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 09:04:08.192797 | 2025-07-08 05:12:44.616689 | 9580086 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9580086', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1959-05-18', 'date_of_service': '2025-07-07', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'BARRUNDIA DE AVENDAN', 'subscriber_member_id': 'JQW789W20031', 'subscriber_first_name': 'M'} | 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/2222/6236229/check_9580086_46f1ce5c-3594-42d6-aa0d-a9491e186c4c.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'JQW789W20031', 'plan_type': 'Medicare Primary', 'group_name': 'CA MEDICARE', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1959-05-18', 'plan_number': '040', 'group_number': 'CAMCRWP0', 'insurance_type': None, 'plan_type_code': 'MP', 'enrolled_in_qmb': False, 'patient_last_name': 'BARRUNDIA DE AVENDAN', 'plan_sponsor_name': None, 'patient_first_name': 'M', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2024-05-01', 'plan_coverage_description': 'CA H4471-005-000 ANTHEM DUAL ADVANTAGE (HMO D-SNP)', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8183747547 | N/A | N/A | 6236229 | 2222 | 4801 | 9332477 | N/A | 4642900 | 2025-07-08 05:12:44.616689 | 2025-12-12 21:30:04.843166 |
| 2025-07-07 09:04:07.659374 | 2025-07-07 09:04:14.510441 | 9580068 | N/A | N/A | {'payer_id': '62308', 'payer_name': 'American Specialty Health', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1996-12-19', 'date_of_service': '2025-07-07', 'subscriber_gender': 'M', 'service_type_codes': ['AD'], 'insurance_company_id': 1534, 'subscriber_last_name': 'BEMANIAN', 'subscriber_member_id': 'U7704317301', 'subscriber_first_name': 'SHANDIS'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542326/check_9580068_2e0cf0db-0abc-42dc-878c-73f8cd8c0373.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542326/check_9580068_16ba77b6-439c-4965-be36-97f82e4051fc.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'U7704317301', 'plan_type': None, 'group_name': 'EP CARES', 'payer_name': 'CGLIC', 'payer_note': None, 'patient_dob': '1996-12-19', 'plan_number': None, 'group_number': '3339171', 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'BEMANIAN', 'plan_sponsor_name': None, 'patient_first_name': 'SHANDIS', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'OPEN ACCESS PLUS', 'relationship_to_subscriber': None} | ['AD'] | N/A | N/A | N/A | N/A | N/A | 8183658315 | N/A | N/A | 5542326 | 2222 | N/A | 9305696 | N/A | 4214255 | 2025-07-07 09:04:14.510441 | 2025-05-06 20:16:21.575355 |
| 2025-07-07 09:03:34.160403 | 2025-07-08 02:07:25.839725 | 9579215 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': '1114042165', 'trace_number': '9579215', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1986-12-12', 'date_of_service': '2025-07-07', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'subscriber_last_name': 'Nagourney', 'subscriber_member_id': 'Q3N579W10549', 'subscriber_first_name': 'Sam'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250707.120435197.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6567077/check_9579215_6f9d3964-c910-4d8e-8523-e907fa268820.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'Q3N579W10549', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'PPO 1000', 'payer_name': 'BLUE SHIELD OF CALIFORNIA', 'payer_note': None, 'patient_dob': '1986-12-12', 'plan_number': '243', 'group_number': '721352N14M', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'NAGOURNEY', 'plan_sponsor_name': None, 'patient_first_name': 'SAM', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2025-07-01', 'plan_coverage_description': 'PPO NY', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8183821760 | N/A | N/A | 6567077 | 2222 | 4802 | 9321292 | N/A | 5189425 | 2025-07-08 02:07:25.839725 | 2025-06-24 16:19:19.180675 |
| 2025-07-07 09:03:07.955209 | 2025-07-08 05:12:46.206799 | 9578609 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9578609', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1943-04-04', 'date_of_service': '2025-07-07', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'subscriber_last_name': 'KASONDRA', 'subscriber_member_id': 'JQS982A24769', 'subscriber_first_name': 'JAYESH'} | 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/2222/6226525/check_9578609_c048699e-3d5f-4e31-8921-619c37e453ae.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'JQS982A24769', 'plan_type': 'Medicare Primary', 'group_name': 'CA MEDICARE', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1943-04-04', 'plan_number': '040', 'group_number': 'CAMCRWP0', 'insurance_type': None, 'plan_type_code': 'MP', 'enrolled_in_qmb': False, 'patient_last_name': 'KASONDRA', 'plan_sponsor_name': None, 'patient_first_name': 'JAYESH', '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 | 8183748070 | N/A | N/A | 6226525 | 2222 | 4801 | 9332488 | N/A | 4874079 | 2025-07-08 05:12:46.206799 | 2025-06-11 23:55:57.341570 |
| 2025-07-07 09:03:03.780542 | 2025-07-08 05:04:48.736532 | 9578509 | N/A | N/A | {'payer_id': '14163', 'payer_name': 'Wellcare Health Plans', 'provider_npi': '1114042165', 'trace_number': '9578509', 'provider_name': '', 'subscriber_dob': '1947-12-04', 'date_of_service': '2025-07-07', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'MURRAY', 'subscriber_member_id': '27528113', 'subscriber_first_name': 'HESTER'} | 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/2222/6225666/check_9578509_6fcbf28f-19bf-4967-bb34-cb449a64e5cf.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '27528113', 'plan_type': None, 'group_name': None, 'payer_name': 'WELLCARE HEALTH PLANS', 'payer_note': None, 'patient_dob': '1947-12-04', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'MURRAY', 'plan_sponsor_name': None, 'patient_first_name': 'HESTER', '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 | 8183747760 | N/A | N/A | 6225666 | 2222 | 4801 | 9328068 | N/A | 4873309 | 2025-07-08 05:04:48.736532 | 2025-06-30 14:46:58.881605 |
