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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-07-06 09:10:19.739632 | 2025-07-07 02:11:39.191629 | 9561050 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': '1114042165', 'trace_number': '9561050', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1947-03-15', 'date_of_service': '2025-07-06', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'RASHMAN', 'subscriber_member_id': 'XEM909129373', 'subscriber_first_name': 'RICHARD'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250706.120416358.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550658/check_9561050_fad1e0ae-f99a-456b-abae-8feeae7d7e0e.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XEM909129373', 'plan_type': 'Other', 'group_name': 'MEDICARE SUPPLEMENT', 'payer_name': 'MEDICARE PART A AND B', 'payer_note': None, 'patient_dob': '1947-03-15', 'plan_number': '2002SF000029', 'group_number': 'X0001002', 'insurance_type': None, 'plan_type_code': 'OT', 'enrolled_in_qmb': False, 'patient_last_name': 'RASHMAN', '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': 'MEDICARE SUPPLEMENT PLAN F EXTRA', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8176969234 | N/A | N/A | 5550658 | 2222 | 4802 | 9290124 | N/A | 4219593 | 2025-07-07 02:11:39.191629 | 2025-05-13 04:29:37.230634 |
| 2025-07-06 09:10:19.507950 | 2025-07-07 02:06:24.124625 | 9561044 | N/A | N/A | {'payer_id': '71412', 'payer_name': 'Mutual of Omaha Insurance Company', 'provider_npi': '1114042165', 'trace_number': '9561044', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1951-08-07', 'date_of_service': '2025-07-06', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'JOEL', 'subscriber_member_id': '51533897', 'subscriber_first_name': 'CANDACE'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250706.120416358.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550248/check_9561044_fe499e89-9b25-46c6-89e9-7b0b53faf30e.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '515338-97', 'plan_type': None, 'group_name': None, 'payer_name': 'MUTUAL OF OMAHA', 'payer_note': 'MUTUAL OF OMAHA OFFERS ONLINE ACCESS TO ELIGIBILITY, BENEFITS AND DETAILED CLAIM STATUS INFORMATION AT WWW.MUTUALOFOMAHA.COM/PROVIDERACCESS', 'patient_dob': '1951-08-07', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'JOEL', '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': 'MEDICARE SUPPLEMENT - PLAN TYPE F', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8176969233 | N/A | N/A | 5550248 | 2222 | 4801 | 9284479 | N/A | 4212766 | 2025-07-07 02:06:24.124625 | 2025-05-13 04:29:37.227101 |
| 2025-07-06 09:10:18.354564 | 2025-07-07 02:11:38.750122 | 9561011 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': '1114042165', 'trace_number': '9561011', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1957-08-09', 'date_of_service': '2025-07-06', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'DASILVA', 'subscriber_member_id': 'XEM911406068', 'subscriber_first_name': 'BOB'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250706.120416358.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540845/check_9561011_913428ff-212d-4571-9688-a0909cebd031.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XEM911406068', 'plan_type': 'Other', 'group_name': 'MEDICARE SUPPLEMENT', 'payer_name': 'MEDICARE PART A AND B', 'payer_note': None, 'patient_dob': '1957-08-09', 'plan_number': '2002SF000028', 'group_number': 'X0001002', 'insurance_type': None, 'plan_type_code': 'OT', 'enrolled_in_qmb': False, 'patient_last_name': 'DASILVA', 'plan_sponsor_name': None, 'patient_first_name': 'BOB', '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 | 8176969227 | N/A | N/A | 5540845 | 2222 | 4793 | 9290123 | N/A | 4212930 | 2025-07-07 02:11:38.750122 | 2025-05-13 04:29:37.227258 |
| 2025-07-06 09:10:18.170176 | 2025-07-07 02:05:39.508391 | 9561007 | N/A | N/A | {'payer_id': '61101', 'payer_name': 'Humana (and subsidiaries) claims', 'provider_npi': '1114042165', 'trace_number': '9561007', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1946-04-16', 'date_of_service': '2025-07-06', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'GNAD', 'subscriber_member_id': 'H71897184', 'subscriber_first_name': 'MELANIE'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250706.120416358.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540682/check_9561007_4eb6ceb3-64b8-4b63-9b89-daca766f2859.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'H71897184', 'plan_type': 'Supplemental Policy', 'group_name': 'HUMANA BENEFIT PLANOF ILL, INC', 'payer_name': 'HUMANA', 'payer_note': '067 023', 'patient_dob': '1946-04-16', 'plan_number': None, 'group_number': '5A409005', 'insurance_type': None, 'plan_type_code': 'SP', 'enrolled_in_qmb': False, 'patient_last_name': 'GNAD', 'plan_sponsor_name': None, 'patient_first_name': 'MELANIE', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'MEDICARE MES', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8176969226 | N/A | N/A | 5540682 | 2222 | 4801 | 9283605 | N/A | 4212792 | 2025-07-07 02:05:39.508391 | 2025-10-07 20:33:25.637997 |
| 2025-07-06 09:10:17.999085 | 2025-07-07 02:02:33.857957 | 9561004 | N/A | N/A | {'payer_id': '36273', 'payer_name': 'AARP Medicare Supplement by UnitedHealthcare', 'provider_npi': '1114042165', 'trace_number': '9561004', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1945-08-03', 'date_of_service': '2025-07-06', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'GORMLEY', 'subscriber_member_id': '0105598581', 'subscriber_first_name': 'MICHAEL'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250706.120416358.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536819/check_9561004_9dbca430-1f8b-42e1-8923-a4c46f4abda7.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '0105598581', 'plan_type': None, 'group_name': None, 'payer_name': 'AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE', 'payer_note': None, 'patient_dob': '1945-08-03', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'GORMLEY', 'plan_sponsor_name': None, 'patient_first_name': 'MICHAEL', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8176969225 | N/A | N/A | 5536819 | 2222 | 4802 | 9280356 | N/A | 4209498 | 2025-07-07 02:02:33.857957 | 2025-09-22 06:46:20.286658 |
| 2025-07-06 09:10:17.828510 | 2025-07-07 02:02:34.315233 | 9560997 | N/A | N/A | {'payer_id': '36273', 'payer_name': 'AARP Medicare Supplement by UnitedHealthcare', 'provider_npi': '1114042165', 'trace_number': '9560997', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1939-06-24', 'date_of_service': '2025-07-06', 'subscriber_gender': 'M', 'service_type_codes': ['PT', 'AE'], 'subscriber_last_name': 'ULLMAN', 'subscriber_member_id': '557489000', 'subscriber_first_name': 'DAVID'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250706.120416358.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535842/check_9560997_d03462f5-f1ca-4ee7-ae69-5f85da88f347.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '557489000', 'plan_type': None, 'group_name': None, 'payer_name': 'AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE', 'payer_note': None, 'patient_dob': '1939-06-24', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'ULLMAN', 'plan_sponsor_name': None, 'patient_first_name': 'DAVID', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['PT', 'AE'] | N/A | N/A | N/A | N/A | N/A | 8176969224 | N/A | N/A | 5535842 | 2222 | 4801 | 9280360 | N/A | 4208696 | 2025-07-07 02:02:34.315233 | 2025-06-07 16:16:45.844566 |
