Athletic API Dashboard
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API Endpoints
Total rows: 63,957
| 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 04:52:36.375339 | 2025-07-08 04:52:40.186690 | 9611272 | N/A | N/A | {'payer_id': 'REGAL', 'payer_name': 'Regal Medical Group', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1958-03-25', 'date_of_service': '2025-07-08', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 23309, 'subscriber_last_name': 'RABASA', 'subscriber_member_id': 'H90024831', 'subscriber_first_name': 'PATRICIA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6667925/check_9611272_f85dcf52-60a0-4346-baa0-cd9472cb06af.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-08 | N/A | N/A | N/A | N/A | N/A | N/A | {'member_id': 'H90024831', 'plan_type': None, 'group_name': None, 'payer_name': 'REGAL MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1958-03-25', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'RABASA', 'plan_sponsor_name': None, 'patient_first_name': 'PATRICIA', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6667925 | 2222 | N/A | N/A | N/A | 5281834 | 2025-07-08 04:52:40.186690 | 2025-09-11 16:48:19.720660 |
| 2025-07-08 00:03:54.932658 | 2025-07-08 00:04:02.793242 | 9607607 | N/A | N/A | {'payer_id': '62308', 'payer_name': 'Cigna Health Plans', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1958-06-04', 'date_of_service': '2025-07-07', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 23412, 'subscriber_last_name': 'CULBERTSON', 'subscriber_member_id': 'U1494730301', 'subscriber_first_name': 'JOEL'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/5537625/check_9607607_a7ed4686-7740-48cb-8af9-4eaac5d6ce8a.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537625/check_9607607_50074df0-a6d3-496d-904a-1f0805f9d38c.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'U1494730301', 'plan_type': 'Health Maintenance Organization (HMO)', 'group_name': 'COUNTY OF LOS ANGELES', 'payer_name': 'CGLIC', 'payer_note': 'PROVIDER IS IN NETWORK BASED ON NPI ID PROVIDED IN REQUEST PERSONAL HEALTH SOLUTIONS PLUS', 'patient_dob': '1958-06-04', 'plan_number': None, 'group_number': '3212364', 'insurance_type': None, 'plan_type_code': 'HM', 'enrolled_in_qmb': False, 'patient_last_name': 'CULBERTSON', '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': 'NETWORK', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8191275987 | 5831 | N/A | 5537625 | 2222 | N/A | 9319426 | N/A | 4210156 | 2025-07-08 00:04:02.793242 | 2025-05-13 04:29:37.224573 |
| 2025-07-08 00:03:36.816005 | 2025-07-08 00:03:40.638180 | 9607605 | N/A | N/A | {'payer_id': 'LMG01', 'payer_name': 'Lakeside Medical Group', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1958-06-04', 'date_of_service': '2025-07-07', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 23314, 'subscriber_last_name': 'CULBERTSON', 'subscriber_member_id': 'U1494730301', 'subscriber_first_name': 'JOEL'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/5537625/check_9607605_519923a6-9359-4526-b181-270109559517.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537625/check_9607605_238a5c8e-82da-4aaf-a387-1fcb693a3eb3.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'U1494730301', 'plan_type': None, 'group_name': None, 'payer_name': 'LAKESIDE MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1958-06-04', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'CULBERTSON', 'plan_sponsor_name': None, 'patient_first_name': 'JOEL', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | N/A | 5831 | N/A | 5537625 | 2222 | N/A | 9319421 | N/A | 4210156 | 2025-07-08 00:03:40.638180 | 2025-05-13 04:29:37.224573 |
| 2025-07-08 00:03:35.086911 | 2025-07-08 00:03:36.812480 | 9607604 | N/A | N/A | {'payer_id': 'LMG01', 'payer_name': 'Lakeside Medical Group', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1958-06-04', 'date_of_service': '2025-07-07', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 23314, 'subscriber_last_name': 'CULBERTSON', 'subscriber_member_id': 'U1494730301', 'subscriber_first_name': 'JOEL'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/5537625/check_9607604_a250e2e0-82b5-4ee5-9c34-ff55efa603f9.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-07 | N/A | N/A | N/A | N/A | N/A | N/A | {'member_id': 'U1494730301', 'plan_type': None, 'group_name': None, 'payer_name': 'LAKESIDE MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1958-06-04', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'CULBERTSON', 'plan_sponsor_name': None, 'patient_first_name': 'JOEL', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | N/A | 5831 | N/A | 5537625 | 2222 | N/A | N/A | N/A | 4210156 | 2025-07-08 00:03:36.812480 | 2025-05-13 04:29:37.224573 |
| 2025-07-07 23:17:29.128973 | 2025-07-07 23:17:30.918030 | 9607537 | N/A | N/A | {'payer_id': '62308', 'payer_name': 'American Specialty Health', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1995-07-14', 'date_of_service': '2025-07-30', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 1534, 'subscriber_last_name': 'Yee', 'subscriber_member_id': 'U7171601401', 'subscriber_first_name': 'Amanda'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6174184/check_9607537_94e68e37-297f-4626-8cb0-33cbcb7813a7.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6174184/check_9607537_f02ded84-6da5-48f0-b88c-2a6973a042ce.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'U7171601401', 'plan_type': None, 'group_name': 'ROKU, INC.', 'payer_name': 'CHLIC', 'payer_note': 'NEW BUSINESS RATES APPLIED PREFERRED CARE MANAGEMENT', 'patient_dob': '1995-07-14', 'plan_number': None, 'group_number': '3340367', 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'YEE', 'plan_sponsor_name': None, 'patient_first_name': 'AMANDA', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'OPEN ACCESS PLUS', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8190981366 | 2182 | N/A | 6174184 | 2222 | N/A | 9319210 | N/A | 4815542 | 2025-07-07 23:17:30.918030 | 2025-06-06 19:25:46.160820 |
| 2025-07-07 23:16:08.000570 | 2025-07-07 23:16:10.779699 | 9607531 | N/A | N/A | {'payer_id': '62308', 'payer_name': 'CIGNA (Connecticut General, Equicor, Equitable)', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1995-07-14', 'date_of_service': '2025-07-30', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 4437, 'subscriber_last_name': 'Yee', 'subscriber_member_id': 'U7171601401', 'subscriber_first_name': 'Amanda'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6174184/check_9607531_f689c527-cb8c-48e7-9170-7ab7deab4760.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6174184/check_9607531_50476457-f819-420f-9165-5a2f0b862d46.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'U7171601401', 'plan_type': None, 'group_name': 'ROKU, INC.', 'payer_name': 'CHLIC', 'payer_note': 'NEW BUSINESS RATES APPLIED PREFERRED CARE MANAGEMENT', 'patient_dob': '1995-07-14', 'plan_number': None, 'group_number': '3340367', 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'YEE', 'plan_sponsor_name': None, 'patient_first_name': 'AMANDA', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'OPEN ACCESS PLUS', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8190977747 | 2182 | N/A | 6174184 | 2222 | N/A | 9319198 | N/A | 4815542 | 2025-07-07 23:16:10.779699 | 2025-06-06 19:25:46.160820 |
