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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-07-07 09:39:31.484522 | 2025-07-07 09:39:34.550419 | 9598996 | N/A | N/A | {'payer_id': '87726', 'payer_name': 'United Healthcare', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1947-08-18', 'date_of_service': '2025-07-10', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6411, 'subscriber_last_name': 'FABER', 'subscriber_member_id': '331524986-11', 'subscriber_first_name': 'LINDA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6522947/check_9598996_769c3a2a-dce2-46dc-ae55-2d2b8eed5e1f.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6522947/check_9598996_85d65cf7-753e-4d4f-a244-f31f4156957c.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '331524986', 'plan_type': None, 'group_name': None, 'payer_name': 'UNITEDHEALTHCARE', 'payer_note': None, 'patient_dob': '1947-08-18', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'FABER', 'plan_sponsor_name': None, 'patient_first_name': 'LINDA', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6522947 | 2222 | N/A | 9309310 | N/A | 5146127 | 2025-07-07 09:39:34.550419 | 2025-06-20 17:58:23.371130 |
| 2025-07-07 09:39:28.661139 | 2025-07-07 09:39:31.480196 | 9598983 | N/A | N/A | {'payer_id': '87726', 'payer_name': 'United Healthcare', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1947-08-18', 'date_of_service': '2025-07-10', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6411, 'subscriber_last_name': 'FABER', 'subscriber_member_id': '331524986-11', 'subscriber_first_name': 'LINDA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6522947/check_9598983_acd9b68d-4c15-4cc2-8d24-52e45dffad55.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-10 | N/A | N/A | N/A | N/A | N/A | N/A | {'member_id': '331524986', 'plan_type': None, 'group_name': None, 'payer_name': 'UNITEDHEALTHCARE', 'payer_note': None, 'patient_dob': '1947-08-18', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'FABER', 'plan_sponsor_name': None, 'patient_first_name': 'LINDA', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6522947 | 2222 | N/A | N/A | N/A | 5146127 | 2025-07-07 09:39:31.480196 | 2025-06-20 17:58:23.371130 |
| 2025-07-07 09:39:22.143452 | 2025-07-07 09:39:27.850988 | 9598962 | N/A | N/A | {'payer_id': '87726', 'payer_name': 'United Healthcare', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1970-07-02', 'date_of_service': '2025-07-09', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6411, 'subscriber_last_name': 'FRIEDMAN', 'subscriber_member_id': 'G46825417', 'subscriber_first_name': 'JOEL'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/5540931/check_9598962_7a7ad6d8-21e7-44e4-ab71-e98d6f724b1b.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540931/check_9598962_5dd046b4-3270-42ff-bd4c-82d299672a80.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'G46825417', 'plan_type': None, 'group_name': 'GEHA MEDICAL FEHB/PSHB', 'payer_name': 'UMR', 'payer_note': None, 'patient_dob': '1970-07-02', 'plan_number': '767000416933002', 'group_number': '76416933', 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'SHELBURNE', 'plan_sponsor_name': None, 'patient_first_name': 'TANYA', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8183977814 | N/A | N/A | 5540931 | 2222 | N/A | 9309286 | N/A | 4213013 | 2025-07-07 09:39:27.850988 | 2025-05-13 04:29:37.227340 |
| 2025-07-07 09:39:18.143941 | 2025-07-07 09:39:24.818628 | 9598948 | N/A | N/A | {'payer_id': '87726', 'payer_name': 'United Healthcare', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1929-02-22', 'date_of_service': '2025-07-09', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6411, 'subscriber_last_name': 'SCOTT', 'subscriber_member_id': '076810624-11', 'subscriber_first_name': 'GEORGE'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6105989/check_9598948_62ede948-bc54-4776-aa45-80383d868b09.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6105989/check_9598948_b1ae0d3b-2a3b-425a-b18a-040f013494b8.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '076810624', 'plan_type': None, 'group_name': None, 'payer_name': 'UNITEDHEALTHCARE', 'payer_note': None, 'patient_dob': '1929-02-22', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'SCOTT', 'plan_sponsor_name': None, 'patient_first_name': 'GEORGE', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6105989 | 2222 | N/A | 9309274 | N/A | 4750274 | 2025-07-07 09:39:24.818628 | 2025-06-12 22:26:37.845238 |
| 2025-07-07 09:39:06.533837 | 2025-07-07 09:39:18.141312 | 9598921 | N/A | N/A | {'payer_id': '87726', 'payer_name': 'United Healthcare', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1929-02-22', 'date_of_service': '2025-07-09', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6411, 'subscriber_last_name': 'SCOTT', 'subscriber_member_id': '076810624-11', 'subscriber_first_name': 'GEORGE'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6105989/check_9598921_a1b8efb2-ddd9-4e32-aa57-84268e266beb.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-09 | N/A | N/A | N/A | N/A | N/A | N/A | {'member_id': '076810624', 'plan_type': None, 'group_name': None, 'payer_name': 'UNITEDHEALTHCARE', 'payer_note': None, 'patient_dob': '1929-02-22', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'SCOTT', 'plan_sponsor_name': None, 'patient_first_name': 'GEORGE', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6105989 | 2222 | N/A | N/A | N/A | 4750274 | 2025-07-07 09:39:18.141312 | 2025-06-12 22:26:37.845238 |
| 2025-07-07 09:39:00.820266 | 2025-07-07 09:39:09.858599 | 9598908 | 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': '1952-07-25', 'date_of_service': '2025-07-10', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6411, 'subscriber_last_name': 'LANE', 'subscriber_member_id': 'MISSINGPOLICYNUMBER', 'subscriber_first_name': 'STEVEN'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/5928917/check_9598908_5f5bc5ce-b59c-4a3b-aecd-4a2cdd0d6faf.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5928917/check_9598908_1e3ab6d0-bd03-447b-b075-6ad63d28b6d0.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '328563857', 'plan_type': None, 'group_name': None, 'payer_name': 'UNITEDHEALTHCARE', 'payer_note': None, 'patient_dob': '1952-07-25', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'LANE', 'plan_sponsor_name': None, 'patient_first_name': 'STEVEN', '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 | 5928917 | 2222 | N/A | 9309230 | N/A | 4219832 | 2025-07-07 09:39:09.858599 | 2025-05-13 04:29:37.230877 |
| 2025-07-07 09:38:58.892882 | 2025-07-07 09:39:02.890595 | 9598903 | 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': '1959-07-02', 'date_of_service': '2025-07-10', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6397, 'subscriber_last_name': 'BALLETTA', 'subscriber_member_id': '331479122-11', 'subscriber_first_name': 'EDWARD'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/5993962/check_9598903_082f1b40-eb3e-4613-af95-b5bdbd633216.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993962/check_9598903_db5d7038-d50b-4052-aa63-28bee3c725c0.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '331479122', 'plan_type': None, 'group_name': None, 'payer_name': 'UNITEDHEALTHCARE', 'payer_note': None, 'patient_dob': '1959-07-02', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'BALLETTA', 'plan_sponsor_name': None, 'patient_first_name': 'EDWARD', '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 | 5993962 | 2222 | N/A | 9309217 | N/A | 4642893 | 2025-07-07 09:39:02.890595 | 2025-05-28 20:58:29.913655 |