| 2025-07-06 09:10:15.494756 | 2025-07-07 02:11:27.885165 | 9560930 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9560930', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '2008-06-03', 'date_of_service': '2025-07-06', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'subscriber_last_name': 'DATO', 'subscriber_member_id': 'NGO555A50496', 'subscriber_first_name': 'BRETT'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250706.120438699.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5551045/check_9560930_35be8719-9d50-49d3-af9f-c1b71795055a.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'NGO555A50496', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'NORTHROP GRUMMAN CORP', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '2008-06-03', 'plan_number': '040', 'group_number': '174022MJAD', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'DATO', 'plan_sponsor_name': None, 'patient_first_name': 'GREGORY', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2021-01-02', 'plan_coverage_description': 'CDHP CA GENERIC HLTH SAVINGS ACCT', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8176976564 | N/A | N/A | 5551045 | 2222 | 4793 | 9289982 | N/A | 4219851 | 2025-07-07 02:11:27.885165 | 2025-05-13 04:29:37.230897 |
| 2025-07-06 09:10:15.217486 | 2025-07-07 02:01:58.023849 | 9560925 | N/A | N/A | {'payer_id': 'LMG01', 'payer_name': 'Lakeside Medical Group', 'provider_npi': '1114042165', 'trace_number': '9560925', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1952-08-05', 'date_of_service': '2025-07-06', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'WOOTEN', 'subscriber_member_id': '40041245701', 'subscriber_first_name': 'GAYLE'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250706.120438699.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5551018/check_9560925_f75b6f18-57e5-49b2-992f-31eda6e3222c.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '40041245701', 'plan_type': None, 'group_name': None, 'payer_name': 'LAKESIDE MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1952-08-05', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'WOOTEN', 'plan_sponsor_name': None, 'patient_first_name': 'GAYLE', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8176976563 | N/A | N/A | 5551018 | 2222 | 4801 | 9280075 | N/A | 4219841 | 2025-07-07 02:01:58.023849 | 2025-05-13 04:29:37.230890 |
| 2025-07-06 09:10:14.841373 | 2025-07-07 02:19:08.287938 | 9560916 | N/A | N/A | {'payer_id': 'Z1073', 'payer_name': 'Medicare B California Southern', 'provider_npi': '1114042165', 'trace_number': '9560916', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1978-11-15', 'date_of_service': '2025-07-06', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'LEVIN', 'subscriber_member_id': '8UF4J49FH09', 'subscriber_first_name': 'SHANNON'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250706.120438699.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550976/check_9560916_8c657d07-2894-43cb-8ae7-6c52280696cc.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '8UF4J49FH09', 'plan_type': 'Medicare Part B', 'group_name': None, 'payer_name': 'WELLCARE PRESCRIPTION INSURANCE, INC.', 'payer_note': '1-BENEFICIARY INSURED DUE TO DISABILITY', 'patient_dob': '1978-11-15', 'plan_number': 'S4802', 'group_number': None, 'insurance_type': None, 'plan_type_code': 'MB', 'enrolled_in_qmb': False, 'patient_last_name': 'LEVIN', 'plan_sponsor_name': None, 'patient_first_name': 'SHANNON', '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 | 8176976562 | N/A | N/A | 5550976 | 2222 | 4801 | 9294840 | N/A | 4219800 | 2025-07-07 02:19:08.287938 | 2025-05-13 04:29:37.230840 |
| 2025-07-06 09:10:14.320312 | 2025-07-07 02:11:30.566938 | 9560902 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9560902', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1962-04-09', 'date_of_service': '2025-07-06', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'HARDING', 'subscriber_member_id': 'XDP157A51099', 'subscriber_first_name': 'MICHELE'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250706.120438699.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550953/check_9560902_011c1b75-8a1a-41b5-b3eb-fb81c4414703.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XDP157A51099', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'CALIFORNIA SCHOOL EMPLOYEE BENEFIT ORGANIZATION', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1962-04-09', 'plan_number': '040', 'group_number': '175092M330', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'HARDING', 'plan_sponsor_name': None, 'patient_first_name': 'MICHELE', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2024-01-01', 'plan_coverage_description': 'CA GENERIC HLTH SAVINGS ACCT', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8176976561 | N/A | N/A | 5550953 | 2222 | 4801 | 9290013 | N/A | 4219788 | 2025-07-07 02:11:30.566938 | 2025-06-06 22:01:46.271450 |
| 2025-07-06 09:10:13.920159 | 2025-07-07 02:11:36.161983 | 9560891 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9560891', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '2016-10-15', 'date_of_service': '2025-07-06', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'WALTER', 'subscriber_member_id': 'JXN523A76388', 'subscriber_first_name': 'KARA'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250706.120438699.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550923/check_9560891_a78ad288-c027-456f-ab83-7d7a2b7bc774.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'JXN523A76388', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'TRADITIONAL PPO W/ CARELON 200K', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '2016-10-15', 'plan_number': '040', 'group_number': '174222M3A1', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'WALTER', 'plan_sponsor_name': None, 'patient_first_name': 'KYLE', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2023-01-01', 'plan_coverage_description': 'BC PPO INCENTIVE', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8176976560 | N/A | N/A | 5550923 | 2222 | 4801 | 9290085 | N/A | 4219763 | 2025-07-07 02:11:36.161983 | 2025-05-13 04:29:37.230804 |
| 2025-07-06 09:10:13.509734 | 2025-07-07 02:05:00.807879 | 9560879 | N/A | N/A | {'payer_id': '60054', 'payer_name': 'Aetna', 'provider_npi': '1114042165', 'trace_number': '9560879', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1991-03-21', 'date_of_service': '2025-07-06', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'CARDINALI', 'subscriber_member_id': 'W286606913', 'subscriber_first_name': 'NICOLE'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250706.120438699.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550850/check_9560879_7fd73118-644f-4219-85a4-5b6fa14aa431.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'W286606913', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'LHI GROUP INC.', 'payer_name': 'AETNA', 'payer_note': None, 'patient_dob': '1991-03-21', 'plan_number': '0887487', 'group_number': '088748701000001', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'CARDINALI', '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': 'OPEN CHOICE', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8176976559 | N/A | N/A | 5550850 | 2222 | 4802 | 9282839 | N/A | 4215195 | 2025-07-07 02:05:00.807879 | 2025-05-14 09:08:40.751930 |