| 2025-07-07 21:47:10.797513 | 2025-07-07 21:47:12.548148 | 9607059 | N/A | N/A | {'payer_id': '95567', 'payer_name': 'Health Net of California and Oregon', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1981-07-22', 'date_of_service': '2025-07-07', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 4625, 'subscriber_last_name': 'DELAZAD', 'subscriber_member_id': 'A01217025', 'subscriber_first_name': 'LEILA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6567634/check_9607059_96a40299-f031-4e8a-9542-36e200085538.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6567634/check_9607059_717faa1e-c3aa-49a9-9acf-9badb99a9502.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'A01217025', 'plan_type': None, 'group_name': None, 'payer_name': 'CENTENE CORPORATION', 'payer_note': None, 'patient_dob': '1981-07-22', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'DELAZAD', 'plan_sponsor_name': None, 'patient_first_name': 'LEILA', '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 | 9482 | N/A | 6567634 | 2222 | N/A | 9318472 | N/A | 5189726 | 2025-07-07 21:47:12.548148 | 2025-07-08 23:50:39.999275 |
| 2025-07-07 21:47:08.161669 | 2025-07-07 21:47:10.794636 | 9607058 | N/A | N/A | {'payer_id': '95567', 'payer_name': 'Health Net of California and Oregon', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1981-07-22', 'date_of_service': '2025-07-07', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 4625, 'subscriber_last_name': 'DELAZAD', 'subscriber_member_id': 'A01217025', 'subscriber_first_name': 'LEILA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6567634/check_9607058_52038962-1100-4073-8125-ac8bfc6ab29b.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-07 | N/A | N/A | N/A | N/A | N/A | N/A | {'member_id': 'A01217025', 'plan_type': None, 'group_name': None, 'payer_name': 'CENTENE CORPORATION', 'payer_note': None, 'patient_dob': '1981-07-22', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'DELAZAD', 'plan_sponsor_name': None, 'patient_first_name': 'LEILA', '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 | 9482 | N/A | 6567634 | 2222 | N/A | N/A | N/A | 5189726 | 2025-07-07 21:47:10.794636 | 2025-07-08 23:50:39.999275 |
| 2025-07-07 20:57:23.211283 | 2025-07-07 20:57:24.997548 | 9606815 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1992-06-25', 'date_of_service': '2025-07-15', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 4184, 'subscriber_last_name': 'FONSECA', 'subscriber_member_id': 'XDP457W18823', 'subscriber_first_name': 'NICOLE'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541789/check_9606815_39937849-cc50-4f7c-b411-6a85506de242.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541789/check_9606815_c5ef7823-bbbb-4a02-b27e-82ee7d5ee13a.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XDP457W18823', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'TRLG HOLDINGS LLC', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1992-06-25', 'plan_number': '040', 'group_number': '165681M046', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'FONSECA', 'plan_sponsor_name': None, 'patient_first_name': 'NICOLE', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2025-02-01', 'plan_coverage_description': 'CA GENERIC HLTH SAVINGS ACCT', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8190155567 | N/A | N/A | 5541789 | 2222 | N/A | 9318154 | N/A | 4213775 | 2025-07-07 20:57:24.997548 | 2025-05-13 04:29:37.228095 |
| 2025-07-07 20:56:23.363652 | 2025-07-07 20:56:36.265280 | 9606811 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1992-06-25', 'date_of_service': '2025-07-15', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 4184, 'subscriber_last_name': 'FONSECA', 'subscriber_member_id': 'XDP457W18823', 'subscriber_first_name': 'NICOLE'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541789/check_9606811_9bd20b81-6ed9-4072-b595-fe924e8d71a3.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541789/check_9606811_8a7a4e82-170c-4e92-ad54-70a9c56f6eea.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XDP457W18823', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'TRLG HOLDINGS LLC', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1992-06-25', 'plan_number': '040', 'group_number': '165681M046', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'FONSECA', 'plan_sponsor_name': None, 'patient_first_name': 'NICOLE', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2025-02-01', 'plan_coverage_description': 'CA GENERIC HLTH SAVINGS ACCT', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8190149847 | N/A | N/A | 5541789 | 2222 | N/A | 9318149 | N/A | 4213775 | 2025-07-07 20:56:36.265280 | 2025-05-13 04:29:37.228095 |
| 2025-07-07 20:05:41.328162 | 2025-07-07 20:05:45.265891 | 9606412 | 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': '2025-07-07', '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_9606412_077885f7-aaec-4a2d-9893-747d6126139d.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6611792/check_9606412_28cdee2f-6d73-4b6b-83c9-fb73fd4e8611.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 | 8189670707 | 9482 | N/A | 6611792 | 2222 | N/A | 9317637 | N/A | 5230196 | 2025-07-07 20:05:45.265891 | 2025-07-08 23:21:57.866357 |
| 2025-07-07 19:04:28.500158 | 2025-07-07 19:04:31.389848 | 9605870 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '2005-11-11', 'date_of_service': '2025-07-14', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'insurance_company_id': 4184, 'subscriber_last_name': 'GORMLEY', 'subscriber_member_id': 'SIF727A55596', 'subscriber_first_name': 'VINCENT'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6074031/check_9605870_3dd9bb7b-e052-458b-8d6a-bb1a4f3b83cc.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6074031/check_9605870_a5d750a6-a7af-41e8-9c76-affb6abd86ea.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'SIF727A55596', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'SISC - SANTA MONICA MALIBU UNIFIED SCHOOL DISTRICT', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '2005-11-11', 'plan_number': '040', 'group_number': '40963A', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'GORMLEY', 'plan_sponsor_name': None, 'patient_first_name': 'BRYNN', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2023-01-01', 'plan_coverage_description': 'PPO PRUDENT BUYER CLASSIC', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8189069768 | 160464 | N/A | 6074031 | 2222 | N/A | 9316957 | N/A | 4718585 | 2025-07-07 19:04:31.389848 | 2025-05-29 22:33:31.881575 |