| 2025-07-07 09:38:55.038851 | 2025-07-07 09:38:58.890150 | 9598890 | 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': '1959-07-02', 'date_of_service': '2025-07-10', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6397, 'subscriber_last_name': 'BALLETTA', 'subscriber_member_id': '331479122-11', 'subscriber_first_name': 'EDWARD'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/5993962/check_9598890_a6a1444c-660d-47da-aee5-f85891eb327b.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-10 | N/A | N/A | N/A | N/A | N/A | N/A | {'member_id': '331479122', 'plan_type': None, 'group_name': None, 'payer_name': 'UNITEDHEALTHCARE', 'payer_note': None, 'patient_dob': '1959-07-02', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'BALLETTA', 'plan_sponsor_name': None, 'patient_first_name': 'EDWARD', '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 | 5993962 | 2222 | N/A | N/A | N/A | 4642893 | 2025-07-07 09:38:58.890150 | 2025-05-28 20:58:29.913655 |
| 2025-07-07 09:38:48.928294 | 2025-07-07 09:39:00.813838 | 9598872 | 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': '1952-07-25', 'date_of_service': '2025-07-10', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6411, 'subscriber_last_name': 'LANE', 'subscriber_member_id': 'MISSINGPOLICYNUMBER', 'subscriber_first_name': 'STEVEN'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/5928917/check_9598872_935d53a0-ad9f-4695-8029-34bc66df5cfd.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-10 | N/A | N/A | N/A | N/A | N/A | N/A | {'member_id': '328563857', 'plan_type': None, 'group_name': None, 'payer_name': 'UNITEDHEALTHCARE', 'payer_note': None, 'patient_dob': '1952-07-25', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'LANE', 'plan_sponsor_name': None, 'patient_first_name': 'STEVEN', '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 | 5928917 | 2222 | N/A | N/A | N/A | 4219832 | 2025-07-07 09:39:00.813838 | 2025-05-13 04:29:37.230877 |
| 2025-07-07 09:37:49.247631 | 2025-07-07 09:37:52.956069 | 9598706 | N/A | N/A | {'payer_id': '87726', 'payer_name': 'United Healthcare', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1951-11-18', 'date_of_service': '2025-07-07', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6411, 'subscriber_last_name': 'JACOBY', 'subscriber_member_id': '34555828811', 'subscriber_first_name': 'LEAH'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6145941/check_9598706_6a1503cf-cd88-40f0-8a32-0d2ad485c0e0.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6145941/check_9598706_c5410cb0-ff88-45d7-937e-ba7c40344236.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '345558288', 'plan_type': None, 'group_name': None, 'payer_name': 'UNITEDHEALTHCARE', 'payer_note': None, 'patient_dob': '1951-11-18', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'JACOBI', 'plan_sponsor_name': None, 'patient_first_name': 'LEAH', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6145941 | 2222 | N/A | 9309021 | N/A | 4786785 | 2025-07-07 09:37:52.956069 | 2025-06-13 00:55:48.629734 |
| 2025-07-07 09:37:37.666125 | 2025-07-07 09:37:41.420250 | 9598677 | N/A | N/A | {'payer_id': '87726', 'payer_name': 'United Healthcare', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1947-08-18', 'date_of_service': '2025-07-07', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6411, 'subscriber_last_name': 'FABER', 'subscriber_member_id': '331524986-11', 'subscriber_first_name': 'LINDA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6522947/check_9598677_9b03037f-25dc-4cba-a0ac-30df811ae667.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6522947/check_9598677_b0357fb2-1ed3-49f9-a0ed-d756d12b9a12.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '331524986', 'plan_type': None, 'group_name': None, 'payer_name': 'UNITEDHEALTHCARE', 'payer_note': None, 'patient_dob': '1947-08-18', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'FABER', 'plan_sponsor_name': None, 'patient_first_name': 'LINDA', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6522947 | 2222 | N/A | 9308986 | N/A | 5146127 | 2025-07-07 09:37:41.420250 | 2025-06-20 17:58:23.371130 |
| 2025-07-07 09:37:35.183264 | 2025-07-07 09:37:55.163058 | 9598673 | N/A | N/A | {'payer_id': '87726', 'payer_name': 'United Healthcare', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1929-02-22', 'date_of_service': '2025-07-07', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6411, 'subscriber_last_name': 'SCOTT', 'subscriber_member_id': '076810624-11', 'subscriber_first_name': 'GEORGE'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6105989/check_9598673_b756858f-8e95-4629-bcbb-a13bc8492978.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6105989/check_9598673_e7de1892-cdba-421f-82d7-1e5922217613.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '076810624', 'plan_type': None, 'group_name': None, 'payer_name': 'UNITEDHEALTHCARE', 'payer_note': None, 'patient_dob': '1929-02-22', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'SCOTT', 'plan_sponsor_name': None, 'patient_first_name': 'GEORGE', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6105989 | 2222 | N/A | 9309028 | N/A | 4750274 | 2025-07-07 09:37:55.163058 | 2025-06-12 22:26:37.845238 |
| 2025-07-07 09:37:34.017217 | 2025-07-07 09:37:37.662736 | 9598669 | N/A | N/A | {'payer_id': '87726', 'payer_name': 'United Healthcare', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1947-08-18', 'date_of_service': '2025-07-07', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6411, 'subscriber_last_name': 'FABER', 'subscriber_member_id': '331524986-11', 'subscriber_first_name': 'LINDA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6522947/check_9598669_47b19933-e612-481d-b575-30bdb081d509.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-07 | N/A | N/A | N/A | N/A | N/A | N/A | {'member_id': '331524986', 'plan_type': None, 'group_name': None, 'payer_name': 'UNITEDHEALTHCARE', 'payer_note': None, 'patient_dob': '1947-08-18', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'FABER', 'plan_sponsor_name': None, 'patient_first_name': 'LINDA', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6522947 | 2222 | N/A | N/A | N/A | 5146127 | 2025-07-07 09:37:37.662736 | 2025-06-20 17:58:23.371130 |
| 2025-07-07 09:37:33.146561 | 2025-07-07 09:37:42.884652 | 9598667 | N/A | N/A | {'payer_id': '87726', 'payer_name': 'United Healthcare', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1970-07-02', 'date_of_service': '2025-07-07', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6411, 'subscriber_last_name': 'FRIEDMAN', 'subscriber_member_id': 'G46825417', 'subscriber_first_name': 'JOEL'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/5540931/check_9598667_47330b8a-9632-42f0-a76d-6d13df5a9e4d.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540931/check_9598667_838d4336-8f9c-463e-aab3-71a22f28b7ed.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'G46825417', 'plan_type': None, 'group_name': 'GEHA MEDICAL FEHB/PSHB', 'payer_name': 'UMR', 'payer_note': None, 'patient_dob': '1970-07-02', 'plan_number': '767000416933002', 'group_number': '76416933', 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'SHELBURNE', 'plan_sponsor_name': None, 'patient_first_name': 'TANYA', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8183967630 | N/A | N/A | 5540931 | 2222 | N/A | 9308989 | N/A | 4213013 | 2025-07-07 09:37:42.884652 | 2025-05-13 04:29:37.227340 |