| 2025-07-06 09:10:13.115003 | 2025-07-07 02:12:43.891809 | 9560871 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': '1114042165', 'trace_number': '9560871', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1975-08-17', 'date_of_service': '2025-07-06', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'PANDYA', 'subscriber_member_id': 'XEA913306283', 'subscriber_first_name': 'DHARA'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250706.120438699.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550845/check_9560871_e2021426-3a5c-4bd3-a785-28013f202bc6.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'VBG913306283', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'BLUE SHIELD OF CALIFORNIA EMPLOYER GROUP', 'payer_name': 'BLUE SHIELD CALIFORNIA', 'payer_note': None, 'patient_dob': '1975-08-17', 'plan_number': '1000VX000002', 'group_number': 'W0051414', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'PANDYA', 'plan_sponsor_name': None, 'patient_first_name': 'DHARA', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2025-01-01', 'plan_coverage_description': 'BLUE SHIELD OF CA ASO VIRTUAL BLUE FULL PPO SAVING', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8176976558 | N/A | N/A | 5550845 | 2222 | 4801 | 9290946 | N/A | 4219713 | 2025-07-07 02:12:43.891809 | 2025-08-13 22:46:55.732965 |
| 2025-07-06 09:10:12.826327 | 2025-07-07 02:05:01.810935 | 9560867 | N/A | N/A | {'payer_id': '60054', 'payer_name': 'Aetna', 'provider_npi': '1114042165', 'trace_number': '9560867', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1961-11-04', 'date_of_service': '2025-07-06', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'SANTITORO', 'subscriber_member_id': 'W267422430', 'subscriber_first_name': 'SARAH'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250706.120438699.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550743/check_9560867_25274253-8999-4a43-87e8-a3b21f9f76ea.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'W267422430', 'plan_type': 'Point of Service (POS)', 'group_name': 'CIENA CORPORATION', 'payer_name': 'AETNA', 'payer_note': None, 'patient_dob': '1961-11-04', 'plan_number': '0486875', 'group_number': '048687501000001', 'insurance_type': None, 'plan_type_code': 'PS', 'enrolled_in_qmb': False, 'patient_last_name': 'SANTITORO', 'plan_sponsor_name': None, 'patient_first_name': 'RALPH', '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 | 8176976557 | N/A | N/A | 5550743 | 2222 | 4801 | 9282858 | N/A | 4219643 | 2025-07-07 02:05:01.810935 | 2025-05-13 04:29:37.230685 |
| 2025-07-06 09:10:12.620969 | 2025-07-07 02:19:08.951627 | 9560863 | N/A | N/A | {'payer_id': 'Z1073', 'payer_name': 'Medicare B California Southern', 'provider_npi': '1114042165', 'trace_number': '9560863', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1947-03-15', 'date_of_service': '2025-07-06', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'RASHMAN', 'subscriber_member_id': '9FN0XY7RR02', 'subscriber_first_name': 'RICHARD'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250706.120438699.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550657/check_9560863_0d501176-9099-442e-8b4e-74e87ca05b1a.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '9FN0XY7RR02', 'plan_type': 'Medicare Part A', 'group_name': None, 'payer_name': 'WELLCARE PRESCRIPTION INSURANCE, INC.', 'payer_note': '0-BENEFICIARY INSURED DUE TO AGE OASI', 'patient_dob': '1947-03-15', 'plan_number': 'S4802', 'group_number': None, 'insurance_type': None, 'plan_type_code': 'MA', 'enrolled_in_qmb': False, 'patient_last_name': 'RASHMAN', '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 | 8176976556 | N/A | N/A | 5550657 | 2222 | 4802 | 9294841 | N/A | 4219593 | 2025-07-07 02:19:08.951627 | 2025-05-13 04:29:37.230634 |
| 2025-07-06 09:10:12.386085 | 2025-07-07 02:19:07.640265 | 9560856 | N/A | N/A | {'payer_id': 'Z1073', 'payer_name': 'Medicare B California Southern', 'provider_npi': '1114042165', 'trace_number': '9560856', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1951-08-07', 'date_of_service': '2025-07-06', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'JOEL', 'subscriber_member_id': '9TY9VF4DK26', 'subscriber_first_name': 'CANDACE'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250706.120438699.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550243/check_9560856_9121bbb1-689f-4d6f-9725-ded4ba947358.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '9TY9VF4DK26', 'plan_type': 'Medicare Part B', 'group_name': None, 'payer_name': 'WELLCARE PRESCRIPTION INSURANCE, INC.', 'payer_note': '0-BENEFICIARY INSURED DUE TO AGE OASI', 'patient_dob': '1951-08-07', 'plan_number': 'S4802', 'group_number': None, 'insurance_type': None, 'plan_type_code': 'MB', 'enrolled_in_qmb': False, 'patient_last_name': 'JOEL', '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 | 8176976555 | N/A | N/A | 5550243 | 2222 | 4801 | 9294839 | N/A | 4212766 | 2025-07-07 02:19:07.640265 | 2025-05-13 04:29:37.227101 |
| 2025-07-06 09:10:12.176461 | 2025-07-07 02:01:57.398789 | 9560854 | N/A | N/A | {'payer_id': 'LMG01', 'payer_name': 'Lakeside Medical Group', 'provider_npi': '1114042165', 'trace_number': '9560854', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1949-06-06', 'date_of_service': '2025-07-06', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'WILSON', 'subscriber_member_id': '31187497801', 'subscriber_first_name': 'MARVIN'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250706.120438699.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549707/check_9560854_55e1a9cd-4da1-41ef-bc7a-46f1c1e321af.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '31187497801', 'plan_type': None, 'group_name': None, 'payer_name': 'LAKESIDE MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1949-06-06', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'WILSON', 'plan_sponsor_name': None, 'patient_first_name': 'MARVIN', '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 | 8176976554 | N/A | N/A | 5549707 | 2222 | 4801 | 9280071 | N/A | 4219317 | 2025-07-07 02:01:57.398789 | 2025-05-13 04:29:37.230340 |
| 2025-07-06 09:10:11.834803 | 2025-07-07 02:19:06.989281 | 9560847 | N/A | N/A | {'payer_id': 'Z1073', 'payer_name': 'Medicare B California Southern', 'provider_npi': '1114042165', 'trace_number': '9560847', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1942-04-09', 'date_of_service': '2025-07-06', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'JALLAD', 'subscriber_member_id': '7AY7QW7EK46', 'subscriber_first_name': 'IKRAM'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250706.120438699.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549454/check_9560847_c8432d29-efa6-47e5-a3c5-abd6c33a0502.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '7AY7QW7EK46', 'plan_type': 'Medicare Part B', 'group_name': None, 'payer_name': 'MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY', 'payer_note': '0-BENEFICIARY INSURED DUE TO AGE OASI', 'patient_dob': '1942-04-09', 'plan_number': 'S5617', 'group_number': None, 'insurance_type': None, 'plan_type_code': 'MB', 'enrolled_in_qmb': False, 'patient_last_name': 'JALLAD', 'plan_sponsor_name': None, 'patient_first_name': 'IKRAM', '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 | 8176976553 | N/A | N/A | 5549454 | 2222 | 4801 | 9294838 | N/A | 4219116 | 2025-07-07 02:19:06.989281 | 2025-05-16 16:43:35.854220 |
| 2025-07-06 09:10:11.164139 | 2025-07-07 02:11:35.523255 | 9560833 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9560833', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1957-04-19', 'date_of_service': '2025-07-06', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'VALDIVIA', 'subscriber_member_id': 'JQW088W14517', 'subscriber_first_name': 'CRISTINA'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250706.120438699.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549398/check_9560833_2f19bdcb-687a-4801-bedc-34b17d79c1a3.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'JQW088W14517', 'plan_type': 'Medicare Primary', 'group_name': 'CA MEDICARE', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1957-04-19', 'plan_number': '040', 'group_number': 'CAMCRWP0', 'insurance_type': None, 'plan_type_code': 'MP', 'enrolled_in_qmb': False, 'patient_last_name': 'VALDIVIA', 'plan_sponsor_name': None, 'patient_first_name': 'CRISTINA', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2024-01-01', '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 | 8176976552 | N/A | N/A | 5549398 | 2222 | 4801 | 9290077 | N/A | 4219064 | 2025-07-07 02:11:35.523255 | 2025-06-06 15:26:44.406275 |