| 2025-07-07 18:51:15.991135 | 2025-07-07 18:51:20.101367 | 9605776 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1961-03-07', 'date_of_service': '2025-07-14', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'insurance_company_id': 4184, 'subscriber_last_name': 'PERLOV', 'subscriber_member_id': 'XEA905216171', 'subscriber_first_name': 'MERA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6814311/check_9605776_af9a4928-c560-46e2-8f7f-25851c0b5291.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6814311/check_9605776_7473398e-8b42-43a3-857c-d43423d5f216.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XEA905216171', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'LA CARE HEALTH PLAN', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1961-03-07', 'plan_number': '1000PPOX0003', 'group_number': 'W0051027', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'PERLOV', 'plan_sponsor_name': None, 'patient_first_name': 'MERA', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2017-05-01', 'plan_coverage_description': 'HSA RATED', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8188940898 | N/A | N/A | 6814311 | 2222 | N/A | 9316832 | N/A | 5856694 | 2025-07-07 18:51:20.101367 | 2025-07-07 18:45:06.287504 |
| 2025-07-07 17:28:27.587774 | 2025-07-07 17:28:31.457117 | 9605101 | N/A | N/A | {'payer_id': '72261', 'payer_name': 'Scan Health Plan - California', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1952-11-04', 'date_of_service': '2025-07-09', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6237, 'subscriber_last_name': 'SMITH', 'subscriber_member_id': '40026893301', 'subscriber_first_name': 'SALLY'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/5536294/check_9605101_fc2a3a18-111d-415b-9324-c5a50255f245.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536294/check_9605101_c0701c4c-a1d0-45b8-8200-a539eb438bad.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '40026893301', 'plan_type': None, 'group_name': None, 'payer_name': 'SCAN HEALTH PLAN', 'payer_note': 'CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS', 'patient_dob': '1952-11-04', 'plan_number': '2025H5425001', 'group_number': 'H5425M', 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'SMITH', 'plan_sponsor_name': None, 'patient_first_name': 'SALLY', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'SCAN CLASSIC (HMO), VENTURA', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8188108262 | 5831 | N/A | 5536294 | 2222 | N/A | 9316029 | N/A | 4209060 | 2025-07-07 17:28:31.457117 | 2025-06-10 15:13:58.351172 |
| 2025-07-07 17:05:16.241502 | 2025-07-07 17:05:18.007273 | 9604765 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1975-03-18', 'date_of_service': '2025-07-14', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'insurance_company_id': 4184, 'subscriber_last_name': 'FARRUKH', 'subscriber_member_id': 'JXN208M92481', 'subscriber_first_name': 'ANBARIN'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6811878/check_9604765_9cf3e2ab-b512-49db-9184-534d3f15423b.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6811878/check_9604765_ca8c0ef1-d474-44b1-9881-bfa26ce88eca.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'JXN208M92481', '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': '1975-03-18', 'plan_number': '040', 'group_number': '174222M9A1', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'FARRUKH', 'plan_sponsor_name': None, 'patient_first_name': 'ANBARIN', '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 | 8187891258 | N/A | N/A | 6811878 | 2222 | N/A | 9315663 | N/A | 5854231 | 2025-07-07 17:05:18.007273 | 2025-07-07 16:52:38.056680 |
| 2025-07-07 17:04:04.723985 | 2025-07-07 17:04:06.607076 | 9604757 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1975-03-18', 'date_of_service': '2025-07-14', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'insurance_company_id': 4184, 'subscriber_last_name': 'FARRUKH', 'subscriber_member_id': 'JXN208M92481', 'subscriber_first_name': 'ANBARIN'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6811878/check_9604757_82c0d497-bef5-4919-983d-33df418d1f5a.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6811878/check_9604757_a5a55dbf-2719-4d00-a0e3-af2c5454fa13.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'JXN208M92481', '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': '1975-03-18', 'plan_number': '040', 'group_number': '174222M9A1', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'FARRUKH', 'plan_sponsor_name': None, 'patient_first_name': 'ANBARIN', '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 | 8187880908 | N/A | N/A | 6811878 | 2222 | N/A | 9315654 | N/A | 5854231 | 2025-07-07 17:04:06.607076 | 2025-07-07 16:52:38.056680 |
| 2025-07-07 17:01:21.888541 | 2025-07-07 17:01:23.768985 | 9604739 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1975-03-18', 'date_of_service': '2025-07-14', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'insurance_company_id': 4184, 'subscriber_last_name': 'FARRUKH', 'subscriber_member_id': 'JXN208M92481', 'subscriber_first_name': 'ANBARIN'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6811878/check_9604739_09a02edd-3923-4725-a6cc-f1c8808331e2.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6811878/check_9604739_97f2e7ca-1e2b-4ab4-9320-36b79d61eb97.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'JXN208M92481', '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': '1975-03-18', 'plan_number': '040', 'group_number': '174222M9A1', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'FARRUKH', 'plan_sponsor_name': None, 'patient_first_name': 'ANBARIN', '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 | 8187856324 | N/A | N/A | 6811878 | 2222 | N/A | 9315633 | N/A | 5854231 | 2025-07-07 17:01:23.768985 | 2025-07-07 16:52:38.056680 |
| 2025-07-07 17:01:02.836704 | 2025-07-07 17:01:06.877506 | 9604737 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1975-03-18', 'date_of_service': '2025-07-14', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'insurance_company_id': 4184, 'subscriber_last_name': 'FARRUKH', 'subscriber_member_id': 'JXN208M92481', 'subscriber_first_name': 'ANBARIN'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6811878/check_9604737_585daccf-31b8-4cd3-8b30-1aa497dba87a.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6811878/check_9604737_8805000a-a917-4cb3-89d4-556bc0354331.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'JXN208M92481', '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': '1975-03-18', 'plan_number': '040', 'group_number': '174222M9A1', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'FARRUKH', 'plan_sponsor_name': None, 'patient_first_name': 'ANBARIN', '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 | 8187853649 | N/A | N/A | 6811878 | 2222 | N/A | 9315630 | N/A | 5854231 | 2025-07-07 17:01:06.877506 | 2025-07-07 16:52:38.056680 |
