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 09:08:06.781062 | 2025-07-08 02:12:13.165863 | 9589177 | N/A | N/A | {'payer_id': 'Z1073', 'payer_name': 'Medicare B California Southern', 'provider_npi': '1114042165', 'trace_number': '9589177', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1947-09-13', 'date_of_service': '2025-07-07', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'ELDRIDGE', 'subscriber_member_id': '2XD1AM4AP01', 'subscriber_first_name': 'MARGARET'} | 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/2222/5536109/check_9589177_da3a5bca-e080-4741-9387-e56254e8c38e.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '2XD1AM4AP01', 'plan_type': 'Medicare Part B', 'group_name': None, 'payer_name': 'UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY', 'payer_note': '0-BENEFICIARY INSURED DUE TO AGE OASI', 'patient_dob': '1947-09-13', 'plan_number': 'S5921', 'group_number': None, 'insurance_type': None, 'plan_type_code': 'MB', 'enrolled_in_qmb': False, 'patient_last_name': 'ELDRIDGE', 'plan_sponsor_name': None, 'patient_first_name': 'MARGARET', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8183817089 | N/A | N/A | 5536109 | 2222 | 4793 | 9322913 | N/A | 4208915 | 2025-07-08 02:12:13.165863 | 2025-07-25 17:30:46.084330 |
| 2025-07-07 09:08:06.632765 | 2025-07-08 05:24:03.015694 | 9589172 | N/A | N/A | {'payer_id': 'Z1073', 'payer_name': 'Medicare B California Southern', 'provider_npi': '1114042165', 'trace_number': '9589172', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1957-12-13', 'date_of_service': '2025-07-07', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'WALLEN', 'subscriber_member_id': '8Q55EE9RC74', 'subscriber_first_name': 'ELLYN'} | 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/2222/6492809/check_9589172_bd51cc54-b992-4f8f-9aca-0572fbdb2498.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '8Q55EE9RC74', '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': '1957-12-13', 'plan_number': 'S5617', 'group_number': None, 'insurance_type': None, 'plan_type_code': 'MA', 'enrolled_in_qmb': False, 'patient_last_name': 'WALLEN', 'plan_sponsor_name': None, 'patient_first_name': 'ELLYN', '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 | 8183747892 | N/A | N/A | 6492809 | 2222 | 4793 | 9337455 | N/A | 5121955 | 2025-07-08 05:24:03.015694 | 2025-06-19 17:23:34.410819 |
| 2025-07-07 09:08:06.410867 | 2025-07-08 02:07:58.427032 | 9589164 | N/A | N/A | {'payer_id': 'CCHPC', 'payer_name': 'Alignment Health Care (Fee For Service)', 'provider_npi': '1114042165', 'trace_number': '9589164', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1952-10-14', 'date_of_service': '2025-07-07', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'CHISARI', 'subscriber_member_id': '00000386684', 'subscriber_first_name': 'THOMAS'} | 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/2222/5536007/check_9589164_a86fb1a8-89a8-40e1-b771-d72e52b09355.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '00000386684', 'plan_type': 'Health Maintenance Organization (HMO)', 'group_name': None, 'payer_name': 'MEDICARE', 'payer_note': 'OVERALL DEDUCTIBLE', 'patient_dob': '1952-10-14', 'plan_number': 'H3815028', 'group_number': None, 'insurance_type': None, 'plan_type_code': 'HM', 'enrolled_in_qmb': False, 'patient_last_name': 'CHISARI', 'plan_sponsor_name': None, 'patient_first_name': 'THOMAS', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'ALIGNMENT HEALTH MY CHOICE (HMO)', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8183817088 | N/A | N/A | 5536007 | 2222 | 4793 | 9321467 | N/A | 4208829 | 2025-07-08 02:07:58.427032 | 2025-06-03 01:05:45.663969 |
| 2025-07-07 09:08:02.017580 | 2025-07-08 05:03:44.348578 | 9589025 | N/A | N/A | {'payer_id': 'REGAL', 'payer_name': 'Regal Medical Group', 'provider_npi': '1114042165', 'trace_number': '9589025', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1949-03-22', 'date_of_service': '2025-07-07', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'NOWAK', 'subscriber_member_id': '31172069101', 'subscriber_first_name': 'DAVID'} | 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/2222/6492025/check_9589025_a7bb166d-c464-4573-bc80-4a5fee57762d.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '31172069101', 'plan_type': None, 'group_name': None, 'payer_name': 'REGAL MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1949-03-22', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'NOWAK', 'plan_sponsor_name': None, 'patient_first_name': 'DAVID', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8183748602 | N/A | N/A | 6492025 | 2222 | 4793 | 9327545 | N/A | 5121181 | 2025-07-08 05:03:44.348578 | 2025-06-19 16:42:31.208252 |
| 2025-07-07 09:07:57.922450 | 2025-07-08 09:06:29.796624 | 9588890 | N/A | N/A | {'payer_id': '60054', 'payer_name': 'Aetna', 'provider_npi': '1114042165', 'trace_number': '9588890', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1994-05-27', 'date_of_service': '2025-07-07', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'KIM', 'subscriber_member_id': 'W288897308', 'subscriber_first_name': 'JOSHUA'} | 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/2222/6134150/check_9588890_82ebc9c5-34ed-4360-8f79-981974fd709e.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'W288897308', 'plan_type': 'Point of Service (POS)', 'group_name': 'ARES MANAGEMENT LLC', 'payer_name': 'AETNA', 'payer_note': None, 'patient_dob': '1995-05-27', 'plan_number': '0804939', 'group_number': '080493901000051', 'insurance_type': None, 'plan_type_code': 'PS', 'enrolled_in_qmb': False, 'patient_last_name': 'KIM', 'plan_sponsor_name': None, 'patient_first_name': 'JOSHUA', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'AETNA CHOICE POS II', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8183744408 | N/A | N/A | 6134150 | 2222 | 4802 | 9339605 | N/A | 4775588 | 2025-07-08 09:06:29.796624 | 2025-12-10 22:39:33.219148 |
| 2025-07-07 09:07:54.426833 | 2025-07-07 09:08:29.178421 | 9588771 | 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': '2025-07-07', '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_9588771_1cb996e7-c01f-44f8-aadc-7fbc3ed00284.json | AVAILITY | N/A | GOOGLE_CLOUD | 2025-07-07 | 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 09:08:29.178421 | 2025-05-13 04:29:37.229495 |
| 2025-07-07 09:07:52.733442 | 2025-07-08 09:13:04.881287 | 9588719 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9588719', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1944-09-13', 'date_of_service': '2025-07-07', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'MARTIN', 'subscriber_member_id': 'DGA11867912J', 'subscriber_first_name': 'DOLLY'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250707.115823804.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550799/check_9588719_f0312a82-4bb8-451c-95c3-32896066c7ec.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '5YV3RT3TA75', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'DIRECTORS GUILD OF AMERICA', 'payer_name': 'MEDICARE B', 'payer_note': None, 'patient_dob': '1944-09-13', 'plan_number': '040', 'group_number': '276945M001', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': '', 'plan_sponsor_name': None, 'patient_first_name': '', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2013-01-01', 'plan_coverage_description': 'PPO PRUDENT BUYER INCENTIVE', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8183740680 | N/A | N/A | 5550799 | 2222 | 4793 | 9340745 | N/A | 4219681 | 2025-07-08 09:13:04.881287 | 2026-01-14 20:54:02.193776 |