| 2025-07-06 09:10:10.696994 | 2025-07-07 02:11:31.846986 | 9560824 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9560824', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1962-01-25', 'date_of_service': '2025-07-06', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'LUCZYWEK', 'subscriber_member_id': 'HFD100011213709', 'subscriber_first_name': 'DEBORA'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250706.120438699.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549317/check_9560824_c12bf080-ebd7-4ef9-a2b4-2b22e961ffbf.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'HFD100011213709', 'plan_type': None, 'group_name': None, 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1962-01-25', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'LUCZYWEK', 'plan_sponsor_name': None, 'patient_first_name': 'DEBORA', '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 | 8176976551 | N/A | N/A | 5549317 | 2222 | 4801 | 9290030 | N/A | 4219010 | 2025-07-07 02:11:31.846986 | 2026-01-09 18:32:07.618867 |
| 2025-07-06 09:09:59.485267 | 2025-07-07 02:01:55.575173 | 9560541 | N/A | N/A | {'payer_id': 'LMG01', 'payer_name': 'Lakeside Medical Group', 'provider_npi': '1114042165', 'trace_number': '9560541', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1999-02-06', 'date_of_service': '2025-07-06', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'FORTIN', 'subscriber_member_id': 'R14644640MS1', 'subscriber_first_name': 'NATHANIEL'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250706.120438699.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543425/check_9560541_1f1e41da-e7c9-4231-8f97-808f9e1a9497.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'R14644640MS1', 'plan_type': None, 'group_name': None, 'payer_name': 'LAKESIDE MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1999-02-06', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'FORTIN', 'plan_sponsor_name': None, 'patient_first_name': 'NATHANIEL', '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 | 8176977974 | N/A | N/A | 5543425 | 2222 | 4801 | 9280057 | N/A | 4215211 | 2025-07-07 02:01:55.575173 | 2025-05-14 09:08:46.881872 |
| 2025-07-06 09:09:58.961411 | 2025-07-07 02:19:09.479975 | 9560527 | N/A | N/A | {'payer_id': 'Z1073', 'payer_name': 'Medicare B California Southern', 'provider_npi': '1114042165', 'trace_number': '9560527', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1945-02-14', 'date_of_service': '2025-07-06', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'SLAUGHTER', 'subscriber_member_id': '6V77P87YA36', 'subscriber_first_name': 'KAY'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250706.120438699.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543377/check_9560527_471ff376-074a-4724-96ca-7ac7b7fd2105.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '6V77P87YA36', 'plan_type': 'Medicare Part A', 'group_name': None, 'payer_name': 'SILVERSCRIPT INSURANCE COMPANY', 'payer_note': '0-BENEFICIARY INSURED DUE TO AGE OASI', 'patient_dob': '1945-02-14', 'plan_number': 'S5601', 'group_number': None, 'insurance_type': None, 'plan_type_code': 'MA', 'enrolled_in_qmb': False, 'patient_last_name': 'SLAUGHTER', 'plan_sponsor_name': None, 'patient_first_name': 'KAY', '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 | 8176977973 | N/A | N/A | 5543377 | 2222 | 4802 | 9294842 | N/A | 4215177 | 2025-07-07 02:19:09.479975 | 2025-05-13 04:29:37.229493 |
| 2025-07-06 09:09:58.907394 | 2025-07-07 05:05:50.559754 | 9560524 | N/A | N/A | {'payer_id': '62308', 'payer_name': 'Cigna Health Plans', 'provider_npi': '1114042165', 'trace_number': '9560524', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1994-12-15', 'date_of_service': '2025-07-06', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'MEYER', 'subscriber_member_id': '11144010000', 'subscriber_first_name': 'BRETT'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250706.120445242.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6414910/check_9560524_cc47a26e-40c4-43b3-887e-6b5da281f5ad.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '11144010000', 'plan_type': None, 'group_name': 'NIGHT MEDIA, INC', 'payer_name': 'CHLIC', 'payer_note': 'COMPLETE CARE MANAGEMENT', 'patient_dob': '1994-12-15', 'plan_number': None, 'group_number': '00658445', 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'MEYER', 'plan_sponsor_name': None, 'patient_first_name': 'BRETT', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'HSA QUALIFIED HDHP', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8176974644 | N/A | N/A | 6414910 | 2222 | 4802 | 9302118 | N/A | 5062479 | 2025-07-07 05:05:50.559754 | 2025-06-25 19:12:27.318943 |
| 2025-07-06 09:09:58.581637 | 2025-07-07 02:11:33.040036 | 9560516 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'ANTHEM BLUE CROSS', 'provider_npi': '1114042165', 'trace_number': '9560516', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1960-09-07', 'date_of_service': '2025-07-06', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'subscriber_last_name': 'MEINERT', 'subscriber_member_id': 'XEH912496752', 'subscriber_first_name': 'TIM'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250706.120438699.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543360/check_9560516_8a7073c5-23bd-4c0d-83d2-689e5241fe4c.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XEH912496752', 'plan_type': None, 'group_name': None, 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1960-09-07', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'MEINERT', 'plan_sponsor_name': None, 'patient_first_name': 'TIM', '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 | 8176977972 | N/A | N/A | 5543360 | 2222 | 4793 | 9290047 | 4184 | 4215161 | 2025-07-07 02:11:33.040036 | 2025-05-13 04:29:37.229478 |
| 2025-07-06 09:09:58.199840 | 2025-07-07 02:12:42.652630 | 9560507 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': '1114042165', 'trace_number': '9560507', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1987-10-17', 'date_of_service': '2025-07-06', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'PATEL', 'subscriber_member_id': 'XEA910759571', 'subscriber_first_name': 'MAMTABEN'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250706.120438699.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543327/check_9560507_7ccc34a3-51f8-4846-ac9c-cd6bd9be5bcb.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XEA910759571', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'RELATIVITY SPACE INC', 'payer_name': 'BLUE SHIELD CALIFORNIA', 'payer_note': None, 'patient_dob': '1987-10-17', 'plan_number': '1000PPOX0004', 'group_number': 'W0071038', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'KROL', 'plan_sponsor_name': None, 'patient_first_name': 'JEREMY', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'FULL PPO SAVINGS TWO TIER EMBEDDED DEDUCTIBLE 1650', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8176977971 | N/A | N/A | 5543327 | 2222 | 4802 | 9290926 | N/A | 4215137 | 2025-07-07 02:12:42.652630 | 2025-10-13 23:09:53.444170 |
