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 11:13:53.806166 | 2025-07-08 11:13:57.787786 | 9619868 | N/A | N/A | {'payer_id': '60054', 'payer_name': 'Aetna', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1994-05-27', 'date_of_service': '2025-07-08', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 3948, 'subscriber_last_name': 'KIM', 'subscriber_member_id': 'W288897308', 'subscriber_first_name': 'JOSHUA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6134150/check_9619868_a38d8a89-a530-47d6-a519-d143109251cf.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6134150/check_9619868_c873e2ba-f964-4c44-8790-cf76617a235b.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'W288897308', 'plan_type': 'Point of Service (POS)', 'group_name': 'ARES MANAGEMENT LLC', 'payer_name': 'AETNA', 'payer_note': None, 'patient_dob': '1995-05-27', 'plan_number': '0804939', 'group_number': '080493901000051', 'insurance_type': None, 'plan_type_code': 'PS', 'enrolled_in_qmb': False, 'patient_last_name': 'KIM', 'plan_sponsor_name': None, 'patient_first_name': 'JOSHUA', '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 | 8196846569 | N/A | N/A | 6134150 | 2222 | N/A | 9344425 | N/A | 4775588 | 2025-07-08 11:13:57.787786 | 2025-12-10 22:39:33.219148 |
| 2025-07-08 11:13:46.894298 | 2025-07-08 11:13:52.492145 | 9619655 | N/A | N/A | {'payer_id': '60054', 'payer_name': 'Aetna', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1986-04-09', 'date_of_service': '2025-07-08', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 3948, 'subscriber_last_name': 'LIGONDE', 'subscriber_member_id': 'W292325041', 'subscriber_first_name': 'KANDICE'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6084294/check_9619655_83990b31-5cc2-441d-b8d2-b7d84ee62026.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6084294/check_9619655_5eea9456-304f-43a5-bc91-8d26c0046a72.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'W292325041', 'plan_type': 'Point of Service (POS)', 'group_name': 'ADVOCATE INC., DBA NAVA BENEFITS', 'payer_name': 'AETNA', 'payer_note': None, 'patient_dob': '1986-04-09', 'plan_number': '0194013', 'group_number': '019401301000001', 'insurance_type': None, 'plan_type_code': 'PS', 'enrolled_in_qmb': False, 'patient_last_name': 'LIGONDE', 'plan_sponsor_name': None, 'patient_first_name': 'EDWIGE', '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 | 8196846235 | N/A | N/A | 6084294 | 2222 | N/A | 9344407 | N/A | 4727372 | 2025-07-08 11:13:52.492145 | 2025-06-03 17:00:01.144712 |
| 2025-07-08 11:13:44.029661 | 2025-07-09 02:18:55.261603 | 9619561 | N/A | N/A | {'payer_id': 'Z1073', 'payer_name': 'Medicare B California Southern', 'provider_npi': '1114042165', 'trace_number': '9619561', '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': '8YE6EE0UG57', 'subscriber_first_name': 'CHRISTOPHER'} | 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/2222/5993966/check_9619561_e2457e51-f890-42bc-a37a-226e7bb7638e.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '8YE6EE0UG57', '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': '1951-07-19', 'plan_number': 'S4802', 'group_number': None, 'insurance_type': None, 'plan_type_code': 'MA', 'enrolled_in_qmb': False, 'patient_last_name': 'HARVEY', 'plan_sponsor_name': None, 'patient_first_name': 'CHRISTOPHE', '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 | 8196890112 | N/A | N/A | 5993966 | 2222 | 4801 | 9375206 | N/A | 4642895 | 2025-07-09 02:18:55.261603 | 2025-06-04 22:10:38.563345 |
| 2025-07-08 11:13:43.928521 | 2025-07-09 02:04:11.109830 | 9619558 | N/A | N/A | {'payer_id': 'REGAL', 'payer_name': 'Regal Medical Group', 'provider_npi': '1114042165', 'trace_number': '9619558', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1959-09-09', 'date_of_service': '2025-07-08', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'subscriber_last_name': 'BRUNO', 'subscriber_member_id': 'NCF254A54902', 'subscriber_first_name': 'PHILLIP'} | 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/2222/5993958/check_9619558_a97339ea-cadc-4cbc-8cc1-54fb768241e4.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'NCF254A54902', 'plan_type': None, 'group_name': None, 'payer_name': 'REGAL MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1959-09-09', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'BRUNO', 'plan_sponsor_name': None, 'patient_first_name': 'PHILLIP', '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 | 8196890111 | N/A | N/A | 5993958 | 2222 | 4801 | 9363450 | N/A | 4642892 | 2025-07-09 02:04:11.109830 | 2025-05-29 23:29:01.820749 |
| 2025-07-08 11:13:43.821749 | 2025-07-09 02:07:03.196162 | 9619555 | N/A | N/A | {'payer_id': '60054', 'payer_name': 'Aetna', 'provider_npi': '1114042165', 'trace_number': '9619555', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1986-01-20', 'date_of_service': '2025-07-08', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'DAVIS', 'subscriber_member_id': 'W258779471', 'subscriber_first_name': 'MARTINA'} | 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/2222/5993951/check_9619555_6fe2f31b-a455-4e41-adf4-dd06ea04d045.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'W258779471', 'plan_type': 'Point of Service (POS)', 'group_name': 'ADP TOTALSOURCE SERVICES, INC.', 'payer_name': 'AETNA', 'payer_note': None, 'patient_dob': '1986-01-20', 'plan_number': '0251371', 'group_number': '025137101900020', 'insurance_type': None, 'plan_type_code': 'PS', 'enrolled_in_qmb': False, 'patient_last_name': 'DAVIS', 'plan_sponsor_name': None, 'patient_first_name': 'ASTIN', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'OPEN ACCESS MC', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8196890110 | N/A | N/A | 5993951 | 2222 | 4802 | 9365470 | N/A | 4642884 | 2025-07-09 02:07:03.196162 | 2025-12-02 20:19:19.910444 |
| 2025-07-08 11:13:43.716607 | 2025-07-09 02:07:03.734905 | 9619548 | N/A | N/A | {'payer_id': '60054', 'payer_name': 'Aetna', 'provider_npi': '1114042165', 'trace_number': '9619548', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1992-06-11', 'date_of_service': '2025-07-08', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'ROSS', 'subscriber_member_id': 'W292476869', 'subscriber_first_name': 'BRYAN'} | 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/2222/5993949/check_9619548_9f874548-3a7c-4fa1-9c96-061ffaea0dca.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'W292476869', 'plan_type': 'Point of Service (POS)', 'group_name': 'PAYCHEX BUSINESS SOLUTIONS, LLC.', 'payer_name': 'AETNA', 'payer_note': None, 'patient_dob': '1992-06-11', 'plan_number': '0176563', 'group_number': '017656301200042', 'insurance_type': None, 'plan_type_code': 'PS', 'enrolled_in_qmb': False, 'patient_last_name': 'ROSS', 'plan_sponsor_name': None, 'patient_first_name': 'BRYAN', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'OPEN ACCESS MC', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8196890109 | N/A | N/A | 5993949 | 2222 | 4793 | 9365479 | N/A | 4642881 | 2025-07-09 02:07:03.734905 | 2025-06-06 02:27:19.212061 |