| 2025-07-07 09:07:52.595717 | 2025-07-08 09:13:03.127991 | 9588717 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9588717', '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': 'JQE212W23450', 'subscriber_first_name': 'CHARLES'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250707.115823804.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550686/check_9588717_98535f1d-0986-4c3c-bd32-7afe026d4f5d.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'JQE212W23450', 'plan_type': None, 'group_name': 'CA MED-SUPP', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1960-03-13', 'plan_number': '040', 'group_number': 'CASUPWP0', 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'COLLINS', 'plan_sponsor_name': None, 'patient_first_name': 'CHARLES', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2025-04-01', 'plan_coverage_description': 'CA MODERNIZED PLAN G', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8183740679 | N/A | N/A | 5550686 | 2222 | 4801 | 9340739 | N/A | 4219605 | 2025-07-08 09:13:03.127991 | 2025-06-06 16:26:34.530119 |
| 2025-07-07 09:07:52.389671 | 2025-07-08 09:13:02.569792 | 9588710 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9588710', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1951-06-01', 'date_of_service': '2025-07-07', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'BRADBURY', 'subscriber_member_id': 'JQE669W05502', 'subscriber_first_name': 'BONNIE'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250707.115823804.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550535/check_9588710_180b158a-b50c-41b7-841a-4e8b5378ddb9.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'JQE669W05502', 'plan_type': None, 'group_name': 'CA MED-SUPP', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1951-06-01', 'plan_number': '040', 'group_number': 'CASUPWP0', 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'BRADBURY', 'plan_sponsor_name': None, 'patient_first_name': 'BONNIE', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2022-12-01', 'plan_coverage_description': 'CA PLAN F INNOVATIVE', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8183740678 | N/A | N/A | 5550535 | 2222 | 4801 | 9340738 | N/A | 4219556 | 2025-07-08 09:13:02.569792 | 2025-05-13 04:29:37.230592 |
| 2025-07-07 09:07:52.246555 | 2025-07-08 09:13:04.460679 | 9588709 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9588709', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1956-02-24', 'date_of_service': '2025-07-07', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'KUDLATOVA', 'subscriber_member_id': 'JQE069W14577', 'subscriber_first_name': 'MARIE'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250707.115823804.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549472/check_9588709_91bb83bc-f599-49ae-bdd2-1b1380fc1b68.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'JQE069W14577', 'plan_type': None, 'group_name': 'CA MED-SUPP', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1956-02-24', 'plan_number': '040', 'group_number': 'CASUPWP0', 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'KUDLATOVA', 'plan_sponsor_name': None, 'patient_first_name': 'MARIE', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2023-02-01', 'plan_coverage_description': 'CA MODERNIZED PLAN G', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8183740677 | N/A | N/A | 5549472 | 2222 | 4801 | 9340743 | N/A | 4219128 | 2025-07-08 09:13:04.460679 | 2025-05-13 04:29:37.230146 |
| 2025-07-07 09:07:51.930780 | 2025-07-08 09:14:08.619866 | 9588699 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': '1114042165', 'trace_number': '9588699', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1948-07-16', 'date_of_service': '2025-07-07', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'KANDELA', 'subscriber_member_id': 'XEM904119501', 'subscriber_first_name': 'IMAD'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250707.115823804.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543179/check_9588699_6b513b4e-7b04-4745-8cc0-37211841495f.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XEM904119501', 'plan_type': 'Other', 'group_name': 'MEDICARE SUPPLEMENT', 'payer_name': 'MEDICARE PART A AND B', 'payer_note': None, 'patient_dob': '1948-07-16', 'plan_number': '2002SD000004', 'group_number': 'X0001002', 'insurance_type': None, 'plan_type_code': 'OT', 'enrolled_in_qmb': False, 'patient_last_name': 'KANDELA', 'plan_sponsor_name': None, 'patient_first_name': 'IMAD', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'MEDICARE SUPPLEMENT PLAN F', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8183740675 | N/A | N/A | 5543179 | 2222 | 4793 | 9340927 | N/A | 4215003 | 2025-07-08 09:14:08.619866 | 2025-05-13 04:29:37.229322 |
| 2025-07-07 09:07:51.799548 | 2025-07-08 09:02:22.424774 | 9588696 | N/A | N/A | {'payer_id': '111', 'payer_name': 'UNITED AMERICAN INSURANCE COMPANY MED SUPP', 'provider_npi': '1114042165', 'trace_number': '9588696', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1949-12-02', 'date_of_service': '2025-07-07', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'LADEN', 'subscriber_member_id': '008147179', 'subscriber_first_name': 'CANDACE'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250707.115823804.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540775/check_9588696_c351ed6c-16ab-414b-81fc-fa3e4c12f460.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '008147179', 'plan_type': None, 'group_name': None, 'payer_name': 'UNITED AMERICAN INSURANCE COMPANY MED SUPP', 'payer_note': None, 'patient_dob': '1949-12-02', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'LADEN', 'plan_sponsor_name': None, 'patient_first_name': 'CANDACE', '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 | 8183740674 | N/A | N/A | 5540775 | 2222 | 4802 | 9339073 | N/A | 4212856 | 2025-07-08 09:02:22.424774 | 2025-08-04 18:33:35.319989 |
| 2025-07-07 09:07:51.653459 | 2025-07-08 09:13:04.037262 | 9588690 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9588690', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1991-07-13', 'date_of_service': '2025-07-07', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'subscriber_last_name': 'FINNLEY', 'subscriber_member_id': 'M4R134071249001', 'subscriber_first_name': 'ZEV'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250707.115823804.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539665/check_9588690_542e0240-18b2-475f-b24f-ba54f66fe34f.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'NGO832M81089', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': None, 'payer_name': 'COMMERCIAL INSURANCE', 'payer_note': 'FUNDING TYPE = SELF INSURED', 'patient_dob': '1991-07-13', 'plan_number': '379', 'group_number': '174022MJAC', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'FINNLEY', 'plan_sponsor_name': None, 'patient_first_name': 'ZEV', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'NENY PPO BLENDED MED/SURG', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8183740673 | N/A | N/A | 5539665 | 2222 | 4793 | 9340742 | N/A | 4211935 | 2025-07-08 09:13:04.037262 | 2025-05-13 04:29:37.226259 |
