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 09:09:47.673720 | 2025-07-07 02:01:56.757464 | 9560223 | N/A | N/A | {'payer_id': 'LMG01', 'payer_name': 'Lakeside Medical Group', 'provider_npi': '1114042165', 'trace_number': '9560223', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1951-02-23', 'date_of_service': '2025-07-06', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'WENSEL', 'subscriber_member_id': '40065419401', 'subscriber_first_name': 'KAREN'} | 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/2222/5539718/check_9560223_dedb3592-de4d-4367-84ab-ac3470c2ee95.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '40065419401', 'plan_type': None, 'group_name': None, 'payer_name': 'LAKESIDE MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1951-02-23', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'WENSEL', 'plan_sponsor_name': None, 'patient_first_name': 'KAREN', '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 | 8176977946 | N/A | N/A | 5539718 | 2222 | 4793 | 9280066 | N/A | 4211977 | 2025-07-07 02:01:56.757464 | 2025-05-13 04:29:37.226299 |
| 2025-07-06 09:09:47.367941 | 2025-07-07 02:11:29.884207 | 9560215 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9560215', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1960-08-08', 'date_of_service': '2025-07-06', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'subscriber_last_name': 'GINSBERG', 'subscriber_member_id': 'JQU469A62630', 'subscriber_first_name': 'STEVEN'} | 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/2222/5538693/check_9560215_2fb7eb19-5583-4013-8ae4-66545ea22ce1.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'JQU469A62630', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'CAL CHOICE JANUARY 1.00', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1960-08-08', 'plan_number': '040', 'group_number': '476522', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'GINSBERG', 'plan_sponsor_name': None, 'patient_first_name': 'LISA', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2025-01-01', 'plan_coverage_description': 'ANTHEM SILVER PPO HSA/H 2000/3300/4000 35% PREVRX', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8176977945 | N/A | N/A | 5538693 | 2222 | 4793 | 9290004 | N/A | 4211081 | 2025-07-07 02:11:29.884207 | 2025-05-13 04:29:37.225492 |
| 2025-07-06 09:09:47.091118 | 2025-07-07 02:12:44.521592 | 9560208 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': '1114042165', 'trace_number': '9560208', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1979-06-20', 'date_of_service': '2025-07-06', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'subscriber_last_name': 'RITENOUR', 'subscriber_member_id': 'NCF553A20679', '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/2222/5537911/check_9560208_87b468b8-38f5-4663-b2df-5b0107b6b52a.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'NCF553A20679', 'plan_type': None, 'group_name': None, 'payer_name': 'BLUE SHIELD CALIFORNIA', 'payer_note': None, 'patient_dob': '1979-06-20', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'RITENOUR', '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 | 8176977944 | N/A | N/A | 5537911 | 2222 | 4793 | 9290958 | N/A | 4210415 | 2025-07-07 02:12:44.521592 | 2025-06-11 20:40:26.862752 |
| 2025-07-06 09:09:46.689608 | 2025-07-07 02:11:05.438341 | 9560197 | N/A | N/A | {'payer_id': 'CCHPC', 'payer_name': 'ALIGNMENT HEALTH CARE', 'provider_npi': '1114042165', 'trace_number': '9560197', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1949-09-13', 'date_of_service': '2025-07-06', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'GOMES', 'subscriber_member_id': '00000285293', 'subscriber_first_name': 'NEMESIO'} | 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/2222/5537439/check_9560197_ee55436d-bcbe-4120-9391-97a237b4b7d6.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '00000285293', 'plan_type': 'Health Maintenance Organization (HMO)', 'group_name': None, 'payer_name': 'MEDICARE', 'payer_note': 'OVERALL DEDUCTIBLE', 'patient_dob': '1949-09-13', 'plan_number': 'H3815028', 'group_number': None, 'insurance_type': None, 'plan_type_code': 'HM', 'enrolled_in_qmb': False, 'patient_last_name': 'GOMES', 'plan_sponsor_name': None, 'patient_first_name': 'NEMESIO', '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 | 8176977943 | N/A | N/A | 5537439 | 2222 | 4801 | 9289682 | 2630 | 4210001 | 2025-07-07 02:11:05.438341 | 2025-05-13 04:29:37.224421 |
| 2025-07-06 09:09:46.294753 | 2025-07-07 02:11:37.412453 | 9560188 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9560188', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1977-02-28', 'date_of_service': '2025-07-06', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'YOUNG', 'subscriber_member_id': 'LDU021A75601', 'subscriber_first_name': 'AMY'} | 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/2222/5536372/check_9560188_5e8f3c4a-400d-41e7-a715-51d79cba13a1.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'LDU021A75601', 'plan_type': 'Exclusive Provider Organization', 'group_name': 'LAUSD', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1977-02-28', 'plan_number': '040', 'group_number': '1838NC', 'insurance_type': None, 'plan_type_code': 'EP', 'enrolled_in_qmb': False, 'patient_last_name': 'YOUNG', 'plan_sponsor_name': None, 'patient_first_name': 'AMY', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2025-01-01', 'plan_coverage_description': 'PRUDENT BUYER EXCLUSIVE', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8176977942 | N/A | N/A | 5536372 | 2222 | 4801 | 9290101 | N/A | 4209123 | 2025-07-07 02:11:37.412453 | 2025-05-13 04:29:37.223548 |
| 2025-07-06 09:09:45.895997 | 2025-07-07 02:11:27.223522 | 9560178 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'ANTHEM BLUE CROSS', 'provider_npi': '1114042165', 'trace_number': '9560178', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1947-04-18', 'date_of_service': '2025-07-06', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'BELL', 'subscriber_member_id': 'MNL880M78427', 'subscriber_first_name': 'JACQUELYN'} | 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/2222/5536041/check_9560178_aaea954d-1fd2-4b5d-8b5d-66362d2b5d4d.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'MNL880M78427', 'plan_type': 'Medicare Primary', 'group_name': 'CA MEDICARE', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1947-04-18', 'plan_number': '040', 'group_number': 'CAMCRWP0', 'insurance_type': None, 'plan_type_code': 'MP', 'enrolled_in_qmb': False, 'patient_last_name': 'BELL', 'plan_sponsor_name': None, 'patient_first_name': 'JACQUELYN', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2024-07-01', 'plan_coverage_description': 'CA H4471-001-000 ANTHEM FULL DUAL ADVANTAGE ALIGNE', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8176977941 | N/A | N/A | 5536041 | 2222 | 4802 | 9289972 | 4184 | 4208856 | 2025-07-07 02:11:27.223522 | 2025-05-13 04:29:37.223284 |