| 2025-07-06 09:09:57.855348 | 2025-07-07 02:01:56.166678 | 9560499 | N/A | N/A | {'payer_id': 'LMG01', 'payer_name': 'Lakeside Medical Group', 'provider_npi': '1114042165', 'trace_number': '9560499', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1964-03-27', 'date_of_service': '2025-07-06', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'MCCOWAN', 'subscriber_member_id': '93341440D', 'subscriber_first_name': 'KEVIN'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250706.120438699.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543270/check_9560499_33837d45-18ad-43cd-b51f-ba51346f2299.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '93341440D', 'plan_type': None, 'group_name': None, 'payer_name': 'LAKESIDE MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1964-03-27', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'MCCOWAN', 'plan_sponsor_name': None, 'patient_first_name': 'KEVIN', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8176977970 | N/A | N/A | 5543270 | 2222 | 4793 | 9280061 | N/A | 4215086 | 2025-07-07 02:01:56.166678 | 2025-05-13 04:29:37.229401 |
| 2025-07-06 09:09:57.409042 | 2025-07-07 02:01:54.248296 | 9560489 | N/A | N/A | {'payer_id': 'LMG01', 'payer_name': 'Lakeside Medical Group', 'provider_npi': '1114042165', 'trace_number': '9560489', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1962-05-10', 'date_of_service': '2025-07-06', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'ADHAMI', 'subscriber_member_id': '95671183F', 'subscriber_first_name': 'SOHAILA'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250706.120438699.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543265/check_9560489_b8a2855b-bafa-4474-b91d-70ac16bd81ce.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '95671183F', 'plan_type': None, 'group_name': None, 'payer_name': 'LAKESIDE MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1962-05-10', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'ADHAMI', 'plan_sponsor_name': None, 'patient_first_name': 'SOHAILA', '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 | 8176977969 | N/A | N/A | 5543265 | 2222 | 4802 | 9280046 | N/A | 4215082 | 2025-07-07 02:01:54.248296 | 2025-05-13 04:29:37.229397 |
| 2025-07-06 09:09:57.005668 | 2025-07-07 02:12:46.308093 | 9560479 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': '1114042165', 'trace_number': '9560479', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '2002-06-02', 'date_of_service': '2025-07-06', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'subscriber_last_name': 'VIRGIL', 'subscriber_member_id': 'XEK905426435', 'subscriber_first_name': 'NICHOLAS'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250706.120438699.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543237/check_9560479_00c77e54-a9e5-432d-a7c6-9e89a39a76e4.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XEK905426435', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'IFP OFF EXCHANGE', 'payer_name': 'BLUE SHIELD CALIFORNIA', 'payer_note': None, 'patient_dob': '2002-06-02', 'plan_number': '2001ZK002195', 'group_number': 'X0001000', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'VIRGIL', 'plan_sponsor_name': None, 'patient_first_name': 'JEFF', 'patient_middle_name': None, 'date_time_period_end': '2028-06-30', 'date_time_period_start': '2025-01-01', 'plan_coverage_description': 'ENHANCED DENTAL PPO 25 500 JAN21', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8176977968 | N/A | N/A | 5543237 | 2222 | 4802 | 9290991 | N/A | 4215054 | 2025-07-07 02:12:46.308093 | 2025-05-13 04:29:37.229375 |
| 2025-07-06 09:09:56.613701 | 2025-07-07 02:11:31.205972 | 9560466 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'ANTHEM BLUE CROSS', 'provider_npi': '1114042165', 'trace_number': '9560466', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1971-12-13', 'date_of_service': '2025-07-06', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'subscriber_last_name': 'LEO', 'subscriber_member_id': 'NCF949A57364', 'subscriber_first_name': 'SEAN'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250706.120438699.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543220/check_9560466_20747e0e-1f74-4d30-bc00-65bac16b68cc.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'NCF949A57364', 'plan_type': 'Health Maintenance Organization (HMO)', 'group_name': 'LAUSD', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1971-12-13', 'plan_number': '040', 'group_number': '57AJCA', 'insurance_type': None, 'plan_type_code': 'HM', 'enrolled_in_qmb': False, 'patient_last_name': 'LEO', 'plan_sponsor_name': None, 'patient_first_name': 'DAYNA', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2010-01-01', 'plan_coverage_description': 'POWER SELECT HMO NETWORK 126+', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8176977967 | N/A | N/A | 5543220 | 2222 | 4793 | 9290022 | 4184 | 4215036 | 2025-07-07 02:11:31.205972 | 2025-05-13 04:29:37.229353 |
| 2025-07-06 09:09:56.316797 | 2025-07-07 02:11:32.384278 | 9560456 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9560456', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '2003-10-09', 'date_of_service': '2025-07-06', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'LUKOWITSCH', 'subscriber_member_id': 'XDPCA8263500', 'subscriber_first_name': 'HALLIE'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250706.120438699.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543178/check_9560456_c22af4f8-2ed4-4f18-900e-4cf45987d74b.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XDPCA8263500', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'UCLA - UNDERGRAD', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '2003-10-09', 'plan_number': '040', 'group_number': '275958P701', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'LUKOWITSCH', 'plan_sponsor_name': None, 'patient_first_name': 'HALLIE', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2024-09-23', 'plan_coverage_description': 'PPO UC SHIP', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8176977966 | N/A | N/A | 5543178 | 2222 | 4802 | 9290040 | N/A | 4215006 | 2025-07-07 02:11:32.384278 | 2025-05-13 04:29:37.229325 |
| 2025-07-06 09:09:55.989301 | 2025-07-07 02:08:36.562500 | 9560448 | N/A | N/A | {'payer_id': '62308', 'payer_name': 'Cigna Health Plans', 'provider_npi': '1114042165', 'trace_number': '9560448', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1973-05-07', 'date_of_service': '2025-07-06', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'FERRERAS', 'subscriber_member_id': 'U6570615702', 'subscriber_first_name': 'PATRICIA'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250706.120438699.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543171/check_9560448_d467cf0d-190a-4f8a-8ffe-520e253ed028.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'U6570615702', 'plan_type': None, 'group_name': 'WORKDAY, INC.', 'payer_name': 'CHLIC', 'payer_note': 'PROVIDER IS IN NETWORK BASED ON NPI ID PROVIDED IN REQUEST BASIC CARE MANAGEMENT STANDARD', 'patient_dob': '1973-05-07', 'plan_number': None, 'group_number': '3336422', 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'FERRERAS', 'plan_sponsor_name': None, 'patient_first_name': 'PATRICIA', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'OPEN ACCESS PLUS', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8176977965 | N/A | N/A | 5543171 | 2222 | 4793 | 9286969 | N/A | 4214998 | 2025-07-07 02:08:36.562500 | 2025-05-13 04:29:37.229318 |