| 2025-07-07 09:07:51.351621 | 2025-07-08 09:14:08.985654 | 9588679 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': '1114042165', 'trace_number': '9588679', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1948-08-31', 'date_of_service': '2025-07-07', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'MIYATA', 'subscriber_member_id': 'XEM904724382', 'subscriber_first_name': 'LARAINE'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250707.115823804.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537630/check_9588679_2997bb0e-8436-45da-b2f9-88e9e56e7632.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XEM904724382', 'plan_type': 'Other', 'group_name': 'MEDICARE SUPPLEMENT', 'payer_name': 'MEDICARE PART A AND B', 'payer_note': None, 'patient_dob': '1948-08-31', 'plan_number': '2002SD000004', 'group_number': 'X0001002', 'insurance_type': None, 'plan_type_code': 'OT', 'enrolled_in_qmb': False, 'patient_last_name': 'MIYATA', 'plan_sponsor_name': None, 'patient_first_name': 'LARAINE', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'MEDICARE SUPPLEMENT PLAN F', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8183740671 | N/A | N/A | 5537630 | 2222 | 4802 | 9340928 | N/A | 4210159 | 2025-07-08 09:14:08.985654 | 2025-05-13 04:29:37.224576 |
| 2025-07-07 09:07:51.253840 | 2025-07-08 09:13:03.613688 | 9588677 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9588677', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1947-09-13', 'date_of_service': '2025-07-07', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'ELDRIDGE', 'subscriber_member_id': 'JQE441W06248', 'subscriber_first_name': 'MARGARET'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250707.115823804.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536112/check_9588677_73850c3b-18e9-4955-90da-82c5e0b8484e.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'JQE441W06248', 'plan_type': None, 'group_name': None, 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1947-09-13', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'ELDRIDGE', 'plan_sponsor_name': None, 'patient_first_name': 'MARGARET', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8183740670 | N/A | N/A | 5536112 | 2222 | 4793 | 9340741 | N/A | 4208915 | 2025-07-08 09:13:03.613688 | 2025-07-25 17:30:46.084330 |
| 2025-07-07 09:07:39.154159 | 2025-07-08 02:10:20.091989 | 9588311 | N/A | N/A | {'payer_id': 'Z1073', 'payer_name': 'Medicare B California Southern', 'provider_npi': '1114042165', 'trace_number': '9588311', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1944-10-23', 'date_of_service': '2025-07-07', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'SCHOFIELD', 'subscriber_member_id': '5F35P40FC63', 'subscriber_first_name': 'JAN'} | 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/2222/6601819/check_9588311_7c61d46f-ab2a-4e1f-9c83-4132ea96a6e9.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '5F35P40FC63', 'plan_type': 'Medicare Part A', 'group_name': None, 'payer_name': 'SILVERSCRIPT INSURANCE COMPANY', 'payer_note': '0-BENEFICIARY INSURED DUE TO AGE OASI', 'patient_dob': '1944-10-23', 'plan_number': 'S5601', 'group_number': None, 'insurance_type': None, 'plan_type_code': 'MA', 'enrolled_in_qmb': False, 'patient_last_name': 'SCHOFIELD', 'plan_sponsor_name': None, 'patient_first_name': 'JANET', '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 | 8183822277 | N/A | N/A | 6601819 | 2222 | 4801 | 9322283 | N/A | 5219416 | 2025-07-08 02:10:20.091989 | 2025-06-25 22:58:45.652209 |
| 2025-07-07 09:07:32.604295 | 2025-07-08 05:17:32.844369 | 9588085 | N/A | N/A | {'payer_id': 'Z1073', 'payer_name': 'Medicare B California Southern', 'provider_npi': '1114042165', 'trace_number': '9588085', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1959-05-08', 'date_of_service': '2025-07-07', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'KORY', 'subscriber_member_id': 'MISSINGPOLICYNUMBER', 'subscriber_first_name': 'MICHAEL'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250707.115915045.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5858721/check_9588085_a8a295f1-80ee-4e27-aaac-fdb3babb26c5.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'MISSINGPOLICYNUMBER', 'plan_type': None, 'group_name': None, 'payer_name': 'MEDICARE A B ELIGIBILITY ALL STATES', 'payer_note': None, 'patient_dob': '1959-05-08', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'KORY', 'plan_sponsor_name': None, 'patient_first_name': 'MICHAEL', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8183712453 | N/A | N/A | 5858721 | 2222 | 4793 | 9334584 | N/A | 4214732 | 2025-07-08 05:17:32.844369 | 2025-06-24 20:13:53.579048 |
| 2025-07-07 09:07:31.840195 | 2025-07-08 09:16:05.541901 | 9588059 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9588059', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1948-09-14', 'date_of_service': '2025-07-07', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'Yiannakakis', 'subscriber_member_id': '913624039', 'subscriber_first_name': 'Kathy'} | 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/2222/6124357/check_9588059_5d282925-980b-41b7-b9f6-c06838b31915.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '913624039', 'plan_type': None, 'group_name': None, 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1948-09-14', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'YIANNAKAKIS', 'plan_sponsor_name': None, 'patient_first_name': 'KATHY', '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 | 8183745334 | N/A | N/A | 6124357 | 2222 | 4793 | 9341290 | N/A | 4766950 | 2025-07-08 09:16:05.541901 | 2025-06-03 22:10:54.646473 |
| 2025-07-07 09:07:31.122383 | 2025-07-08 09:02:43.054024 | 9588035 | N/A | N/A | {'payer_id': 'REGAL', 'payer_name': 'Regal Medical Group', 'provider_npi': '1114042165', 'trace_number': '9588035', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1959-10-10', 'date_of_service': '2025-07-07', 'subscriber_gender': 'F', 'service_type_codes': ['PT', 'AE'], 'subscriber_last_name': 'AV', 'subscriber_member_id': 'H6124714500', 'subscriber_first_name': 'KOUI'} | 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/2222/6123813/check_9588035_04236985-a01e-4cca-82e7-44ad5ab6d50c.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'H6124714500', 'plan_type': None, 'group_name': None, 'payer_name': 'REGAL MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1959-10-10', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'AV', 'plan_sponsor_name': None, 'patient_first_name': 'KOUI', '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 | 8183745331 | N/A | N/A | 6123813 | 2222 | 4801 | 9339116 | N/A | 4766544 | 2025-07-08 09:02:43.054024 | 2025-06-03 20:39:17.779681 |