| 2025-07-06 09:09:45.514618 | 2025-07-07 02:01:58.637833 | 9560166 | N/A | N/A | {'payer_id': 'REGAL', 'payer_name': 'Regal Medical Group', 'provider_npi': '1114042165', 'trace_number': '9560166', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1961-06-27', 'date_of_service': '2025-07-06', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'BRACKEN', 'subscriber_member_id': 'NCF378A67692', 'subscriber_first_name': 'CELINA'} | 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/2222/5535853/check_9560166_dfcf28b8-2dab-459b-ac20-e099a2b95ce7.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'NCF378A67692', 'plan_type': None, 'group_name': None, 'payer_name': 'REGAL MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1961-06-27', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'BRACKEN', 'plan_sponsor_name': None, 'patient_first_name': 'CELINA', '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 | 8176977940 | N/A | N/A | 5535853 | 2222 | 4793 | 9280080 | N/A | 4208702 | 2025-07-07 02:01:58.637833 | 2025-05-13 04:29:37.223129 |
| 2025-07-06 09:09:45.065085 | 2025-07-07 02:19:10.120316 | 9560155 | N/A | N/A | {'payer_id': 'Z1073', 'payer_name': 'Medicare B California Southern', 'provider_npi': '1114042165', 'trace_number': '9560155', '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': '3A76X26KQ40', 'subscriber_first_name': 'DAVID'} | 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/2222/5535838/check_9560155_81a5cec5-cd93-4790-87ff-aa0e69dfbca7.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '3A76X26KQ40', 'plan_type': None, 'group_name': None, 'payer_name': 'CMS', '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 | 8176977939 | N/A | N/A | 5535838 | 2222 | 4801 | 9294843 | N/A | 4208696 | 2025-07-07 02:19:10.120316 | 2025-06-07 16:16:45.844566 |
| 2025-07-06 09:09:09.963292 | 2025-07-07 05:07:59.101037 | 9559280 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9559280', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1967-08-29', 'date_of_service': '2025-07-06', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'subscriber_last_name': 'HARDING', 'subscriber_member_id': 'XDP157A51099', 'subscriber_first_name': 'NATHAN'} | 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/2222/6398773/check_9559280_cdfd17a6-b9e5-41ab-b5e9-9a36ec826de4.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': '1967-08-29', '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 | 8176974919 | N/A | N/A | 6398773 | 2222 | 4801 | 9302805 | N/A | 5046326 | 2025-07-07 05:07:59.101037 | 2025-06-30 17:04:21.721546 |
| 2025-07-06 09:09:07.859340 | 2025-07-07 05:12:44.922171 | 9559229 | N/A | N/A | {'payer_id': 'Z1073', 'payer_name': 'Medicare B California Southern', 'provider_npi': '1114042165', 'trace_number': '9559229', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1946-03-20', 'date_of_service': '2025-07-06', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'ZAVAD', 'subscriber_member_id': '6EU4QE2TT70', 'subscriber_first_name': 'MARK'} | 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/2222/6398732/check_9559229_5405f6b1-5eb6-4794-b8fb-f5652b49a880.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '6EU4QE2TT70', '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': '1946-03-20', 'plan_number': 'S5617', 'group_number': None, 'insurance_type': None, 'plan_type_code': 'MA', 'enrolled_in_qmb': False, 'patient_last_name': 'ZAVAD', 'plan_sponsor_name': None, 'patient_first_name': 'MARK', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8176974910 | N/A | N/A | 6398732 | 2222 | 4801 | 9304396 | N/A | 5046284 | 2025-07-07 05:12:44.922171 | 2025-06-15 19:17:13.943381 |
| 2025-07-06 09:09:07.195891 | 2025-07-07 05:12:43.899245 | 9559212 | N/A | N/A | {'payer_id': 'Z1073', 'payer_name': 'Medicare B California Southern', 'provider_npi': '1114042165', 'trace_number': '9559212', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1955-03-14', 'date_of_service': '2025-07-06', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'GOTTLIEB', 'subscriber_member_id': '5QC5Y42RU84', 'subscriber_first_name': 'ROY'} | 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/2222/6398701/check_9559212_93e8febd-5264-44e8-b024-4565213f072f.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '5QC5Y42RU84', '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': '1955-03-14', 'plan_number': 'S5617', 'group_number': None, 'insurance_type': None, 'plan_type_code': 'MA', 'enrolled_in_qmb': False, 'patient_last_name': 'GOTTLIEB', 'plan_sponsor_name': None, 'patient_first_name': 'ROY', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8176974905 | N/A | N/A | 6398701 | 2222 | 4793 | 9304389 | N/A | 5046257 | 2025-07-07 05:12:43.899245 | 2025-06-15 19:16:28.356486 |
| 2025-07-06 09:08:44.779900 | 2025-07-07 05:07:58.544584 | 9558669 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9558669', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1950-03-19', 'date_of_service': '2025-07-06', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'AZUCENA', 'subscriber_member_id': 'MMA139W21606', 'subscriber_first_name': 'ESPERANZA'} | 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/2222/6234679/check_9558669_fb279f6a-1690-451b-84d5-bc1bfb06e6fd.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'MMA139W21606', 'plan_type': 'Medicare Primary', 'group_name': 'CA MEDICARE', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1950-03-19', 'plan_number': '040', 'group_number': 'CAMCRWP0', 'insurance_type': None, 'plan_type_code': 'MP', 'enrolled_in_qmb': False, 'patient_last_name': 'AZUCENA', 'plan_sponsor_name': None, 'patient_first_name': 'ESPERANZA', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2025-01-01', 'plan_coverage_description': 'CA H4161-007-000 ANTHEM PRIME (HMO-POS) RISK', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8176975770 | N/A | N/A | 6234679 | 2222 | 4801 | 9302803 | N/A | 4213743 | 2025-07-07 05:07:58.544584 | 2025-05-13 04:29:37.228064 |
| 2025-07-06 09:08:37.733118 | 2025-07-07 02:13:00.998187 | 9558444 | N/A | N/A | {'payer_id': 'SKCA0', 'payer_name': 'Medicaid California', 'provider_npi': '1114042165', 'trace_number': '9558444', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1999-09-20', 'date_of_service': '2025-07-06', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'MCINTOSH', 'subscriber_member_id': '97126838E44212', 'subscriber_first_name': 'MAKENNA'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250706.115926742.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6643925/check_9558444_3dafef41-96b8-4674-a0fb-bdc826429940.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '97126838E44212', 'plan_type': None, 'group_name': None, 'payer_name': 'MEDICAID CALIFORNIA', 'payer_note': None, 'patient_dob': '1999-09-20', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'MCINTOSH', 'plan_sponsor_name': None, 'patient_first_name': 'MAKENNA', '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 | 8176949169 | N/A | N/A | 6643925 | 2222 | 4801 | 9291224 | N/A | 5251186 | 2025-07-07 02:13:00.998187 | 2025-07-02 16:07:52.724735 |