| 2025-07-07 17:00:43.525721 | 2025-07-07 17:00:46.324575 | 9604734 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1975-03-18', 'date_of_service': '2025-07-14', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'insurance_company_id': 4184, 'subscriber_last_name': 'FARRUKH', 'subscriber_member_id': 'JXN208M92481', 'subscriber_first_name': 'ANBARIN'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6811878/check_9604734_e613f3b1-6b77-4d21-a135-c71c041c2dee.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6811878/check_9604734_b4419d3e-18ed-4f31-9280-4661df114ea8.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'JXN208M92481', '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': '1975-03-18', 'plan_number': '040', 'group_number': '174222M9A1', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'FARRUKH', 'plan_sponsor_name': None, 'patient_first_name': 'ANBARIN', '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 | 8187851080 | N/A | N/A | 6811878 | 2222 | N/A | 9315627 | N/A | 5854231 | 2025-07-07 17:00:46.324575 | 2025-07-07 16:52:38.056680 |
| 2025-07-07 16:01:49.332005 | 2025-07-07 16:01:51.730749 | 9604424 | N/A | N/A | {'payer_id': 'REGAL', 'payer_name': 'Regal Medical Group', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1983-03-03', 'date_of_service': '2025-07-07', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 23304, 'subscriber_last_name': 'NAZERALI', 'subscriber_member_id': '95517882H', 'subscriber_first_name': 'SHAHEEN'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6782227/check_9604424_659dd79c-a80f-4adf-827d-f4413838a333.edi.txt | WAYSTAR | N/A | APPOINTMENT_PII_CHANGE | 2025-07-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6782227/check_9604424_94a3d1c1-51a0-4ef1-8b9f-f190d4a484c0.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '95517882H', 'plan_type': None, 'group_name': None, 'payer_name': 'REGAL MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1983-03-03', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'NAZERALI', 'plan_sponsor_name': None, 'patient_first_name': 'SHAHEEN', '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 | 6782227 | 2222 | N/A | 9315187 | N/A | 5813326 | 2025-07-07 16:01:51.730749 | 2025-07-21 17:21:46.553298 |
| 2025-07-07 16:01:47.326920 | 2025-07-07 16:01:49.320309 | 9604423 | N/A | N/A | {'payer_id': 'REGAL', 'payer_name': 'Regal Medical Group', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1983-03-03', 'date_of_service': '2025-07-07', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 23304, 'subscriber_last_name': 'NAZERALI', 'subscriber_member_id': '95517882H', 'subscriber_first_name': 'SHAHEEN'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6782227/check_9604423_a61f98b4-e168-4f62-992e-bf421373f8d4.edi.txt | WAYSTAR | N/A | APPOINTMENT_PII_CHANGE | 2025-07-07 | N/A | N/A | N/A | N/A | N/A | N/A | {'member_id': '95517882H', 'plan_type': None, 'group_name': None, 'payer_name': 'REGAL MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1983-03-03', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'NAZERALI', 'plan_sponsor_name': None, 'patient_first_name': 'SHAHEEN', '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 | 6782227 | 2222 | N/A | N/A | N/A | 5813326 | 2025-07-07 16:01:49.320309 | 2025-07-21 17:21:46.553298 |
| 2025-07-07 15:39:15.016905 | 2025-07-07 15:39:17.155978 | 9604244 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1950-07-09', 'date_of_service': '2025-07-07', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'insurance_company_id': 4185, 'subscriber_last_name': 'GUTIERREZ DE', 'subscriber_member_id': '005M94739-20', 'subscriber_first_name': 'MARIA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6643742/check_9604244_97aad1e2-c239-4ab7-bf7e-406d9f1c4e94.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6643742/check_9604244_b94d5f87-f59d-4ced-9829-a46eedefc30e.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '005M94739-20', 'plan_type': None, 'group_name': None, 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1950-07-09', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'GUTIERREZ DE', '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} | ['PT'] | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 6643742 | 2222 | N/A | 9314936 | N/A | 5250846 | 2025-07-07 15:39:17.155978 | 2025-07-07 15:37:32.643453 |
| 2025-07-07 15:39:13.371864 | 2025-07-07 15:39:15.013204 | 9604242 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1950-07-09', 'date_of_service': '2025-07-07', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'insurance_company_id': 4185, 'subscriber_last_name': 'GUTIERREZ DE', 'subscriber_member_id': '005M94739-20', 'subscriber_first_name': 'MARIA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6643742/check_9604242_97871b58-31e1-474f-920b-fc8e3abaa477.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-07 | N/A | N/A | N/A | N/A | N/A | N/A | {'member_id': '005M94739-20', 'plan_type': None, 'group_name': None, 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1950-07-09', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'GUTIERREZ DE', '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} | ['PT'] | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 6643742 | 2222 | N/A | N/A | N/A | 5250846 | 2025-07-07 15:39:15.013204 | 2025-07-07 15:37:32.643453 |
| 2025-07-07 15:39:11.583230 | 2025-07-07 15:39:15.514139 | 9604241 | N/A | N/A | {'payer_id': '62308', 'payer_name': 'CIGNA (Connecticut General, Equicor, Equitable)', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1976-11-09', 'date_of_service': '2025-07-17', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 4437, 'subscriber_last_name': 'LAWSON', 'subscriber_member_id': '10975548900', 'subscriber_first_name': 'KENNETH'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6213138/check_9604241_02fd098b-3c99-4493-8d5d-e6c569efcdb2.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6213138/check_9604241_c4c0f82a-1bb9-49cc-bf30-ebee4c0bc742.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '10975548900', 'plan_type': None, 'group_name': 'ACELYRIN, INC.', 'payer_name': 'CHLIC', 'payer_note': 'NEW BUSINESS RATES APPLIED COMPLETE CARE MANAGEMENT', 'patient_dob': '1976-11-09', 'plan_number': None, 'group_number': '00652240', 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'LAWSON', 'plan_sponsor_name': None, 'patient_first_name': 'KENNETH', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'OPEN ACCESS PLUS', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8187081955 | 9228 | N/A | 6213138 | 2222 | N/A | 9314935 | N/A | 4856781 | 2025-07-07 15:39:15.514139 | 2025-06-12 21:52:37.627086 |
| 2025-07-07 15:37:42.001797 | 2025-07-07 15:37:43.935702 | 9604224 | N/A | N/A | {'payer_id': 'REGAL', 'payer_name': 'Regal Medical Group', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1950-07-09', 'date_of_service': '2025-07-07', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'insurance_company_id': 23277, 'subscriber_last_name': 'GUTIERREZ DE', 'subscriber_member_id': '005M94739-20', 'subscriber_first_name': 'MARIA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6643742/check_9604224_8cedf2d5-c88f-434f-9ca1-12a24f853e57.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6643742/check_9604224_e57e4a6a-f59e-4ab7-ae73-47c06a903755.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '005M94739-20', 'plan_type': None, 'group_name': None, 'payer_name': 'REGAL MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1950-07-09', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'GUTIERREZ DE', '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} | ['PT'] | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 6643742 | 2222 | N/A | 9314915 | N/A | 5250846 | 2025-07-07 15:37:43.935702 | 2025-07-07 15:37:32.643453 |