| 2025-07-07 09:07:30.664174 | 2025-07-08 05:10:07.465332 | 9588016 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9588016', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1956-02-24', 'date_of_service': '2025-07-07', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'KUDLATOVA', 'subscriber_member_id': 'JQE069W14577', 'subscriber_first_name': 'MARIE'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250707.115915045.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549472/check_9588016_e04e8493-cc55-49c1-a333-cafe4ad60311.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'JQE069W14577', 'plan_type': None, 'group_name': 'CA MED-SUPP', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1956-02-24', 'plan_number': '040', 'group_number': 'CASUPWP0', 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'KUDLATOVA', 'plan_sponsor_name': None, 'patient_first_name': 'MARIE', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2023-02-01', 'plan_coverage_description': 'CA MODERNIZED PLAN G', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8183712449 | N/A | N/A | 5549472 | 2222 | 4801 | 9330800 | N/A | 4219128 | 2025-07-08 05:10:07.465332 | 2025-05-13 04:29:37.230146 |
| 2025-07-07 09:07:30.265595 | 2025-07-08 05:10:05.726564 | 9588000 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9588000', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1947-09-13', 'date_of_service': '2025-07-07', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'ELDRIDGE', 'subscriber_member_id': 'JQE441W06428', 'subscriber_first_name': 'MARGARET'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250707.115915045.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536115/check_9588000_6c3faaec-4b3a-403b-92d0-1634e373c427.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'JQE441W06428', 'plan_type': None, 'group_name': 'CA MED-SUPP', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1947-09-13', 'plan_number': '040', 'group_number': 'CASUPWP0', 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'ELDRIDGE', 'plan_sponsor_name': None, 'patient_first_name': 'MARGARET', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2021-01-01', 'plan_coverage_description': 'CA MODERNIZED PLAN G', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8183712448 | N/A | N/A | 5536115 | 2222 | 4793 | 9330788 | N/A | 4208915 | 2025-07-08 05:10:05.726564 | 2025-07-25 17:30:46.084330 |
| 2025-07-07 09:07:28.316716 | 2025-07-08 02:10:20.415851 | 9587929 | N/A | N/A | {'payer_id': 'Z1073', 'payer_name': 'Medicare B California Southern', 'provider_npi': '1114042165', 'trace_number': '9587929', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1959-07-21', 'date_of_service': '2025-07-07', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'WASEFY', 'subscriber_member_id': '4RW8PC2HR49', 'subscriber_first_name': 'ROQIA'} | 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/2222/6600203/check_9587929_48b16d07-cd1f-4a2b-b23e-9405b040e9fa.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '4RW8PC2HR49', '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': '1959-07-21', 'plan_number': 'S5617', 'group_number': None, 'insurance_type': None, 'plan_type_code': 'MA', 'enrolled_in_qmb': False, 'patient_last_name': 'WASEFY', 'plan_sponsor_name': None, 'patient_first_name': 'ROQIA', '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 | 8183822255 | N/A | N/A | 6600203 | 2222 | 4801 | 9322286 | N/A | 5217977 | 2025-07-08 02:10:20.415851 | 2025-07-10 21:34:35.765984 |
| 2025-07-07 09:07:18.561479 | 2025-07-08 09:18:32.799641 | 9587592 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': '1114042165', 'trace_number': '9587592', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1994-02-23', 'date_of_service': '2025-07-07', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'SHU', 'subscriber_member_id': 'XAN913831469', 'subscriber_first_name': 'GABRIELA'} | 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/2222/6121701/check_9587592_5bf67a44-637c-4525-a4a8-9cc0bb7d2503.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XAN913831469', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM', 'payer_name': 'BLUE SHIELD CALIFORNIA', 'payer_note': None, 'patient_dob': '1994-02-23', 'plan_number': '1479PPOX0003', 'group_number': 'W0051411', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'SHU', 'plan_sponsor_name': None, 'patient_first_name': 'GABRIELA', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'CALPERS ASO GOLD PPO GROUP BILL', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8183744618 | N/A | N/A | 6121701 | 2222 | 4793 | 9341724 | N/A | 4764460 | 2025-07-08 09:18:32.799641 | 2025-06-04 04:30:06.494155 |
| 2025-07-07 09:07:00.082347 | 2025-07-08 09:02:45.655275 | 9586772 | N/A | N/A | {'payer_id': 'REGAL', 'payer_name': 'Regal Medical Group', 'provider_npi': '1114042165', 'trace_number': '9586772', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '2005-06-10', 'date_of_service': '2025-07-07', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'Kassi', 'subscriber_member_id': '957A5554370', 'subscriber_first_name': 'Keira'} | 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/2222/6113467/check_9586772_da34cd9d-9fed-4177-8d70-534307670781.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '957A5554370', 'plan_type': None, 'group_name': None, 'payer_name': 'REGAL MEDICAL GROUP', 'payer_note': None, 'patient_dob': '2005-06-10', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'KASSI', 'plan_sponsor_name': None, 'patient_first_name': 'KEIRA', '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 | 8183745202 | N/A | N/A | 6113467 | 2222 | 4801 | 9339122 | N/A | 4756194 | 2025-07-08 09:02:45.655275 | 2025-06-02 23:03:52.087356 |
| 2025-07-07 09:06:56.614828 | 2025-07-08 05:10:04.586974 | 9586604 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9586604', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1959-09-07', 'date_of_service': '2025-07-07', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'CICCIARI', 'subscriber_member_id': 'JQE123W23890', 'subscriber_first_name': 'LOUIS'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250707.115915045.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6752939/check_9586604_5ebf476c-ce71-4e6e-abda-b76c5ed4efe1.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'JQE123W23890', 'plan_type': None, 'group_name': 'CA MED-SUPP', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1959-09-07', 'plan_number': '040', 'group_number': 'CASUPWP0', 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'CICCIARI', 'plan_sponsor_name': None, 'patient_first_name': 'LOUIS', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2025-06-01', 'plan_coverage_description': 'CA MODERNIZED PLAN G', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8183712752 | N/A | N/A | 6752939 | 2222 | 4801 | 9330778 | N/A | 5065602 | 2025-07-08 05:10:04.586974 | 2025-07-01 17:25:13.681724 |