| 2025-07-08 11:13:43.514036 | 2025-07-09 02:12:53.834278 | 9619543 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9619543', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1965-06-11', 'date_of_service': '2025-07-08', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'MEDINA', 'subscriber_member_id': 'XDP628W03244', 'subscriber_first_name': 'RACHEL'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250708.141244176.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993935/check_9619543_72b58c2e-7cec-4660-9ec2-b25f36e087b7.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XDP628W03244', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'CF ENTERTAINMENT INC CA/OOS', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1965-06-11', 'plan_number': '040', 'group_number': '282803M001', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'MEDINA', 'plan_sponsor_name': None, 'patient_first_name': 'RACHEL', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2023-01-01', 'plan_coverage_description': 'PPO PRUDENT BUYER CLASSIC MULTI-CHOICE', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8196890108 | N/A | N/A | 5993935 | 2222 | 4802 | 9370341 | N/A | 4642857 | 2025-07-09 02:12:53.834278 | 2025-07-07 14:11:20.082988 |
| 2025-07-08 11:13:43.409920 | 2025-07-09 02:04:11.513998 | 9619541 | N/A | N/A | {'payer_id': 'REGAL', 'payer_name': 'Regal Medical Group', 'provider_npi': '1114042165', 'trace_number': '9619541', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1949-09-25', 'date_of_service': '2025-07-08', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'LOPEZ', 'subscriber_member_id': '31183522601', 'subscriber_first_name': 'MARIA'} | 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/2222/5993934/check_9619541_a7b7d935-da11-4547-9843-bacc5bb92e4d.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '31183522601', 'plan_type': None, 'group_name': None, 'payer_name': 'REGAL MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1949-09-25', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'LOPEZ', 'plan_sponsor_name': None, 'patient_first_name': 'MARIA', '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 | 8196890107 | N/A | N/A | 5993934 | 2222 | 4801 | 9363454 | N/A | 4642871 | 2025-07-09 02:04:11.513998 | 2025-06-02 21:57:45.887368 |
| 2025-07-08 11:13:43.312801 | 2025-07-09 02:12:58.047869 | 9619538 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9619538', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1996-01-20', 'date_of_service': '2025-07-08', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'WORDEN', 'subscriber_member_id': 'ORU910469318', 'subscriber_first_name': 'SARAH'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250708.141244176.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993479/check_9619538_cb94c1cc-31fb-4b2a-af46-f8192b5bb1e2.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'ORU910469318', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'OAK RIDGE ASSOCIATED UNIVERSITIES', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1996-01-20', 'plan_number': 'MBPORAU0', 'group_number': '89513', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'WORDEN', 'plan_sponsor_name': None, 'patient_first_name': 'SARAH', 'patient_middle_name': None, 'date_time_period_end': '2199-12-31', 'date_time_period_start': '2024-07-16', 'plan_coverage_description': 'BLUE NETWORK P', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8196890106 | N/A | N/A | 5993479 | 2222 | 4801 | 9370399 | N/A | 4219476 | 2025-07-09 02:12:58.047869 | 2025-05-28 20:18:04.039855 |
| 2025-07-08 11:12:56.746158 | 2025-07-09 02:14:19.546946 | 9618311 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': '1114042165', 'trace_number': '9618311', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1994-05-07', 'date_of_service': '2025-07-08', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'RAFFERTY', 'subscriber_member_id': 'XED913453119', 'subscriber_first_name': 'ZOE'} | 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/2222/5874430/check_9618311_1d5bb785-e494-439c-8964-1ffb903e8e50.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XED913453119', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'IFP ON EXCHANGE', 'payer_name': 'BLUE SHIELD CALIFORNIA', 'payer_note': None, 'patient_dob': '1994-05-07', 'plan_number': '2001ZK002187', 'group_number': 'X0001004', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'RAFFERTY', 'plan_sponsor_name': None, 'patient_first_name': 'ZOE', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'IFP EMB PED DPPO JAN15', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8196889621 | N/A | N/A | 5874430 | 2222 | 4802 | 9371487 | N/A | 4534559 | 2025-07-09 02:14:19.546946 | 2025-06-06 02:13:35.698378 |
| 2025-07-08 11:12:56.570514 | 2025-07-09 02:18:53.768969 | 9618308 | N/A | N/A | {'payer_id': 'Z1073', 'payer_name': 'Medicare B California Southern', 'provider_npi': '1114042165', 'trace_number': '9618308', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1958-09-13', 'date_of_service': '2025-07-08', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'DERR', 'subscriber_member_id': '4GK3GN5DV73', 'subscriber_first_name': 'DENNIS'} | 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/2222/5874420/check_9618308_ed77a2a1-1191-4023-b7fb-b37c484ab8da.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '4GK3GN5DV73', 'plan_type': None, 'group_name': None, 'payer_name': 'CMS', 'payer_note': None, 'patient_dob': '1958-09-13', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'DERR', 'plan_sponsor_name': None, 'patient_first_name': 'DENNIS', '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 | 8196889619 | N/A | N/A | 5874420 | 2222 | 4793 | 9375188 | N/A | 4534550 | 2025-07-09 02:18:53.768969 | 2025-10-15 18:36:58.255255 |
| 2025-07-08 11:12:53.081533 | 2025-07-09 02:04:14.367561 | 9618224 | N/A | N/A | {'payer_id': 'VCHCP', 'payer_name': 'Ventura County Health Care Plan', 'provider_npi': '1114042165', 'trace_number': '9618224', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '2007-11-16', 'date_of_service': '2025-07-08', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'MUELLER', 'subscriber_member_id': '23746903', 'subscriber_first_name': 'AIDEN'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250708.141244176.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5858728/check_9618224_59957f9a-9a16-4e6e-af18-095da3b5e29a.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '23746903', 'plan_type': None, 'group_name': None, 'payer_name': 'VENTURA COUNTY HEALTH CARE PLAN', 'payer_note': None, 'patient_dob': '2007-11-16', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'MUELLER', 'plan_sponsor_name': None, 'patient_first_name': 'AIDEN', '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 | 8196887325 | N/A | N/A | 5858728 | 2222 | 4793 | 9363477 | N/A | 4214856 | 2025-07-09 02:04:14.367561 | 2025-05-13 04:29:37.229180 |