| 2025-07-07 09:02:46.180681 | 2025-07-08 09:10:32.401113 | 9578100 | N/A | N/A | {'payer_id': '62308', 'payer_name': 'American Specialty Health', 'provider_npi': '1114042165', 'trace_number': '9578100', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1967-02-21', 'date_of_service': '2025-07-07', 'subscriber_gender': 'F', 'service_type_codes': ['AD'], 'subscriber_last_name': 'LEVINE', 'subscriber_member_id': '110561060', 'subscriber_first_name': 'ROCIO'} | 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/2222/5994830/check_9578100_59cae67b-a74e-4fe3-b63f-c3c30947ea7e.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '11056106000', 'plan_type': None, 'group_name': 'CYDCOR, LLC', 'payer_name': 'CHLIC', 'payer_note': 'NEW BUSINESS RATES APPLIED COMPLETE CARE MANAGEMENT', 'patient_dob': '1967-02-21', 'plan_number': None, 'group_number': '00654768', 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'LEVINE', 'plan_sponsor_name': None, 'patient_first_name': 'ROCIO', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'OPEN ACCESS PLUS', 'relationship_to_subscriber': None} | ['AD'] | N/A | N/A | N/A | N/A | N/A | 8183745058 | N/A | N/A | 5994830 | 2222 | 4793 | 9340288 | N/A | 4210945 | 2025-07-08 09:10:32.401113 | 2025-06-24 15:38:48.246227 |
| 2025-07-07 09:02:44.489222 | 2025-07-08 02:02:52.886989 | 9578057 | N/A | N/A | {'payer_id': '60054', 'payer_name': 'Aetna', 'provider_npi': '1114042165', 'trace_number': '9578057', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1993-09-26', 'date_of_service': '2025-07-07', 'subscriber_gender': 'U', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'Hamilton', 'subscriber_member_id': 'W292751187', 'subscriber_first_name': 'Kevin'} | 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/2222/6555606/check_9578057_f42ecb6d-62b3-4459-95f9-0f3668190c37.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'W292751187', 'plan_type': None, 'group_name': None, 'payer_name': 'AETNA', 'payer_note': None, 'patient_dob': '1993-09-26', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'HAMILTON', 'plan_sponsor_name': None, 'patient_first_name': 'KEVIN', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8183821491 | N/A | N/A | 6555606 | 2222 | 4802 | 9319946 | N/A | 5178755 | 2025-07-08 02:02:52.886989 | 2025-07-17 17:42:32.068740 |
| 2025-07-07 09:02:42.279433 | 2025-07-08 09:31:16.166298 | 9578009 | N/A | N/A | {'payer_id': 'Z1073', 'payer_name': 'Medicare B California Southern', 'provider_npi': '1114042165', 'trace_number': '9578009', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1959-07-02', 'date_of_service': '2025-07-07', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'BALLETTA', 'subscriber_member_id': '8XJ1TM6DQ90', 'subscriber_first_name': 'EDWARD'} | 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/2222/5993961/check_9578009_2b692eda-c0d4-4b59-ba36-cc280b4c8108.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '8XJ1TM6DQ90', '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': '1959-07-02', 'plan_number': 'S5617', 'group_number': None, 'insurance_type': None, 'plan_type_code': 'MA', '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 | 8183745047 | N/A | N/A | 5993961 | 2222 | 4793 | 9342610 | N/A | 4642893 | 2025-07-08 09:31:16.166298 | 2025-05-28 20:58:29.913655 |
| 2025-07-07 09:02:41.947941 | 2025-07-08 09:12:35.563704 | 9578003 | N/A | N/A | {'payer_id': '72261', 'payer_name': 'Scan Health Plan - California', 'provider_npi': '1114042165', 'trace_number': '9578003', 'provider_name': '', 'subscriber_dob': '1952-08-31', 'date_of_service': '2025-07-07', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'CARRILLO', 'subscriber_member_id': '40025807501', 'subscriber_first_name': 'LAURA'} | 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/2222/5993946/check_9578003_2547f202-fc50-4603-adee-ca39af6a078e.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '40025807501', 'plan_type': None, 'group_name': None, 'payer_name': 'SCAN HEALTH PLAN - CALIFORNIA', 'payer_note': None, 'patient_dob': '1952-08-31', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'CARRILLO', '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': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8183745046 | N/A | N/A | 5993946 | 2222 | 4801 | 9340660 | N/A | 4642883 | 2025-07-08 09:12:35.563704 | 2025-05-30 18:05:44.781764 |
| 2025-07-07 09:02:41.632129 | 2025-07-08 09:16:04.196539 | 9577995 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9577995', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1993-10-14', 'date_of_service': '2025-07-07', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'subscriber_last_name': 'SPENCE', 'subscriber_member_id': 'SGEFW1503472', 'subscriber_first_name': 'STEPHEN'} | 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/2222/5993917/check_9577995_bf91e070-d42e-4ad0-8d12-371634cd7549.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'SGEFW1503472', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'UNITED FOOD & COMMERCIAL WORKERS UNION', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1993-10-14', 'plan_number': '040', 'group_number': '276886M003', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'SPENCE', 'plan_sponsor_name': None, 'patient_first_name': 'STEPHEN', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2024-01-01', 'plan_coverage_description': 'PPO PRUDENT BUYER INCENTIVE', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8183745045 | N/A | N/A | 5993917 | 2222 | 4793 | 9341287 | N/A | 4642854 | 2025-07-08 09:16:04.196539 | 2025-05-28 20:57:05.075130 |
| 2025-07-07 09:02:41.258862 | 2025-07-08 09:14:35.721076 | 9577988 | N/A | N/A | {'payer_id': '95567', 'payer_name': 'Health Net of California and Oregon', 'provider_npi': '1114042165', 'trace_number': '9577988', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1983-05-31', 'date_of_service': '2025-07-07', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'JOHNSON', 'subscriber_member_id': 'R04617470MM1', 'subscriber_first_name': 'ROTH'} | 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/2222/5993907/check_9577988_5e72c822-e8d4-48ea-8c81-72a01969b63e.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'R04617470MM1', 'plan_type': None, 'group_name': None, 'payer_name': 'HEALTH NET, LLC', 'payer_note': None, 'patient_dob': '1983-05-31', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'JOHNSON', 'plan_sponsor_name': None, 'patient_first_name': 'ROTH', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'K7Z PPOSBG', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8183745044 | N/A | N/A | 5993907 | 2222 | 4793 | 9341004 | N/A | 4534544 | 2025-07-08 09:14:35.721076 | 2025-05-28 20:51:40.104091 |