| 2025-07-06 09:09:55.694574 | 2025-07-07 02:12:45.172753 | 9560439 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': '1114042165', 'trace_number': '9560439', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1996-07-04', 'date_of_service': '2025-07-06', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'STOLTZ', 'subscriber_member_id': 'XED912573254', 'subscriber_first_name': 'ARDENN'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250706.120438699.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543121/check_9560439_1b2a9215-1961-453b-915a-3c49131223d7.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XED912573254', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'IFP ON EXCHANGE', 'payer_name': 'BLUE SHIELD CALIFORNIA', 'payer_note': 'HIX GRACE PERIOD SUBSIDIZED MEMBER S COVERAGE IS SUSPENDED DUE TO NONPAYMENT OF PREMIUMS PROCESSING OF CLAIMS WILL RESUME ONCE PREMIUMS ARE CURRENT OR CLAIMS WILL BE DENIED AT END OF THE GRACE PERIOD', 'patient_dob': '1996-07-04', 'plan_number': '2001ZK002186', 'group_number': 'X0001004', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'STOLZ', 'plan_sponsor_name': None, 'patient_first_name': 'ARDENN', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2023-10-01', 'plan_coverage_description': 'SILVER 73 PPO JAN25', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8176977964 | N/A | N/A | 5543121 | 2222 | 4802 | 9290969 | N/A | 4214948 | 2025-07-07 02:12:45.172753 | 2025-06-26 01:28:07.741882 |
| 2025-07-06 09:09:55.598681 | 2025-07-07 05:08:48.093919 | 9560435 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': '1114042165', 'trace_number': '9560435', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '2005-10-28', 'date_of_service': '2025-07-06', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'subscriber_last_name': 'SIKDER', 'subscriber_member_id': 'XEZ900049108', 'subscriber_first_name': 'SHAWN'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250706.120445242.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6414459/check_9560435_ea1a5451-f90b-420b-b235-5575ee2ce3b3.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XEK900049108', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'IFP OFF EXCHANGE', 'payer_name': 'BLUE SHIELD CALIFORNIA', 'payer_note': None, 'patient_dob': '2005-10-28', 'plan_number': '2001ZJ002648', 'group_number': 'X0001000', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'SIKDER', 'plan_sponsor_name': None, 'patient_first_name': 'SHAWN', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'IFP EMB PED VISION', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8176974630 | N/A | N/A | 6414459 | 2222 | 4802 | 9303065 | N/A | 5061929 | 2025-07-07 05:08:48.093919 | 2025-06-19 23:42:27.460818 |
| 2025-07-06 09:09:55.281305 | 2025-07-07 02:11:29.200666 | 9560427 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9560427', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1943-04-14', 'date_of_service': '2025-07-06', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'subscriber_last_name': 'DESMET', 'subscriber_member_id': 'MBL584M98446', 'subscriber_first_name': 'GRANT'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250706.120438699.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542900/check_9560427_196e109f-931c-49ec-bed1-d774b8d2d53f.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'MBL584M98446', 'plan_type': None, 'group_name': 'LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD)', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1943-04-14', 'plan_number': '040', 'group_number': 'CAEGR005', 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'DESMET', 'plan_sponsor_name': None, 'patient_first_name': 'GRANT', '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 | 8176977963 | N/A | N/A | 5542900 | 2222 | 4801 | 9289998 | N/A | 4214759 | 2025-07-07 02:11:29.200666 | 2025-05-13 04:29:37.229079 |
| 2025-07-06 09:09:54.885240 | 2025-07-07 02:11:33.697287 | 9560415 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9560415', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '2009-08-28', 'date_of_service': '2025-07-06', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'subscriber_last_name': 'GARCIA', 'subscriber_member_id': 'FJB21294792M', 'subscriber_first_name': 'STARR'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250706.120438699.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542769/check_9560415_37e62ae9-6d2d-4c0c-a8b6-7aa41be6d568.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'FJB21294792M', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'BANK OF AMERICA CORPORATION', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '2009-08-28', 'plan_number': '101', 'group_number': '174549M111', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'RAY', 'plan_sponsor_name': None, 'patient_first_name': 'ALLISON', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2016-01-01', 'plan_coverage_description': 'BLUECARD PPO', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8176977962 | N/A | N/A | 5542769 | 2222 | 4801 | 9290055 | N/A | 4214641 | 2025-07-07 02:11:33.697287 | 2025-12-09 08:50:02.875071 |
| 2025-07-06 09:09:54.520948 | 2025-07-07 02:08:37.098440 | 9560406 | N/A | N/A | {'payer_id': '62308', 'payer_name': 'American Specialty Health', 'provider_npi': '1114042165', 'trace_number': '9560406', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1970-01-05', 'date_of_service': '2025-07-06', 'subscriber_gender': 'F', 'service_type_codes': ['AD'], 'subscriber_last_name': 'HOWELLS', 'subscriber_member_id': 'U4973334602', 'subscriber_first_name': 'EMMA'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250706.120438699.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542686/check_9560406_d99b5c30-5381-4917-857a-92fa29c5829d.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'U4973334602', 'plan_type': None, 'group_name': 'CRINETICS PHARMACEUTICALS, INC.', 'payer_name': 'CHLIC', 'payer_note': 'PROVIDER IS IN NETWORK BASED ON NPI ID PROVIDED IN REQUEST NEW BUSINESS RATES APPLIED PERSONAL HEALTH SOLUTIONS PLUS', 'patient_dob': '1970-01-05', 'plan_number': None, 'group_number': '3345982', 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'HOWELLS', 'plan_sponsor_name': None, 'patient_first_name': 'EMMA', '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 | 8176977961 | N/A | N/A | 5542686 | 2222 | 4793 | 9286980 | N/A | 4214565 | 2025-07-07 02:08:37.098440 | 2025-05-13 04:29:37.228889 |
| 2025-07-06 09:09:53.956910 | 2025-07-07 02:11:34.922039 | 9560390 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9560390', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1948-07-22', 'date_of_service': '2025-07-06', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'UTLEY', 'subscriber_member_id': 'MBL209M95251', 'subscriber_first_name': 'SHERIDAN'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250706.120438699.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542387/check_9560390_73a9329d-a75b-4c46-a7f1-24c9be6a8f27.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'MBL209M95251', 'plan_type': None, 'group_name': 'MOTION PICTURE INDUSTRY HEALTH PLAN', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1948-07-22', 'plan_number': '040', 'group_number': 'CAEGR002', 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'UTLEY', 'plan_sponsor_name': None, 'patient_first_name': 'SHERIDAN', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2021-01-01', 'plan_coverage_description': 'CA GRS MPI H4036-802 ANTHEM MEDICARE PREFERRED MA', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8176977960 | N/A | N/A | 5542387 | 2222 | 4801 | 9290069 | N/A | 4214300 | 2025-07-07 02:11:34.922039 | 2025-06-17 13:03:57.252701 |