| 2025-07-08 11:12:49.901971 | 2025-07-08 11:12:52.734777 | 9618136 | 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': '1964-05-26', 'date_of_service': '2025-07-08', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 4497, 'subscriber_last_name': 'FERNANDEZ', 'subscriber_member_id': '7XX5TU4CF61', 'subscriber_first_name': 'LISA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/5538194/check_9618136_b53cb4be-72d4-4c09-8063-7c700166b1a0.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538194/check_9618136_477a645f-14f5-4888-87b5-c707169148ba.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '7XX5TU4CF61', 'plan_type': 'Medicare Part A', 'group_name': None, 'payer_name': 'MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY', 'payer_note': '1-BENEFICIARY INSURED DUE TO DISABILITY', 'patient_dob': '1964-05-26', 'plan_number': 'S5617', 'group_number': None, 'insurance_type': None, 'plan_type_code': 'MA', 'enrolled_in_qmb': False, 'patient_last_name': 'FERNANDEZ', 'plan_sponsor_name': None, 'patient_first_name': 'LISA', '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 | 8196840944 | N/A | N/A | 5538194 | 2222 | N/A | 9344246 | N/A | 4210649 | 2025-07-08 11:12:52.734777 | 2025-06-19 18:43:58.008751 |
| 2025-07-08 11:12:47.549672 | 2025-07-09 02:12:09.904061 | 9618071 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9618071', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '2015-04-28', 'date_of_service': '2025-07-08', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'HARRIS', 'subscriber_member_id': 'ZTQ074A70562', 'subscriber_first_name': 'ADELINE'} | 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/2222/6222060/check_9618071_0fc3d38a-f1a6-4b87-9698-2ee5e91a6b0c.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'ZTQ074A70562', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'TELEDYNE TECH INC SCIENTIFIC & IMAGING', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '2015-04-28', 'plan_number': '040', 'group_number': '174249M3BE', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'VILLASANTA', 'plan_sponsor_name': None, 'patient_first_name': 'VERONICA', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2025-01-01', 'plan_coverage_description': 'CDHP CA GENERIC HLTH SAVINGS ACCT', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8196993892 | N/A | N/A | 6222060 | 2222 | 4801 | 9369693 | N/A | 4866077 | 2025-07-09 02:12:09.904061 | 2025-06-30 23:43:30.307325 |
| 2025-07-08 11:12:08.861274 | 2025-07-09 02:18:55.073992 | 9617182 | N/A | N/A | {'payer_id': 'Z1073', 'payer_name': 'Medicare B California Southern', 'provider_npi': '1114042165', 'trace_number': '9617182', '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': '2p67ae9mf59', 'subscriber_first_name': 'ROBERT'} | 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/2222/6211373/check_9617182_334a0f82-32e6-45a1-b66d-72ea3770f7ec.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '2P67AE9MF59', 'plan_type': 'Medicare Part B', 'group_name': None, 'payer_name': 'AETNA HEALTH INC.', 'payer_note': '0-BENEFICIARY INSURED DUE TO AGE OASI', 'patient_dob': '1959-04-20', 'plan_number': 'S4802', 'group_number': '019303801200001', 'insurance_type': None, 'plan_type_code': 'MB', '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': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8196993649 | N/A | N/A | 6211373 | 2222 | 4793 | 9375204 | N/A | 4214087 | 2025-07-09 02:18:55.073992 | 2025-05-13 04:29:37.228402 |
| 2025-07-08 11:12:04.797865 | 2025-07-09 02:11:34.882741 | 9617102 | N/A | N/A | {'payer_id': 'CCHPC', 'payer_name': 'ALIGNMENT HEALTH CARE', 'provider_npi': '1114042165', 'trace_number': '9617102', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1953-09-16', 'date_of_service': '2025-07-08', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'SANKOVICH', 'subscriber_member_id': '00000375069', 'subscriber_first_name': 'DEBORAH A'} | 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/2222/6210775/check_9617102_ff6c177f-1add-42bd-a9c6-cc783d42415a.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '00000375069', 'plan_type': None, 'group_name': None, 'payer_name': 'ALIGNMENT HEALTH', 'payer_note': None, 'patient_dob': '1953-09-16', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'SANKOVICH', 'plan_sponsor_name': None, 'patient_first_name': 'DEBORAH A', '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 | 8196993640 | N/A | N/A | 6210775 | 2222 | 4793 | 9369204 | 2630 | 4215193 | 2025-07-09 02:11:34.882741 | 2026-01-16 04:38:12.725481 |
| 2025-07-08 11:12:02.720644 | 2025-07-09 02:11:34.313816 | 9617081 | N/A | N/A | {'payer_id': 'CCHPC', 'payer_name': 'Alignment Health Care (Fee For Service)', 'provider_npi': '1114042165', 'trace_number': '9617081', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1957-01-07', 'date_of_service': '2025-07-08', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'Placeres', 'subscriber_member_id': '00000387571', 'subscriber_first_name': 'Gerald'} | 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/2222/6210310/check_9617081_85076711-0576-498b-825e-6a59d9c30f77.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '00000387571', 'plan_type': 'Health Maintenance Organization (HMO)', 'group_name': None, 'payer_name': 'MEDICARE', 'payer_note': 'OVERALL DEDUCTIBLE', 'patient_dob': '1957-01-07', 'plan_number': 'H3815028', 'group_number': None, 'insurance_type': None, 'plan_type_code': 'HM', 'enrolled_in_qmb': False, 'patient_last_name': 'PLACERES', 'plan_sponsor_name': None, 'patient_first_name': 'GERALD', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'ALIGNMENT HEALTH MY CHOICE (HMO)', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8196993636 | N/A | N/A | 6210310 | 2222 | 4801 | 9369196 | N/A | 4853176 | 2025-07-09 02:11:34.313816 | 2025-06-11 16:41:23.932807 |
| 2025-07-08 11:11:49.185894 | 2025-07-09 02:10:44.728741 | 9616839 | N/A | N/A | {'payer_id': '62308', 'payer_name': 'Cigna Health Plans', 'provider_npi': '1114042165', 'trace_number': '9616839', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1980-01-01', 'date_of_service': '2025-07-08', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'BAKER', 'subscriber_member_id': '856047151', 'subscriber_first_name': 'JOHN'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250708.141244176.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676404/check_9616839_0cd1560c-1f87-4d0c-b04c-c729158351e0.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '856047151', 'plan_type': None, 'group_name': None, 'payer_name': 'CIGNA HEALTH PLANS', 'payer_note': None, 'patient_dob': '1980-01-01', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'BAKER', 'plan_sponsor_name': None, 'patient_first_name': 'JOHN', '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 | 8196888787 | N/A | N/A | 5676404 | 2222 | 4802 | 9368519 | N/A | 4343463 | 2025-07-09 02:10:44.728741 | 2025-05-13 04:29:37.230940 |
| 2025-07-08 11:10:57.831893 | 2025-07-09 02:12:07.592614 | 9616254 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9616254', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1965-05-25', 'date_of_service': '2025-07-08', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'CLOONAN', 'subscriber_member_id': 'XDM481M99931', 'subscriber_first_name': 'LINDA'} | 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/2222/6193751/check_9616254_216370d2-1ebf-42ee-8a35-ac8f2df73d16.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XDM481M99931', 'plan_type': 'Health Maintenance Organization (HMO)', 'group_name': 'UFCW BENEFIT FUNDS ADMIN LLC RETIREE', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1965-05-25', 'plan_number': '040', 'group_number': '282241H019', 'insurance_type': None, 'plan_type_code': 'HM', 'enrolled_in_qmb': False, 'patient_last_name': 'CLOONAN', 'plan_sponsor_name': None, 'patient_first_name': 'LINDA', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2020-12-01', 'plan_coverage_description': 'CLASSIC SELECT HMO', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8196993816 | N/A | N/A | 6193751 | 2222 | 4801 | 9369665 | N/A | 4837995 | 2025-07-09 02:12:07.592614 | 2025-06-13 00:15:18.726975 |