| 2025-07-07 09:37:32.628274 | 2025-07-07 09:37:49.245391 | 9598665 | N/A | N/A | {'payer_id': '87726', 'payer_name': 'United Healthcare', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1951-11-18', 'date_of_service': '2025-07-07', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6411, 'subscriber_last_name': 'JACOBY', 'subscriber_member_id': '34555828811', 'subscriber_first_name': 'LEAH'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6145941/check_9598665_f5883c1a-e5c5-4189-a59a-d08d064f5b19.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-07 | N/A | N/A | N/A | N/A | N/A | N/A | {'member_id': '345558288', 'plan_type': None, 'group_name': None, 'payer_name': 'UNITEDHEALTHCARE', 'payer_note': None, 'patient_dob': '1951-11-18', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'JACOBI', 'plan_sponsor_name': None, 'patient_first_name': 'LEAH', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6145941 | 2222 | N/A | N/A | N/A | 4786785 | 2025-07-07 09:37:49.245391 | 2025-06-13 00:55:48.629734 |
| 2025-07-07 09:37:32.332358 | 2025-07-07 09:37:35.174326 | 9598664 | N/A | N/A | {'payer_id': '87726', 'payer_name': 'United Healthcare', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1929-02-22', 'date_of_service': '2025-07-07', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6411, 'subscriber_last_name': 'SCOTT', 'subscriber_member_id': '076810624-11', 'subscriber_first_name': 'GEORGE'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6105989/check_9598664_9cfe26af-2e4a-4596-94f8-4b4c587bafde.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-07 | N/A | N/A | N/A | N/A | N/A | N/A | {'member_id': '076810624', 'plan_type': None, 'group_name': None, 'payer_name': 'UNITEDHEALTHCARE', 'payer_note': None, 'patient_dob': '1929-02-22', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'SCOTT', 'plan_sponsor_name': None, 'patient_first_name': 'GEORGE', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6105989 | 2222 | N/A | N/A | N/A | 4750274 | 2025-07-07 09:37:35.174326 | 2025-06-12 22:26:37.845238 |
| 2025-07-07 09:36:26.064141 | 2025-07-07 09:36:32.224448 | 9598503 | 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': '2000-06-13', 'date_of_service': '2025-07-10', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6411, 'subscriber_last_name': 'Parr', 'subscriber_member_id': '917536195', 'subscriber_first_name': 'Samantha'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6642459/check_9598503_7fb68c86-aa19-4338-ae30-98391cf04482.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6642459/check_9598503_ea746aa4-c5fa-4b91-95b0-e92c755a33fd.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '917536195', 'plan_type': 'Commercial', 'group_name': 'VIDEOAMP, INC.', 'payer_name': 'UNITEDHEALTHCARE', 'payer_note': 'FUNDING TYPE = FULLY INSURED - LARGE GROUP A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED', 'patient_dob': '2000-06-13', 'plan_number': '0005 0005', 'group_number': '928362', 'insurance_type': None, 'plan_type_code': 'C1', 'enrolled_in_qmb': False, 'patient_last_name': 'PARR', 'plan_sponsor_name': None, 'patient_first_name': 'SAMANTHA', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'SELECT PLUS PPO CA 2023 CUJB', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8183964110 | N/A | N/A | 6642459 | 2222 | N/A | 9308824 | N/A | 5249216 | 2025-07-07 09:36:32.224448 | 2025-06-27 18:39:50.819779 |
| 2025-07-07 09:35:44.430766 | 2025-07-07 09:35:52.183222 | 9598401 | 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': '1967-08-24', 'date_of_service': '2025-07-10', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6411, 'subscriber_last_name': 'DEL CAMPO', 'subscriber_member_id': '936778989', 'subscriber_first_name': 'PAULA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6583335/check_9598401_1c98ed00-f15d-460e-a49b-d3d8ece718f7.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6583335/check_9598401_c21170b3-efd4-4913-b6ce-6419a764fd6a.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '936778989', 'plan_type': 'Commercial', 'group_name': 'FEDEX CORPORATION', 'payer_name': 'UNITEDHEALTHCARE', 'payer_note': 'FUNDING TYPE = SELF INSURED - LARGE GROUP A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED', 'patient_dob': '1967-08-24', 'plan_number': '0780 0780', 'group_number': '920923', 'insurance_type': None, 'plan_type_code': 'C1', 'enrolled_in_qmb': False, 'patient_last_name': 'DRECKMANN', 'plan_sponsor_name': None, 'patient_first_name': 'JEAN PHILI', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'SELECT EPO', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8183960957 | N/A | N/A | 6583335 | 2222 | N/A | 9308725 | N/A | 5202234 | 2025-07-07 09:35:52.183222 | 2025-07-09 21:36:44.603599 |
| 2025-07-07 09:34:21.343495 | 2025-07-07 09:34:25.057712 | 9598175 | 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': '1953-02-03', 'date_of_service': '2025-07-10', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6411, 'subscriber_last_name': 'MCKAY', 'subscriber_member_id': '93518017100', 'subscriber_first_name': 'JEANNETTE'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6398744/check_9598175_d3d0587f-3318-4d85-a1f8-155818793a27.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6398744/check_9598175_47b2b833-8bc8-47e7-82b7-748b369d8827.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '935180171', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': None, 'payer_name': 'UNITEDHEALTHCARE', 'payer_note': 'A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED', 'patient_dob': '1953-02-03', 'plan_number': None, 'group_number': '15725', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'MCKAY', 'plan_sponsor_name': None, 'patient_first_name': 'JEANNETTE', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'LPPO-UNITEDHEALTHCARE GROUP MEDICARE ADVANTAGE (PP', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8183954336 | N/A | N/A | 6398744 | 2222 | N/A | 9308485 | N/A | 5046297 | 2025-07-07 09:34:25.057712 | 2025-06-17 15:15:28.403654 |