| 2025-07-06 09:09:53.459227 | 2025-07-07 02:12:41.937807 | 9560377 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': '1114042165', 'trace_number': '9560377', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1959-03-16', 'date_of_service': '2025-07-06', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'KATZ', 'subscriber_member_id': 'XEA913769083', 'subscriber_first_name': 'LYNNE'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250706.120438699.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542358/check_9560377_933ffc71-4205-4157-a072-77b8cbd1e1b7.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XAN913769083', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM', 'payer_name': 'BLUE SHIELD CALIFORNIA', 'payer_note': None, 'patient_dob': '1959-03-16', 'plan_number': '1000PPOX0002', 'group_number': 'W0051411', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'KATZ', 'plan_sponsor_name': None, 'patient_first_name': 'GARY', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'CALPERS ASO PLATINUM PPO GROUP BILL', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8176977959 | N/A | N/A | 5542358 | 2222 | 4801 | 9290918 | N/A | 4214270 | 2025-07-07 02:12:41.937807 | 2025-05-13 04:29:37.228601 |
| 2025-07-06 09:09:52.894705 | 2025-07-07 02:12:41.358453 | 9560363 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': '1114042165', 'trace_number': '9560363', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1983-04-25', 'date_of_service': '2025-07-06', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'HASERJIAN', 'subscriber_member_id': 'XED912403581', 'subscriber_first_name': 'RENEE'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250706.120438699.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542222/check_9560363_6d7f8ed6-1dee-4a38-9694-c7b2b3ec7c7b.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XED912403581', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'IFP ON EXCHANGE', 'payer_name': 'BLUE SHIELD CALIFORNIA', 'payer_note': None, 'patient_dob': '1983-04-25', 'plan_number': '2001ZK002169', 'group_number': 'X0001004', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'HASERJIAN', 'plan_sponsor_name': None, 'patient_first_name': 'RENEE', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2025-01-01', 'plan_coverage_description': 'GOLD 80 PPO JAN25', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8176977958 | N/A | N/A | 5542222 | 2222 | 4793 | 9290908 | N/A | 4214148 | 2025-07-07 02:12:41.358453 | 2025-05-13 04:29:37.228475 |
| 2025-07-06 09:09:51.998564 | 2025-07-07 02:11:28.565439 | 9560340 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9560340', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1970-03-27', 'date_of_service': '2025-07-06', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'DATO', 'subscriber_member_id': 'NGO555A50496', 'subscriber_first_name': 'JEN'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250706.120438699.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542196/check_9560340_6e1a8a08-d152-4d2e-80ea-d89232993b20.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'NGO555A50496', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'NORTHROP GRUMMAN CORP', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1970-03-27', 'plan_number': '040', 'group_number': '174022MJAD', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'DATO', 'plan_sponsor_name': None, 'patient_first_name': 'GREGORY', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2021-01-02', 'plan_coverage_description': 'CDHP CA GENERIC HLTH SAVINGS ACCT', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8176977957 | N/A | N/A | 5542196 | 2222 | 4793 | 9289991 | N/A | 4214140 | 2025-07-07 02:11:28.565439 | 2025-05-13 04:29:37.228468 |
| 2025-07-06 09:09:51.608339 | 2025-07-07 02:01:59.300136 | 9560330 | N/A | N/A | {'payer_id': 'REGAL', 'payer_name': 'Regal Medical Group', 'provider_npi': '1114042165', 'trace_number': '9560330', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1988-06-09', 'date_of_service': '2025-07-06', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'RIVERO', 'subscriber_member_id': '776926401', 'subscriber_first_name': 'TANYA'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250706.120438699.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542149/check_9560330_c7c80c6d-15bb-46e8-bb71-78f2fe8326b6.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '776926401', 'plan_type': None, 'group_name': None, 'payer_name': 'REGAL MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1988-06-09', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'RIVERO', '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 | 8176977956 | N/A | N/A | 5542149 | 2222 | 4801 | 9280086 | N/A | 4214103 | 2025-07-07 02:01:59.300136 | 2025-05-13 04:29:37.228419 |
| 2025-07-06 09:09:51.330329 | 2025-07-07 02:11:34.288804 | 9560322 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9560322', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1940-08-31', 'date_of_service': '2025-07-06', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'subscriber_last_name': 'STEINBERG', 'subscriber_member_id': 'MBL875M98441', 'subscriber_first_name': 'HARRIS'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250706.120438699.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541917/check_9560322_2849b704-5c86-4562-91ce-36abddc13fe7.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'MBL875M98441', 'plan_type': None, 'group_name': 'LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD)', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1940-08-31', 'plan_number': '040', 'group_number': 'CAEGR005', 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'STEINBERG', 'plan_sponsor_name': None, 'patient_first_name': 'HARRIS', '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 | 8176977955 | N/A | N/A | 5541917 | 2222 | 4793 | 9290062 | N/A | 4213891 | 2025-07-07 02:11:34.288804 | 2025-05-13 04:29:37.228207 |
| 2025-07-06 09:09:50.930935 | 2025-07-07 02:12:45.780048 | 9560311 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': '1114042165', 'trace_number': '9560311', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1981-08-26', 'date_of_service': '2025-07-06', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'subscriber_last_name': 'TOHLCHINSKY', 'subscriber_member_id': 'XEA901508061', 'subscriber_first_name': 'MICHAEL'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250706.120438699.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541542/check_9560311_41ec1041-0f60-433b-b492-c469931bebf3.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XEA901508061', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'TOHL ENTERPRISES INC', 'payer_name': 'BLUE SHIELD CALIFORNIA', 'payer_note': None, 'patient_dob': '1981-08-26', 'plan_number': '1000VX000102', 'group_number': 'W0006154', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'TOHLCHINSKY', 'plan_sponsor_name': None, 'patient_first_name': 'MICHAEL', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2015-12-01', 'plan_coverage_description': 'BLUE SHIELD OF CALIFORNIA CHILDREN S DENTAL', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8176977954 | N/A | N/A | 5541542 | 2222 | 4793 | 9290978 | N/A | 4213542 | 2025-07-07 02:12:45.780048 | 2025-06-03 22:12:38.498592 |
| 2025-07-06 09:09:50.488017 | 2025-07-07 02:12:43.273379 | 9560300 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': '1114042165', 'trace_number': '9560300', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1980-05-29', 'date_of_service': '2025-07-06', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'KURTZ', 'subscriber_member_id': 'XED906231353', 'subscriber_first_name': 'NINA'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250706.120438699.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541378/check_9560300_b5fc5854-7118-4534-8a06-2b2c40332457.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XED906231353', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'IFP ON EXCHANGE', 'payer_name': 'BLUE SHIELD CALIFORNIA', 'payer_note': None, 'patient_dob': '1980-05-29', 'plan_number': '2001ZK002169', 'group_number': 'X0001004', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'KURTZ', 'plan_sponsor_name': None, 'patient_first_name': 'NINA', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2025-01-01', 'plan_coverage_description': 'GOLD 80 PPO JAN25', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8176977953 | N/A | N/A | 5541378 | 2222 | 4793 | 9290938 | N/A | 4213405 | 2025-07-07 02:12:43.273379 | 2025-05-13 04:29:37.227726 |
