 'plan_sponsor_name': None, 'patient_first_name': 'ARDENN', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2025-04-01', 'plan_coverage_description': 'CA SG SELECT PPO', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8196999026 | N/A | N/A | 6605808 | 2222 | 4802 | 9369312 | N/A | 4214948 | 2025-07-09 02:11:42.511792 | 2025-06-26 01:28:07.741882 |
| 2025-07-08 11:21:11.033763 | 2025-07-09 02:12:42.985834 | 9626397 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': '1114042165', 'trace_number': '9626397', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1934-12-03', 'date_of_service': '2025-07-08', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'Dayzadeh', 'subscriber_member_id': 'XEM903033247', 'subscriber_first_name': 'Nasser'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250708.143229577.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6595255/check_9626397_6e68bf4a-d14a-4691-b06c-4b065ee3b624.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XEM903033247', 'plan_type': 'Other', 'group_name': 'MEDICARE SUPPLEMENT', 'payer_name': 'MEDICARE PART A AND B', 'payer_note': None, 'patient_dob': '1934-12-03', 'plan_number': '2101SD000023', 'group_number': 'X0001002', 'insurance_type': None, 'plan_type_code': 'OT', 'enrolled_in_qmb': False, 'patient_last_name': 'DAYZADEH', 'plan_sponsor_name': None, 'patient_first_name': 'NASSER', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'MEDICARE SUPPLEMENT PLAN D', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8196999007 | N/A | N/A | 6595255 | 2222 | 4802 | 9370175 | N/A | 5202586 | 2025-07-09 02:12:42.985834 | 2025-06-25 17:55:27.155518 |
| 2025-07-08 11:20:22.615253 | 2025-07-09 02:12:08.349867 | 9625766 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9625766', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1964-10-24', 'date_of_service': '2025-07-08', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'subscriber_last_name': 'CROWLEY', 'subscriber_member_id': 'MTA374M92552', 'subscriber_first_name': 'SEAN'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250708.143143001.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6493087/check_9625766_d463e274-6710-4e5b-80df-bd1e15c8d620.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'MTA374M92552', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'SILVER PPO PLAN', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1964-10-24', 'plan_number': '423', 'group_number': '201052M4A1', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'CROWLEY', 'plan_sponsor_name': None, 'patient_first_name': 'KAMEY L', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2018-01-01', 'plan_coverage_description': 'BC PPO', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8196994262 | N/A | N/A | 6493087 | 2222 | 4793 | 9369674 | N/A | 5122224 | 2025-07-09 02:12:08.349867 | 2025-07-03 20:38:26.526222 |
| 2025-07-08 11:19:37.860947 | 2025-07-09 02:01:46.099519 | 9625066 | N/A | N/A | {'payer_id': 'REGAL', 'payer_name': 'Regal Medical Group', 'provider_npi': '1114042165', 'trace_number': '9625066', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1954-11-24', 'date_of_service': '2025-07-08', '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/272741.20250708.143229577.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6528155/check_9625066_975ecec2-a3ab-47b3-9aa7-b5f19efafaef.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 | 8196998841 | N/A | N/A | 6528155 | 2222 | 4793 | 9362478 | N/A | 4214447 | 2025-07-09 02:01:46.099519 | 2025-05-13 04:29:37.228764 |
| 2025-07-08 11:19:16.100044 | 2025-07-09 02:08:35.657369 | 9624742 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9624742', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '2011-05-10', 'date_of_service': '2025-07-08', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'subscriber_last_name': 'MEEKER', 'subscriber_member_id': 'NCF417A51479', 'subscriber_first_name': 'SEAN'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250708.143150507.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6686921/check_9624742_4eeeeed2-22c5-4fa3-b022-bbaa1ac9b30f.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'NCF417A51479', 'plan_type': 'Health Maintenance Organization (HMO)', 'group_name': 'VENTURA COUNTY DEPUTY SHERIFFS ASSOCIATION', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '2011-05-10', 'plan_number': '040', 'group_number': '282004H001', 'insurance_type': None, 'plan_type_code': 'HM', 'enrolled_in_qmb': False, 'patient_last_name': 'MEEKER', 'plan_sponsor_name': None, 'patient_first_name': 'JOHN', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2022-01-01', 'plan_coverage_description': 'CLASSIC TRADITIONAL HMO NETWORK NON DURATIONAL', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8196994742 | N/A | N/A | 6686921 | 2222 | 4801 | 9366842 | N/A | 5295012 | 2025-07-09 02:08:35.657369 | 2025-06-30 23:26:42.841924 |