| 2025-07-06 09:08:29.701600 | 2025-07-07 02:08:42.621548 | 9558173 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9558173', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1967-02-15', 'date_of_service': '2025-07-06', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'Kanury', 'subscriber_member_id': 'XDP072A21646', 'subscriber_first_name': 'Gretchen'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250706.115926742.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6633780/check_9558173_bb50e3bb-2c60-44df-9336-1aa234332e93.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XDP072A21646', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'CEDARS SINAI HEALTH SYSTEM', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1967-02-15', 'plan_number': '040', 'group_number': '1858RE', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'KANURY', 'plan_sponsor_name': None, 'patient_first_name': 'GRETCHEN', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2015-07-01', 'plan_coverage_description': 'CEDARS SINAI PPO NETWORK', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8176948492 | N/A | N/A | 6633780 | 2222 | 4802 | 9287084 | N/A | 5247212 | 2025-07-07 02:08:42.621548 | 2025-06-27 17:40:48.470160 |
| 2025-07-06 09:08:20.193464 | 2025-07-07 05:05:15.777275 | 9557883 | N/A | N/A | {'payer_id': '61101', 'payer_name': 'Humana (and subsidiaries) claims', 'provider_npi': '1114042165', 'trace_number': '9557883', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1947-04-26', 'date_of_service': '2025-07-06', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'BARCENES', 'subscriber_member_id': 'H9209970900', 'subscriber_first_name': 'IRENE'} | 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/2222/6231314/check_9557883_92994568-acae-459f-adfc-9f75a0c20c14.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'H92099709', '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': '1947-04-26', 'plan_number': None, 'group_number': '0B527001', 'insurance_type': None, 'plan_type_code': 'HN', 'enrolled_in_qmb': False, 'patient_last_name': 'BARCENES DES', 'plan_sponsor_name': None, 'patient_first_name': 'IRENE', '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 | 8176975140 | N/A | N/A | 6231314 | 2222 | 4801 | 9301965 | N/A | 4219033 | 2025-07-07 05:05:15.777275 | 2025-05-13 04:29:37.230052 |
| 2025-07-06 09:08:00.514967 | 2025-07-07 05:12:43.536968 | 9557200 | N/A | N/A | {'payer_id': 'Z1073', 'payer_name': 'Medicare B California Southern', 'provider_npi': '1114042165', 'trace_number': '9557200', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1970-03-23', 'date_of_service': '2025-07-06', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'ADAMSKY', 'subscriber_member_id': '5AR2R76UH88', 'subscriber_first_name': 'ARLEEN'} | 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/2222/6222571/check_9557200_b2314dab-3a35-4207-9ba0-895230a4a37e.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '5AR2R76UH88', 'plan_type': 'Medicare Part A', 'group_name': None, 'payer_name': 'WELLCARE PRESCRIPTION INSURANCE, INC.', 'payer_note': '1-BENEFICIARY INSURED DUE TO DISABILITY', 'patient_dob': '1970-03-23', 'plan_number': 'S4802', 'group_number': None, 'insurance_type': None, 'plan_type_code': 'MA', 'enrolled_in_qmb': False, 'patient_last_name': 'ADAMSKY', 'plan_sponsor_name': None, 'patient_first_name': 'ARLEEN', '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 | 8176974503 | N/A | N/A | 6222571 | 2222 | 4801 | 9304387 | N/A | 4219835 | 2025-07-07 05:12:43.536968 | 2025-06-11 17:06:07.512166 |
| 2025-07-06 09:07:59.525178 | 2025-07-07 05:07:26.380989 | 9557160 | N/A | N/A | {'payer_id': '94134', 'payer_name': 'Kaiser Foundation Health Plan of Southern CA Region', 'provider_npi': '1114042165', 'trace_number': '9557160', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1985-10-09', 'date_of_service': '2025-07-06', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'MURPHY', 'subscriber_member_id': '000014458907', 'subscriber_first_name': 'CARRIE'} | 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/2222/6222264/check_9557160_a4076b57-5348-44ef-8cc1-23dfe226f164.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '000014458907', 'plan_type': None, 'group_name': None, 'payer_name': 'KFHP 1003', 'payer_note': 'MDC - MEDICAID', 'patient_dob': '1985-10-09', 'plan_number': '4327759', 'group_number': '231629', 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'MURPHY', 'plan_sponsor_name': None, 'patient_first_name': 'CARRIE', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'SIMI VALLEY UNIFIED SCHOOL DISTRICT XFR>EU 01 EFF', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8176975948 | N/A | N/A | 6222264 | 2222 | 4793 | 9302659 | N/A | 4866412 | 2025-07-07 05:07:26.380989 | 2025-09-05 20:32:08.117585 |
| 2025-07-06 09:07:59.178323 | 2025-07-07 05:08:00.488440 | 9557146 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9557146', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '2015-04-28', 'date_of_service': '2025-07-06', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'HARRIS', 'subscriber_member_id': 'ZTQ074A70562', 'subscriber_first_name': 'ADELINE'} | 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/2222/6222060/check_9557146_a2f67540-2daa-4817-95e4-5e27df646fa7.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'ZTQ074A70562', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'TELEDYNE TECH INC SCIENTIFIC & IMAGING', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '2015-04-28', 'plan_number': '040', 'group_number': '174249M3BE', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'VILLASANTA', 'plan_sponsor_name': None, 'patient_first_name': 'VERONICA', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2025-01-01', 'plan_coverage_description': 'CDHP CA GENERIC HLTH SAVINGS ACCT', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8176975946 | N/A | N/A | 6222060 | 2222 | 4801 | 9302811 | N/A | 4866077 | 2025-07-07 05:08:00.488440 | 2025-06-30 23:43:30.307325 |
| 2025-07-06 09:07:52.919103 | 2025-07-07 02:07:18.665754 | 9556895 | N/A | N/A | {'payer_id': '72261', 'payer_name': 'Scan Health Plan - California', 'provider_npi': '1114042165', 'trace_number': '9556895', 'provider_name': '', 'subscriber_dob': '1954-03-02', 'date_of_service': '2025-07-06', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'THOMPSON', 'subscriber_member_id': '40064864701', 'subscriber_first_name': 'PORNTIPA'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250706.115926742.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6609536/check_9556895_609b8696-f2e2-4534-a38f-7353a132c482.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '40064864701', 'plan_type': None, 'group_name': None, 'payer_name': 'SCAN HEALTH PLAN - CALIFORNIA', 'payer_note': None, 'patient_dob': '1954-03-02', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'THOMPSON', 'plan_sponsor_name': None, 'patient_first_name': 'PORNTIPA', '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 | 8176949024 | N/A | N/A | 6609536 | 2222 | 4801 | 9285487 | N/A | 4209233 | 2025-07-07 02:07:18.665754 | 2025-06-26 16:05:40.963247 |