| 2025-07-07 09:06:44.343409 | 2025-07-08 05:10:06.618060 | 9585988 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9585988', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1959-07-23', 'date_of_service': '2025-07-07', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'Harvey', 'subscriber_member_id': '282527M002', 'subscriber_first_name': 'Roy'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250707.115915045.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6714942/check_9585988_343862e1-dcc3-49b8-931c-e4e3cc18a1b2.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '282527M002', 'plan_type': None, 'group_name': None, 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1959-07-23', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'HARVEY', 'plan_sponsor_name': None, 'patient_first_name': 'ROY', '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 | 8183711732 | N/A | N/A | 6714942 | 2222 | 4802 | 9330793 | N/A | 5316172 | 2025-07-08 05:10:06.618060 | 2025-07-02 15:09:36.678003 |
| 2025-07-07 09:06:41.766856 | 2025-07-08 09:06:04.657805 | 9585839 | N/A | N/A | {'payer_id': '52192', 'payer_name': 'Bravo Health', 'provider_npi': '1114042165', 'trace_number': '9585839', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1940-03-15', 'date_of_service': '2025-07-07', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'Nishimoto', 'subscriber_member_id': '8NK7JC7CQ39', 'subscriber_first_name': 'Richard'} | 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/2222/6104726/check_9585839_6317d418-a777-4968-b4f3-35eb40cc7994.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '8NK7JC7CQ39', 'plan_type': None, 'group_name': None, 'payer_name': 'BRAVO HEALTH', 'payer_note': None, 'patient_dob': '1940-03-15', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'NISHIMOTO', 'plan_sponsor_name': None, 'patient_first_name': 'RICHARD', '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 | 8183743964 | N/A | N/A | 6104726 | 2222 | 4802 | 9339558 | N/A | 4749110 | 2025-07-08 09:06:04.657805 | 2025-06-02 15:44:17.236968 |
| 2025-07-07 09:06:28.885586 | 2025-07-08 09:15:05.190256 | 9585231 | N/A | N/A | {'payer_id': 'CCHPC', 'payer_name': 'Alignment Health Care (Fee For Service)', 'provider_npi': '1114042165', 'trace_number': '9585231', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1954-02-25', 'date_of_service': '2025-07-07', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'ROBERTS', 'subscriber_member_id': '00000402630', 'subscriber_first_name': 'DEBRA'} | 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/2222/6085762/check_9585231_21664662-1358-485f-bfd2-d30f5ffd6c35.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '00000402630', 'plan_type': 'Health Maintenance Organization (HMO)', 'group_name': None, 'payer_name': 'MEDICARE', 'payer_note': 'OVERALL DEDUCTIBLE', 'patient_dob': '1954-02-25', 'plan_number': 'H3815028', 'group_number': None, 'insurance_type': None, 'plan_type_code': 'HM', 'enrolled_in_qmb': False, 'patient_last_name': 'ROBERTS', 'plan_sponsor_name': None, 'patient_first_name': 'DEBRA', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'ALIGNMENT HEALTH MY CHOICE (HMO)', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8183744974 | N/A | N/A | 6085762 | 2222 | 4793 | 9341094 | N/A | 4729138 | 2025-07-08 09:15:05.190256 | 2025-05-31 14:20:56.156252 |
| 2025-07-07 09:06:23.251652 | 2025-07-08 05:04:50.491464 | 9584956 | N/A | N/A | {'payer_id': '14163', 'payer_name': 'WELLCARE HEALTH PLAN', 'provider_npi': '1114042165', 'trace_number': '9584956', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1957-07-03', 'date_of_service': '2025-07-07', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'ZEPEDA', 'subscriber_member_id': '35046197', 'subscriber_first_name': 'ANA'} | 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/2222/6444130/check_9584956_9affe0da-3f7e-4114-a7c9-589439e6cbbc.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '35046197', 'plan_type': None, 'group_name': None, 'payer_name': 'WELLCARE HEALTH PLANS', 'payer_note': None, 'patient_dob': '1957-07-03', 'plan_number': '406-024-000', 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'ZEPEDA', 'plan_sponsor_name': None, 'patient_first_name': 'ANA', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8183747815 | N/A | N/A | 6444130 | 2222 | 4793 | 9328080 | 6798 | 5083952 | 2025-07-08 05:04:50.491464 | 2025-06-24 21:58:42.583540 |
| 2025-07-07 09:06:08.983010 | 2025-07-08 05:12:44.472519 | 9584373 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9584373', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1965-06-26', 'date_of_service': '2025-07-07', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'MAGHSOUDLOO', 'subscriber_member_id': 'XEA913772161', 'subscriber_first_name': 'FARIBAB'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250707.120430077.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6770593/check_9584373_235a746a-9860-44dc-bd77-1512107a281d.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XEA913772161', 'plan_type': None, 'group_name': None, 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1965-06-26', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'MAGHSOUDLOO', 'plan_sponsor_name': None, 'patient_first_name': 'FARIBAB', '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 | 8183820053 | N/A | N/A | 6770593 | 2222 | 4793 | 9332476 | N/A | 5788398 | 2025-07-08 05:12:44.472519 | 2025-07-31 22:52:15.686379 |
| 2025-07-07 09:06:01.721181 | 2025-07-08 02:02:11.961764 | 9584034 | N/A | N/A | {'payer_id': '14163', 'payer_name': 'Wellcare Health Plans', 'provider_npi': '1114042165', 'trace_number': '9584034', 'provider_name': '', 'subscriber_dob': '1955-08-25', 'date_of_service': '2025-07-07', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'ZEPEDA AMBRIZ', 'subscriber_member_id': '41933827', 'subscriber_first_name': 'LUIS'} | 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/2222/6582940/check_9584034_b552b1cb-8d3d-4e84-9b4a-671c53ccb97e.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '41933827', 'plan_type': None, 'group_name': None, 'payer_name': 'WELLCARE HEALTH PLANS', 'payer_note': None, 'patient_dob': '1955-08-25', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'ZEPEDA AMBRIZ', 'plan_sponsor_name': None, 'patient_first_name': 'LUIS', '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 | 8183823098 | N/A | N/A | 6582940 | 2222 | 4793 | 9319827 | N/A | 5201925 | 2025-07-08 02:02:11.961764 | 2025-06-26 00:47:02.467933 |
| 2025-07-07 09:06:01.474438 | 2025-07-08 09:02:44.310287 | 9584025 | N/A | N/A | {'payer_id': 'REGAL', 'payer_name': 'Regal Medical Group', 'provider_npi': '1114042165', 'trace_number': '9584025', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1972-03-17', 'date_of_service': '2025-07-07', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'subscriber_last_name': 'BARNETT', 'subscriber_member_id': 'JMV357W05874', 'subscriber_first_name': 'MARK'} | 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/2222/6078082/check_9584025_f9610458-88ca-4ba4-bc0a-037457823021.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'JMV357W05874', 'plan_type': None, 'group_name': None, 'payer_name': 'REGAL MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1972-03-17', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'BARNETT', 'plan_sponsor_name': None, 'patient_first_name': 'MARK', '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 | 8183743656 | N/A | N/A | 6078082 | 2222 | 4793 | 9339118 | N/A | 4722340 | 2025-07-08 09:02:44.310287 | 2025-06-06 20:33:59.683125 |