| 2025-07-08 11:18:54.259646 | 2025-07-09 02:03:24.449137 | 9624493 | N/A | N/A | {'payer_id': '36273', 'payer_name': 'AARP Medicare Supplement by UnitedHealthcare', 'provider_npi': '1114042165', 'trace_number': '9624493', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1957-03-29', 'date_of_service': '2025-07-08', '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/272741.20250708.143229577.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6472487/check_9624493_2cfb37dc-e900-435a-86d8-a9829a44181f.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 | 8196998103 | N/A | N/A | 6472487 | 2222 | 4801 | 9363088 | N/A | 5105545 | 2025-07-09 02:03:24.449137 | 2025-07-07 15:29:01.484955 |
| 2025-07-08 11:17:29.843369 | 2025-07-09 02:14:17.387874 | 9623286 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': '1114042165', 'trace_number': '9623286', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1982-07-02', 'date_of_service': '2025-07-08', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'subscriber_last_name': 'DRISCOLL', 'subscriber_member_id': 'XED912182768', 'subscriber_first_name': 'JAMES'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250708.141244176.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6104970/check_9623286_467fbbd8-7448-4aa9-9d05-5731bb52ff79.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XED912182768', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'IFP ON EXCHANGE', 'payer_name': 'BLUE SHIELD CALIFORNIA', 'payer_note': None, 'patient_dob': '1982-07-02', 'plan_number': '2001ZK002184', 'group_number': 'X0001004', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'DRISCOLL', 'plan_sponsor_name': None, 'patient_first_name': 'JAMES', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2023-04-01', 'plan_coverage_description': 'IFP EMB PED DPPO JAN15', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8196890234 | N/A | N/A | 6104970 | 2222 | 4802 | 9371461 | N/A | 4749447 | 2025-07-09 02:14:17.387874 | 2025-06-06 23:16:09.869339 |
| 2025-07-08 11:17:29.359798 | 2025-07-09 02:14:16.551906 | 9623278 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': '1114042165', 'trace_number': '9623278', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1971-11-13', 'date_of_service': '2025-07-08', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'APPEL', 'subscriber_member_id': 'XEK911129380', 'subscriber_first_name': 'DEBORAH'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250708.141244176.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6104720/check_9623278_a8efa21b-4789-4888-ab25-b82531279dda.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XEK911129380', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'IFP OFF EXCHANGE', 'payer_name': 'BLUE SHIELD CALIFORNIA', 'payer_note': None, 'patient_dob': '1971-11-13', 'plan_number': '2001ZJ002648', 'group_number': 'X0001000', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'APPEL', 'plan_sponsor_name': None, 'patient_first_name': 'DEBORAH', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2022-01-01', 'plan_coverage_description': 'IFP EMB PED VISION', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8196890233 | N/A | N/A | 6104720 | 2222 | 4793 | 9371451 | N/A | 4749103 | 2025-07-09 02:14:16.551906 | 2025-06-06 17:07:03.972074 |
| 2025-07-08 11:17:12.175332 | 2025-07-09 02:03:18.531636 | 9623009 | N/A | N/A | {'payer_id': 'REGAL', 'payer_name': 'Regal Medical Group', 'provider_npi': '1114042165', 'trace_number': '9623009', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1951-11-24', 'date_of_service': '2025-07-08', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'SILVA', 'subscriber_member_id': '40047267701', 'subscriber_first_name': 'ROSALIA'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250708.143143001.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6445982/check_9623009_980261cb-20e3-4978-a8b9-84a5ec71b72e.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} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8196992401 | N/A | N/A | 6445982 | 2222 | 4801 | 9363012 | N/A | 5085675 | 2025-07-09 02:03:18.531636 | 2025-11-17 23:46:25.232629 |
| 2025-07-08 11:16:56.505928 | 2025-07-09 02:10:08.065653 | 9622779 | N/A | N/A | {'payer_id': '72261', 'payer_name': 'Scan Health Plan - California', 'provider_npi': '1114042165', 'trace_number': '9622779', 'provider_name': '', 'subscriber_dob': '1949-01-04', 'date_of_service': '2025-07-08', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'MARTINEZ', 'subscriber_member_id': '40031653001', 'subscriber_first_name': 'CONSUELO'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250708.143143001.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6442609/check_9622779_713d2524-7d63-4e62-a708-d883600f49c0.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '40031653001', 'plan_type': None, 'group_name': None, 'payer_name': 'SCAN HEALTH PLAN - CALIFORNIA', 'payer_note': None, 'patient_dob': '1949-01-04', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'MARTINEZ', 'plan_sponsor_name': None, 'patient_first_name': 'CONSUELO', '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 | 8196994156 | N/A | N/A | 6442609 | 2222 | 4801 | 9368102 | N/A | 5083714 | 2025-07-09 02:10:08.065653 | 2025-07-18 18:00:26.722024 |