| 2025-07-06 09:07:37.707317 | 2025-07-07 02:05:56.768530 | 9556318 | N/A | N/A | {'payer_id': '62308', 'payer_name': 'American Specialty Health', 'provider_npi': '1114042165', 'trace_number': '9556318', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1967-02-21', 'date_of_service': '2025-07-06', '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/272741.20250706.120240008.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5994830/check_9556318_e5cde6be-6c88-443f-9f06-11d9211dfcd3.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 | 8176963886 | N/A | N/A | 5994830 | 2222 | 4793 | 9283942 | N/A | 4210945 | 2025-07-07 02:05:56.768530 | 2025-06-24 15:38:48.246227 |
| 2025-07-06 09:07:32.047684 | 2025-07-07 02:13:42.565003 | 9556082 | N/A | N/A | {'payer_id': 'Z1073', 'payer_name': 'Medicare B California Southern', 'provider_npi': '1114042165', 'trace_number': '9556082', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1951-07-19', 'date_of_service': '2025-07-06', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'HARVEY', 'subscriber_member_id': '8YE6EE0UG57', 'subscriber_first_name': 'CHRISTOPHER'} | 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/2222/5993966/check_9556082_5ed6154a-2d34-45ca-b931-cdbdd2399406.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '8YE6EE0UG57', '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': '1951-07-19', 'plan_number': 'S4802', 'group_number': None, 'insurance_type': None, 'plan_type_code': 'MA', 'enrolled_in_qmb': False, 'patient_last_name': 'HARVEY', 'plan_sponsor_name': None, 'patient_first_name': 'CHRISTOPHE', '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 | 8176963872 | N/A | N/A | 5993966 | 2222 | 4801 | 9291796 | N/A | 4642895 | 2025-07-07 02:13:42.565003 | 2025-06-04 22:10:38.563345 |
| 2025-07-06 09:07:31.784171 | 2025-07-07 05:12:44.240033 | 9556072 | N/A | N/A | {'payer_id': 'Z1073', 'payer_name': 'Medicare B California Southern', 'provider_npi': '1114042165', 'trace_number': '9556072', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1959-04-20', 'date_of_service': '2025-07-06', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'GRANT', 'subscriber_member_id': '2p67ae9mf59', 'subscriber_first_name': 'ROBERT'} | 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/2222/6211373/check_9556072_37bd90fd-a2d9-414c-af4e-e6bd83ad00c6.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '2P67AE9MF59', 'plan_type': 'Medicare Part A', 'group_name': None, 'payer_name': 'AETNA HEALTH INC.', 'payer_note': '0-BENEFICIARY INSURED DUE TO AGE OASI', 'patient_dob': '1959-04-20', 'plan_number': 'S4802', 'group_number': '019303801200001', 'insurance_type': None, 'plan_type_code': 'MA', 'enrolled_in_qmb': False, 'patient_last_name': 'GRANT', 'plan_sponsor_name': None, 'patient_first_name': 'ROBERT', '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 | 8176974473 | N/A | N/A | 6211373 | 2222 | 4793 | 9304391 | N/A | 4214087 | 2025-07-07 05:12:44.240033 | 2025-05-13 04:29:37.228402 |
| 2025-07-06 09:07:31.720626 | 2025-07-07 02:07:46.813000 | 9556070 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'ANTHEM BLUE CROSS', 'provider_npi': '1114042165', 'trace_number': '9556070', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1958-05-23', 'date_of_service': '2025-07-06', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'NESSIA', 'subscriber_member_id': 'MMA187W16160', 'subscriber_first_name': 'GIGI'} | 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/2222/5993956/check_9556070_7ff73e5e-1ee5-4333-9a25-82cb30911ebb.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'MMA187W16160', 'plan_type': 'Medicare Primary', 'group_name': 'CA MEDICARE', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1958-05-23', 'plan_number': '040', 'group_number': 'CAMCRWP0', 'insurance_type': None, 'plan_type_code': 'MP', 'enrolled_in_qmb': False, 'patient_last_name': 'NESSIA', 'plan_sponsor_name': None, 'patient_first_name': 'GIGI', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2025-01-01', 'plan_coverage_description': 'CA H4161-007-000 ANTHEM PRIME (HMO-POS) RISK', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8176963871 | N/A | N/A | 5993956 | 2222 | 4801 | 9286002 | 4184 | 4642890 | 2025-07-07 02:07:46.813000 | 2025-06-17 17:21:32.432375 |
| 2025-07-06 09:07:31.465041 | 2025-07-07 02:07:26.801149 | 9556059 | N/A | N/A | {'payer_id': '94134', 'payer_name': 'Kaiser Foundation Health Plan of Southern CA Region', 'provider_npi': '1114042165', 'trace_number': '9556059', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '2002-09-02', 'date_of_service': '2025-07-06', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'TCHORBAJIAN', 'subscriber_member_id': '000015560662', 'subscriber_first_name': 'AREN'} | 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/2222/5993954/check_9556059_18171614-fda0-475a-958e-f2a0d892e3ea.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '000015560662', 'plan_type': None, 'group_name': None, 'payer_name': 'KFHP 1000', 'payer_note': 'HMO - HMO COMMERCIAL', 'patient_dob': '2002-09-02', 'plan_number': '3003378', 'group_number': '1650095001', 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'TCHORBAJIAN', 'plan_sponsor_name': None, 'patient_first_name': 'AREN', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'GF JANUARY - KPIF DHMO DEDUCTIBLE HMO $1500 W/CHIR', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8176963870 | N/A | N/A | 5993954 | 2222 | 4801 | 9285641 | N/A | 4642889 | 2025-07-07 02:07:26.801149 | 2025-06-13 05:53:58.450942 |
| 2025-07-06 09:07:31.150230 | 2025-07-07 02:04:22.801190 | 9556047 | N/A | N/A | {'payer_id': '60054', 'payer_name': 'Aetna', 'provider_npi': '1114042165', 'trace_number': '9556047', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1986-01-20', 'date_of_service': '2025-07-06', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'DAVIS', 'subscriber_member_id': 'W258779471', 'subscriber_first_name': 'MARTINA'} | 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/2222/5993951/check_9556047_c8b4804a-ce12-4990-93d6-7dede16ddd5e.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'W258779471', 'plan_type': 'Point of Service (POS)', 'group_name': 'ADP TOTALSOURCE SERVICES, INC.', 'payer_name': 'AETNA', 'payer_note': None, 'patient_dob': '1986-01-20', 'plan_number': '0251371', 'group_number': '025137101900020', 'insurance_type': None, 'plan_type_code': 'PS', 'enrolled_in_qmb': False, 'patient_last_name': 'DAVIS', 'plan_sponsor_name': None, 'patient_first_name': 'ASTIN', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'OPEN ACCESS MC', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8176963869 | N/A | N/A | 5993951 | 2222 | 4802 | 9282173 | N/A | 4642884 | 2025-07-07 02:04:22.801190 | 2025-12-02 20:19:19.910444 |