| 2025-07-08 11:10:29.742817 | 2025-07-09 02:11:41.455254 | 9615690 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9615690', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1958-07-03', 'date_of_service': '2025-07-08', 'subscriber_gender': 'M', 'service_type_codes': ['PT', 'AE'], 'subscriber_last_name': 'NOVORR', 'subscriber_member_id': 'U5X043M87191', 'subscriber_first_name': 'TERRY'} | 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/2222/5550909/check_9615690_d998d525-6951-4c5c-8106-e6648be8d740.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '8UK6F04XX74', 'plan_type': 'Indemnity', 'group_name': 'UNIVERSITY OF CALIFORNIA', 'payer_name': 'MEDICARE D', 'payer_note': None, 'patient_dob': '1958-07-03', 'plan_number': '040', 'group_number': '280509C475', 'insurance_type': None, 'plan_type_code': 'IN', 'enrolled_in_qmb': False, 'patient_last_name': '', 'plan_sponsor_name': None, 'patient_first_name': '', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2024-11-01', 'plan_coverage_description': 'UC MEDICARE PPO', 'relationship_to_subscriber': None} | ['PT', 'AE'] | N/A | N/A | N/A | N/A | N/A | 8196998622 | N/A | N/A | 5550909 | 2222 | 4801 | 9369297 | N/A | 4219758 | 2025-07-09 02:11:41.455254 | 2025-05-13 04:29:37.230800 |
| 2025-07-08 11:10:28.276014 | 2025-07-09 02:11:42.042967 | 9615661 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9615661', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1953-05-17', 'date_of_service': '2025-07-08', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'SINGER', 'subscriber_member_id': 'XEM911011492', 'subscriber_first_name': 'KAREN'} | 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/2222/5543248/check_9615661_689321ae-aee9-480b-9f4d-8804ed214fe3.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XEM911011492', 'plan_type': 'Supplemental Policy', 'group_name': 'MEDICARE SUPPLEMENT', 'payer_name': 'MEDICARE PART A AND B', 'payer_note': None, 'patient_dob': '1953-05-17', 'plan_number': '2004SF000028', 'group_number': 'X0001002', 'insurance_type': None, 'plan_type_code': 'SP', 'enrolled_in_qmb': False, 'patient_last_name': 'SINGER', 'plan_sponsor_name': None, 'patient_first_name': 'JOEL', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'MEDICARE SUPPLEMENT DENTAL 1500 APR24', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8196998619 | N/A | N/A | 5543248 | 2222 | 4793 | 9369304 | N/A | 4215066 | 2025-07-09 02:11:42.042967 | 2025-05-13 04:29:37.229384 |
| 2025-07-08 11:10:27.837579 | 2025-07-09 02:12:44.396990 | 9615652 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': '1114042165', 'trace_number': '9615652', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1953-03-17', 'date_of_service': '2025-07-08', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'MARCUS', 'subscriber_member_id': 'XEM909523924', 'subscriber_first_name': 'LISSA'} | 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/2222/5542324/check_9615652_47097e17-ff73-4cb5-9cb7-b3d420144c52.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XEM909523924', 'plan_type': 'Other', 'group_name': 'MEDICARE SUPPLEMENT', 'payer_name': 'MEDICARE PART A AND B', 'payer_note': None, 'patient_dob': '1953-03-17', 'plan_number': '2002SF000029', 'group_number': 'X0001002', 'insurance_type': None, 'plan_type_code': 'OT', 'enrolled_in_qmb': False, 'patient_last_name': 'MARCUS', 'plan_sponsor_name': None, 'patient_first_name': 'LISSA', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'MEDICARE SUPPLEMENT PLAN F EXTRA', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8196998618 | N/A | N/A | 5542324 | 2222 | 4802 | 9370194 | N/A | 4214241 | 2025-07-09 02:12:44.396990 | 2025-05-13 04:29:37.228574 |
| 2025-07-08 11:10:27.397232 | 2025-07-09 02:03:23.339602 | 9615642 | N/A | N/A | {'payer_id': '36273', 'payer_name': 'AARP Medicare Supplement by UnitedHealthcare', 'provider_npi': '1114042165', 'trace_number': '9615642', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1933-03-03', 'date_of_service': '2025-07-08', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'FISCHEL', 'subscriber_member_id': '04588955211', 'subscriber_first_name': 'DONALD'} | 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/2222/5539218/check_9615642_4eecb2dd-1b81-462e-b33c-5f6c7775f218.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '04588955211', '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': '1933-03-03', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': 'SP', 'enrolled_in_qmb': False, 'patient_last_name': 'FISCHEL', 'plan_sponsor_name': None, 'patient_first_name': 'DONALD', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'AARP MEDICARE SUPPLEMENT PLAN F', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8196998617 | N/A | N/A | 5539218 | 2222 | 4801 | 9363073 | N/A | 4211550 | 2025-07-09 02:03:23.339602 | 2025-07-06 18:22:48.105422 |
| 2025-07-08 11:10:26.672363 | 2025-07-09 02:11:40.984240 | 9615628 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9615628', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1957-12-18', 'date_of_service': '2025-07-08', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'MOORE WILLIAMSON', 'subscriber_member_id': 'JQE118W14593', 'subscriber_first_name': 'LESLIE A'} | 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/2222/5539052/check_9615628_a37a2b2d-3579-4592-b52e-9c19e94f4fc8.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'JQE118W14593', 'plan_type': None, 'group_name': 'CA MED-SUPP', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1957-12-18', 'plan_number': '040', 'group_number': 'CASUPWP0', 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'MOORE WILLIAMSON', 'plan_sponsor_name': None, 'patient_first_name': 'LESLIE', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2022-12-01', 'plan_coverage_description': 'CA MODERNIZED PLAN G', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8196998616 | N/A | N/A | 5539052 | 2222 | 4801 | 9369289 | N/A | 4211368 | 2025-07-09 02:11:40.984240 | 2025-05-13 04:29:37.225728 |
| 2025-07-08 11:10:26.601246 | 2025-07-09 02:12:38.751938 | 9615625 | N/A | N/A | {'payer_id': 'Z1073', 'payer_name': 'Medicare B California Southern', 'provider_npi': '1114042165', 'trace_number': '9615625', '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': '9A94PK6GA08', 'subscriber_first_name': 'Nasser'} | 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/2222/6583825/check_9615625_41e6bc33-181d-436e-b5b4-b955495716ef.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '9A94PK6GA08', 'plan_type': 'Medicare Part A', 'group_name': None, 'payer_name': "CALIFORNIA PHYSICIANS' SERVICE", 'payer_note': '0-BENEFICIARY INSURED DUE TO AGE OASI', 'patient_dob': '1934-12-03', 'plan_number': 'S2468', 'group_number': None, 'insurance_type': None, 'plan_type_code': 'MA', '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': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8196995854 | N/A | N/A | 6583825 | 2222 | 4802 | 9370114 | N/A | 5202586 | 2025-07-09 02:12:38.751938 | 2025-06-25 17:55:27.155518 |