| 2025-07-07 15:37:40.261196 | 2025-07-07 15:37:41.998179 | 9604223 | N/A | N/A | {'payer_id': 'REGAL', 'payer_name': 'Regal Medical Group', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1950-07-09', 'date_of_service': '2025-07-07', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'insurance_company_id': 23277, 'subscriber_last_name': 'GUTIERREZ DE', 'subscriber_member_id': '005M94739-20', 'subscriber_first_name': 'MARIA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6643742/check_9604223_f35b9caf-5af7-4dd7-956e-8adbf8c41e4e.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-07 | N/A | N/A | N/A | N/A | N/A | N/A | {'member_id': '005M94739-20', 'plan_type': None, 'group_name': None, 'payer_name': 'REGAL MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1950-07-09', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'GUTIERREZ DE', '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} | ['PT'] | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 6643742 | 2222 | N/A | N/A | N/A | 5250846 | 2025-07-07 15:37:41.998179 | 2025-07-07 15:37:32.643453 |
| 2025-07-07 15:37:18.293353 | 2025-07-07 15:37:20.119285 | 9604221 | N/A | N/A | {'payer_id': 'REGAL', 'payer_name': 'Regal Medical Group', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1950-07-09', 'date_of_service': '2025-07-07', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'insurance_company_id': 23277, 'subscriber_last_name': 'GUTIERREZ DE MELGAR', 'subscriber_member_id': '005M94739-20', 'subscriber_first_name': 'MARIA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6643742/check_9604221_088f617c-73fc-4e35-adfc-f4f559fead4e.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6643742/check_9604221_e482c49c-ab42-4502-b6bd-c32e48fa3d66.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '005M94739-20', 'plan_type': None, 'group_name': None, 'payer_name': 'REGAL MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1950-07-09', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, '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': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 6643742 | 2222 | N/A | 9314912 | N/A | 5250846 | 2025-07-07 15:37:20.119285 | 2025-07-07 15:37:32.643453 |
| 2025-07-07 15:37:16.421106 | 2025-07-07 15:37:18.289635 | 9604220 | N/A | N/A | {'payer_id': 'REGAL', 'payer_name': 'Regal Medical Group', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1950-07-09', 'date_of_service': '2025-07-07', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'insurance_company_id': 23277, 'subscriber_last_name': 'GUTIERREZ DE MELGAR', 'subscriber_member_id': '005M94739-20', 'subscriber_first_name': 'MARIA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6643742/check_9604220_561c4f78-daeb-4cd3-8521-2b707566e9a0.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-07 | N/A | N/A | N/A | N/A | N/A | N/A | {'member_id': '005M94739-20', 'plan_type': None, 'group_name': None, 'payer_name': 'REGAL MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1950-07-09', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, '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': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 6643742 | 2222 | N/A | N/A | N/A | 5250846 | 2025-07-07 15:37:18.289635 | 2025-07-07 15:37:32.643453 |
| 2025-07-07 15:37:04.483210 | 2025-07-07 15:37:06.280646 | 9604218 | N/A | N/A | {'payer_id': 'REGAL', 'payer_name': 'Regal Medical Group', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1950-07-09', 'date_of_service': '2025-07-07', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'insurance_company_id': 23277, 'subscriber_last_name': 'GUTIERREZ DE MELGAR', 'subscriber_member_id': '005M94739-20', 'subscriber_first_name': 'MARIA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6643742/check_9604218_918e605f-a70c-462a-8a5d-805df3f2ff2f.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6643742/check_9604218_49ed3955-228d-4c35-a7dc-480fbfea3a38.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '005M94739-20', 'plan_type': None, 'group_name': None, 'payer_name': 'REGAL MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1950-07-09', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, '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': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 6643742 | 2222 | N/A | 9314909 | N/A | 5250846 | 2025-07-07 15:37:06.280646 | 2025-07-07 15:37:32.643453 |
| 2025-07-07 15:37:02.641668 | 2025-07-07 15:37:04.478840 | 9604217 | N/A | N/A | {'payer_id': 'REGAL', 'payer_name': 'Regal Medical Group', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1950-07-09', 'date_of_service': '2025-07-07', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'insurance_company_id': 23277, 'subscriber_last_name': 'GUTIERREZ DE MELGAR', 'subscriber_member_id': '005M94739-20', 'subscriber_first_name': 'MARIA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6643742/check_9604217_672b41b3-3c7e-4d74-991c-46f08d9999d7.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-07 | N/A | N/A | N/A | N/A | N/A | N/A | {'member_id': '005M94739-20', 'plan_type': None, 'group_name': None, 'payer_name': 'REGAL MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1950-07-09', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, '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': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 6643742 | 2222 | N/A | N/A | N/A | 5250846 | 2025-07-07 15:37:04.478840 | 2025-07-07 15:37:32.643453 |
| 2025-07-07 15:35:22.805560 | 2025-07-07 15:35:24.770150 | 9604203 | N/A | N/A | {'payer_id': 'Z1073', 'payer_name': 'Medicare B California Southern', 'provider_npi': 1194038919, 'trace_number': None, 'provider_name': 'Andrew Magpali', 'subscriber_dob': '1957-03-29', 'date_of_service': '2025-07-07', 'subscriber_gender': 'M', 'service_type_codes': ['PT', 'AE'], 'insurance_company_id': 4497, 'subscriber_last_name': 'WALDEN', 'subscriber_member_id': '5AF5PY3HV89', 'subscriber_first_name': 'REGAN'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6472393/check_9604203_6dcb2e66-d010-4dbc-bd09-170dcaf2be9c.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6472393/check_9604203_b6d3a70b-3101-4edd-8990-03c26f37cba9.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '5AF5PY3HV89', 'plan_type': None, 'group_name': None, 'payer_name': 'MEDICARE B CALIFORNIA SOUTHERN', 'payer_note': None, 'patient_dob': '1957-03-29', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, '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': None, 'relationship_to_subscriber': None} | ['PT', 'AE', '30', '98'] | N/A | N/A | N/A | N/A | N/A | N/A | 9483 | N/A | 6472393 | 2222 | N/A | 9314888 | N/A | 5105545 | 2025-07-07 15:35:24.770150 | 2025-07-07 15:29:01.484955 |