| 2025-07-06 09:09:50.091523 | 2025-07-07 02:12:40.740986 | 9560288 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': '1114042165', 'trace_number': '9560288', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1963-07-22', 'date_of_service': '2025-07-06', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'ZIA AMIRHOSSEINI', 'subscriber_member_id': 'XED911835748', 'subscriber_first_name': 'PARNIAN'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250706.120438699.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541314/check_9560288_a63057ef-54d6-4b1b-9181-2206b59b3a82.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XED911835748', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'IFP ON EXCHANGE', 'payer_name': 'BLUE SHIELD CALIFORNIA', 'payer_note': None, 'patient_dob': '1963-07-22', 'plan_number': '2001ZK002186', 'group_number': 'X0001004', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'HARRIS', 'plan_sponsor_name': None, 'patient_first_name': 'ROBERT', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2025-01-01', 'plan_coverage_description': 'SILVER 73 PPO JAN25', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8176977952 | N/A | N/A | 5541314 | 2222 | 4793 | 9290897 | N/A | 4213343 | 2025-07-07 02:12:40.740986 | 2025-06-06 02:21:37.603701 |
| 2025-07-06 09:09:49.591136 | 2025-07-07 02:10:32.814979 | 9560274 | N/A | N/A | {'payer_id': '87726', 'payer_name': 'UHC Shared Services', 'provider_npi': '1114042165', 'trace_number': '9560274', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1970-07-02', 'date_of_service': '2025-07-06', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'FRIEDMAN', 'subscriber_member_id': '23569452GEHA', 'subscriber_first_name': 'JOEL'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250706.120438699.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540931/check_9560274_278aea9b-5ad1-4d35-9182-d80f90b117b6.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '23569452GEHA', 'plan_type': None, 'group_name': None, 'payer_name': 'UNITEDHEALTHCARE', 'payer_note': None, 'patient_dob': '1970-07-02', '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 | 8176977951 | N/A | N/A | 5540931 | 2222 | 4793 | 9289174 | N/A | 4213013 | 2025-07-07 02:10:32.814979 | 2025-05-13 04:29:37.227340 |
| 2025-07-06 09:09:49.220653 | 2025-07-07 02:01:54.879929 | 9560265 | N/A | N/A | {'payer_id': 'LMG01', 'payer_name': 'Lakeside Medical Group', 'provider_npi': '1114042165', 'trace_number': '9560265', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '2008-09-18', 'date_of_service': '2025-07-06', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'BENDAVID', 'subscriber_member_id': '95318118F', 'subscriber_first_name': 'TALIA'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250706.120438699.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540893/check_9560265_a21c700d-6a04-4e30-b32d-40939ae25594.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '95318118F', 'plan_type': None, 'group_name': None, 'payer_name': 'LAKESIDE MEDICAL GROUP', 'payer_note': None, 'patient_dob': '2008-09-18', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'BENDAVID', 'plan_sponsor_name': None, 'patient_first_name': 'TALIA', '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 | 8176977950 | N/A | N/A | 5540893 | 2222 | 4793 | 9280051 | N/A | 4212979 | 2025-07-07 02:01:54.879929 | 2025-06-04 21:11:15.590634 |
| 2025-07-06 09:09:48.773838 | 2025-07-07 02:19:06.394287 | 9560252 | N/A | N/A | {'payer_id': 'Z1073', 'payer_name': 'Medicare B California Southern', 'provider_npi': '1114042165', 'trace_number': '9560252', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1957-08-09', 'date_of_service': '2025-07-06', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'DASILVA', 'subscriber_member_id': '4KY4HX3NJ05', 'subscriber_first_name': 'BOB'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250706.120438699.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540840/check_9560252_9f7951e2-4930-4817-8c20-2fd238d789e7.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '4KY4HX3NJ05', 'plan_type': 'Medicare Part B', 'group_name': None, 'payer_name': 'CMS', 'payer_note': '0-BENEFICIARY INSURED DUE TO AGE OASI', 'patient_dob': '1957-08-09', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': 'MB', 'enrolled_in_qmb': False, 'patient_last_name': 'DASILVA', 'plan_sponsor_name': None, 'patient_first_name': 'BOB', '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 | 8176977949 | N/A | N/A | 5540840 | 2222 | 4793 | 9294837 | N/A | 4212930 | 2025-07-07 02:19:06.394287 | 2025-05-13 04:29:37.227258 |
| 2025-07-06 09:09:48.416040 | 2025-07-07 02:11:06.025940 | 9560242 | N/A | N/A | {'payer_id': 'CCHPC', 'payer_name': 'Alignment Health Care (Fee For Service)', 'provider_npi': '1114042165', 'trace_number': '9560242', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1959-09-28', 'date_of_service': '2025-07-06', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'STEVENS', 'subscriber_member_id': '00000348252', 'subscriber_first_name': 'JANET'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250706.120438699.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540659/check_9560242_cc481438-ec07-474e-b0b4-7cbb09f984be.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '00000348252', 'plan_type': 'Health Maintenance Organization (HMO)', 'group_name': None, 'payer_name': 'MEDICARE', 'payer_note': 'OVERALL DEDUCTIBLE', 'patient_dob': '1959-09-28', 'plan_number': 'H3815028', 'group_number': None, 'insurance_type': None, 'plan_type_code': 'HM', 'enrolled_in_qmb': False, 'patient_last_name': 'STEVENS', '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': 'ALIGNMENT HEALTH MY CHOICE (HMO)', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8176977948 | N/A | N/A | 5540659 | 2222 | 4801 | 9289689 | N/A | 4212773 | 2025-07-07 02:11:06.025940 | 2025-05-13 04:29:37.227109 |
| 2025-07-06 09:09:48.085089 | 2025-07-07 02:11:36.752163 | 9560234 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9560234', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1968-12-03', 'date_of_service': '2025-07-06', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'YANG', 'subscriber_member_id': 'FJB27468841M', 'subscriber_first_name': 'JINING'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250706.120438699.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539727/check_9560234_604ab4bb-883d-4a2e-9874-96052c9c7d65.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'FJB27468841M', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'ALL', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1968-12-03', 'plan_number': '101', 'group_number': '174549M311', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'YANG', 'plan_sponsor_name': None, 'patient_first_name': 'JINING', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2021-01-01', 'plan_coverage_description': 'BLUECARD PPO', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8176977947 | N/A | N/A | 5539727 | 2222 | 4793 | 9290092 | N/A | 4211988 | 2025-07-07 02:11:36.752163 | 2025-07-02 16:33:22.389736 |