| 2025-07-07 09:02:41.044281 | 2025-07-08 02:07:17.122433 | 9577983 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': '1114042165', 'trace_number': '9577983', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '2002-02-06', 'date_of_service': '2025-07-07', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'MANALO LAMANNA', 'subscriber_member_id': 'GSC134174111001', 'subscriber_first_name': 'ISADORE'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250707.120435197.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6554790/check_9577983_62d39485-7094-4a45-9e5e-e590a8e0df64.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 | 8183821482 | N/A | N/A | 6554790 | 2222 | 4793 | 9321246 | N/A | 5177947 | 2025-07-08 02:07:17.122433 | 2025-07-01 19:04:04.764299 |
| 2025-07-07 09:02:40.395561 | 2025-07-08 05:08:32.317563 | 9577965 | N/A | N/A | {'payer_id': '61101', 'payer_name': 'Humana (and subsidiaries) claims', 'provider_npi': '1114042165', 'trace_number': '9577965', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1950-06-01', 'date_of_service': '2025-07-07', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'MCDEVITT', 'subscriber_member_id': 'H7220666800', 'subscriber_first_name': 'GUADALUPE'} | 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/2222/6221805/check_9577965_9bf2d906-853c-41c6-acc0-9ca2e64aff84.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'H72206668', 'plan_type': 'Health Maintenance Organization (HMO) - Medicare Risk', 'group_name': 'ARCNDINN HENLTH PLNN, INC.', 'payer_name': 'HUMANA', 'payer_note': '076 659 GOLD+/EMP HMO - ALL OTHR WA THIS MEMBER MAY BE ELIGIBLE FOR A FREE FITNESS MEMBERSHIP THROUGH SILVERSNEAKERS OR SILVER&FIT. PLEASE ENCOURAGE HIM OR HER TO CALL SILVERSNEAKERS AT 1-888-423-4632 (FOR MOST STATES) OR SILVER&FIT AT 1-877-427-4788 (FOR ARIZONA AND PENNSYLVANIA) FOR ELIGIB', 'patient_dob': '1950-06-01', 'plan_number': None, 'group_number': '0B527001', 'insurance_type': None, 'plan_type_code': 'HN', 'enrolled_in_qmb': False, 'patient_last_name': 'MCDEVITT', 'plan_sponsor_name': None, 'patient_first_name': 'GUADALUPE', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'HUMANA GOLD PLUS', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8183748050 | N/A | N/A | 6221805 | 2222 | 4801 | 9329994 | N/A | 4865742 | 2025-07-08 05:08:32.317563 | 2025-06-11 15:46:59.098537 |
| 2025-07-07 09:02:33.670506 | 2025-07-08 02:02:30.218339 | 9577778 | N/A | N/A | {'payer_id': '38333', 'payer_name': 'Molina Healthcare of California', 'provider_npi': '1114042165', 'trace_number': '9577778', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1969-06-12', 'date_of_service': '2025-07-07', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'Ballatore', 'subscriber_member_id': '90665617F', 'subscriber_first_name': 'Chloe'} | 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/2222/6553125/check_9577778_83aabed9-b745-4b8a-abe1-ad32d16dfc1a.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '90665617F', 'plan_type': None, 'group_name': None, 'payer_name': 'MOLINA_CA', 'payer_note': 'MEDICAID REDETERMINATION DATE 12/31/25 NO CONFIDENTIAL COMMUNICATIONS REQUEST ON FILE (SEE CA CIV. CODE 56.107 RE MEDICAL INFORMATION CONFIDENTIALITY)', 'patient_dob': '1969-06-12', 'plan_number': 'TFU223BP0000007', 'group_number': 'QMXEM01909', 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'BALLATORE', 'plan_sponsor_name': None, 'patient_first_name': 'CHLOE', 'patient_middle_name': None, 'date_time_period_end': '2078-12-31', 'date_time_period_start': '2024-03-01', 'plan_coverage_description': 'ACA - LA', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8183821465 | N/A | N/A | 6553125 | 2222 | 4802 | 9319880 | N/A | 5176363 | 2025-07-08 02:02:30.218339 | 2025-06-23 23:46:22.182955 |
| 2025-07-07 09:02:30.859413 | 2025-07-08 05:10:08.165178 | 9577674 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9577674', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1944-05-05', 'date_of_service': '2025-07-07', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'NOVORR', 'subscriber_member_id': 'U5X043M87191', 'subscriber_first_name': 'JAMES'} | 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/2222/6210781/check_9577674_9e834a81-9723-48c9-a89d-5f028368f715.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '5TE2WD0CR85', 'plan_type': 'Indemnity', 'group_name': 'UNIVERSITY OF CALIFORNIA', 'payer_name': 'MEDICARE D', 'payer_note': None, 'patient_dob': '1944-05-05', 'plan_number': '040', 'group_number': '280509C475', 'insurance_type': None, 'plan_type_code': 'IN', 'enrolled_in_qmb': False, 'patient_last_name': '', 'plan_sponsor_name': None, 'patient_first_name': '', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2024-11-01', 'plan_coverage_description': 'UC MEDICARE PPO', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8183712143 | N/A | N/A | 6210781 | 2222 | 4801 | 9330807 | N/A | 4853447 | 2025-07-08 05:10:08.165178 | 2025-06-30 18:48:47.810039 |
| 2025-07-07 09:02:28.025713 | 2025-07-08 05:11:06.836595 | 9577559 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': '1114042165', 'trace_number': '9577559', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1945-10-03', 'date_of_service': '2025-07-07', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'CAVELLA', 'subscriber_member_id': 'XEA913628752', 'subscriber_first_name': 'EMIL'} | 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/2222/6203312/check_9577559_9231e344-435f-4fe8-8cde-230ec54c418b.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XAN913628752', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM', 'payer_name': 'MEDICARE PART A AND B', 'payer_note': None, 'patient_dob': '1945-10-03', 'plan_number': '1002VX000001', 'group_number': 'W0051411', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'CAVELLA', 'plan_sponsor_name': None, 'patient_first_name': 'EMIL', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'CALPERS ASO VISION', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8183712125 | N/A | N/A | 6203312 | 2222 | 4801 | 9331315 | N/A | 4846213 | 2025-07-08 05:11:06.836595 | 2025-06-10 21:58:09.734801 |