| 2025-07-07 09:33:47.591100 | 2025-07-07 09:33:51.255824 | 9598077 | 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': '1991-06-10', 'date_of_service': '2025-07-10', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6411, 'subscriber_last_name': 'Corpe', 'subscriber_member_id': '985837503', 'subscriber_first_name': 'Olivier'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6161213/check_9598077_c30425ec-571e-48b6-ab7c-6fe12187c8d8.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6161213/check_9598077_c22ae994-98a5-4d2c-bbf6-c3e32dda2200.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '985837503', 'plan_type': 'Commercial', 'group_name': 'CANDLE MEDIA, LLC', 'payer_name': 'UNITEDHEALTHCARE', 'payer_note': 'FUNDING TYPE = SELF INSURED - LARGE GROUP A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED', 'patient_dob': '1991-09-10', 'plan_number': '0026 0026', 'group_number': '932244', 'insurance_type': None, 'plan_type_code': 'C1', 'enrolled_in_qmb': False, 'patient_last_name': 'CORPE', 'plan_sponsor_name': None, 'patient_first_name': 'OLIVIER', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'UNITEDHEALTHCARE SELECT PLUS', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8183952284 | N/A | N/A | 6161213 | 2222 | N/A | 9308397 | N/A | 4801864 | 2025-07-07 09:33:51.255824 | 2025-06-05 19:59:59.163437 |
| 2025-07-07 09:33:38.895333 | 2025-07-07 09:33:43.167995 | 9598056 | 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': '2000-04-06', 'date_of_service': '2025-07-10', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6411, 'subscriber_last_name': 'LUO', 'subscriber_member_id': '947922550', 'subscriber_first_name': 'HONGKE'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6140288/check_9598056_097d612c-51c1-46be-9ce5-ef862b8276aa.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6140288/check_9598056_f8a3d554-f79a-419a-b7e1-99d5fc8111a5.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '947922550', 'plan_type': 'Commercial', 'group_name': 'COGNOSPHERE, LLC', 'payer_name': 'UNITEDHEALTHCARE', 'payer_note': 'FUNDING TYPE = FULLY INSURED - LARGE GROUP A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED', 'patient_dob': '2000-04-06', 'plan_number': '0001 0001', 'group_number': '928360', 'insurance_type': None, 'plan_type_code': 'C1', 'enrolled_in_qmb': False, 'patient_last_name': 'LUO', 'plan_sponsor_name': None, 'patient_first_name': 'HONGKE', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'EI 2018 CH+ PS1 1967A', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8183951782 | N/A | N/A | 6140288 | 2222 | N/A | 9308372 | N/A | 4781215 | 2025-07-07 09:33:43.167995 | 2025-06-05 03:42:55.033876 |
| 2025-07-07 09:33:31.753634 | 2025-07-07 09:33:35.424503 | 9598036 | 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': '1975-07-15', 'date_of_service': '2025-07-10', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6411, 'subscriber_last_name': 'SKLAR', 'subscriber_member_id': '997341869', 'subscriber_first_name': 'ANDREA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6124041/check_9598036_103713be-a395-44b3-ab1a-dc316327ba86.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6124041/check_9598036_1bfc678f-1d7f-4dc8-90a9-adb55bfae061.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '997341869', 'plan_type': 'Commercial', 'group_name': 'PFIZER INC', 'payer_name': 'UNITEDHEALTHCARE', 'payer_note': 'FUNDING TYPE = SELF INSURED - LARGE GROUP A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED', 'patient_dob': '1975-07-15', 'plan_number': '2366 2022', 'group_number': '183644', 'insurance_type': None, 'plan_type_code': 'C1', 'enrolled_in_qmb': False, 'patient_last_name': 'SKLAR', 'plan_sponsor_name': None, 'patient_first_name': 'ANDREA', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'POS CHOICE PLUS', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8183951295 | N/A | N/A | 6124041 | 2222 | N/A | 9308355 | N/A | 4766742 | 2025-07-07 09:33:35.424503 | 2025-06-04 15:23:35.717260 |
| 2025-07-07 09:33:04.337475 | 2025-07-07 09:33:09.086804 | 9597954 | 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': '1978-08-18', 'date_of_service': '2025-07-10', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6411, 'subscriber_last_name': 'DABBY JOYCE', 'subscriber_member_id': '69863444000', 'subscriber_first_name': 'LISA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6068059/check_9597954_c23a51c4-b8dc-4841-80d9-83e31a0d881f.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6068059/check_9597954_8bcfd992-9e77-4f0c-bc10-1b793259d140.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '69863444000', 'plan_type': 'Commercial', 'group_name': None, 'payer_name': 'UNITEDHEALTHCARE BENEFITS PLAN OF CALIFORNIA', 'payer_note': 'FUNDING TYPE = FULLY INSURED - SMALL GROUP', 'patient_dob': '1978-08-18', 'plan_number': None, 'group_number': '1671793', 'insurance_type': None, 'plan_type_code': 'C1', 'enrolled_in_qmb': False, 'patient_last_name': 'DABBY JOYCE', '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': 'SELECT PLUS', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8183949664 | N/A | N/A | 6068059 | 2222 | N/A | 9308275 | N/A | 4713001 | 2025-07-07 09:33:09.086804 | 2025-10-23 14:37:36.593472 |
| 2025-07-07 09:32:08.985831 | 2025-07-07 09:32:12.805934 | 9597794 | 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': '1957-01-27', 'date_of_service': '2025-07-10', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6411, 'subscriber_last_name': 'SHIRALI', 'subscriber_member_id': '821763668', 'subscriber_first_name': 'MONAVAR'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/5676381/check_9597794_7b3a4833-b628-4e21-98f8-b4da7705299c.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676381/check_9597794_a1420381-da1a-4f5b-b085-9f181c03a3c4.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '821763668', 'plan_type': 'Commercial', 'group_name': 'BANK OF AMERICA', 'payer_name': 'UNITEDHEALTHCARE', 'payer_note': 'FUNDING TYPE = SELF INSURED - LARGE GROUP A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED', 'patient_dob': '1957-01-27', 'plan_number': '0001 0001', 'group_number': '905531', 'insurance_type': None, 'plan_type_code': 'C1', 'enrolled_in_qmb': False, 'patient_last_name': 'SHIRALI', 'plan_sponsor_name': None, 'patient_first_name': 'MONAVAR', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'POS CHOICE PLUS', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8183942488 | N/A | N/A | 5676381 | 2222 | N/A | 9308117 | N/A | 4343436 | 2025-07-07 09:32:12.805934 | 2025-06-05 16:13:34.180012 |
| 2025-07-07 09:31:42.788862 | 2025-07-07 09:31:47.090309 | 9597740 | 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': '1997-01-04', 'date_of_service': '2025-07-10', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6411, 'subscriber_last_name': 'GERSHMAN', 'subscriber_member_id': '987203340', 'subscriber_first_name': 'TYLER'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542830/check_9597740_099f832f-1ce8-41f5-ae27-34703ad44bd1.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542830/check_9597740_c9261179-b38e-436d-beb8-104b4fb5cd8f.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '987203340', 'plan_type': 'Consolidated Omnibus Budget Reconciliation Act (COBRA)', 'group_name': 'ORACLE', 'payer_name': 'UNITEDHEALTHCARE', 'payer_note': 'FUNDING TYPE = SELF INSURED - LARGE GROUP A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED', 'patient_dob': '1997-01-04', 'plan_number': '0169 0169', 'group_number': '228485', 'insurance_type': None, 'plan_type_code': 'CO', 'enrolled_in_qmb': False, 'patient_last_name': 'GERSHMAN', 'plan_sponsor_name': None, 'patient_first_name': 'TYLER', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'SELECT PLUS', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8183938838 | N/A | N/A | 5542830 | 2222 | N/A | 9308059 | N/A | 4214699 | 2025-07-07 09:31:47.090309 | 2025-05-13 04:29:37.229016 |