| 2025-07-06 09:07:30.838575 | 2025-07-07 02:02:52.732619 | 9556036 | N/A | N/A | {'payer_id': 'LMG01', 'payer_name': 'Lakeside Medical Group', 'provider_npi': '1114042165', 'trace_number': '9556036', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1969-01-08', 'date_of_service': '2025-07-06', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'ALROMAIH', 'subscriber_member_id': '91237812E', 'subscriber_first_name': 'SARAH'} | 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/2222/5993940/check_9556036_32010c96-72af-4ea7-ac2d-997f68f4fd94.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '91237812E', 'plan_type': None, 'group_name': None, 'payer_name': 'LAKESIDE MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1969-01-08', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'ALROMAIH', 'plan_sponsor_name': None, 'patient_first_name': 'SARAH', '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 | 8176963868 | N/A | N/A | 5993940 | 2222 | 4802 | 9280566 | N/A | 4642877 | 2025-07-07 02:02:52.732619 | 2025-12-23 23:49:16.627667 |
| 2025-07-06 09:07:30.348634 | 2025-07-07 02:02:53.433793 | 9556021 | N/A | N/A | {'payer_id': 'REGAL', 'payer_name': 'Regal Medical Group', 'provider_npi': '1114042165', 'trace_number': '9556021', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1949-09-25', 'date_of_service': '2025-07-06', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'LOPEZ', 'subscriber_member_id': '31183522601', 'subscriber_first_name': 'MARIA'} | 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/2222/5993934/check_9556021_02dc449f-8453-4396-8dbf-b041412c1a59.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '31183522601', 'plan_type': None, 'group_name': None, 'payer_name': 'REGAL MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1949-09-25', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'LOPEZ', 'plan_sponsor_name': None, 'patient_first_name': 'MARIA', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8176963867 | N/A | N/A | 5993934 | 2222 | 4801 | 9280581 | N/A | 4642871 | 2025-07-07 02:02:53.433793 | 2025-06-02 21:57:45.887368 |
| 2025-07-06 09:07:30.014512 | 2025-07-07 02:13:42.902594 | 9556009 | N/A | N/A | {'payer_id': 'Z1073', 'payer_name': 'Medicare B California Southern', 'provider_npi': '1114042165', 'trace_number': '9556009', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1955-12-01', 'date_of_service': '2025-07-06', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'PARLIER', 'subscriber_member_id': '7D70AM9KX14', 'subscriber_first_name': 'MERILEE'} | 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/2222/5993924/check_9556009_ecfc87cf-9e8a-4488-a6ac-6d32d8153ece.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '7D70AM9KX14', 'plan_type': 'Medicare Part A', 'group_name': None, 'payer_name': 'ANTHEM INSURANCE COMPANIES, INC.', 'payer_note': '0-BENEFICIARY INSURED DUE TO AGE OASI', 'patient_dob': '1955-12-01', 'plan_number': 'H4036', 'group_number': None, 'insurance_type': None, 'plan_type_code': 'MA', 'enrolled_in_qmb': False, 'patient_last_name': 'PARLIER', 'plan_sponsor_name': None, 'patient_first_name': 'MERILEE', '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 | 8176963866 | N/A | N/A | 5993924 | 2222 | 4801 | 9291803 | N/A | 4642861 | 2025-07-07 02:13:42.902594 | 2025-11-25 19:25:55.074534 |
| 2025-07-06 09:07:29.583712 | 2025-07-07 02:08:20.593971 | 9555990 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': '1114042165', 'trace_number': '9555990', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1984-05-19', 'date_of_service': '2025-07-06', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'DANG', 'subscriber_member_id': 'XAN913823841', 'subscriber_first_name': 'TRAM'} | 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/2222/5993908/check_9555990_615e71b7-014d-484f-b971-b426e54789f4.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XAN913823841', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM', 'payer_name': 'BLUE SHIELD CALIFORNIA', 'payer_note': None, 'patient_dob': '1984-05-16', 'plan_number': '1479PPOX0002', 'group_number': 'W0051411', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'DANG', 'plan_sponsor_name': None, 'patient_first_name': 'TRAM', '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 | 8176963865 | N/A | N/A | 5993908 | 2222 | 4802 | 9286660 | N/A | 4534561 | 2025-07-07 02:08:20.593971 | 2025-06-02 15:59:21.578406 |
| 2025-07-06 09:07:23.849265 | 2025-07-07 05:07:33.488138 | 9555788 | N/A | N/A | {'payer_id': 'CCHPC', 'payer_name': 'Alignment Health Care (Fee For Service)', 'provider_npi': '1114042165', 'trace_number': '9555788', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1957-01-07', 'date_of_service': '2025-07-06', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'Placeres', 'subscriber_member_id': '00000387571', 'subscriber_first_name': 'Gerald'} | 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/2222/6210310/check_9555788_b38ee659-dcea-4c5a-8e24-86fc8777cc3b.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '00000387571', 'plan_type': 'Health Maintenance Organization (HMO)', 'group_name': None, 'payer_name': 'MEDICARE', 'payer_note': 'OVERALL DEDUCTIBLE', 'patient_dob': '1957-01-07', 'plan_number': 'H3815028', 'group_number': None, 'insurance_type': None, 'plan_type_code': 'HM', 'enrolled_in_qmb': False, 'patient_last_name': 'PLACERES', 'plan_sponsor_name': None, 'patient_first_name': 'GERALD', '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 | 8176974455 | N/A | N/A | 6210310 | 2222 | 4801 | 9302693 | N/A | 4853176 | 2025-07-07 05:07:33.488138 | 2025-06-11 16:41:23.932807 |
| 2025-07-06 09:07:17.109852 | 2025-07-07 02:06:19.256232 | 9555534 | N/A | N/A | {'payer_id': '62308', 'payer_name': 'Cigna Health Plans', 'provider_npi': '1114042165', 'trace_number': '9555534', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1963-05-23', 'date_of_service': '2025-07-06', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'SMART', 'subscriber_member_id': '108678548', 'subscriber_first_name': 'CARRIE'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250706.115926742.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6597151/check_9555534_9430580b-7339-4363-9700-495324378007.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '10867854801', 'plan_type': None, 'group_name': 'KILROY REALTY CORPORATION', 'payer_name': 'CHLIC', 'payer_note': 'COMPLETE CARE MANAGEMENT', 'patient_dob': '1963-05-23', 'plan_number': None, 'group_number': '00639041', 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'SMART', 'plan_sponsor_name': None, 'patient_first_name': 'CARRIE', '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 | 8176948400 | N/A | N/A | 6597151 | 2222 | 4793 | 9284385 | N/A | 5215090 | 2025-07-07 02:06:19.256232 | 2025-06-25 19:01:09.622494 |