| 2025-07-07 09:02:23.160970 | 2025-07-08 05:10:33.189925 | 9577373 | N/A | N/A | {'payer_id': '62308', 'payer_name': 'CIGNA (Connecticut General, Equicor, Equitable)', 'provider_npi': '1114042165', 'trace_number': '9577373', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1976-11-09', 'date_of_service': '2025-07-07', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'LAWSON', 'subscriber_member_id': 'I09755489', 'subscriber_first_name': 'KENNETH'} | 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/2222/6213138/check_9577373_a790a111-d131-413f-999e-225d5d84b35c.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'I09755489', 'plan_type': None, 'group_name': None, 'payer_name': 'CIGNA HEALTH PLANS', 'payer_note': None, 'patient_dob': '1976-11-09', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'LAWSON', 'plan_sponsor_name': None, 'patient_first_name': 'KENNETH', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8183747657 | N/A | N/A | 6213138 | 2222 | 4793 | 9330985 | N/A | 4856781 | 2025-07-08 05:10:33.189925 | 2025-06-12 21:52:37.627086 |
| 2025-07-07 09:02:20.317643 | 2025-07-08 05:11:07.503276 | 9577257 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': '1114042165', 'trace_number': '9577257', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1958-05-19', 'date_of_service': '2025-07-07', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'MAYER', 'subscriber_member_id': 'XEM912219422', 'subscriber_first_name': 'MARY'} | 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/2222/6175091/check_9577257_01255a5c-d945-4812-b4cc-cfc23d1a7a63.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XEM912219422', 'plan_type': 'Other', 'group_name': 'MEDICARE SUPPLEMENT', 'payer_name': 'MEDICARE PART A AND B', 'payer_note': None, 'patient_dob': '1958-05-19', 'plan_number': '2002SE000030', 'group_number': 'X0001002', 'insurance_type': None, 'plan_type_code': 'OT', 'enrolled_in_qmb': False, 'patient_last_name': 'MAYER', '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': 'MEDICARE SUPPLEMENT PLAN G EXTRA', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8183711905 | N/A | N/A | 6175091 | 2222 | 4801 | 9331321 | N/A | 4213917 | 2025-07-08 05:11:07.503276 | 2025-06-25 01:53:37.609327 |
| 2025-07-07 09:02:17.386099 | 2025-07-08 05:24:02.418111 | 9577134 | N/A | N/A | {'payer_id': 'Z1073', 'payer_name': 'Medicare B California Southern', 'provider_npi': '1114042165', 'trace_number': '9577134', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1944-05-05', 'date_of_service': '2025-07-07', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'NOVORR', 'subscriber_member_id': '5TE2WD0CR85', 'subscriber_first_name': 'JAMES'} | 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/2222/6210635/check_9577134_850867ce-e003-4e0f-be7e-c5f340b0e576.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '5TE2WD0CR85', 'plan_type': 'Medicare Part A', 'group_name': None, 'payer_name': 'DEAN HEALTH INSURANCE, INC.', 'payer_note': '0-BENEFICIARY INSURED DUE TO AGE OASI', 'patient_dob': '1944-05-05', 'plan_number': 'S9701', 'group_number': None, 'insurance_type': None, 'plan_type_code': 'MA', 'enrolled_in_qmb': False, 'patient_last_name': 'NOVORR', 'plan_sponsor_name': None, 'patient_first_name': 'JAMES', '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 | 8183747486 | N/A | N/A | 6210635 | 2222 | 4801 | 9337450 | N/A | 4853447 | 2025-07-08 05:24:02.418111 | 2025-06-30 18:48:47.810039 |
| 2025-07-07 09:02:16.412106 | 2025-07-08 05:03:43.576731 | 9577087 | N/A | N/A | {'payer_id': 'REGAL', 'payer_name': 'Regal Medical Group', 'provider_npi': '1114042165', 'trace_number': '9577087', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1974-08-11', 'date_of_service': '2025-07-07', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'subscriber_last_name': 'ALBA', 'subscriber_member_id': 'XEH909330777', 'subscriber_first_name': 'KYLE'} | 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/2222/6210099/check_9577087_dd63402d-12f4-4697-8066-30c81daa23b0.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XEH909330777', 'plan_type': None, 'group_name': None, 'payer_name': 'REGAL MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1974-08-11', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'ALBA', 'plan_sponsor_name': None, 'patient_first_name': 'KYLE', '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 | 8183747474 | N/A | N/A | 6210099 | 2222 | 4793 | 9327541 | N/A | 4852857 | 2025-07-08 05:03:43.576731 | 2025-06-17 16:28:13.795457 |
| 2025-07-07 09:02:13.790215 | 2025-07-08 05:11:08.202052 | 9576985 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': '1114042165', 'trace_number': '9576985', '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': 'XEA914147448', 'subscriber_first_name': 'SHAIVALINI'} | 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/2222/6145898/check_9576985_5dbdc992-7423-4e62-838d-d0c5f9227762.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XAN914147448', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM', 'payer_name': 'MEDICARE PART A AND B', 'payer_note': None, 'patient_dob': '1959-07-13', 'plan_number': '1002VX000001', 'group_number': 'W0051411', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'SHETH', 'plan_sponsor_name': None, 'patient_first_name': 'OJAS', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'CALPERS ASO PLATINUM PPO SUPPLEMENT TO MEDICARE', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8183711803 | N/A | N/A | 6145898 | 2222 | 4801 | 9331326 | N/A | 4786709 | 2025-07-08 05:11:08.202052 | 2025-06-20 18:28:02.399027 |
| 2025-07-07 09:02:06.331702 | 2025-07-08 05:24:01.264654 | 9576692 | N/A | N/A | {'payer_id': 'Z1073', 'payer_name': 'Medicare B California Southern', 'provider_npi': '1114042165', 'trace_number': '9576692', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1945-10-03', 'date_of_service': '2025-07-07', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'CAVELLA', 'subscriber_member_id': '3QD6Q97VV77', 'subscriber_first_name': 'EMIL'} | 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/2222/6203310/check_9576692_2f09c830-720a-4921-8e0d-ff211087b9bf.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '3QD6Q97VV77', 'plan_type': 'Medicare Part A', 'group_name': None, 'payer_name': 'OPTUM INSURANCE OF OHIO, INC.', 'payer_note': '0-BENEFICIARY INSURED DUE TO AGE OASI', 'patient_dob': '1945-10-03', 'plan_number': 'S8841', 'group_number': None, 'insurance_type': None, 'plan_type_code': 'MA', 'enrolled_in_qmb': False, 'patient_last_name': 'CAVELLA', 'plan_sponsor_name': None, 'patient_first_name': 'EMIL', '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 | 8183747011 | N/A | N/A | 6203310 | 2222 | 4801 | 9337438 | N/A | 4846213 | 2025-07-08 05:24:01.264654 | 2025-06-10 21:58:09.734801 |