| 2025-07-07 09:31:42.533299 | 2025-07-07 09:31:46.554422 | 9597739 | 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': '1969-05-06', 'date_of_service': '2025-07-10', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6411, 'subscriber_last_name': 'IRIZARRY', 'subscriber_member_id': '950883047', 'subscriber_first_name': 'BERNADETTE'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541827/check_9597739_59503361-b4c3-438c-9688-27fbd69f6c3f.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541827/check_9597739_3bc06ecb-1b84-42b9-880b-81d7b23ca2c6.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '950883047', 'plan_type': 'Commercial', 'group_name': 'DHL', 'payer_name': 'UNITEDHEALTHCARE', 'payer_note': 'FUNDING TYPE = SELF INSURED - LARGE GROUP A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED', 'patient_dob': '1969-05-06', 'plan_number': '0001 0001', 'group_number': '905224', 'insurance_type': None, 'plan_type_code': 'C1', 'enrolled_in_qmb': False, 'patient_last_name': 'BOERSMA', 'plan_sponsor_name': None, 'patient_first_name': 'PITER', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'UNITEDHEALTHCARE CHOICE PLUS', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8183938827 | N/A | N/A | 5541827 | 2222 | N/A | 9308056 | N/A | 4213806 | 2025-07-07 09:31:46.554422 | 2025-05-13 04:29:37.228124 |
| 2025-07-07 09:14:21.070242 | 2025-07-08 02:08:49.900739 | 9595924 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': '1114042165', 'trace_number': '9595924', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1994-05-07', 'date_of_service': '2025-07-07', '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/272741.20250707.120512054.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874430/check_9595924_f1189cac-54e6-4db9-9d92-2af9a690e265.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 | 8183816602 | N/A | N/A | 5874430 | 2222 | 4802 | 9321764 | N/A | 4534559 | 2025-07-08 02:08:49.900739 | 2025-06-06 02:13:35.698378 |
| 2025-07-07 09:14:20.710601 | 2025-07-08 02:04:06.446252 | 9595918 | N/A | N/A | {'payer_id': 'LMG01', 'payer_name': 'Lakeside Medical Group', 'provider_npi': '1114042165', 'trace_number': '9595918', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1964-11-15', 'date_of_service': '2025-07-07', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'BIKOULOVA', 'subscriber_member_id': '92040499F', 'subscriber_first_name': 'ALEXANDRA'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250707.120512054.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874423/check_9595918_08a83c67-7d88-44d0-a4dc-15278aa18772.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '92040499F', 'plan_type': None, 'group_name': None, 'payer_name': 'LAKESIDE MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1964-11-15', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'BIKOULOVA', 'plan_sponsor_name': None, 'patient_first_name': 'ALEXANDRA', '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 | 8183816601 | N/A | N/A | 5874423 | 2222 | 4802 | 9320162 | N/A | 4534552 | 2025-07-08 02:04:06.446252 | 2025-05-30 18:01:03.324126 |
| 2025-07-07 09:11:40.350105 | 2025-07-08 02:07:01.409723 | 9594107 | N/A | N/A | {'payer_id': '62308', 'payer_name': 'Cigna Health Plans', 'provider_npi': '1114042165', 'trace_number': '9594107', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1980-01-01', 'date_of_service': '2025-07-07', '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/272741.20250707.120512054.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676404/check_9594107_4589a672-9eca-4ea7-8fba-e30820ac8cdb.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 | 8183816534 | N/A | N/A | 5676404 | 2222 | 4802 | 9321155 | N/A | 4343463 | 2025-07-08 02:07:01.409723 | 2025-05-13 04:29:37.230940 |
| 2025-07-07 09:11:39.949039 | 2025-07-08 02:12:14.803459 | 9594104 | N/A | N/A | {'payer_id': 'Z1073', 'payer_name': 'Medicare B California Southern', 'provider_npi': '1114042165', 'trace_number': '9594104', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1952-07-25', 'date_of_service': '2025-07-07', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'LANE', 'subscriber_member_id': '4CA5FX1PJ56', 'subscriber_first_name': 'STEVEN'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250707.120512054.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676372/check_9594104_f7af6cb9-84f2-4082-b281-2b57d500ade6.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '4CA5FX1PJ56', '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': '1952-07-25', 'plan_number': 'S4802', 'group_number': None, 'insurance_type': None, 'plan_type_code': 'MA', 'enrolled_in_qmb': False, 'patient_last_name': 'LANE', 'plan_sponsor_name': None, 'patient_first_name': 'STEVEN', '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 | 8183816533 | N/A | N/A | 5676372 | 2222 | 4802 | 9322922 | N/A | 4219832 | 2025-07-08 02:12:14.803459 | 2025-05-13 04:29:37.230877 |
| 2025-07-07 09:11:39.175101 | 2025-07-08 02:08:17.746171 | 9594098 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'ANTHEM BLUE CROSS', 'provider_npi': '1114042165', 'trace_number': '9594098', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1946-04-03', 'date_of_service': '2025-07-07', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'OBLINGER', 'subscriber_member_id': 'JQS491M78254', 'subscriber_first_name': 'MARIA'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250707.120512054.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676340/check_9594098_2a676402-eff1-415b-b486-c0af8674af9c.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'JQS491M78254', 'plan_type': 'Medicare Primary', 'group_name': 'CA MEDICARE', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1946-04-03', 'plan_number': '040', 'group_number': 'CAMCRWP0', 'insurance_type': None, 'plan_type_code': 'MP', 'enrolled_in_qmb': False, 'patient_last_name': 'OBLINGER', 'plan_sponsor_name': None, 'patient_first_name': 'MARIA', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2025-01-01', 'plan_coverage_description': 'CA H0544-063-000 ANTHEM MEDICARE ADVANTAGE (HMO-PO', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8183816532 | N/A | N/A | 5676340 | 2222 | 4793 | 9321576 | 4184 | 4210531 | 2025-07-08 02:08:17.746171 | 2025-12-09 17:09:13.960610 |
| 2025-07-07 09:10:58.886953 | 2025-07-07 09:11:38.775202 | 9593342 | N/A | N/A | {'payer_id': 'TDFIC', 'payer_name': 'TRICARE FOR LIFE', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '2011-05-18', 'date_of_service': '2025-07-09', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6338, 'subscriber_last_name': 'YUNG', 'subscriber_member_id': '00854676304', 'subscriber_first_name': 'MAYA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543379/check_9593342_f529fc70-55f3-4e1e-8a76-03168a7ffade.json | AVAILITY | N/A | GOOGLE_CLOUD | 2025-07-09 | N/A | N/A | N/A | N/A | N/A | N/A | {'member_id': '00854676304', 'plan_type': None, 'group_name': None, 'payer_name': 'TRICARE FOR LIFE', 'payer_note': None, 'patient_dob': '2011-05-18', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'YUNG', 'plan_sponsor_name': None, 'patient_first_name': 'MAYA', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543379 | 2222 | N/A | N/A | N/A | 4215179 | 2025-07-07 09:11:38.775202 | 2025-05-13 04:29:37.229495 |