| 2025-07-08 11:10:25.877795 | 2025-07-09 02:03:22.931642 | 9615611 | N/A | N/A | {'payer_id': '36273', 'payer_name': 'AARP Medicare Supplement by UnitedHealthcare', 'provider_npi': '1114042165', 'trace_number': '9615611', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1951-06-30', 'date_of_service': '2025-07-08', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'CHADORCHI', 'subscriber_member_id': '33261790711', 'subscriber_first_name': 'JAFFA'} | 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/2222/5537483/check_9615611_78c62c77-153b-4bb1-bdac-66291dcd1d00.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '33261790711', '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': '1951-06-30', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': 'SP', 'enrolled_in_qmb': False, 'patient_last_name': 'CHADORCHI', 'plan_sponsor_name': None, 'patient_first_name': 'JAFFA', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'AARP MEDICARE SUPPLEMENT PLAN F', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8196998615 | N/A | N/A | 5537483 | 2222 | 4802 | 9363068 | N/A | 4210038 | 2025-07-09 02:03:22.931642 | 2025-06-02 14:57:36.820684 |
| 2025-07-08 11:10:25.110003 | 2025-07-09 02:12:43.433351 | 9615596 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': '1114042165', 'trace_number': '9615596', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1946-05-12', 'date_of_service': '2025-07-08', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'EGGLETON', 'subscriber_member_id': 'XEM090112120', 'subscriber_first_name': 'PAUL'} | 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/2222/5536871/check_9615596_19bc3f60-0775-45d0-8045-b187550b3651.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XEM090112120', 'plan_type': None, 'group_name': None, 'payer_name': 'BLUE SHIELD CALIFORNIA', 'payer_note': None, 'patient_dob': '1946-05-12', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'EGGLETON', 'plan_sponsor_name': None, 'patient_first_name': 'PAUL', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8196998614 | N/A | N/A | 5536871 | 2222 | 4801 | 9370182 | N/A | 4209543 | 2025-07-09 02:12:43.433351 | 2025-06-18 17:33:51.700160 |
| 2025-07-08 11:10:24.559116 | 2025-07-09 02:03:23.737396 | 9615587 | N/A | N/A | {'payer_id': '36273', 'payer_name': 'AARP Medicare Supplement by UnitedHealthcare', 'provider_npi': '1114042165', 'trace_number': '9615587', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1945-08-03', 'date_of_service': '2025-07-08', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'GORMLEY', 'subscriber_member_id': '0105598581', 'subscriber_first_name': 'MICHAEL'} | 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/2222/5536819/check_9615587_59470c25-9282-459c-989f-fcf006a50178.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '0105598581', 'plan_type': None, 'group_name': None, 'payer_name': 'AARP SUPPLEMENTAL HEALTH PLANS FROM 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': 'GORMLEY', 'plan_sponsor_name': None, 'patient_first_name': 'MICHAEL', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8196998613 | N/A | N/A | 5536819 | 2222 | 4802 | 9363077 | N/A | 4209498 | 2025-07-09 02:03:23.737396 | 2025-09-22 06:46:20.286658 |
| 2025-07-08 11:10:23.880728 | 2025-07-09 02:03:24.085636 | 9615576 | N/A | N/A | {'payer_id': '36273', 'payer_name': 'AARP Medicare Supplement by UnitedHealthcare', 'provider_npi': '1114042165', 'trace_number': '9615576', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1939-06-24', 'date_of_service': '2025-07-08', 'subscriber_gender': 'M', 'service_type_codes': ['PT', 'AE'], 'subscriber_last_name': 'ULLMAN', 'subscriber_member_id': '557489000', 'subscriber_first_name': 'DAVID'} | 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/2222/5535842/check_9615576_e80e92c9-04fa-42ad-bb8c-59d6e8576011.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '557489000', 'plan_type': None, 'group_name': None, 'payer_name': 'AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE', 'payer_note': None, 'patient_dob': '1939-06-24', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'ULLMAN', 'plan_sponsor_name': None, 'patient_first_name': 'DAVID', '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 | 8196998612 | N/A | N/A | 5535842 | 2222 | 4801 | 9363083 | N/A | 4208696 | 2025-07-09 02:03:24.085636 | 2025-06-07 16:16:45.844566 |
| 2025-07-08 11:10:16.715095 | 2025-07-09 02:12:35.787429 | 9615429 | N/A | N/A | {'payer_id': 'CCHPC', 'payer_name': 'Alignment Health Care (Fee For Service)', 'provider_npi': '1114042165', 'trace_number': '9615429', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1944-11-13', 'date_of_service': '2025-07-08', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'HACKBARTH', 'subscriber_member_id': '00000294758', 'subscriber_first_name': 'HAROLD'} | 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/2222/5568081/check_9615429_a69d9a3d-2a0d-4981-b96c-9d2416d86517.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '00000294758', 'plan_type': None, 'group_name': None, 'payer_name': 'ALIGNMENT HEALTH', 'payer_note': None, 'patient_dob': '1944-11-13', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'HACKBARTH', 'plan_sponsor_name': None, 'patient_first_name': 'HAROLD', '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 | 8196889467 | N/A | N/A | 5568081 | 2222 | 4801 | 9370067 | N/A | 4212656 | 2025-07-09 02:12:35.787429 | 2025-08-12 21:09:57.607033 |
| 2025-07-08 11:10:16.423250 | 2025-07-09 02:04:08.036542 | 9615424 | N/A | N/A | {'payer_id': 'LMG01', 'payer_name': 'Lakeside Medical Group', 'provider_npi': '1114042165', 'trace_number': '9615424', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1961-09-17', 'date_of_service': '2025-07-08', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'GIANOLI', 'subscriber_member_id': 'R11857813FM1', 'subscriber_first_name': 'ELSY'} | 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/2222/5568076/check_9615424_c98f811f-937f-4e36-acc9-c6f244355068.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'R11857813FM1', 'plan_type': None, 'group_name': None, 'payer_name': 'LAKESIDE MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1961-09-17', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'GIANOLI', 'plan_sponsor_name': None, 'patient_first_name': 'ELSY', '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 | 8196889466 | N/A | N/A | 5568076 | 2222 | 4802 | 9363416 | N/A | 4209480 | 2025-07-09 02:04:08.036542 | 2025-05-13 04:29:37.223914 |