| 2025-07-07 09:02:03.297771 | 2025-07-08 05:08:33.012515 | 9576583 | N/A | N/A | {'payer_id': '61101', 'payer_name': 'Humana (and subsidiaries) claims', 'provider_npi': '1114042165', 'trace_number': '9576583', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1956-11-15', 'date_of_service': '2025-07-07', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'OROZCO', 'subscriber_member_id': 'H4811970900', 'subscriber_first_name': 'BETTY'} | 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/2222/6193347/check_9576583_0115df21-de43-494e-b65b-44b15e1b9d98.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'H48119709', 'plan_type': 'Health Maintenance Organization (HMO) - Medicare Risk', 'group_name': 'ARCNDINN HENLTH PLNN, INC.', 'payer_name': 'HUMANA', 'payer_note': '076 557 GOLD+/EMP HMO - ALL OTHR WA THIS MEMBER MAY BE ELIGIBLE FOR A FREE FITNESS MEMBERSHIP THROUGH SILVERSNEAKERS OR SILVER&FIT. PLEASE ENCOURAGE HIM OR HER TO CALL SILVERSNEAKERS AT 1-888-423-4632 (FOR MOST STATES) OR SILVER&FIT AT 1-877-427-4788 (FOR ARIZONA AND PENNSYLVANIA) FOR ELIGIB', 'patient_dob': '1956-11-15', 'plan_number': None, 'group_number': '0B635001', 'insurance_type': None, 'plan_type_code': 'HN', 'enrolled_in_qmb': False, 'patient_last_name': 'OROZCO', 'plan_sponsor_name': None, 'patient_first_name': 'BETTY', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'HUMANA GOLD PLUS', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8183746981 | N/A | N/A | 6193347 | 2222 | 4801 | 9330001 | N/A | 4219752 | 2025-07-08 05:08:33.012515 | 2025-05-13 04:29:37.230794 |
| 2025-07-07 09:01:58.162160 | 2025-07-08 09:18:33.863390 | 9576412 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': '1114042165', 'trace_number': '9576412', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1973-02-24', 'date_of_service': '2025-07-07', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'TAKEMOTO', 'subscriber_member_id': 'XED906098170', '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/2222/5928752/check_9576412_1e97f3f0-4d4f-4c44-82f9-1d56379658c4.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XED906098170', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'IFP ON EXCHANGE', 'payer_name': 'BLUE SHIELD CALIFORNIA', 'payer_note': None, 'patient_dob': '1973-02-24', 'plan_number': '2001ZK002184', 'group_number': 'X0001004', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'TAKEMOTO', 'plan_sponsor_name': None, 'patient_first_name': 'NICOLE', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2018-01-01', 'plan_coverage_description': 'IFP EMB PED DPPO JAN15', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8183743852 | N/A | N/A | 5928752 | 2222 | 4802 | 9341729 | N/A | 4583701 | 2025-07-08 09:18:33.863390 | 2025-07-24 17:50:11.805587 |
| 2025-07-07 09:01:50.399557 | 2025-07-08 05:12:13.090877 | 9576192 | N/A | N/A | {'payer_id': 'CCHPC', 'payer_name': 'Alignment Health Care (Fee For Service)', 'provider_npi': '1114042165', 'trace_number': '9576192', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1943-03-11', 'date_of_service': '2025-07-07', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'MATHEU', 'subscriber_member_id': '00000270336', 'subscriber_first_name': 'CARLOS'} | 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/2222/6189737/check_9576192_deb898e5-1e90-47ce-9ae2-b0f3dc34ff58.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '00000270336', 'plan_type': 'Health Maintenance Organization (HMO)', 'group_name': None, 'payer_name': 'MEDICARE', 'payer_note': 'OVERALL DEDUCTIBLE', 'patient_dob': '1943-03-11', 'plan_number': 'H3815028', 'group_number': None, 'insurance_type': None, 'plan_type_code': 'HM', 'enrolled_in_qmb': False, 'patient_last_name': 'MATHEU', 'plan_sponsor_name': None, 'patient_first_name': 'CARLOS', '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 | 8183746798 | N/A | N/A | 6189737 | 2222 | 4801 | 9332111 | N/A | 4209126 | 2025-07-08 05:12:13.090877 | 2025-05-13 04:29:37.223551 |
| 2025-07-07 09:01:42.196219 | 2025-07-08 05:03:31.995923 | 9575966 | N/A | N/A | {'payer_id': 'LMG01', 'payer_name': 'Lakeside Medical Group', 'provider_npi': '1114042165', 'trace_number': '9575966', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1960-10-20', 'date_of_service': '2025-07-07', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'KIRKLAND', 'subscriber_member_id': '30729619', 'subscriber_first_name': 'JAMES'} | 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/2222/6188935/check_9575966_3b62e0c5-edf3-432e-ace4-cc2d68459501.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '30729619', 'plan_type': None, 'group_name': None, 'payer_name': 'LAKESIDE MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1960-10-20', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'KIRKLAND', 'plan_sponsor_name': None, 'patient_first_name': 'JAMES', '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 | 8183746638 | N/A | N/A | 6188935 | 2222 | 4793 | 9327457 | N/A | 4712994 | 2025-07-08 05:03:31.995923 | 2025-07-31 22:51:16.261439 |
| 2025-07-07 09:01:38.960160 | 2025-07-08 05:10:05.138224 | 9575888 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9575888', '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': 'JQE893M95444', 'subscriber_first_name': 'HOLLY'} | 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/2222/6104723/check_9575888_d163b805-ebfd-4353-a3ec-0f700819305c.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'JQE893M95444', 'plan_type': None, 'group_name': 'CA MED-SUPP', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1943-02-13', 'plan_number': '040', 'group_number': 'CASUPWP0', 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'DAVIS', 'plan_sponsor_name': None, 'patient_first_name': 'HOLLY', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2018-07-01', 'plan_coverage_description': 'CA MODERNIZED PLAN G', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8183711508 | N/A | N/A | 6104723 | 2222 | 4802 | 9330784 | N/A | 4713002 | 2025-07-08 05:10:05.138224 | 2025-06-03 01:39:13.971712 |