| 2025-07-07 15:35:20.685852 | 2025-07-07 15:35:22.698228 | 9604202 | 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': '1957-03-29', 'date_of_service': '2025-07-07', 'subscriber_gender': 'M', 'service_type_codes': ['PT', 'AE'], 'insurance_company_id': 4497, 'subscriber_last_name': 'WALDEN', 'subscriber_member_id': '5AF5PY3HV89', 'subscriber_first_name': 'REGAN'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6472393/check_9604202_42661b55-7580-49d6-94fa-9ba83e55a59d.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6472393/check_9604202_85869702-f696-42af-a5ba-d1a3d91ed9d1.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '5AF5PY3HV89', 'plan_type': None, 'group_name': None, 'payer_name': 'MEDICARE B CALIFORNIA SOUTHERN', 'payer_note': None, 'patient_dob': '1957-03-29', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, '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': None, 'relationship_to_subscriber': None} | ['PT', 'AE'] | N/A | N/A | N/A | N/A | N/A | N/A | 9483 | N/A | 6472393 | 2222 | N/A | 9314886 | N/A | 5105545 | 2025-07-07 15:35:22.698228 | 2025-07-07 15:29:01.484955 |
| 2025-07-07 15:35:19.102014 | 2025-07-07 15:35:20.681783 | 9604200 | 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': '1957-03-29', 'date_of_service': '2025-07-07', 'subscriber_gender': 'M', 'service_type_codes': ['PT', 'AE'], 'insurance_company_id': 4497, 'subscriber_last_name': 'WALDEN', 'subscriber_member_id': '5AF5PY3HV89', 'subscriber_first_name': 'REGAN'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6472393/check_9604200_b0dd9588-9a98-434c-b370-cfe549d53141.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-07 | N/A | N/A | N/A | N/A | N/A | N/A | {'member_id': '5AF5PY3HV89', 'plan_type': None, 'group_name': None, 'payer_name': 'MEDICARE B CALIFORNIA SOUTHERN', 'payer_note': None, 'patient_dob': '1957-03-29', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, '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': None, 'relationship_to_subscriber': None} | ['PT', 'AE'] | N/A | N/A | N/A | N/A | N/A | N/A | 9483 | N/A | 6472393 | 2222 | N/A | N/A | N/A | 5105545 | 2025-07-07 15:35:20.681783 | 2025-07-07 15:29:01.484955 |
| 2025-07-07 15:31:09.608014 | 2025-07-07 15:31:13.533552 | 9604168 | 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': '1957-03-29', 'date_of_service': '2025-07-07', 'subscriber_gender': 'M', 'service_type_codes': ['PT', 'AE'], 'insurance_company_id': 6411, 'subscriber_last_name': 'WALDEN', 'subscriber_member_id': '334050351', 'subscriber_first_name': 'REGAN'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6472487/check_9604168_7ff2c448-ee30-4397-b2bb-b1e6c626b4c9.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6472487/check_9604168_7ae6ddfc-82c5-4008-83eb-189f8c8c6296.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '334050351', 'plan_type': None, 'group_name': None, 'payer_name': 'UNITEDHEALTHCARE', 'payer_note': None, 'patient_dob': '1957-03-29', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, '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': None, 'relationship_to_subscriber': None} | ['PT', 'AE'] | N/A | N/A | N/A | N/A | N/A | N/A | 9483 | N/A | 6472487 | 2222 | N/A | 9314837 | N/A | 5105545 | 2025-07-07 15:31:13.533552 | 2025-07-07 15:29:01.484955 |
| 2025-07-07 15:31:05.929117 | 2025-07-07 15:31:09.599909 | 9604167 | 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': '1957-03-29', 'date_of_service': '2025-07-07', 'subscriber_gender': 'M', 'service_type_codes': ['PT', 'AE'], 'insurance_company_id': 6411, 'subscriber_last_name': 'WALDEN', 'subscriber_member_id': '334050351', 'subscriber_first_name': 'REGAN'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6472487/check_9604167_1d1edba0-d44b-48e7-82ec-866bbf2b5ea0.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-07 | N/A | N/A | N/A | N/A | N/A | N/A | {'member_id': '334050351', 'plan_type': None, 'group_name': None, 'payer_name': 'UNITEDHEALTHCARE', 'payer_note': None, 'patient_dob': '1957-03-29', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, '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': None, 'relationship_to_subscriber': None} | ['PT', 'AE'] | N/A | N/A | N/A | N/A | N/A | N/A | 9483 | N/A | 6472487 | 2222 | N/A | N/A | N/A | 5105545 | 2025-07-07 15:31:09.599909 | 2025-07-07 15:29:01.484955 |
| 2025-07-07 15:30:22.291141 | 2025-07-07 15:30:23.998526 | 9604164 | N/A | N/A | {'payer_id': 'Z1073', 'payer_name': 'Medicare B California Southern', 'provider_npi': 1194038919, 'trace_number': None, 'provider_name': 'Andrew Magpali', 'subscriber_dob': '1957-03-29', 'date_of_service': '2025-07-07', 'subscriber_gender': 'M', 'service_type_codes': ['PT', 'AE'], 'insurance_company_id': 4497, 'subscriber_last_name': 'WALDEN', 'subscriber_member_id': '5AF5PY3HV89', 'subscriber_first_name': 'REGAN'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6472393/check_9604164_10d56d4e-5d6b-4852-a058-5ea3e7569998.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6472393/check_9604164_ee4643ff-2b93-497a-b329-84c5ca758e82.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '5AF5PY3HV89', 'plan_type': None, 'group_name': None, 'payer_name': 'MEDICARE B CALIFORNIA SOUTHERN', 'payer_note': None, 'patient_dob': '1957-03-29', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, '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': None, 'relationship_to_subscriber': None} | ['PT', 'AE', '30', '98'] | N/A | N/A | N/A | N/A | N/A | N/A | 9483 | N/A | 6472393 | 2222 | N/A | 9314830 | N/A | 5105545 | 2025-07-07 15:30:23.998526 | 2025-07-07 15:29:01.484955 |
| 2025-07-07 15:30:20.412395 | 2025-07-07 15:30:22.207184 | 9604163 | 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': '1957-03-29', 'date_of_service': '2025-07-07', 'subscriber_gender': 'M', 'service_type_codes': ['PT', 'AE'], 'insurance_company_id': 4497, 'subscriber_last_name': 'WALDEN', 'subscriber_member_id': '5AF5PY3HV89', 'subscriber_first_name': 'REGAN'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6472393/check_9604163_c5397022-c640-4c46-9be0-5d30227de214.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6472393/check_9604163_d38b15f6-07cb-49ba-8c8a-1b202f754c7c.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '5AF5PY3HV89', 'plan_type': None, 'group_name': None, 'payer_name': 'MEDICARE B CALIFORNIA SOUTHERN', 'payer_note': None, 'patient_dob': '1957-03-29', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, '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': None, 'relationship_to_subscriber': None} | ['PT', 'AE'] | N/A | N/A | N/A | N/A | N/A | N/A | 9483 | N/A | 6472393 | 2222 | N/A | 9314829 | N/A | 5105545 | 2025-07-07 15:30:22.207184 | 2025-07-07 15:29:01.484955 |