| 2025-07-08 11:16:52.948965 | 2025-07-09 02:12:50.811846 | 9622714 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9622714', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1991-01-16', 'date_of_service': '2025-07-08', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'LI', 'subscriber_member_id': 'XTS845M84428', 'subscriber_first_name': 'ZHANMEI'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250708.141244176.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6085650/check_9622714_e8424cdd-b3a1-4343-8703-84b5987a0645.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XTS845M84428', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'SEMTECH CORPORATION CA/OOS', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1991-01-16', 'plan_number': '040', 'group_number': '277405M037', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'HAN', 'plan_sponsor_name': None, 'patient_first_name': 'PENGCHENG', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2023-01-01', 'plan_coverage_description': 'CA GENERIC HLTH SAVINGS ACCT', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8196889410 | N/A | N/A | 6085650 | 2222 | 4793 | 9370289 | N/A | 4728966 | 2025-07-09 02:12:50.811846 | 2025-06-09 22:35:38.956800 |
| 2025-07-08 11:16:48.533141 | 2025-07-09 02:12:43.839579 | 9622642 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': '1114042165', 'trace_number': '9622642', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1959-04-20', 'date_of_service': '2025-07-08', '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/272741.20250708.143229577.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6211380/check_9622642_bec57504-b378-4f77-a15b-8be05f7ef9f6.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 | 8196999479 | N/A | N/A | 6211380 | 2222 | 4793 | 9370188 | N/A | 4214087 | 2025-07-09 02:12:43.839579 | 2025-05-13 04:29:37.228402 |
| 2025-07-08 11:16:06.699323 | 2025-07-09 02:14:48.742080 | 9622073 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': '1114042165', 'trace_number': '9622073', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1961-05-24', 'date_of_service': '2025-07-08', '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/272741.20250708.141244176.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6079116/check_9622073_c4522227-e936-40bb-95a1-fa5a174d509c.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 | 8196887357 | N/A | N/A | 6079116 | 2222 | 4801 | 9371841 | N/A | 4723148 | 2025-07-09 02:14:48.742080 | 2025-05-30 15:53:57.629593 |
| 2025-07-08 11:16:00.853185 | 2025-07-09 02:10:45.882888 | 9622000 | N/A | N/A | {'payer_id': '62308', 'payer_name': 'CIGNA (Connecticut General, Equicor, Equitable)', 'provider_npi': '1114042165', 'trace_number': '9622000', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1989-12-06', 'date_of_service': '2025-07-08', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'Laraki', 'subscriber_member_id': '10995665900', 'subscriber_first_name': 'Zineb'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250708.141244176.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6078110/check_9622000_400258ad-7b4b-45d4-8d72-3e3d30232d6d.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} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8196887346 | N/A | N/A | 6078110 | 2222 | 4802 | 9368530 | N/A | 4722393 | 2025-07-09 02:10:45.882888 | 2025-05-29 22:37:40.791959 |
| 2025-07-08 11:15:52.197366 | 2025-07-09 02:18:56.297876 | 9621868 | N/A | N/A | {'payer_id': 'Z1073', 'payer_name': 'Medicare B California Southern', 'provider_npi': '1114042165', 'trace_number': '9621868', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1949-06-20', 'date_of_service': '2025-07-08', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'MORALES', 'subscriber_member_id': '7XX8HG0UK25', 'subscriber_first_name': 'ANA'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250708.141244176.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6076917/check_9621868_11094c0d-1080-4ec5-bc62-6999b803b6ff.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '7XX8HG0UK25', 'plan_type': 'Medicare Part A', 'group_name': None, 'payer_name': 'CMS', 'payer_note': '0-BENEFICIARY INSURED DUE TO AGE OASI', 'patient_dob': '1949-06-20', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': 'MA', 'enrolled_in_qmb': False, 'patient_last_name': 'MORALES', 'plan_sponsor_name': None, 'patient_first_name': 'ANA', '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 | 8196890224 | N/A | N/A | 6076917 | 2222 | 4793 | 9375219 | N/A | 4718913 | 2025-07-09 02:18:56.297876 | 2025-05-29 22:23:40.462913 |