| 2025-07-06 14:45:28.046429 | 2025-07-06 14:45:29.736851 | 9569204 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '2011-09-28', 'date_of_service': '2025-07-08', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'insurance_company_id': 4184, 'subscriber_last_name': 'RANGEL', 'subscriber_member_id': '906212052-003', 'subscriber_first_name': 'MAKENA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6673106/check_9569204_a07865f3-7b9e-4d9e-8471-fefb23012afc.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6673106/check_9569204_81457de9-1778-49be-b113-58460c4fbaa4.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '906212052-003', 'plan_type': None, 'group_name': None, 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '2011-09-28', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'RANGEL', 'plan_sponsor_name': None, 'patient_first_name': 'MAKENA', '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 | 6673106 | 2222 | N/A | 9279334 | N/A | 5285724 | 2025-07-06 14:45:29.736851 | 2025-07-06 14:44:13.621956 |
| 2025-07-06 14:45:25.272686 | 2025-07-06 14:45:28.044003 | 9569203 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '2011-09-28', 'date_of_service': '2025-07-08', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'insurance_company_id': 4184, 'subscriber_last_name': 'RANGEL', 'subscriber_member_id': '906212052-003', 'subscriber_first_name': 'MAKENA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6673106/check_9569203_805491a8-1d88-42da-8d07-08723b988bc9.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-08 | N/A | N/A | N/A | N/A | N/A | N/A | {'member_id': '906212052-003', 'plan_type': None, 'group_name': None, 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '2011-09-28', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'RANGEL', 'plan_sponsor_name': None, 'patient_first_name': 'MAKENA', '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 | 6673106 | 2222 | N/A | N/A | N/A | 5285724 | 2025-07-06 14:45:28.044003 | 2025-07-06 14:44:13.621956 |
| 2025-07-06 09:29:33.062981 | 2025-07-06 09:29:36.856828 | 9565622 | 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_9565622_329f92aa-31af-457b-8662-6d1efbfa120f.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6522947/check_9565622_f3d5f483-d9a8-42cf-8b52-61218c847365.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 | 9275788 | N/A | 5146127 | 2025-07-06 09:29:36.856828 | 2025-06-20 17:58:23.371130 |
| 2025-07-06 09:29:29.419831 | 2025-07-06 09:29:33.052653 | 9565610 | 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_9565610_4eba84fe-35f6-4b6c-bcfa-e95044efbd87.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 | 2025-07-06 09:29:33.052653 | 2025-06-20 17:58:23.371130 |
| 2025-07-06 09:29:22.826557 | 2025-07-06 09:29:26.530375 | 9565585 | 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_9565585_8b923018-3be4-4759-a40c-b62ee3ccf8c1.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540931/check_9565585_0ffb7abc-6309-4822-847d-7ccbfbf82619.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 | 8176998915 | N/A | N/A | 5540931 | 2222 | N/A | 9275756 | N/A | 4213013 | 2025-07-06 09:29:26.530375 | 2025-05-13 04:29:37.227340 |
| 2025-07-06 09:29:22.739048 | 2025-07-06 09:29:26.347622 | 9565584 | 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_9565584_b6a11a7d-2500-489c-ba3e-dfb7ab09e932.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6145941/check_9565584_ac75e378-4f1c-4971-9ff8-f025f637884d.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 | 9275755 | N/A | 4786785 | 2025-07-06 09:29:26.347622 | 2025-06-13 00:55:48.629734 |
| 2025-07-06 09:29:19.302900 | 2025-07-06 09:29:22.737191 | 9565568 | 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_9565568_ede35592-6ad3-4d0c-a39b-de0e0ced8952.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 | 2025-07-06 09:29:22.737191 | 2025-06-13 00:55:48.629734 |
| 2025-07-06 09:29:19.000552 | 2025-07-06 09:29:21.711515 | 9565567 | 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_9565567_23e220b8-120c-4454-9f6b-a45550e36c27.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6105989/check_9565567_b49691d4-a512-4ad9-818a-537f16d2d3b8.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 | 9275735 | N/A | 4750274 | 2025-07-06 09:29:21.711515 | 2025-06-12 22:26:37.845238 |
| 2025-07-06 09:29:16.528210 | 2025-07-06 09:29:18.998695 | 9565555 | 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_9565555_132cb1cd-82c6-474e-b749-7a0cec839947.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 | 2025-07-06 09:29:18.998695 | 2025-06-12 22:26:37.845238 |
| 2025-07-06 09:29:04.415878 | 2025-07-06 09:29:10.452152 | 9565521 | N/A | N/A | {'payer_id': '87726', 'payer_name': 'United Healthcare', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1958-09-13', 'date_of_service': '2025-07-09', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6397, 'subscriber_last_name': 'DERR', 'subscriber_member_id': '353354100-11', 'subscriber_first_name': 'DENNIS'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/5874421/check_9565521_ce027eb3-ac76-4a7a-ac04-4a7fa3aa1fd4.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874421/check_9565521_54011914-4b91-45f4-a93e-abae13dae1ad.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '221344721', 'plan_type': None, 'group_name': None, 'payer_name': 'UNITEDHEALTHCARE', 'payer_note': None, 'patient_dob': '1958-09-28', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': '', 'plan_sponsor_name': None, 'patient_first_name': '', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5874421 | 2222 | N/A | 9275692 | N/A | 4534550 | 2025-07-06 09:29:10.452152 | 2025-10-15 18:36:58.255255 |
| 2025-07-06 09:29:00.618757 | 2025-07-06 09:29:04.410092 | 9565508 | N/A | N/A | {'payer_id': '87726', 'payer_name': 'United Healthcare', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1958-09-13', 'date_of_service': '2025-07-09', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6397, 'subscriber_last_name': 'DERR', 'subscriber_member_id': '353354100-11', 'subscriber_first_name': 'DENNIS'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/5874421/check_9565508_89d3ec24-deda-48d4-b08f-75871c688a20.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-09 | N/A | N/A | N/A | N/A | N/A | N/A | {'member_id': '221344721', 'plan_type': None, 'group_name': None, 'payer_name': 'UNITEDHEALTHCARE', 'payer_note': None, 'patient_dob': '1958-09-28', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': '', 'plan_sponsor_name': None, 'patient_first_name': '', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5874421 | 2222 | N/A | N/A | N/A | 4534550 | 2025-07-06 09:29:04.410092 | 2025-10-15 18:36:58.255255 |