| 2025-07-06 09:07:10.456886 | 2025-07-07 02:04:51.204046 | 9555288 | N/A | N/A | {'payer_id': '60054', 'payer_name': 'Aetna', 'provider_npi': '1114042165', 'trace_number': '9555288', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1960-05-01', 'date_of_service': '2025-07-06', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'RAPP', 'subscriber_member_id': 'W460574623', 'subscriber_first_name': 'PATRICIA'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250706.115926742.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6593005/check_9555288_9dca7070-5f2b-4244-a714-d8e698047057.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'W460574623', 'plan_type': 'Point of Service (POS)', 'group_name': 'MARSH & MCLENNAN COMPANIES, INC.', 'payer_name': 'AETNA', 'payer_note': None, 'patient_dob': '1960-05-01', 'plan_number': '0868802', 'group_number': '086880201300002', 'insurance_type': None, 'plan_type_code': 'PS', 'enrolled_in_qmb': False, 'patient_last_name': 'RAPP', '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': 'HSA AETNA CHOICE POS II', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8176947912 | N/A | N/A | 6593005 | 2222 | 4793 | 9282671 | N/A | 5212281 | 2025-07-07 02:04:51.204046 | 2025-08-08 19:19:53.683359 |
| 2025-07-06 09:06:55.820856 | 2025-07-07 05:08:01.066322 | 9554704 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9554704', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1965-06-28', 'date_of_service': '2025-07-06', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'WATFORD', 'subscriber_member_id': 'JMV794A61721', 'subscriber_first_name': 'MONICA'} | 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/2222/6193602/check_9554704_32b8e523-a725-4151-ad94-346b57a2f7e5.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'JMV794A61721', 'plan_type': 'Health Maintenance Organization (HMO)', 'group_name': 'CAPSTONE GREEN ENERGY LLC', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1965-06-28', 'plan_number': '040', 'group_number': 'L10003H001', 'insurance_type': None, 'plan_type_code': 'HM', 'enrolled_in_qmb': False, 'patient_last_name': 'WATFORD', 'plan_sponsor_name': None, 'patient_first_name': 'MONICA', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2025-01-01', 'plan_coverage_description': 'VALUE COINSURANCE TRADITIONAL HMO NETWORK NON DUR', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8176974433 | N/A | N/A | 6193602 | 2222 | 4801 | 9302813 | N/A | 4837815 | 2025-07-07 05:08:01.066322 | 2025-06-24 18:39:14.627021 |
| 2025-07-06 09:06:49.061748 | 2025-07-07 05:02:41.965693 | 9554492 | N/A | N/A | {'payer_id': '14163', 'payer_name': 'Wellcare Health Plans', 'provider_npi': '1114042165', 'trace_number': '9554492', 'provider_name': '', 'subscriber_dob': '1948-06-04', 'date_of_service': '2025-07-06', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'Carrillo', 'subscriber_member_id': '30127057', 'subscriber_first_name': 'Sandra'} | 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/2222/6192336/check_9554492_e1bb971c-b29c-4894-b0f3-7ba7ff187da1.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '30127057', 'plan_type': None, 'group_name': None, 'payer_name': 'WELLCARE HEALTH PLANS', 'payer_note': None, 'patient_dob': '1948-06-04', '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': 'SANDRA', '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 | 8176974409 | N/A | N/A | 6192336 | 2222 | 4801 | 9301387 | N/A | 4836434 | 2025-07-07 05:02:41.965693 | 2025-06-24 22:10:01.955161 |
| 2025-07-06 09:06:41.412464 | 2025-07-07 02:09:35.753647 | 9554204 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': '1114042165', 'trace_number': '9554204', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1960-05-10', 'date_of_service': '2025-07-06', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'subscriber_last_name': 'KOPELOW', 'subscriber_member_id': 'XEM914403682', 'subscriber_first_name': 'GREG'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250706.115926742.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6584682/check_9554204_940ca4de-dccb-4987-be22-a0bfbc5c6207.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XEM914403682', 'plan_type': 'Other', 'group_name': 'MEDICARE SUPPLEMENT', 'payer_name': 'MEDICARE PART A AND B', 'payer_note': None, 'patient_dob': '1960-05-10', 'plan_number': '2002SDW00030', 'group_number': 'X0001002', 'insurance_type': None, 'plan_type_code': 'OT', 'enrolled_in_qmb': False, 'patient_last_name': 'KOPELOW', 'plan_sponsor_name': None, 'patient_first_name': 'GREGORY', '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} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8176948355 | N/A | N/A | 6584682 | 2222 | 4802 | 9288104 | N/A | 5203274 | 2025-07-07 02:09:35.753647 | 2025-07-01 20:11:33.329538 |
| 2025-07-06 09:06:41.265632 | 2025-07-07 02:14:25.456803 | 9554199 | N/A | N/A | {'payer_id': 'Z1073', 'payer_name': 'Medicare B California Southern', 'provider_npi': '1114042165', 'trace_number': '9554199', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1934-12-03', 'date_of_service': '2025-07-06', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'Dayzadeh', 'subscriber_member_id': '9A94PK6GA08', 'subscriber_first_name': 'Nasser'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250706.115926742.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6583825/check_9554199_40905bfa-a968-415f-aaae-91bd45e7d9b4.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '9A94PK6GA08', 'plan_type': 'Medicare Part A', 'group_name': None, 'payer_name': "CALIFORNIA PHYSICIANS' SERVICE", 'payer_note': '0-BENEFICIARY INSURED DUE TO AGE OASI', 'patient_dob': '1934-12-03', 'plan_number': 'S2468', 'group_number': None, 'insurance_type': None, 'plan_type_code': 'MA', 'enrolled_in_qmb': False, 'patient_last_name': 'DAYZADEH', 'plan_sponsor_name': None, 'patient_first_name': 'NASSER', '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 | 8176948354 | N/A | N/A | 6583825 | 2222 | 4802 | 9292376 | N/A | 5202586 | 2025-07-07 02:14:25.456803 | 2025-06-25 17:55:27.155518 |
| 2025-07-06 09:06:21.820923 | 2025-07-07 02:14:26.407633 | 9553669 | N/A | N/A | {'payer_id': 'Z1073', 'payer_name': 'Medicare B California Southern', 'provider_npi': '1114042165', 'trace_number': '9553669', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1953-06-17', 'date_of_service': '2025-07-06', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'THOMPSON', 'subscriber_member_id': '5NK7CD2VM65', 'subscriber_first_name': 'JAMES'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250706.115926742.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6577657/check_9553669_71fadddf-475e-48db-80e2-676390fb3560.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '5NK7CD2VM65', 'plan_type': 'Medicare Part A', 'group_name': None, 'payer_name': 'SILVERSCRIPT INSURANCE COMPANY', 'payer_note': '0-BENEFICIARY INSURED DUE TO AGE OASI', 'patient_dob': '1953-06-17', 'plan_number': 'S5601', 'group_number': None, 'insurance_type': None, 'plan_type_code': 'MA', 'enrolled_in_qmb': False, 'patient_last_name': 'THOMPSON', '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 | 8176949267 | N/A | N/A | 6577657 | 2222 | 4793 | 9292390 | N/A | 5197700 | 2025-07-07 02:14:26.407633 | 2025-06-30 15:33:47.069983 |