| 2025-07-07 09:10:11.523774 | 2025-07-08 02:02:29.189379 | 9592393 | N/A | N/A | {'payer_id': '36273', 'payer_name': 'AARP Medicare Supplement by UnitedHealthcare', 'provider_npi': '1114042165', 'trace_number': '9592393', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1960-02-12', 'date_of_service': '2025-07-07', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'MAJEED', 'subscriber_member_id': '94883653800', 'subscriber_first_name': 'MARY'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250707.120435197.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6613631/check_9592393_fa8c3679-5653-4812-87c1-3a80c1c32dd6.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '94883653800', 'plan_type': None, 'group_name': None, 'payer_name': 'AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE', 'payer_note': None, 'patient_dob': '1960-02-12', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'MAJEED', 'plan_sponsor_name': None, 'patient_first_name': 'MARY', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8183821721 | N/A | N/A | 6613631 | 2222 | 4793 | 9319877 | N/A | 5232379 | 2025-07-08 02:02:29.189379 | 2025-07-03 16:30:13.139077 |
| 2025-07-07 09:09:23.229003 | 2025-07-08 02:04:07.839771 | 9591500 | N/A | N/A | {'payer_id': 'LMG01', 'payer_name': 'Lakeside Medical Group', 'provider_npi': '1114042165', 'trace_number': '9591500', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1961-09-17', 'date_of_service': '2025-07-07', '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/272741.20250707.120512054.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5568076/check_9591500_02441b3f-082c-49e9-9c47-85c76850a869.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 | 8183816523 | N/A | N/A | 5568076 | 2222 | 4802 | 9320170 | N/A | 4209480 | 2025-07-08 02:04:07.839771 | 2025-05-13 04:29:37.223914 |
| 2025-07-07 09:09:18.154346 | 2025-07-08 09:16:03.477551 | 9591378 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9591378', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '2000-08-04', 'date_of_service': '2025-07-07', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'subscriber_last_name': 'MAGHEN', 'subscriber_member_id': 'XDL992A63501', 'subscriber_first_name': 'ITZCHAK'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250707.115835027.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6172263/check_9591378_d8b5ab35-38d5-4c15-a962-fb29a8ff0323.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XDL992A63501', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': None, 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '2000-08-04', 'plan_number': '040', 'group_number': 'H06200', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'SHAYANI', 'plan_sponsor_name': None, 'patient_first_name': 'ESTHER', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2009-07-01', 'plan_coverage_description': 'PPO SHARE', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8183744692 | N/A | N/A | 6172263 | 2222 | 4802 | 9341282 | N/A | 4813871 | 2025-07-08 09:16:03.477551 | 2025-07-08 23:07:33.420114 |
| 2025-07-07 09:09:16.680595 | 2025-07-08 09:13:02.044360 | 9591333 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9591333', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1951-05-08', 'date_of_service': '2025-07-07', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'BERNSTEIN NOAH', 'subscriber_member_id': 'XEM905917416', 'subscriber_first_name': 'PAULA'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250707.115823804.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6085126/check_9591333_82f62184-8526-4388-808d-5df6c380b443.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XEM905917416', 'plan_type': 'Other', 'group_name': 'MEDICARE SUPPLEMENT', 'payer_name': 'MEDICARE PART A AND B', 'payer_note': None, 'patient_dob': '1951-05-08', 'plan_number': '2002SI000007', 'group_number': 'X0001002', 'insurance_type': None, 'plan_type_code': 'OT', 'enrolled_in_qmb': False, 'patient_last_name': 'BERNSTEIN NOAH', 'plan_sponsor_name': None, 'patient_first_name': 'PAULA', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'MEDICARE SUPPLEMENT PLAN N', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8183741018 | N/A | N/A | 6085126 | 2222 | 4802 | 9340737 | N/A | 4722556 | 2025-07-08 09:13:02.044360 | 2025-06-04 18:06:16.300392 |
| 2025-07-07 09:09:03.812980 | 2025-07-08 09:31:17.347856 | 9590944 | N/A | N/A | {'payer_id': 'Z1073', 'payer_name': 'Medicare B California Southern', 'provider_npi': '1114042165', 'trace_number': '9590944', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1960-03-13', 'date_of_service': '2025-07-07', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'COLLINS', 'subscriber_member_id': '9KH9YJ9KM24', 'subscriber_first_name': 'CHARLES'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250707.115835027.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6165591/check_9590944_61772a44-636b-4f09-912d-100416245422.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '9KH9YJ9KM24', 'plan_type': 'Medicare Part A', 'group_name': None, 'payer_name': 'MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY', 'payer_note': '0-BENEFICIARY INSURED DUE TO AGE OASI', 'patient_dob': '1960-03-13', 'plan_number': 'S5617', 'group_number': None, 'insurance_type': None, 'plan_type_code': 'MA', 'enrolled_in_qmb': False, 'patient_last_name': 'COLLINS', 'plan_sponsor_name': None, 'patient_first_name': 'CHARLES', '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 | 8183744636 | N/A | N/A | 6165591 | 2222 | 4801 | 9342611 | N/A | 4219605 | 2025-07-08 09:31:17.347856 | 2025-06-06 16:26:34.530119 |
| 2025-07-07 09:09:03.530674 | 2025-07-08 09:10:33.184215 | 9590935 | N/A | N/A | {'payer_id': '62308', 'payer_name': 'CIGNA (Connecticut General, Equicor, Equitable)', 'provider_npi': '1114042165', 'trace_number': '9590935', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1964-06-30', 'date_of_service': '2025-07-07', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'YOKICH', 'subscriber_member_id': '108161196', 'subscriber_first_name': 'DANIEL'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250707.115835027.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6165588/check_9590935_21a2728c-5687-4c92-b0ae-52709ccdb1a7.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '10816119600', 'plan_type': None, 'group_name': 'SYMPHONYAI, LLC', 'payer_name': 'CHLIC', 'payer_note': 'COMPLETE CARE MANAGEMENT', 'patient_dob': '1964-06-30', 'plan_number': None, 'group_number': '00637648', 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'YOKICH', 'plan_sponsor_name': None, 'patient_first_name': 'DANIEL', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'HSA QUALIFIED HDHP', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8183744635 | N/A | N/A | 6165588 | 2222 | 4802 | 9340290 | N/A | 4807950 | 2025-07-08 09:10:33.184215 | 2025-06-06 21:18:25.086720 |