| 2025-07-06 09:27:17.351852 | 2025-07-06 09:27:21.055953 | 9565168 | N/A | N/A | {'payer_id': '87726', 'payer_name': 'United Healthcare', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1948-06-01', 'date_of_service': '2025-07-09', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6411, 'subscriber_last_name': 'MOWERY', 'subscriber_member_id': '911-87726-04', 'subscriber_first_name': 'LYNN'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6611792/check_9565168_af9cd8bf-f28a-4e07-928a-b073a3a44de0.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6611792/check_9565168_2d93f565-59c2-428b-95cf-add5598df587.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '988372709', 'plan_type': None, 'group_name': None, 'payer_name': 'UNITEDHEALTHCARE', 'payer_note': None, 'patient_dob': '1948-06-01', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': '', 'plan_sponsor_name': None, 'patient_first_name': '', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8176996389 | N/A | N/A | 6611792 | 2222 | N/A | 9275343 | N/A | 5230196 | 2025-07-06 09:27:21.055953 | 2025-07-08 23:21:57.866357 |
| 2025-07-06 09:26:52.775038 | 2025-07-06 09:26:56.693038 | 9565087 | 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': '1943-05-23', 'date_of_service': '2025-07-09', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6411, 'subscriber_last_name': 'GUTIERREZ', 'subscriber_member_id': '967999828', 'subscriber_first_name': 'MARIA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6573815/check_9565087_93fd3f61-060f-4336-9eec-bedacebd81ab.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6573815/check_9565087_17b369b4-474a-4fdd-b005-93ff1138a44a.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '967999828', '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': '1943-05-23', 'plan_number': None, 'group_number': '74134', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'GUTIERREZ', 'plan_sponsor_name': None, 'patient_first_name': 'MARIA', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'LPPO-AARP MEDICARE ADVANTAGE FROM UHC CA-0038 (PPO', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8176995942 | N/A | N/A | 6573815 | 2222 | N/A | 9275269 | N/A | 5194515 | 2025-07-06 09:26:56.693038 | 2025-06-24 18:27:11.336748 |
| 2025-07-06 09:24:44.674360 | 2025-07-06 09:24:59.594565 | 9564765 | 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': '2025-07-09', '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_9564765_6de8b9f6-78f3-4daf-abec-635c372360a0.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6140288/check_9564765_13277f85-9843-43d9-9a3f-133ab5f28bd0.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 | 8176993187 | N/A | N/A | 6140288 | 2222 | N/A | 9274945 | N/A | 4781215 | 2025-07-06 09:24:59.594565 | 2025-06-05 03:42:55.033876 |
| 2025-07-06 09:24:08.684236 | 2025-07-06 09:24:12.516746 | 9564665 | N/A | N/A | {'payer_id': '87726', 'payer_name': 'United Healthcare', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1941-04-30', 'date_of_service': '2025-07-09', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6411, 'subscriber_last_name': 'URBACH', 'subscriber_member_id': '986803155-00', 'subscriber_first_name': 'MARY'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6068052/check_9564665_7f86498c-b889-4d95-9c68-09c94538edcc.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6068052/check_9564665_f432e015-f5d0-4f1f-ac9e-bbaf4d249b9b.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '209654791', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': None, 'payer_name': 'UNITEDHEALTHCARE', 'payer_note': 'A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED', 'patient_dob': '1941-04-30', 'plan_number': None, 'group_number': '74134', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': '', 'plan_sponsor_name': None, 'patient_first_name': '', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'LPPO-AARP MEDICARE ADVANTAGE FROM UHC CA-0038 (PPO', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8176992246 | N/A | N/A | 6068052 | 2222 | N/A | 9274842 | N/A | 4712993 | 2025-07-06 09:24:12.516746 | 2025-06-12 23:03:47.433557 |
| 2025-07-06 09:23:12.067478 | 2025-07-06 09:23:13.989418 | 9564512 | 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': '1961-11-27', 'date_of_service': '2025-07-09', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6411, 'subscriber_last_name': 'SINGLETON', 'subscriber_member_id': '984413410', 'subscriber_first_name': 'THOMAS'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541716/check_9564512_8b02af55-d9d1-48e9-9d5e-23fd6e7720da.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541716/check_9564512_460e32b8-fb92-461c-a772-7bfdbe2c8adc.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '984413410', 'plan_type': None, 'group_name': None, 'payer_name': 'UNITEDHEALTHCARE', 'payer_note': None, 'patient_dob': '1961-11-27', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'SINGLETON', 'plan_sponsor_name': None, 'patient_first_name': 'THOMAS', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5541716 | 2222 | N/A | 9274682 | N/A | 4213709 | 2025-07-06 09:23:13.989418 | 2026-01-23 21:41:52.262628 |
| 2025-07-06 09:23:07.103989 | 2025-07-06 09:23:13.091904 | 9564498 | N/A | N/A | {'payer_id': '87726', 'payer_name': 'United Healthcare', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1945-08-03', 'date_of_service': '2025-07-09', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6411, 'subscriber_last_name': 'GORMLEY', 'subscriber_member_id': '4UH0QA1WF00', 'subscriber_first_name': 'MICHAEL'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/5536816/check_9564498_86000e2f-c97b-4e88-bc3b-5324513e9776.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536816/check_9564498_ce889c01-70f3-4b43-a597-bf1558701acb.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '105598581', 'plan_type': None, 'group_name': None, 'payer_name': 'UNITEDHEALTHCARE', 'payer_note': None, 'patient_dob': '1945-08-03', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': '', 'plan_sponsor_name': None, 'patient_first_name': '', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5536816 | 2222 | N/A | 9274677 | N/A | 4209498 | 2025-07-06 09:23:13.091904 | 2025-09-22 06:46:20.286658 |