| 2025-07-06 09:06:18.581115 | 2025-07-07 02:06:18.788825 | 9553596 | N/A | N/A | {'payer_id': '62308', 'payer_name': 'CIGNA (Connecticut General, Equicor, Equitable)', 'provider_npi': '1114042165', 'trace_number': '9553596', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1997-06-04', 'date_of_service': '2025-07-06', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'Meyers', 'subscriber_member_id': 'U9573216901', 'subscriber_first_name': 'Robert'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250706.115926742.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6575962/check_9553596_073f66ca-d5ad-4f36-b52f-f3cbb73baf94.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'U9573216901', 'plan_type': None, 'group_name': 'DISNEY WORLDWIDE SERVICES, INC.', 'payer_name': 'CHLIC', 'payer_note': 'PROVIDER IS IN NETWORK BASED ON NPI ID PROVIDED IN REQUEST COMPLETE CARE MANAGEMENT', 'patient_dob': '1997-06-04', 'plan_number': None, 'group_number': '3207160', 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'MEYERS', 'plan_sponsor_name': None, 'patient_first_name': 'ROBERT', '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 | 8176949260 | N/A | N/A | 6575962 | 2222 | 4802 | 9284378 | N/A | 5196194 | 2025-07-07 02:06:18.788825 | 2025-06-24 20:53:48.640973 |
| 2025-07-06 09:05:48.519993 | 2025-07-07 02:05:21.390377 | 9552930 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9552930', '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': 'JQY361W23827', 'subscriber_first_name': 'ARDENN'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250706.115926326.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6605808/check_9552930_610fb6cc-3ae5-4027-9f11-16b4dbad975f.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'JQY361W23827', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'KENT TAKEMOTO, M.D., INC.', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1996-07-04', 'plan_number': '040', 'group_number': 'Q62351', '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': '2025-04-01', 'plan_coverage_description': 'CA SG SELECT PPO', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8176952575 | N/A | N/A | 6605808 | 2222 | 4802 | 9283241 | N/A | 4214948 | 2025-07-07 02:05:21.390377 | 2025-06-26 01:28:07.741882 |
| 2025-07-06 09:05:40.434460 | 2025-07-07 02:06:00.115793 | 9552720 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': '1114042165', 'trace_number': '9552720', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1934-12-03', 'date_of_service': '2025-07-06', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'Dayzadeh', 'subscriber_member_id': 'XEM903033247', 'subscriber_first_name': 'Nasser'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250706.115926326.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6595255/check_9552720_b1ccec55-5424-4bc0-aee9-41b25a73eb54.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XEM903033247', 'plan_type': 'Other', 'group_name': 'MEDICARE SUPPLEMENT', 'payer_name': 'MEDICARE PART A AND B', 'payer_note': None, 'patient_dob': '1934-12-03', 'plan_number': '2101SD000023', 'group_number': 'X0001002', 'insurance_type': None, 'plan_type_code': 'OT', 'enrolled_in_qmb': False, 'patient_last_name': 'DAYZADEH', 'plan_sponsor_name': None, 'patient_first_name': 'NASSER', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'MEDICARE SUPPLEMENT PLAN D', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8176952548 | N/A | N/A | 6595255 | 2222 | 4802 | 9284006 | N/A | 5202586 | 2025-07-07 02:06:00.115793 | 2025-06-25 17:55:27.155518 |
| 2025-07-06 09:05:19.091099 | 2025-07-07 02:06:01.180206 | 9552212 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': '1114042165', 'trace_number': '9552212', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1953-06-17', 'date_of_service': '2025-07-06', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'THOMPSON', 'subscriber_member_id': 'XEM906571592', 'subscriber_first_name': 'JAMES'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250706.115926326.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6577665/check_9552212_1b95ee73-ee8a-49c3-b846-6d9db3e4f28e.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XEM906571592', 'plan_type': 'Other', 'group_name': 'MEDICARE SUPPLEMENT', 'payer_name': 'MEDICARE PART A AND B', 'payer_note': None, 'patient_dob': '1953-06-17', 'plan_number': '2004SF000028', 'group_number': 'X0001002', 'insurance_type': None, 'plan_type_code': 'OT', 'enrolled_in_qmb': False, 'patient_last_name': 'THOMPSON', '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': 'MEDICARE SUPPLEMENT PLAN G', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8176951928 | N/A | N/A | 6577665 | 2222 | 4793 | 9284025 | N/A | 5197700 | 2025-07-07 02:06:01.180206 | 2025-06-30 15:33:47.069983 |
| 2025-07-06 09:05:18.961389 | 2025-07-07 05:08:48.483939 | 9552207 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': '1114042165', 'trace_number': '9552207', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '2009-10-30', 'date_of_service': '2025-07-06', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'SMITH', 'subscriber_member_id': 'XEA911729154', 'subscriber_first_name': 'KAMALA'} | 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/2222/6162659/check_9552207_223dbd3b-f87b-4baf-95db-c14db1d2b736.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XEA911729154', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'SHANTHA K SMITH BOOKS AND TAX LLC', 'payer_name': 'BLUE SHIELD CALIFORNIA', 'payer_note': None, 'patient_dob': '2009-10-30', 'plan_number': '1000VX000103', 'group_number': 'W0074149', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'SMITH', 'plan_sponsor_name': None, 'patient_first_name': 'SHANTHA', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2024-11-01', 'plan_coverage_description': 'BLUE SHIELD SILVER 70 PPO 2500 55 CHILD DENTAL', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8176974374 | N/A | N/A | 6162659 | 2222 | 4802 | 9303067 | N/A | 4805243 | 2025-07-07 05:08:48.483939 | 2025-06-23 19:30:24.977468 |