| 2025-07-07 09:09:03.142915 | 2025-07-08 09:16:00.687314 | 9590920 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9590920', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1968-11-26', 'date_of_service': '2025-07-07', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'PELLEGRINI', 'subscriber_member_id': 'XEA913808278', 'subscriber_first_name': 'PATRICIA'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250707.115835027.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6165269/check_9590920_7f85c09c-ff6f-405c-adfb-c29b19217821.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XAN913808278', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1968-11-26', 'plan_number': '1479PPOX0002', 'group_number': 'W0051411', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'PELLEGRINI', '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': 'CALPERS ASO PLATINUM PPO GROUP BILL', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8183744116 | N/A | N/A | 6165269 | 2222 | 4793 | 9341275 | N/A | 4807600 | 2025-07-08 09:16:00.687314 | 2025-06-18 15:19:08.524396 |
| 2025-07-07 09:08:58.208659 | 2025-07-08 05:12:47.726587 | 9590750 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9590750', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1974-11-01', 'date_of_service': '2025-07-07', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'subscriber_last_name': 'RAMIREZ', 'subscriber_member_id': 'FJB20014734M', 'subscriber_first_name': 'JOSEPH'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250707.115934373.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6528169/check_9590750_fa269dca-12ec-4164-b6a4-2e58f0e052a4.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'FJB20014734M', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'ALL', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1974-11-01', 'plan_number': '101', 'group_number': '174549M411', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'RAMIREZ', 'plan_sponsor_name': None, 'patient_first_name': 'JOSEPH', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2022-01-01', 'plan_coverage_description': 'BLUECARD PPO', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8183746492 | N/A | N/A | 6528169 | 2222 | 4801 | 9332503 | N/A | 5149079 | 2025-07-08 05:12:47.726587 | 2025-07-10 14:52:54.279391 |
| 2025-07-07 09:08:52.029587 | 2025-07-08 05:24:01.891036 | 9590537 | N/A | N/A | {'payer_id': 'Z1073', 'payer_name': 'Medicare B California Southern', 'provider_npi': '1114042165', 'trace_number': '9590537', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1947-08-18', 'date_of_service': '2025-07-07', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'FABER', 'subscriber_member_id': '4X26K21EE83', 'subscriber_first_name': 'LINDA'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250707.115934373.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6522947/check_9590537_45cb3341-4b98-447b-87bb-23a3d4f96e2f.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '4X26K21EE83', 'plan_type': 'Medicare Part A', 'group_name': None, 'payer_name': 'MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY', 'payer_note': '0-BENEFICIARY INSURED DUE TO AGE OASI', 'patient_dob': '1947-08-18', 'plan_number': 'S5617', 'group_number': None, 'insurance_type': None, 'plan_type_code': 'MA', 'enrolled_in_qmb': False, 'patient_last_name': 'FABER', 'plan_sponsor_name': None, 'patient_first_name': 'LINDA', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8183747992 | N/A | N/A | 6522947 | 2222 | 4802 | 9337444 | N/A | 5146127 | 2025-07-08 05:24:01.891036 | 2025-06-20 17:58:23.371130 |
| 2025-07-07 09:08:50.701603 | 2025-07-08 05:03:45.214423 | 9590497 | N/A | N/A | {'payer_id': 'REGAL', 'payer_name': 'Regal Medical Group', 'provider_npi': '1114042165', 'trace_number': '9590497', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1944-03-21', 'date_of_service': '2025-07-07', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'WEBB', 'subscriber_member_id': 'JQS041M77883', 'subscriber_first_name': 'ALICE'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250707.115934373.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6522470/check_9590497_f37ce49d-091d-4d74-b3fb-443e59925259.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'JQS041M77883', 'plan_type': None, 'group_name': None, 'payer_name': 'REGAL MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1944-03-21', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'WEBB', 'plan_sponsor_name': None, 'patient_first_name': 'ALICE', '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 | 8183747985 | N/A | N/A | 6522470 | 2222 | 4801 | 9327551 | N/A | 4214765 | 2025-07-08 05:03:45.214423 | 2025-05-13 04:29:37.229089 |
| 2025-07-07 09:08:43.991607 | 2025-07-08 09:31:19.923076 | 9590281 | N/A | N/A | {'payer_id': 'Z1073', 'payer_name': 'Medicare B California Southern', 'provider_npi': '1114042165', 'trace_number': '9590281', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1959-07-13', 'date_of_service': '2025-07-07', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'SHETH', 'subscriber_member_id': '4T52DU0KY22', 'subscriber_first_name': 'SHAIVALINI'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250707.115835027.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6145897/check_9590281_b9d55ff9-c4f0-455b-b905-53e33159dacc.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '4T52DU0KY22', 'plan_type': 'Medicare Part A', 'group_name': None, 'payer_name': 'CMS', 'payer_note': '0-BENEFICIARY INSURED DUE TO AGE OASI', 'patient_dob': '1959-07-13', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': 'MA', 'enrolled_in_qmb': False, 'patient_last_name': 'SHETH', 'plan_sponsor_name': None, 'patient_first_name': 'SHAIVALINI', '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 | 8183745570 | N/A | N/A | 6145897 | 2222 | 4801 | 9342613 | N/A | 4786709 | 2025-07-08 09:31:19.923076 | 2025-06-20 18:28:02.399027 |
| 2025-07-07 09:08:43.746049 | 2025-07-08 09:16:01.845213 | 9590270 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9590270', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '2010-10-08', 'date_of_service': '2025-07-07', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'subscriber_last_name': 'REBEAUD', 'subscriber_member_id': 'DYZ6283553AB', 'subscriber_first_name': 'JUSTIN'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250707.115835027.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6145860/check_9590270_d3cd4598-6d4e-4e3f-a857-77dd39a1307f.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'DYZ6283553AB', 'plan_type': 'Point of Service (POS)', 'group_name': 'CLASSIC COLLISION LLC', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '2010-10-08', 'plan_number': '101', 'group_number': 'L08292M003', 'insurance_type': None, 'plan_type_code': 'PS', 'enrolled_in_qmb': False, 'patient_last_name': 'REBEAUD', 'plan_sponsor_name': None, 'patient_first_name': 'MARIA', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2023-08-01', 'plan_coverage_description': 'GA POS BLUECHOICE OA', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8183745568 | N/A | N/A | 6145860 | 2222 | 4793 | 9341278 | N/A | 4786676 | 2025-07-08 09:16:01.845213 | 2025-06-10 23:45:59.927015 |