| 2025-07-07 09:05:54.968872 | 2025-07-08 02:01:43.605888 | 9583736 | N/A | N/A | {'payer_id': 'REGAL', 'payer_name': 'Regal Medical Group', 'provider_npi': '1114042165', 'trace_number': '9583736', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1952-01-26', 'date_of_service': '2025-07-07', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'AGHA ZADEH', 'subscriber_member_id': '40034093701', 'subscriber_first_name': 'FIMA'} | 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/2222/6582113/check_9583736_9fb060fc-db8c-4d3a-bfa5-a45ce0187c67.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '40034093701', 'plan_type': None, 'group_name': None, 'payer_name': 'REGAL MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1952-01-26', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'AGHA ZADEH', 'plan_sponsor_name': None, 'patient_first_name': 'FIMA', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8183822955 | N/A | N/A | 6582113 | 2222 | 4801 | 9319740 | N/A | 5201198 | 2025-07-08 02:01:43.605888 | 2025-07-11 22:39:28.411632 |
| 2025-07-07 09:05:52.072983 | 2025-07-08 09:02:34.765779 | 9583613 | N/A | N/A | {'payer_id': 'LMG01', 'payer_name': 'Lakeside Medical Group', 'provider_npi': '1114042165', 'trace_number': '9583613', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1973-03-27', 'date_of_service': '2025-07-07', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'KAUFMAN', 'subscriber_member_id': 'R05917930FM1', 'subscriber_first_name': 'AMANDA'} | 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/2222/6074035/check_9583613_ff363a95-df5e-4797-a971-02f7fc4aaa76.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'R05917930FM1', 'plan_type': None, 'group_name': None, 'payer_name': 'LAKESIDE MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1973-03-27', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'KAUFMAN', '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': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8183745109 | N/A | N/A | 6074035 | 2222 | 4801 | 9339095 | N/A | 4718592 | 2025-07-08 09:02:34.765779 | 2025-05-29 20:00:22.627186 |
| 2025-07-07 09:05:48.702003 | 2025-07-08 05:22:42.193195 | 9583479 | N/A | N/A | {'payer_id': 'Z1073', 'payer_name': 'Medicare B California Southern', 'provider_npi': '1114042165', 'trace_number': '9583479', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1959-09-07', 'date_of_service': '2025-07-07', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'CICCIARI', 'subscriber_member_id': '1AK4JC6NK84', 'subscriber_first_name': 'LOUIS'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250707.120430077.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6752936/check_9583479_ba549bda-5d1e-44d8-871c-8f41639c96b5.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '1AK4JC6NK84', 'plan_type': 'Medicare Part A', 'group_name': None, 'payer_name': 'ANTHEM INSURANCE COMPANIES, INC.', 'payer_note': '0-BENEFICIARY INSURED DUE TO AGE OASI', 'patient_dob': '1959-09-07', 'plan_number': 'S5596', 'group_number': None, 'insurance_type': None, 'plan_type_code': 'MA', 'enrolled_in_qmb': False, 'patient_last_name': 'CICCIARI', 'plan_sponsor_name': None, 'patient_first_name': 'LOUIS', '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 | 8183819643 | N/A | N/A | 6752936 | 2222 | 4801 | 9336618 | N/A | 5065602 | 2025-07-08 05:22:42.193195 | 2025-07-01 17:25:13.681724 |
| 2025-07-07 09:05:45.900409 | 2025-07-08 05:24:00.705604 | 9583379 | N/A | N/A | {'payer_id': 'Z1073', 'payer_name': 'Medicare B California Southern', 'provider_npi': '1114042165', 'trace_number': '9583379', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1958-08-29', 'date_of_service': '2025-07-07', 'subscriber_gender': 'U', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'BARRE', 'subscriber_member_id': '4WR8HF0MV28', 'subscriber_first_name': 'RHONDA'} | 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/2222/6418037/check_9583379_65468cab-e07f-4aaa-a5a2-1ba5aeb02388.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '4WR8HF0MV28', 'plan_type': 'Medicare Part A', 'group_name': None, 'payer_name': 'STATE FUND - CLAIMS PROCESSING C', 'payer_note': '0-BENEFICIARY INSURED DUE TO AGE OASI', 'patient_dob': '1958-08-29', 'plan_number': None, 'group_number': 'DOL 02061998', 'insurance_type': None, 'plan_type_code': 'MA', 'enrolled_in_qmb': False, 'patient_last_name': 'BARRE', '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 | 8183747618 | N/A | N/A | 6418037 | 2222 | 4802 | 9337431 | N/A | 5065797 | 2025-07-08 05:24:00.705604 | 2025-07-28 17:08:00.544400 |
| 2025-07-07 09:05:43.893222 | 2025-07-08 05:07:07.570036 | 9583303 | N/A | N/A | {'payer_id': '60054', 'payer_name': 'Aetna', 'provider_npi': '1114042165', 'trace_number': '9583303', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '2011-02-10', 'date_of_service': '2025-07-07', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'BEANEY', 'subscriber_member_id': 'W286754300', 'subscriber_first_name': 'BLAKE'} | 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/2222/6417592/check_9583303_6cd48020-e383-448f-ae07-1f40de7d1589.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'W286754300', 'plan_type': 'Point of Service (POS)', 'group_name': 'ASTRAZENECA PHARMACEUTICALS LP', 'payer_name': 'AETNA', 'payer_note': None, 'patient_dob': '2011-02-10', 'plan_number': '0192654', 'group_number': '019265403800001', 'insurance_type': None, 'plan_type_code': 'PS', 'enrolled_in_qmb': False, 'patient_last_name': 'BEANEY', 'plan_sponsor_name': None, 'patient_first_name': 'KASI', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'AETNA CHOICE POS II', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8183747610 | N/A | N/A | 6417592 | 2222 | 4802 | 9329107 | N/A | 5065296 | 2025-07-08 05:07:07.570036 | 2025-06-17 15:56:39.436060 |
| 2025-07-07 09:05:34.945602 | 2025-07-08 09:02:45.035818 | 9582952 | N/A | N/A | {'payer_id': 'REGAL', 'payer_name': 'Regal Medical Group', 'provider_npi': '1114042165', 'trace_number': '9582952', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1993-12-11', 'date_of_service': '2025-07-07', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'FREEMAN', 'subscriber_member_id': 'XDM000900795', 'subscriber_first_name': 'NICOLE'} | 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/2222/6068071/check_9582952_b101487e-a474-452b-8313-b42312c53572.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XDM000900795', 'plan_type': None, 'group_name': None, 'payer_name': 'REGAL MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1993-12-11', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'FREEMAN', 'plan_sponsor_name': None, 'patient_first_name': 'NICOLE', '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 | 8183743925 | N/A | N/A | 6068071 | 2222 | 4801 | 9339121 | N/A | 4713009 | 2025-07-08 09:02:45.035818 | 2025-05-30 17:56:41.585988 |