| 2025-07-08 11:10:06.856487 | 2025-07-09 02:08:50.726499 | 9615235 | N/A | N/A | {'payer_id': '62308', 'payer_name': 'CIGNA (Connecticut General, Equicor, Equitable)', 'provider_npi': '1114042165', 'trace_number': '9615235', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1989-06-30', 'date_of_service': '2025-07-08', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'HASSEL', 'subscriber_member_id': '10933434100', 'subscriber_first_name': 'AARON'} | 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/2222/6173580/check_9615235_d493d1df-4eef-4056-92ad-77e6ea571223.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '10933434100', 'plan_type': None, 'group_name': 'RAWLINGS SPORTING GOODS COMPANY, INC', 'payer_name': 'CHLIC', 'payer_note': 'COMPLETE CARE MANAGEMENT', 'patient_dob': '1989-06-30', 'plan_number': None, 'group_number': '00623156', 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'HASSEL', 'plan_sponsor_name': None, 'patient_first_name': 'AARON', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'HRA', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8196992872 | N/A | N/A | 6173580 | 2222 | 4802 | 9367022 | N/A | 4814860 | 2025-07-09 02:08:50.726499 | 2026-03-05 17:32:00.360896 |
| 2025-07-08 11:09:50.800797 | 2025-07-09 02:16:10.741350 | 9614922 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': '1114042165', 'trace_number': '9614922', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1976-09-20', 'date_of_service': '2025-07-08', '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/272741.20250708.141240807.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6814151/check_9614922_36693c50-2593-488b-8f4a-a4f8f790a2ba.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 | 8196875736 | N/A | N/A | 6814151 | 2222 | 4793 | 9372967 | N/A | 5856522 | 2025-07-09 02:16:10.741350 | 2025-07-10 02:16:48.328344 |
| 2025-07-08 11:09:46.151426 | 2025-07-09 02:09:25.409395 | 9614839 | N/A | N/A | {'payer_id': '60054', 'payer_name': 'Aetna', 'provider_npi': '1114042165', 'trace_number': '9614839', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1982-01-04', 'date_of_service': '2025-07-08', '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/272741.20250708.141240807.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6813488/check_9614839_8855f632-d8b9-4773-84e3-eea886b7183c.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 | 8196875713 | N/A | N/A | 6813488 | 2222 | 4793 | 9367540 | N/A | 5855703 | 2025-07-09 02:09:25.409395 | 2025-07-09 18:25:42.890614 |
| 2025-07-08 11:09:41.189302 | 2025-07-09 02:12:48.012974 | 9614727 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9614727', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '2008-06-03', 'date_of_service': '2025-07-08', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'subscriber_last_name': 'DATO', 'subscriber_member_id': 'NGO555A50496', 'subscriber_first_name': 'BRETT'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250708.141244176.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5551045/check_9614727_01048480-00fd-4dc9-9ce4-597b6bf15cc0.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'NGO555A50496', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'NORTHROP GRUMMAN CORP', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '2008-06-03', 'plan_number': '040', 'group_number': '174022MJAD', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'DATO', 'plan_sponsor_name': None, 'patient_first_name': 'GREGORY', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2021-01-02', 'plan_coverage_description': 'CDHP CA GENERIC HLTH SAVINGS ACCT', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8196889148 | N/A | N/A | 5551045 | 2222 | 4793 | 9370251 | N/A | 4219851 | 2025-07-09 02:12:48.012974 | 2025-05-13 04:29:37.230897 |
| 2025-07-08 11:09:40.755299 | 2025-07-09 02:04:09.482433 | 9614719 | N/A | N/A | {'payer_id': 'LMG01', 'payer_name': 'Lakeside Medical Group', 'provider_npi': '1114042165', 'trace_number': '9614719', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1952-08-05', 'date_of_service': '2025-07-08', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'WOOTEN', 'subscriber_member_id': '40041245701', 'subscriber_first_name': 'GAYLE'} | 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/2222/5551018/check_9614719_33afa8d1-e9b8-4003-8f8f-597cdf913856.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '40041245701', 'plan_type': None, 'group_name': None, 'payer_name': 'LAKESIDE MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1952-08-05', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'WOOTEN', 'plan_sponsor_name': None, 'patient_first_name': 'GAYLE', '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 | 8196889147 | N/A | N/A | 5551018 | 2222 | 4801 | 9363431 | N/A | 4219841 | 2025-07-09 02:04:09.482433 | 2025-05-13 04:29:37.230890 |
| 2025-07-08 11:09:40.367081 | 2025-07-09 02:12:57.321140 | 9614712 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9614712', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1966-02-01', 'date_of_service': '2025-07-08', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'subscriber_last_name': 'VARON', 'subscriber_member_id': 'MPI101422173Q', 'subscriber_first_name': 'BRETT'} | 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/2222/5550992/check_9614712_4a2a3532-7bad-48a6-8524-bd14b06cf6f7.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'MPI101422173Q', 'plan_type': None, 'group_name': None, 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1966-02-01', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'VARON', 'plan_sponsor_name': None, 'patient_first_name': 'BRETT', '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 | 8196889146 | N/A | N/A | 5550992 | 2222 | 4793 | 9370390 | N/A | 4219816 | 2025-07-09 02:12:57.321140 | 2025-05-13 04:29:37.230863 |
| 2025-07-08 11:09:39.915923 | 2025-07-09 02:12:50.156779 | 9614703 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9614703', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1959-07-17', 'date_of_service': '2025-07-08', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'GILBERT', 'subscriber_member_id': 'JPU461A71640', 'subscriber_first_name': 'SHERRI'} | 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/2222/5550973/check_9614703_8ee4ecaa-8295-415a-a019-ea7f25605f00.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '3VT9D21WD25', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'AGENCY FOR THE PERFORMING ARTS INC CA/OOS', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1959-07-17', 'plan_number': '040', 'group_number': 'L12155M001', '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': '9999-12-31', 'date_time_period_start': '2025-01-01', 'plan_coverage_description': 'PPO PRUDENT BUYER CLASSIC MULTI-CHOICE', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8196889145 | N/A | N/A | 5550973 | 2222 | 4793 | 9370279 | N/A | 4219803 | 2025-07-09 02:12:50.156779 | 2025-05-13 04:29:37.230842 |
| 2025-07-08 11:09:39.441524 | 2025-07-09 02:18:56.641303 | 9614692 | N/A | N/A | {'payer_id': 'Z1073', 'payer_name': 'Medicare B California Southern', 'provider_npi': '1114042165', 'trace_number': '9614692', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1958-07-03', 'date_of_service': '2025-07-08', 'subscriber_gender': 'M', 'service_type_codes': ['PT', 'AE'], 'subscriber_last_name': 'NOVORR', 'subscriber_member_id': '8UK6F04XX74', 'subscriber_first_name': 'TERRY'} | 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/2222/5550906/check_9614692_3811e747-b12b-4416-a63b-c0458ccbfc0d.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '8UK6F04XX74', 'plan_type': 'Medicare Part A', 'group_name': None, 'payer_name': 'DEAN HEALTH INSURANCE, INC.', 'payer_note': '0-BENEFICIARY INSURED DUE TO AGE OASI', 'patient_dob': '1958-07-03', 'plan_number': 'S9701', 'group_number': None, 'insurance_type': None, 'plan_type_code': 'MA', 'enrolled_in_qmb': False, 'patient_last_name': 'NOVORR', 'plan_sponsor_name': None, 'patient_first_name': 'TERRY', '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 | 8196889144 | N/A | N/A | 5550906 | 2222 | 4801 | 9375223 | N/A | 4219758 | 2025-07-09 02:18:56.641303 | 2025-05-13 04:29:37.230800 |