| 2025-07-06 09:23:04.644576 | 2025-07-06 09:23:12.059415 | 9564492 | 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': '1961-11-27', 'date_of_service': '2025-07-09', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6411, 'subscriber_last_name': 'SINGLETON', 'subscriber_member_id': '984413410', 'subscriber_first_name': 'THOMAS'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541716/check_9564492_9cd4c316-04dd-43e7-b765-2f2c494ec59e.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-09 | N/A | N/A | N/A | N/A | N/A | N/A | {'member_id': '984413410', 'plan_type': None, 'group_name': None, 'payer_name': 'UNITEDHEALTHCARE', 'payer_note': None, 'patient_dob': '1961-11-27', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'SINGLETON', 'plan_sponsor_name': None, 'patient_first_name': 'THOMAS', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5541716 | 2222 | N/A | N/A | N/A | 4213709 | 2025-07-06 09:23:12.059415 | 2026-01-23 21:41:52.262628 |
| 2025-07-06 09:23:04.147785 | 2025-07-06 09:23:07.095408 | 9564490 | N/A | N/A | {'payer_id': '87726', 'payer_name': 'United Healthcare', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1945-08-03', 'date_of_service': '2025-07-09', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6411, 'subscriber_last_name': 'GORMLEY', 'subscriber_member_id': '4UH0QA1WF00', 'subscriber_first_name': 'MICHAEL'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/5536816/check_9564490_e8d75d4c-6caa-4ae0-be28-316799780719.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-09 | N/A | N/A | N/A | N/A | N/A | N/A | {'member_id': '105598581', 'plan_type': None, 'group_name': None, 'payer_name': 'UNITEDHEALTHCARE', 'payer_note': None, 'patient_dob': '1945-08-03', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': '', 'plan_sponsor_name': None, 'patient_first_name': '', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5536816 | 2222 | N/A | N/A | N/A | 4209498 | 2025-07-06 09:23:07.095408 | 2025-09-22 06:46:20.286658 |
| 2025-07-06 09:23:03.401889 | 2025-07-06 09:23:07.043939 | 9564487 | N/A | N/A | {'payer_id': '87726', 'payer_name': 'United Healthcare', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1958-01-24', 'date_of_service': '2025-07-09', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6411, 'subscriber_last_name': 'SAUER', 'subscriber_member_id': '995746438', 'subscriber_first_name': 'MARCOS'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/5539785/check_9564487_60cbb6ef-832f-42c6-8de0-ff353d699ec0.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539785/check_9564487_bac38a85-abc2-4204-908f-8e916f918b43.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '995746438', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': None, 'payer_name': 'UNITEDHEALTHCARE', 'payer_note': 'A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED', 'patient_dob': '1958-01-24', 'plan_number': None, 'group_number': '74126', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'SAUER', 'plan_sponsor_name': None, 'patient_first_name': 'MARCOS', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'LPPO-AARP MEDICARE ADVANTAGE FROM UHC CA-0029 (PPO', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8176990891 | N/A | N/A | 5539785 | 2222 | N/A | 9274665 | N/A | 4212024 | 2025-07-06 09:23:07.043939 | 2025-05-28 20:17:35.019662 |
| 2025-07-06 09:10:29.428391 | 2025-07-07 02:13:40.881823 | 9561303 | N/A | N/A | {'payer_id': 'Z1073', 'payer_name': 'Medicare B California Southern', 'provider_npi': '1114042165', 'trace_number': '9561303', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1951-05-08', 'date_of_service': '2025-07-06', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'BERNSTEIN NOAH', 'subscriber_member_id': '6HK3VD1GN77', 'subscriber_first_name': 'PAULA'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250706.120240008.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6078301/check_9561303_95ba4d45-9ce2-41a6-9853-9c5c88621de1.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '6HK3VD1GN77', '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': '1951-05-08', 'plan_number': 'S5617', 'group_number': None, 'insurance_type': None, 'plan_type_code': 'MA', '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': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8176964506 | N/A | N/A | 6078301 | 2222 | 4802 | 9291776 | N/A | 4722556 | 2025-07-07 02:13:40.881823 | 2025-06-04 18:06:16.300392 |
| 2025-07-06 09:10:29.246466 | 2025-07-07 02:04:23.285787 | 9561298 | N/A | N/A | {'payer_id': '60054', 'payer_name': 'Aetna', 'provider_npi': '1114042165', 'trace_number': '9561298', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1999-04-14', 'date_of_service': '2025-07-06', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'FAGAN', 'subscriber_member_id': 'W275345811', 'subscriber_first_name': 'ARIEH'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250706.120240008.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6078250/check_9561298_4b46dc9d-5f4e-4987-a232-0efd106b6d58.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'W275345811', 'plan_type': 'Point of Service (POS)', 'group_name': 'ARUP US, INC.', 'payer_name': 'AETNA', 'payer_note': None, 'patient_dob': '1999-04-14', 'plan_number': '0847223', 'group_number': '084722301300002', 'insurance_type': None, 'plan_type_code': 'PS', 'enrolled_in_qmb': False, 'patient_last_name': 'FAGAN', 'plan_sponsor_name': None, 'patient_first_name': 'ARIEH', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'HSA AETNA CHOICE POS II', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8176964505 | N/A | N/A | 6078250 | 2222 | 4802 | 9282179 | N/A | 4722504 | 2025-07-07 02:04:23.285787 | 2025-06-19 03:19:24.165458 |
| 2025-07-06 09:10:28.855854 | 2025-07-07 02:06:21.500156 | 9561291 | N/A | N/A | {'payer_id': '62308', 'payer_name': 'CIGNA (Connecticut General, Equicor, Equitable)', 'provider_npi': '1114042165', 'trace_number': '9561291', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1989-12-06', 'date_of_service': '2025-07-06', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'Laraki', 'subscriber_member_id': '10995665900', 'subscriber_first_name': 'Zineb'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250706.120240008.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6078110/check_9561291_2aa4210e-602f-4e43-b6ec-2379cdb95bdf.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '10995665900', 'plan_type': None, 'group_name': None, 'payer_name': 'CIGNA HEALTH PLANS', 'payer_note': None, 'patient_dob': '1989-12-06', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'LARAKI', 'plan_sponsor_name': None, 'patient_first_name': 'ZINEB', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8176964503 | N/A | N/A | 6078110 | 2222 | 4802 | 9284429 | N/A | 4722393 | 2025-07-07 02:06:21.500156 | 2025-05-29 22:37:40.791959 |