| 2025-07-07 09:05:34.660666 | 2025-07-08 09:31:18.490331 | 9582937 | N/A | N/A | {'payer_id': 'Z1073', 'payer_name': 'Medicare B California Southern', 'provider_npi': '1114042165', 'trace_number': '9582937', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1943-02-13', 'date_of_service': '2025-07-07', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'DAVIS', 'subscriber_member_id': '3M07R08AX76', 'subscriber_first_name': 'HOLLY'} | 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/2222/6068062/check_9582937_5955edc7-8e57-4eac-b109-e5c3236eb944.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '3M07R08AX76', 'plan_type': 'Medicare Part B', 'group_name': None, 'payer_name': 'ANTHEM INSURANCE COMPANIES, INC.', 'payer_note': '0-BENEFICIARY INSURED DUE TO AGE OASI', 'patient_dob': '1943-02-13', 'plan_number': 'S5596', 'group_number': None, 'insurance_type': None, 'plan_type_code': 'MB', 'enrolled_in_qmb': False, 'patient_last_name': 'DAVIS', 'plan_sponsor_name': None, 'patient_first_name': 'HOLLY', '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 | 8183743924 | N/A | N/A | 6068062 | 2222 | 4802 | 9342612 | N/A | 4713002 | 2025-07-08 09:31:18.490331 | 2025-06-03 01:39:13.971712 |
| 2025-07-07 09:05:33.919198 | 2025-07-08 05:10:08.784700 | 9582905 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9582905', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1944-10-23', 'date_of_service': '2025-07-07', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'SCHOFIELD', 'subscriber_member_id': 'JQE410M94549', 'subscriber_first_name': 'JAN'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250707.115915045.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6601826/check_9582905_4b2078ae-2ba9-442a-a50f-0337a1f1323e.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'JQE410M94549', 'plan_type': None, 'group_name': 'CA MED-SUPP', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1944-10-23', 'plan_number': '040', 'group_number': 'CASUPWP0', 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'SCHOFIELD', 'plan_sponsor_name': None, 'patient_first_name': 'JANET', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2018-04-01', 'plan_coverage_description': 'CA MODERNIZED PLAN G', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8183712099 | N/A | N/A | 6601826 | 2222 | 4801 | 9330813 | N/A | 5219416 | 2025-07-08 05:10:08.784700 | 2025-06-25 22:58:45.652209 |
| 2025-07-07 09:05:11.230857 | 2025-07-08 02:01:39.619229 | 9582162 | N/A | N/A | {'payer_id': 'LMG01', 'payer_name': 'Lakeside Medical Group', 'provider_npi': '1114042165', 'trace_number': '9582162', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1975-07-06', 'date_of_service': '2025-07-07', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'FERNANDO', 'subscriber_member_id': '391A5620540', 'subscriber_first_name': 'MANORY'} | 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/2222/6574729/check_9582162_55463bfd-62b2-4f38-b321-d3e15b2d65cb.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '391A5620540', 'plan_type': None, 'group_name': None, 'payer_name': 'LAKESIDE MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1975-07-06', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'FERNANDO', 'plan_sponsor_name': None, 'patient_first_name': 'MANORY', '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 | 8183822755 | N/A | N/A | 6574729 | 2222 | 4793 | 9319728 | N/A | 5195072 | 2025-07-08 02:01:39.619229 | 2025-07-02 23:59:09.756169 |
| 2025-07-07 09:05:05.971101 | 2025-07-07 09:05:27.138234 | 9581969 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '2002-02-06', 'date_of_service': '2025-07-07', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'insurance_company_id': 4191, 'subscriber_last_name': 'MANALO LAMANNA', 'subscriber_member_id': 'GSC134174111001', 'subscriber_first_name': 'ISADORE'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6554790/check_9581969_6a75b8ac-973a-45ee-bb3c-62da5a149599.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6554790/check_9581969_6f06062e-1881-4f6e-8bfa-7b92be213e99.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'GSC134174111001', 'plan_type': None, 'group_name': None, 'payer_name': 'BLUE SHIELD CALIFORNIA', 'payer_note': None, 'patient_dob': '2002-02-06', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'MANALO LAMANNA', 'plan_sponsor_name': None, 'patient_first_name': 'ISADORE', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6554790 | 2222 | N/A | 9305874 | N/A | 5177947 | 2025-07-07 09:05:27.138234 | 2025-07-01 19:04:04.764299 |
| 2025-07-07 09:04:50.981210 | 2025-07-07 09:05:05.952838 | 9581441 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '2002-02-06', 'date_of_service': '2025-07-07', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'insurance_company_id': 4191, 'subscriber_last_name': 'MANALO LAMANNA', 'subscriber_member_id': 'GSC134174111001', 'subscriber_first_name': 'ISADORE'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6554790/check_9581441_0c0ebfce-f041-4c9b-85aa-aaf246fbb0a7.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-07 | N/A | N/A | N/A | N/A | N/A | N/A | {'member_id': 'GSC134174111001', 'plan_type': None, 'group_name': None, 'payer_name': 'BLUE SHIELD CALIFORNIA', 'payer_note': None, 'patient_dob': '2002-02-06', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'MANALO LAMANNA', 'plan_sponsor_name': None, 'patient_first_name': 'ISADORE', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6554790 | 2222 | N/A | N/A | N/A | 5177947 | 2025-07-07 09:05:05.952838 | 2025-07-01 19:04:04.764299 |
| 2025-07-07 09:04:40.847291 | 2025-07-08 05:12:13.457267 | 9581085 | N/A | N/A | {'payer_id': 'CCHPC', 'payer_name': 'Alignment Health Care (Fee For Service)', 'provider_npi': '1114042165', 'trace_number': '9581085', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1950-06-14', 'date_of_service': '2025-07-07', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'MIESSNER', 'subscriber_member_id': '00000302558', 'subscriber_first_name': 'CHERYLL'} | 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/2222/6398725/check_9581085_3afe4563-31db-43ef-8a88-5e39ff97f14f.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '00000302558', 'plan_type': 'Health Maintenance Organization (HMO)', 'group_name': None, 'payer_name': 'MEDICARE', 'payer_note': 'OVERALL DEDUCTIBLE', 'patient_dob': '1950-06-14', 'plan_number': 'H3815028', 'group_number': None, 'insurance_type': None, 'plan_type_code': 'HM', 'enrolled_in_qmb': False, 'patient_last_name': 'MIESSNER', 'plan_sponsor_name': None, 'patient_first_name': 'CHERYLL', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'ALIGNMENT HEALTH MY CHOICE (HMO)', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8183746733 | N/A | N/A | 6398725 | 2222 | 4801 | 9332116 | N/A | 5046278 | 2025-07-08 05:12:13.457267 | 2025-06-15 19:17:04.043327 |