| 2025-07-08 11:09:38.972233 | 2025-07-09 02:12:52.845636 | 9614683 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9614683', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1962-01-25', 'date_of_service': '2025-07-08', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'LUCZYWEK', 'subscriber_member_id': 'HFD100011213709', 'subscriber_first_name': 'DEBORA'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250708.141244176.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549317/check_9614683_4cb5f908-e195-4315-8efc-de42fa2b7379.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'HFD100011213709', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': None, 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': 'IF THE MEMBER QUALIFIES FOR COBRA COVERAGE,THE POLICY MAY BE SUBJECT TO RETROACTIVE CANCELLATION OR REINSTATEMENT, BASED ON THE PLAN DESIGN AND THE MEMBER COBRA ELECTION. FOR A COMPLETE LIST OF COVERED PREVENTIVE SERVICES PLEASE VISIT WWW.USPREVENTIVESERVICESTASKFORCE.ORG.THEN AT THE BOTTOM OF THE PAGE, UNDER RECOMMENDATIONS, CLICK ON THE LINK FOR USPSTF A AND B RECOMMENDATIONS.', 'patient_dob': '1962-01-25', 'plan_number': None, 'group_number': '716116N04', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'LUCZYWEK', 'plan_sponsor_name': None, 'patient_first_name': 'MARIUSZ', 'patient_middle_name': None, 'date_time_period_end': '2026-01-01', 'date_time_period_start': '2025-01-01', 'plan_coverage_description': 'PREFERRED_PROVIDER_ORG_(PPO)', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8196889142 | N/A | N/A | 5549317 | 2222 | 4801 | 9370323 | N/A | 4219010 | 2025-07-09 02:12:52.845636 | 2026-01-09 18:32:07.618867 |
| 2025-07-08 11:09:35.295552 | 2025-07-09 02:12:54.323506 | 9614603 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'ANTHEM BLUE CROSS', 'provider_npi': '1114042165', 'trace_number': '9614603', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1960-09-07', 'date_of_service': '2025-07-08', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'subscriber_last_name': 'MEINERT', 'subscriber_member_id': 'XEH912496752', 'subscriber_first_name': 'TIM'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250708.141244176.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543360/check_9614603_97d06155-891c-43b3-a472-aff58db8b785.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XEH912496752', 'plan_type': 'Health Maintenance Organization (HMO)', 'group_name': 'MILKEN COMMUNITY SCHOOLS', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1960-09-07', 'plan_number': '1000HMOX0001', 'group_number': 'W0070317', 'insurance_type': None, 'plan_type_code': 'HM', 'enrolled_in_qmb': False, 'patient_last_name': 'MEINERT', 'plan_sponsor_name': None, 'patient_first_name': 'TIMOTHY', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'ACCESS HMO R PER ADMIT 10 250', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8196889127 | N/A | N/A | 5543360 | 2222 | 4793 | 9370348 | 4184 | 4215161 | 2025-07-09 02:12:54.323506 | 2025-05-13 04:29:37.229478 |
| 2025-07-08 11:09:34.922357 | 2025-07-09 02:05:49.529345 | 9614594 | N/A | N/A | {'payer_id': '38333', 'payer_name': 'Molina Healthcare of California', 'provider_npi': '1114042165', 'trace_number': '9614594', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1941-01-15', 'date_of_service': '2025-07-08', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'PENATE', 'subscriber_member_id': '100200006880', 'subscriber_first_name': 'VIANCA'} | 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/2222/5543301/check_9614594_fa3fe45b-da97-4b42-9c9c-a21458ffb4f3.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '100200006880', 'plan_type': None, 'group_name': None, 'payer_name': 'MOLINA OF CALIFORNIA', 'payer_note': None, 'patient_dob': '1941-01-15', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'PENATE', 'plan_sponsor_name': None, 'patient_first_name': 'VIANCA', '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 | 8196889126 | N/A | N/A | 5543301 | 2222 | 4802 | 9364510 | N/A | 4215112 | 2025-07-09 02:05:49.529345 | 2026-02-20 19:52:51.272757 |
| 2025-07-08 11:09:34.543521 | 2025-07-09 02:04:08.565065 | 9614587 | N/A | N/A | {'payer_id': 'LMG01', 'payer_name': 'Lakeside Medical Group', 'provider_npi': '1114042165', 'trace_number': '9614587', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1964-03-27', 'date_of_service': '2025-07-08', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'MCCOWAN', 'subscriber_member_id': '93341440D', 'subscriber_first_name': 'KEVIN'} | 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/2222/5543270/check_9614587_ca7fd283-93ad-4325-8914-29c624cbe99e.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '93341440D', 'plan_type': None, 'group_name': None, 'payer_name': 'LAKESIDE MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1964-03-27', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'MCCOWAN', 'plan_sponsor_name': None, 'patient_first_name': 'KEVIN', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8196889125 | N/A | N/A | 5543270 | 2222 | 4793 | 9363421 | N/A | 4215086 | 2025-07-09 02:04:08.565065 | 2025-05-13 04:29:37.229401 |
| 2025-07-08 11:09:34.015090 | 2025-07-09 02:09:37.980489 | 9614573 | N/A | N/A | {'payer_id': '62308', 'payer_name': 'American Specialty Health', 'provider_npi': '1114042165', 'trace_number': '9614573', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1995-03-21', 'date_of_service': '2025-07-08', 'subscriber_gender': 'F', 'service_type_codes': ['AD'], 'subscriber_last_name': 'PATEL', 'subscriber_member_id': 'U8560212501', 'subscriber_first_name': 'RONAK'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250708.141244176.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543267/check_9614573_272f8445-0952-4f54-8c5b-cdd665b8df6e.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'U8560212501', 'plan_type': None, 'group_name': 'SOCIAL FINANCE, LLC', 'payer_name': 'CHLIC', 'payer_note': 'PROVIDER IS IN NETWORK BASED ON NPI ID PROVIDED IN REQUEST NEW BUSINESS RATES APPLIED PREFERRED CARE MANAGEMENT', 'patient_dob': '1995-03-21', 'plan_number': None, 'group_number': '3342825', 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'PATEL', 'plan_sponsor_name': None, 'patient_first_name': 'RONAK', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'OPEN ACCESS PLUS HDHP', 'relationship_to_subscriber': None} | ['AD'] | N/A | N/A | N/A | N/A | N/A | 8196889124 | N/A | N/A | 5543267 | 2222 | 4793 | 9367702 | N/A | 4215084 | 2025-07-09 02:09:37.980489 | 2025-05-13 04:29:37.229400 |