| 2025-07-07 15:30:18.509820 | 2025-07-07 15:30:20.403291 | 9604162 | 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': '1957-03-29', 'date_of_service': '2025-07-07', 'subscriber_gender': 'M', 'service_type_codes': ['PT', 'AE'], 'insurance_company_id': 4497, 'subscriber_last_name': 'WALDEN', 'subscriber_member_id': '5AF5PY3HV89', 'subscriber_first_name': 'REGAN'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6472393/check_9604162_918a4675-fbad-4ef6-8aa9-07f39402efd5.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-07 | N/A | N/A | N/A | N/A | N/A | N/A | {'member_id': '5AF5PY3HV89', 'plan_type': None, 'group_name': None, 'payer_name': 'MEDICARE B CALIFORNIA SOUTHERN', 'payer_note': None, 'patient_dob': '1957-03-29', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, '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': None, 'relationship_to_subscriber': None} | ['PT', 'AE'] | N/A | N/A | N/A | N/A | N/A | N/A | 9483 | N/A | 6472393 | 2222 | N/A | N/A | N/A | 5105545 | 2025-07-07 15:30:20.403291 | 2025-07-07 15:29:01.484955 |
| 2025-07-07 15:29:37.581503 | 2025-07-07 15:29:39.348850 | 9604157 | N/A | N/A | {'payer_id': 'Z1073', 'payer_name': 'Medicare B California Southern', 'provider_npi': 1194038919, 'trace_number': None, 'provider_name': 'Andrew Magpali', 'subscriber_dob': '1957-03-29', 'date_of_service': '2025-07-07', 'subscriber_gender': 'M', 'service_type_codes': ['PT', 'AE'], 'insurance_company_id': 4497, 'subscriber_last_name': 'WALDEN', 'subscriber_member_id': '5AF5PY3HV89', 'subscriber_first_name': 'REGAN'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6472393/check_9604157_9e184284-d755-4e23-82e7-5e38d5615ec8.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6472393/check_9604157_43271391-fc53-4dad-8ddb-f5acab754ce4.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '5AF5PY3HV89', 'plan_type': None, 'group_name': None, 'payer_name': 'MEDICARE B CALIFORNIA SOUTHERN', 'payer_note': None, 'patient_dob': '1957-03-29', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, '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': None, 'relationship_to_subscriber': None} | ['PT', 'AE', '30', '98'] | N/A | N/A | N/A | N/A | N/A | N/A | 9483 | N/A | 6472393 | 2222 | N/A | 9314821 | N/A | 5105545 | 2025-07-07 15:29:39.348850 | 2025-07-07 15:29:01.484955 |
| 2025-07-07 15:29:35.591148 | 2025-07-07 15:29:37.491006 | 9604155 | 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': '1957-03-29', 'date_of_service': '2025-07-07', 'subscriber_gender': 'M', 'service_type_codes': ['PT', 'AE'], 'insurance_company_id': 4497, 'subscriber_last_name': 'WALDEN', 'subscriber_member_id': '5AF5PY3HV89', 'subscriber_first_name': 'REGAN'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6472393/check_9604155_34e767f5-9c1b-4cbe-81da-7044588f2d5d.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6472393/check_9604155_30cf159f-6ef8-45c3-a92e-151b9db1ce57.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '5AF5PY3HV89', 'plan_type': None, 'group_name': None, 'payer_name': 'MEDICARE B CALIFORNIA SOUTHERN', 'payer_note': None, 'patient_dob': '1957-03-29', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, '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': None, 'relationship_to_subscriber': None} | ['PT', 'AE'] | N/A | N/A | N/A | N/A | N/A | N/A | 9483 | N/A | 6472393 | 2222 | N/A | 9314819 | N/A | 5105545 | 2025-07-07 15:29:37.491006 | 2025-07-07 15:29:01.484955 |
| 2025-07-07 15:29:32.856048 | 2025-07-07 15:29:35.586968 | 9604154 | 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': '1957-03-29', 'date_of_service': '2025-07-07', 'subscriber_gender': 'M', 'service_type_codes': ['PT', 'AE'], 'insurance_company_id': 4497, 'subscriber_last_name': 'WALDEN', 'subscriber_member_id': '5AF5PY3HV89', 'subscriber_first_name': 'REGAN'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6472393/check_9604154_6faf6b0d-d145-4152-b1fc-a7c43b67a697.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-07 | N/A | N/A | N/A | N/A | N/A | N/A | {'member_id': '5AF5PY3HV89', 'plan_type': None, 'group_name': None, 'payer_name': 'MEDICARE B CALIFORNIA SOUTHERN', 'payer_note': None, 'patient_dob': '1957-03-29', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, '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': None, 'relationship_to_subscriber': None} | ['PT', 'AE'] | N/A | N/A | N/A | N/A | N/A | N/A | 9483 | N/A | 6472393 | 2222 | N/A | N/A | N/A | 5105545 | 2025-07-07 15:29:35.586968 | 2025-07-07 15:29:01.484955 |
| 2025-07-07 15:25:07.026204 | 2025-07-07 15:25:10.980723 | 9604125 | N/A | N/A | {'payer_id': 'Z1073', 'payer_name': 'Medicare B California Southern', 'provider_npi': 1194038919, 'trace_number': None, 'provider_name': 'Andrew Magpali', 'subscriber_dob': '1957-06-29', 'date_of_service': '2025-07-07', 'subscriber_gender': 'M', 'service_type_codes': ['PT', 'AE'], 'insurance_company_id': 4497, 'subscriber_last_name': 'WALDEN', 'subscriber_member_id': '5AF5PY3HV89', 'subscriber_first_name': 'REGAN L'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6472393/check_9604125_2357468c-cb5e-4268-af56-efb682465645.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6472393/check_9604125_80814c62-43b0-409c-aba8-55c240e0475c.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '5AF5PY3HV89', 'plan_type': None, 'group_name': None, 'payer_name': 'MEDICARE B CALIFORNIA SOUTHERN', 'payer_note': None, 'patient_dob': '1957-06-29', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'WALDEN', 'plan_sponsor_name': None, 'patient_first_name': 'REGAN L', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['PT', 'AE', '30', '98'] | N/A | N/A | N/A | N/A | N/A | N/A | 9483 | N/A | 6472393 | 2222 | N/A | 9314779 | N/A | 5105545 | 2025-07-07 15:25:10.980723 | 2025-07-07 15:29:01.484955 |
| 2025-07-07 15:25:05.095345 | 2025-07-07 15:25:06.935552 | 9604123 | 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': '1957-06-29', 'date_of_service': '2025-07-07', 'subscriber_gender': 'M', 'service_type_codes': ['PT', 'AE'], 'insurance_company_id': 4497, 'subscriber_last_name': 'WALDEN', 'subscriber_member_id': '5AF5PY3HV89', 'subscriber_first_name': 'REGAN L'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6472393/check_9604123_b394d4eb-3c93-4427-aaca-3e99e80b155a.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6472393/check_9604123_83579c6f-15d0-4e4c-83fb-dc3407ef858c.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '5AF5PY3HV89', 'plan_type': None, 'group_name': None, 'payer_name': 'MEDICARE B CALIFORNIA SOUTHERN', 'payer_note': None, 'patient_dob': '1957-06-29', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'WALDEN', 'plan_sponsor_name': None, 'patient_first_name': 'REGAN L', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['PT', 'AE'] | N/A | N/A | N/A | N/A | N/A | N/A | 9483 | N/A | 6472393 | 2222 | N/A | 9314777 | N/A | 5105545 | 2025-07-07 15:25:06.935552 | 2025-07-07 15:29:01.484955 |