| 2025-07-07 09:08:40.181092 | 2025-07-08 02:04:12.276445 | 9590158 | N/A | N/A | {'payer_id': 'REGAL', 'payer_name': 'Regal Medical Group', 'provider_npi': '1114042165', 'trace_number': '9590158', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1998-01-10', 'date_of_service': '2025-07-07', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'PALACIOS', 'subscriber_member_id': 'JMV542W2270020', 'subscriber_first_name': 'JASMIN'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250707.120512054.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5551010/check_9590158_69888b5d-c589-4bf6-9c9d-ac704eb1408b.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'JMV542W2270020', 'plan_type': None, 'group_name': None, 'payer_name': 'REGAL MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1998-01-10', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'PALACIOS', 'plan_sponsor_name': None, 'patient_first_name': 'JASMIN', '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 | 8183815962 | N/A | N/A | 5551010 | 2222 | 4802 | 9320194 | N/A | 4219831 | 2025-07-08 02:04:12.276445 | 2025-05-13 04:29:37.230876 |
| 2025-07-07 09:08:39.885961 | 2025-07-08 02:07:37.376960 | 9590150 | N/A | N/A | {'payer_id': '87726', 'payer_name': 'UHC Shared Services', 'provider_npi': '1114042165', 'trace_number': '9590150', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1965-07-31', 'date_of_service': '2025-07-07', 'subscriber_gender': 'F', 'service_type_codes': ['PT', 'AE'], 'subscriber_last_name': 'GUEVARA', 'subscriber_member_id': 'G45053839', 'subscriber_first_name': 'DIANE'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250707.120512054.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550940/check_9590150_c2c87b0a-aaee-4dbd-a85a-ddf058c772a1.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'G45053839', 'plan_type': None, 'group_name': 'GEHA MEDICAL FEHB/PSHB', 'payer_name': 'UMR', 'payer_note': None, 'patient_dob': '1965-07-31', 'plan_number': '767000416933001', 'group_number': '76416933', 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'GUEVARA', 'plan_sponsor_name': None, 'patient_first_name': 'DIANE', '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 | 8183815961 | N/A | N/A | 5550940 | 2222 | 4793 | 9321350 | N/A | 4219779 | 2025-07-08 02:07:37.376960 | 2025-05-13 04:29:37.230820 |
| 2025-07-07 09:08:39.447834 | 2025-07-08 02:08:48.532832 | 9590135 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': '1114042165', 'trace_number': '9590135', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1986-08-03', 'date_of_service': '2025-07-07', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'subscriber_last_name': 'AMENT', 'subscriber_member_id': 'XED913057951', 'subscriber_first_name': 'NATHAN'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250707.120512054.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550865/check_9590135_827b29af-1cb0-4a76-86f6-989e95102edc.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XED913057951', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'IFP ON EXCHANGE', 'payer_name': 'BLUE SHIELD CALIFORNIA', 'payer_note': None, 'patient_dob': '1986-08-03', 'plan_number': '2001ZK002185', 'group_number': 'X0001004', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'AMENT', 'plan_sponsor_name': None, 'patient_first_name': 'NATHAN', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2024-03-01', 'plan_coverage_description': 'IFP EMB PED VISION', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8183815960 | N/A | N/A | 5550865 | 2222 | 4802 | 9321755 | N/A | 4215196 | 2025-07-08 02:08:48.532832 | 2025-05-13 04:29:37.229513 |
| 2025-07-07 09:08:39.041657 | 2025-07-08 02:12:16.147013 | 9590124 | N/A | N/A | {'payer_id': 'Z1073', 'payer_name': 'Medicare B California Southern', 'provider_npi': '1114042165', 'trace_number': '9590124', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1970-03-04', 'date_of_service': '2025-07-07', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'VITATOE', 'subscriber_member_id': '4YM5KY1DG73', 'subscriber_first_name': 'RHONDA'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250707.120512054.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550839/check_9590124_bcc614a4-2cf4-4738-b81b-5a15cc4af3e9.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '4YM5KY1DG73', 'plan_type': 'Medicare Part A', 'group_name': None, 'payer_name': 'WELLCARE PRESCRIPTION INSURANCE, INC.', 'payer_note': '1-BENEFICIARY INSURED DUE TO DISABILITY', 'patient_dob': '1970-03-04', 'plan_number': 'S4802', 'group_number': None, 'insurance_type': None, 'plan_type_code': 'MA', 'enrolled_in_qmb': False, 'patient_last_name': 'VITATOE', 'plan_sponsor_name': None, 'patient_first_name': 'RHONDA', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8183815389 | N/A | N/A | 5550839 | 2222 | 4801 | 9322929 | N/A | 4219707 | 2025-07-08 02:12:16.147013 | 2025-05-13 04:29:37.230750 |
| 2025-07-07 09:08:38.677482 | 2025-07-08 02:08:48.918248 | 9590112 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': '1114042165', 'trace_number': '9590112', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1979-05-08', 'date_of_service': '2025-07-07', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'JEBBARI DELSHAD', 'subscriber_member_id': 'XED913120799', 'subscriber_first_name': 'NEDA'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250707.120512054.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550827/check_9590112_c43379d8-7eba-41f4-af74-780203d5226c.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XED913120799', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'IFP ON EXCHANGE', 'payer_name': 'BLUE SHIELD CALIFORNIA', 'payer_note': None, 'patient_dob': '1979-05-08', 'plan_number': '2001ZK002184', 'group_number': 'X0001004', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'DELSHAD', 'plan_sponsor_name': None, 'patient_first_name': 'ALLEN', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2025-01-01', 'plan_coverage_description': 'SILVER 94 PPO JAN25', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8183815388 | N/A | N/A | 5550827 | 2222 | 4802 | 9321757 | N/A | 4219700 | 2025-07-08 02:08:48.918248 | 2025-05-13 04:29:37.230745 |
| 2025-07-07 09:08:38.368305 | 2025-07-08 02:05:22.415086 | 9590105 | N/A | N/A | {'payer_id': '60054', 'payer_name': 'Aetna', 'provider_npi': '1114042165', 'trace_number': '9590105', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1970-02-16', 'date_of_service': '2025-07-07', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'OCHOA', 'subscriber_member_id': 'W263373040', 'subscriber_first_name': 'JACK'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250707.120512054.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550823/check_9590105_899485d3-e97d-4214-8f06-4e406390aab8.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'W263373040', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'HOSPITAL CORPORATION OF AMERICA', 'payer_name': 'AETNA', 'payer_note': None, 'patient_dob': '1970-02-16', 'plan_number': '0160879', 'group_number': '016087905000013', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'OCHOA', 'plan_sponsor_name': None, 'patient_first_name': 'JACK', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'OPEN CHOICE', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8183815387 | N/A | N/A | 5550823 | 2222 | 4801 | 9320581 | N/A | 4219698 | 2025-07-08 02:05:22.415086 | 2025-05-13 04:29:37.230743 |