| 2025-07-08 11:15:43.893082 | 2025-07-09 02:11:40.354318 | 9621748 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9621748', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1951-07-19', 'date_of_service': '2025-07-08', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'HARVEY', 'subscriber_member_id': 'jqe637m85033', 'subscriber_first_name': 'CHRISTOPHER'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250708.143229577.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6136155/check_9621748_b367465f-acfe-4adc-bb1b-92dc91a134bb.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'JQE637M85033', 'plan_type': None, 'group_name': 'CA MED-SUPP', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1951-07-19', 'plan_number': '040', 'group_number': 'CASUPWP0', 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'HARVEY', 'plan_sponsor_name': None, 'patient_first_name': 'CHRISTOPHE', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2020-08-01', 'plan_coverage_description': 'CA PLAN F INNOVATIVE', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8196999043 | N/A | N/A | 6136155 | 2222 | 4801 | 9369281 | N/A | 4642895 | 2025-07-09 02:11:40.354318 | 2025-06-04 22:10:38.563345 |
| 2025-07-08 11:15:09.101823 | 2025-07-09 02:08:35.336148 | 9621240 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9621240', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1950-07-09', 'date_of_service': '2025-07-08', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'GUTIERREZ DE', 'subscriber_member_id': 'JQW005M94739', 'subscriber_first_name': 'MARIA'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250708.143150507.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6643742/check_9621240_8da7cae3-0862-4d6e-8416-4f4a6f62a792.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'JQW005M94739', 'plan_type': 'Medicare Primary', 'group_name': 'CA MEDICARE', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1950-07-09', 'plan_number': '040', 'group_number': 'CAMCRWP0', 'insurance_type': None, 'plan_type_code': 'MP', 'enrolled_in_qmb': False, 'patient_last_name': 'GUTIERREZ DE MELGAR', 'plan_sponsor_name': None, 'patient_first_name': 'MARIA', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2024-01-01', 'plan_coverage_description': 'CA H4471-005-000 ANTHEM DUAL ADVANTAGE (HMO D-SNP)', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8196994850 | N/A | N/A | 6643742 | 2222 | 4793 | 9366837 | N/A | 5250846 | 2025-07-09 02:08:35.336148 | 2025-07-07 15:37:32.643453 |
| 2025-07-08 11:15:06.423166 | 2025-07-09 02:03:18.156505 | 9621192 | N/A | N/A | {'payer_id': 'REGAL', 'payer_name': 'Regal Medical Group', 'provider_npi': '1114042165', 'trace_number': '9621192', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1971-08-22', 'date_of_service': '2025-07-08', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'FREEMAN', 'subscriber_member_id': 'XEH903689809', 'subscriber_first_name': 'KELLY'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250708.143143001.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6414703/check_9621192_532b15c7-8376-4efb-903b-a73462909386.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XEH903689809', 'plan_type': None, 'group_name': None, 'payer_name': 'REGAL MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1971-08-22', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'FREEMAN', 'plan_sponsor_name': None, 'patient_first_name': 'KELLY', '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 | 8196993410 | N/A | N/A | 6414703 | 2222 | 4801 | 9363006 | N/A | 5062225 | 2025-07-09 02:03:18.156505 | 2025-06-19 17:04:10.080520 |
| 2025-07-08 11:14:25.028135 | 2025-07-09 02:12:44.920931 | 9620539 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': '1114042165', 'trace_number': '9620539', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1949-06-20', 'date_of_service': '2025-07-08', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'MORALES', 'subscriber_member_id': 'XEM904136832', 'subscriber_first_name': 'ANA'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250708.143229577.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6074748/check_9620539_7b4f7a7d-01a2-4acc-a72b-bcfa05ada539.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XEM904136832', 'plan_type': 'Other', 'group_name': 'MEDICARE SUPPLEMENT', 'payer_name': 'MEDICARE PART A AND B', 'payer_note': None, 'patient_dob': '1949-06-20', 'plan_number': '2002SD000004', 'group_number': 'X0001002', 'insurance_type': None, 'plan_type_code': 'OT', 'enrolled_in_qmb': False, 'patient_last_name': 'MORALES', 'plan_sponsor_name': None, 'patient_first_name': 'ANA', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'MEDICARE SUPPLEMENT PLAN F', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8196999318 | N/A | N/A | 6074748 | 2222 | 4793 | 9370202 | N/A | 4718913 | 2025-07-09 02:12:44.920931 | 2025-05-29 22:23:40.462913 |