| 2025-07-07 09:04:39.257355 | 2025-07-08 05:07:08.461309 | 9581041 | N/A | N/A | {'payer_id': '60054', 'payer_name': 'Aetna', 'provider_npi': '1114042165', 'trace_number': '9581041', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1963-03-10', 'date_of_service': '2025-07-07', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'HASSHAW', 'subscriber_member_id': 'W257198312', 'subscriber_first_name': 'LAURA'} | 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/2222/6398687/check_9581041_f60b6838-e807-43b9-8513-c1dc131df386.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'W257198312', 'plan_type': 'Point of Service (POS)', 'group_name': 'EXL SERVICE.COM, LLC', 'payer_name': 'AETNA', 'payer_note': None, 'patient_dob': '1963-03-10', 'plan_number': '0847788', 'group_number': '084778801000201', 'insurance_type': None, 'plan_type_code': 'PS', 'enrolled_in_qmb': False, 'patient_last_name': 'HASSHAW', 'plan_sponsor_name': None, 'patient_first_name': 'LAURA', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'AETNA CHOICE POS II', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8183746728 | N/A | N/A | 6398687 | 2222 | 4793 | 9329113 | N/A | 5046244 | 2025-07-08 05:07:08.461309 | 2025-06-20 22:35:45.756703 |
| 2025-07-07 09:04:38.762751 | 2025-07-08 05:12:45.364494 | 9581026 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9581026', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '2008-02-17', 'date_of_service': '2025-07-07', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'HARO', 'subscriber_member_id': 'N5X1918954204', 'subscriber_first_name': 'JILLIAN'} | 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/2222/6398683/check_9581026_fad0faa3-4c7e-48a9-8862-23c2dd1e4ef9.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'N5X1918954204', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': '014652 BC PPO CLASSIC - ACTIVE - CA', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '2008-02-17', 'plan_number': None, 'group_number': '014666', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'HARO', 'plan_sponsor_name': None, 'patient_first_name': 'PETE', 'patient_middle_name': None, 'date_time_period_end': '2034-02-28', 'date_time_period_start': '2023-01-01', 'plan_coverage_description': 'ACTIVE PPO PLAN_13214', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8183746726 | N/A | N/A | 6398683 | 2222 | 4801 | 9332483 | N/A | 5046240 | 2025-07-08 05:12:45.364494 | 2025-07-01 04:05:26.762675 |
| 2025-07-07 09:04:36.566726 | 2025-07-08 05:12:47.038110 | 9580960 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9580960', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1948-01-30', 'date_of_service': '2025-07-07', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'MCCLURE', 'subscriber_member_id': 'MBL696W01144', 'subscriber_first_name': 'MARYJOYCE'} | 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/2222/6398643/check_9580960_9a4f6a07-33cb-4f05-8ace-a508da8ad9f8.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'MBL696W01144', 'plan_type': None, 'group_name': 'LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD)', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1948-01-30', 'plan_number': '040', 'group_number': 'CAEGR005', 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'MCCLURE', 'plan_sponsor_name': None, 'patient_first_name': 'MARY JOYCE', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2021-01-01', 'plan_coverage_description': 'CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8183746716 | N/A | N/A | 6398643 | 2222 | 4802 | 9332496 | N/A | 5046201 | 2025-07-08 05:12:47.038110 | 2025-06-29 23:13:38.853692 |
| 2025-07-07 09:04:36.093982 | 2025-07-08 05:12:48.322352 | 9580946 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9580946', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1960-11-20', 'date_of_service': '2025-07-07', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'RUND', 'subscriber_member_id': 'JQU141A61623', 'subscriber_first_name': 'Stephanie'} | 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/2222/6398636/check_9580946_d8e18ab1-c0a5-4a6a-b436-5ffe940ec768.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'JQU141A61623', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'BRUCE EDWARDS DDS', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1960-11-20', 'plan_number': '040', 'group_number': '225912', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'RUND', 'plan_sponsor_name': None, 'patient_first_name': 'STEPHANIE', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2024-12-01', 'plan_coverage_description': 'ANTHEM GOLD PPO 30/500/20% RXD', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8183746714 | N/A | N/A | 6398636 | 2222 | 4802 | 9332509 | N/A | 5046194 | 2025-07-08 05:12:48.322352 | 2026-01-06 19:15:31.520951 |
| 2025-07-07 09:04:33.771644 | 2025-07-08 05:24:50.755130 | 9580879 | N/A | N/A | {'payer_id': 'Z1073', 'payer_name': 'Medicare B California Southern', 'provider_npi': '1114042165', 'trace_number': '9580879', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1959-07-23', 'date_of_service': '2025-07-07', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'Harvey', 'subscriber_member_id': '1D65Z29PD77', 'subscriber_first_name': 'Roy'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250707.120430077.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6714928/check_9580879_2f778161-e9d1-4de9-9795-bb7bc8608ef6.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '1D65Z29PD77', 'plan_type': None, 'group_name': None, 'payer_name': 'MEDICARE A B ELIGIBILITY ALL STATES', 'payer_note': None, 'patient_dob': '1959-07-23', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'HARVEY', 'plan_sponsor_name': None, 'patient_first_name': 'ROY', '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 | 8183819564 | N/A | N/A | 6714928 | 2222 | 4802 | 9337831 | N/A | 5316172 | 2025-07-08 05:24:50.755130 | 2025-07-02 15:09:36.678003 |
| 2025-07-07 09:04:25.234151 | 2025-07-08 05:11:08.754664 | 9580600 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': '1114042165', 'trace_number': '9580600', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1957-12-13', 'date_of_service': '2025-07-07', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'WALLEN', 'subscriber_member_id': 'XEM911802583', 'subscriber_first_name': 'ELLYN'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250707.115915045.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6492841/check_9580600_c7493ec7-c99b-436c-9ab2-afd922f10172.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XEM911802583', 'plan_type': 'Other', 'group_name': 'MEDICARE SUPPLEMENT', 'payer_name': 'MEDICARE PART A AND B', 'payer_note': None, 'patient_dob': '1957-12-13', 'plan_number': '2002SF000028', 'group_number': 'X0001002', 'insurance_type': None, 'plan_type_code': 'OT', 'enrolled_in_qmb': False, 'patient_last_name': 'WALLEN', 'plan_sponsor_name': None, 'patient_first_name': 'ELLYN', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'MEDICARE SUPPLEMENT PLAN G', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8183711997 | N/A | N/A | 6492841 | 2222 | 4793 | 9331332 | N/A | 5121955 | 2025-07-08 05:11:08.754664 | 2025-06-19 17:23:34.410819 |