| 2025-07-07 15:25:02.392559 | 2025-07-07 15:25:05.092958 | 9604122 | 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': '1957-06-29', 'date_of_service': '2025-07-07', 'subscriber_gender': 'M', 'service_type_codes': ['PT', 'AE'], 'insurance_company_id': 4497, 'subscriber_last_name': 'WALDEN', 'subscriber_member_id': '5AF5PY3HV89', 'subscriber_first_name': 'REGAN L'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6472393/check_9604122_9e1caf97-4fc3-428a-a37d-4962db2da506.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-07 | N/A | N/A | N/A | N/A | N/A | N/A | {'member_id': '5AF5PY3HV89', 'plan_type': None, 'group_name': None, 'payer_name': 'CMS', 'payer_note': None, 'patient_dob': '1957-06-29', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'WALDEN', 'plan_sponsor_name': None, 'patient_first_name': 'REGAN L', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['PT', 'AE'] | N/A | N/A | N/A | N/A | N/A | N/A | 9483 | N/A | 6472393 | 2222 | N/A | N/A | N/A | 5105545 | 2025-07-07 15:25:05.092958 | 2025-07-07 15:29:01.484955 |
| 2025-07-07 15:24:30.006983 | 2025-07-07 15:24:31.843286 | 9604118 | 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': '1957-06-29', 'date_of_service': '2025-07-07', 'subscriber_gender': 'M', 'service_type_codes': ['PT', 'AE'], 'insurance_company_id': 4497, 'subscriber_last_name': 'WALDEN', 'subscriber_member_id': '5AF5PY3HV89', 'subscriber_first_name': 'REGAN'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6472393/check_9604118_c83b2c9c-f912-4cbe-8ccd-9ab2f1c1b389.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6472393/check_9604118_905f23e0-3e60-468f-a852-4810a7cd74af.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '5AF5PY3HV89', 'plan_type': None, 'group_name': None, 'payer_name': 'CMS', 'payer_note': None, 'patient_dob': '1957-06-29', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, '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': None, 'relationship_to_subscriber': None} | ['PT', 'AE'] | N/A | N/A | N/A | N/A | N/A | N/A | 9483 | N/A | 6472393 | 2222 | N/A | 9314769 | N/A | 5105545 | 2025-07-07 15:24:31.843286 | 2025-07-07 15:29:01.484955 |
| 2025-07-07 15:24:25.171050 | 2025-07-07 15:24:30.003837 | 9604116 | 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': '1957-06-29', 'date_of_service': '2025-07-07', 'subscriber_gender': 'M', 'service_type_codes': ['PT', 'AE'], 'insurance_company_id': 4497, 'subscriber_last_name': 'WALDEN', 'subscriber_member_id': '5AF5PY3HV89', 'subscriber_first_name': 'REGAN'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6472393/check_9604116_6ec2d74a-8ed1-424b-a0a0-39ecb0cee7a8.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-07 | N/A | N/A | N/A | N/A | N/A | N/A | {'member_id': '5AF5PY3HV89', 'plan_type': None, 'group_name': None, 'payer_name': 'CMS', 'payer_note': None, 'patient_dob': '1957-06-29', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, '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': None, 'relationship_to_subscriber': None} | ['PT', 'AE'] | N/A | N/A | N/A | N/A | N/A | N/A | 9483 | N/A | 6472393 | 2222 | N/A | N/A | N/A | 5105545 | 2025-07-07 15:24:30.003837 | 2025-07-07 15:29:01.484955 |
| 2025-07-07 15:22:24.853270 | 2025-07-07 15:22:26.678688 | 9604103 | 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': '1957-06-29', 'date_of_service': '2025-07-07', 'subscriber_gender': 'M', 'service_type_codes': ['PT', 'AE'], 'insurance_company_id': 4497, 'subscriber_last_name': 'WALDEN', 'subscriber_member_id': '5AF5PY3HV89', 'subscriber_first_name': 'REGAN'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6472393/check_9604103_c3ea3525-48c2-40c5-8b4a-564be567e684.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6472393/check_9604103_89afaa9b-9354-463a-8446-80f50c3cae26.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '5AF5PY3HV89', 'plan_type': None, 'group_name': None, 'payer_name': 'CMS', 'payer_note': None, 'patient_dob': '1957-06-29', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, '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': None, 'relationship_to_subscriber': None} | ['PT', 'AE'] | N/A | N/A | N/A | N/A | N/A | N/A | 9483 | N/A | 6472393 | 2222 | N/A | 9314749 | N/A | 5105545 | 2025-07-07 15:22:26.678688 | 2025-07-07 15:29:01.484955 |
| 2025-07-07 15:22:22.998766 | 2025-07-07 15:22:24.850270 | 9604101 | 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': '1957-06-29', 'date_of_service': '2025-07-07', 'subscriber_gender': 'M', 'service_type_codes': ['PT', 'AE'], 'insurance_company_id': 4497, 'subscriber_last_name': 'WALDEN', 'subscriber_member_id': '5AF5PY3HV89', 'subscriber_first_name': 'REGAN'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6472393/check_9604101_14d8e9bb-01d6-425a-9fdc-a7e5f304a7a4.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-07 | N/A | N/A | N/A | N/A | N/A | N/A | {'member_id': '5AF5PY3HV89', 'plan_type': None, 'group_name': None, 'payer_name': 'CMS', 'payer_note': None, 'patient_dob': '1957-06-29', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, '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': None, 'relationship_to_subscriber': None} | ['PT', 'AE'] | N/A | N/A | N/A | N/A | N/A | N/A | 9483 | N/A | 6472393 | 2222 | N/A | N/A | N/A | 5105545 | 2025-07-07 15:22:24.850270 | 2025-07-07 15:29:01.484955 |
| 2025-07-07 12:09:13.604951 | 2025-07-07 12:09:15.413430 | 9602830 | N/A | N/A | {'payer_id': 'REGAL', 'payer_name': 'Regal Medical Group', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1950-07-09', 'date_of_service': '2025-07-07', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'insurance_company_id': 23277, 'subscriber_last_name': 'GUTIERREZ', 'subscriber_member_id': '005M94739-20', 'subscriber_first_name': 'MARIA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6643742/check_9602830_e9c7d19c-74eb-49b8-9b67-e98ead0588f4.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6643742/check_9602830_b02efb4e-f340-428e-96c0-ef215f137492.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '005M94739-20', 'plan_type': None, 'group_name': None, 'payer_name': 'REGAL MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1950-07-09', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'GUTIERREZ', '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} | ['PT'] | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6643742 | 2222 | N/A | 9313222 | N/A | 5250846 | 2025-07-07 12:09:15.413430 | 2025-07-07 15:37:32.643453 |
| 2025-07-07 12:09:11.836512 | 2025-07-07 12:09:13.602346 | 9602829 | N/A | N/A | {'payer_id': 'REGAL', 'payer_name': 'Regal Medical Group', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1950-07-09', 'date_of_service': '2025-07-07', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'insurance_company_id': 23277, 'subscriber_last_name': 'GUTIERREZ', 'subscriber_member_id': '005M94739-20', 'subscriber_first_name': 'MARIA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6643742/check_9602829_c3cc3227-38fa-43e0-9205-b5c3ee15419a.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-07 | N/A | N/A | N/A | N/A | N/A | N/A | {'member_id': '005M94739-20', 'plan_type': None, 'group_name': None, 'payer_name': 'REGAL MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1950-07-09', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'GUTIERREZ', '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} | ['PT'] | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6643742 | 2222 | N/A | N/A | N/A | 5250846 | 2025-07-07 12:09:13.602346 | 2025-07-07 15:37:32.643453 |