| 2025-07-08 11:09:33.593301 | 2025-07-09 02:18:56.960797 | 9614563 | N/A | N/A | {'payer_id': 'Z1073', 'payer_name': 'Medicare B California Southern', 'provider_npi': '1114042165', 'trace_number': '9614563', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1953-05-17', 'date_of_service': '2025-07-08', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'SINGER', 'subscriber_member_id': '8XN3QF1XM78', 'subscriber_first_name': 'KAREN'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250708.141244176.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543247/check_9614563_feab54d1-e6ff-4c31-97b9-87294b7fc0a4.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '8XN3QF1XM78', 'plan_type': 'Medicare Part B', 'group_name': None, 'payer_name': 'SILVERSCRIPT INSURANCE COMPANY', 'payer_note': '0-BENEFICIARY INSURED DUE TO AGE OASI', 'patient_dob': '1953-05-17', 'plan_number': 'S5601', 'group_number': None, 'insurance_type': None, 'plan_type_code': 'MB', 'enrolled_in_qmb': False, 'patient_last_name': 'SINGER', 'plan_sponsor_name': None, 'patient_first_name': 'KAREN', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8196889123 | N/A | N/A | 5543247 | 2222 | 4793 | 9375227 | N/A | 4215066 | 2025-07-09 02:18:56.960797 | 2025-05-13 04:29:37.229384 |
| 2025-07-08 11:09:33.180440 | 2025-07-09 02:14:24.966917 | 9614553 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': '1114042165', 'trace_number': '9614553', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '2002-06-02', 'date_of_service': '2025-07-08', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'subscriber_last_name': 'VIRGIL', 'subscriber_member_id': 'XEK905426435', 'subscriber_first_name': 'NICHOLAS'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250708.141244176.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543237/check_9614553_de672458-5be2-44db-ba19-e614dd0bd5bc.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XEK905426435', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'IFP OFF EXCHANGE', 'payer_name': 'BLUE SHIELD CALIFORNIA', 'payer_note': None, 'patient_dob': '2002-06-02', 'plan_number': '2001ZK002195', 'group_number': 'X0001000', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'VIRGIL', 'plan_sponsor_name': None, 'patient_first_name': 'JEFF', 'patient_middle_name': None, 'date_time_period_end': '2028-06-30', 'date_time_period_start': '2025-01-01', 'plan_coverage_description': 'IFP EMB PED DPPO JAN15', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8196889122 | N/A | N/A | 5543237 | 2222 | 4802 | 9371552 | N/A | 4215054 | 2025-07-09 02:14:24.966917 | 2025-05-13 04:29:37.229375 |
| 2025-07-08 11:09:33.000177 | 2025-07-09 02:09:24.075326 | 9614551 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': '1114042165', 'trace_number': '9614551', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1966-03-26', 'date_of_service': '2025-07-08', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'Deschatres', 'subscriber_member_id': 'XED912070650', 'subscriber_first_name': 'Nathalie'} | 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/2222/6577909/check_9614551_cd638b21-6124-42bf-b76b-4511c3989d35.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XED912070650', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'IFP ON EXCHANGE', 'payer_name': 'BLUE SHIELD CALIFORNIA', 'payer_note': None, 'patient_dob': '1966-03-26', 'plan_number': '2001ZK002186', 'group_number': 'X0001004', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'DESCHATRES', 'plan_sponsor_name': None, 'patient_first_name': 'NATHALIE', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2023-02-01', 'plan_coverage_description': 'IFP EMB PED VISION', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8196995617 | N/A | N/A | 6577909 | 2222 | 4802 | 9367525 | N/A | 4766701 | 2025-07-09 02:09:24.075326 | 2025-06-03 21:11:46.573919 |
| 2025-07-08 11:09:32.853443 | 2025-07-09 02:12:52.083411 | 9614548 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'ANTHEM BLUE CROSS', 'provider_npi': '1114042165', 'trace_number': '9614548', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1971-12-13', 'date_of_service': '2025-07-08', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'subscriber_last_name': 'LEO', 'subscriber_member_id': 'NCF949A57364', 'subscriber_first_name': 'SEAN'} | 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/2222/5543220/check_9614548_07fa720b-5474-4d8f-a086-7c31eb97d8a2.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'NCF949A57364', 'plan_type': 'Health Maintenance Organization (HMO)', 'group_name': 'LAUSD', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1971-12-13', 'plan_number': '040', 'group_number': '57AJCA', 'insurance_type': None, 'plan_type_code': 'HM', 'enrolled_in_qmb': False, 'patient_last_name': 'LEO', 'plan_sponsor_name': None, 'patient_first_name': 'DAYNA', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2010-01-01', 'plan_coverage_description': 'POWER SELECT HMO NETWORK 126+', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8196889121 | N/A | N/A | 5543220 | 2222 | 4793 | 9370309 | 4184 | 4215036 | 2025-07-09 02:12:52.083411 | 2025-05-13 04:29:37.229353 |
| 2025-07-08 11:09:32.541818 | 2025-07-09 02:12:54.687586 | 9614539 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9614539', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1983-04-13', 'date_of_service': '2025-07-08', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'MICHAEL', 'subscriber_member_id': 'JXN531M63256', 'subscriber_first_name': 'JUNITHA'} | 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/2222/5543190/check_9614539_0f76b265-bd3f-46ef-a66d-3b85efd3ac22.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'JXN531M63256', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'CDHP -HSA VALUE PPO W/ NON-INTEGRATED BANKING W/ C', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1983-04-13', 'plan_number': '040', 'group_number': '174222M9A1', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'MICHAEL', 'plan_sponsor_name': None, 'patient_first_name': 'JUNITHA', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2021-05-11', 'plan_coverage_description': 'CDHP CA GENERIC HLTH SAVINGS ACCT', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8196889120 | N/A | N/A | 5543190 | 2222 | 4793 | 9370356 | N/A | 4215014 | 2025-07-09 02:12:54.687586 | 2025-06-01 22:57:55.386960 |
| 2025-07-08 11:09:32.285468 | 2025-07-09 02:12:53.482966 | 9614531 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9614531', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '2003-10-09', 'date_of_service': '2025-07-08', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'LUKOWITSCH', 'subscriber_member_id': 'XDPCA8263500', 'subscriber_first_name': 'HALLIE'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250708.141244176.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543178/check_9614531_b75b3c5e-7fc9-4cc8-99d2-3ff4c8b3070c.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XDPCA8263500', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'UCLA - UNDERGRAD', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '2003-10-09', 'plan_number': '040', 'group_number': '275958P701', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'LUKOWITSCH', 'plan_sponsor_name': None, 'patient_first_name': 'HALLIE', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2024-09-23', 'plan_coverage_description': 'PPO UC SHIP', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8196889119 | N/A | N/A | 5543178 | 2222 | 4802 | 9370330 | N/A | 4215006 | 2025-07-09 02:12:53.482966 | 2025-05-13 04:29:37.229325 |