| 2025-07-06 09:05:11.122009 | 2025-07-06 09:05:46.101377 | 9552010 | N/A | N/A | {'payer_id': 'TDFIC', 'payer_name': 'TRICARE FOR LIFE', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '2011-05-18', 'date_of_service': '2025-07-07', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6338, 'subscriber_last_name': 'YUNG', 'subscriber_member_id': '00854676304', 'subscriber_first_name': 'MAYA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543379/check_9552010_93c65833-0dd1-471c-9601-918cedc9f8ee.json | AVAILITY | N/A | GOOGLE_CLOUD | 2025-07-07 | N/A | N/A | N/A | N/A | N/A | N/A | {'member_id': '00854676304', 'plan_type': None, 'group_name': None, 'payer_name': 'TRICARE FOR LIFE', 'payer_note': None, 'patient_dob': '2011-05-18', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'YUNG', 'plan_sponsor_name': None, 'patient_first_name': 'MAYA', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5543379 | 2222 | N/A | N/A | N/A | 4215179 | 2025-07-06 09:05:46.101377 | 2025-05-13 04:29:37.229495 |
| 2025-07-06 09:04:41.377614 | 2025-07-07 02:09:36.478314 | 9551132 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': '1114042165', 'trace_number': '9551132', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1986-12-12', 'date_of_service': '2025-07-06', '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/272741.20250706.115926742.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6567077/check_9551132_213510a6-0c81-476a-a7e9-a489c6f90b38.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'Q3N579W10549', 'plan_type': None, 'group_name': None, 'payer_name': 'BLUE SHIELD CALIFORNIA', 'payer_note': None, 'patient_dob': '1986-12-12', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'NAGOURNEY', 'plan_sponsor_name': None, 'patient_first_name': 'SAM', '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 | 8176948917 | N/A | N/A | 6567077 | 2222 | 4802 | 9288118 | N/A | 5189425 | 2025-07-07 02:09:36.478314 | 2025-06-24 16:19:19.180675 |
| 2025-07-06 09:04:30.170835 | 2025-07-07 05:07:27.027702 | 9550728 | N/A | N/A | {'payer_id': '95567', 'payer_name': 'Health Net of California and Oregon', 'provider_npi': '1114042165', 'trace_number': '9550728', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1981-12-16', 'date_of_service': '2025-07-06', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'DE FELICE', 'subscriber_member_id': 'R07457624FM1', 'subscriber_first_name': 'CHRISTINA'} | 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/2222/6140436/check_9550728_04b50a35-6ee6-48fb-bbca-9965d35db669.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'R07457624FM1', 'plan_type': None, 'group_name': None, 'payer_name': 'HEALTH NET, LLC', 'payer_note': None, 'patient_dob': '1981-12-16', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'DE FELICE', 'plan_sponsor_name': None, 'patient_first_name': 'CHRISTINA', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'KA9 SBP', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8176975644 | N/A | N/A | 6140436 | 2222 | 4801 | 9302663 | N/A | 4781417 | 2025-07-07 05:07:27.027702 | 2025-06-06 17:03:19.078153 |
| 2025-07-06 09:04:19.848425 | 2025-07-07 02:04:50.866803 | 9550326 | N/A | N/A | {'payer_id': '60054', 'payer_name': 'Aetna', 'provider_npi': '1114042165', 'trace_number': '9550326', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1979-04-29', 'date_of_service': '2025-07-06', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'HALL', 'subscriber_member_id': 'W29408299801', 'subscriber_first_name': 'SCOTT'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250706.115926742.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6555856/check_9550326_a886f3c9-4e25-4829-b90b-487b9ff1c4b7.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'W294082998', 'plan_type': 'Health Maintenance Organization (HMO)', 'group_name': 'ADP TOTALSOURCE SERVICES, INC.', 'payer_name': 'AETNA', 'payer_note': None, 'patient_dob': '1979-04-29', 'plan_number': 'EABZU016', 'group_number': '086873303500013', 'insurance_type': None, 'plan_type_code': 'HM', 'enrolled_in_qmb': False, 'patient_last_name': 'HALL', 'plan_sponsor_name': None, 'patient_first_name': 'SCOTT', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'AETNA VALUE NETWORK HMO', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8176949102 | N/A | N/A | 6555856 | 2222 | 4801 | 9282662 | N/A | 5178950 | 2025-07-07 02:04:50.866803 | 2025-06-23 23:31:26.152102 |
| 2025-07-06 09:04:16.664200 | 2025-07-07 02:09:36.132068 | 9550208 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': '1114042165', 'trace_number': '9550208', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '2002-02-06', 'date_of_service': '2025-07-06', '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/272741.20250706.115926742.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6554790/check_9550208_b46d2515-3378-41f3-ad8d-d879901f52f8.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 | 8176949090 | N/A | N/A | 6554790 | 2222 | 4793 | 9288111 | N/A | 5177947 | 2025-07-07 02:09:36.132068 | 2025-07-01 19:04:04.764299 |
| 2025-07-06 09:04:10.274036 | 2025-07-07 02:14:25.950479 | 9549981 | N/A | N/A | {'payer_id': 'Z1073', 'payer_name': 'Medicare B California Southern', 'provider_npi': '1114042165', 'trace_number': '9549981', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1939-06-18', 'date_of_service': '2025-07-06', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'SEGURA', 'subscriber_member_id': '8DD9YX8FN41', 'subscriber_first_name': 'CIRA'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250706.115926742.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6553930/check_9549981_204b8ff6-8448-4005-86b4-40936bd7c94f.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '8DD9YX8FN41', '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': '1939-06-18', 'plan_number': 'S5617', 'group_number': None, 'insurance_type': None, 'plan_type_code': 'MA', 'enrolled_in_qmb': False, 'patient_last_name': 'SEGURA', 'plan_sponsor_name': None, 'patient_first_name': 'CIRA', '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 | 8176949071 | N/A | N/A | 6553930 | 2222 | 4801 | 9292383 | N/A | 5177091 | 2025-07-07 02:14:25.950479 | 2025-06-23 20:23:14.340232 |
| 2025-07-06 09:04:06.405046 | 2025-07-07 05:07:59.891498 | 9549843 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9549843', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1965-11-22', 'date_of_service': '2025-07-06', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'SCHWARTZ', 'subscriber_member_id': 'SIF825W212256', 'subscriber_first_name': 'DIANE'} | 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/2222/6133204/check_9549843_73c76e0c-7cb0-40e6-84f1-c6db16d5132a.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'SIF825W212256', 'plan_type': None, 'group_name': None, 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1965-11-22', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'SCHWARTZ', 'plan_sponsor_name': None, 'patient_first_name': 'DIANE', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8176975356 | N/A | N/A | 6133204 | 2222 | 4801 | 9302809 | N/A | 4774804 | 2025-07-07 05:07:59.891498 | 2025-06-04 16:46:08.140016 |
| 2025-07-06 09:03:43.073801 | 2025-07-07 02:13:41.552386 | 9548973 | N/A | N/A | {'payer_id': 'Z1073', 'payer_name': 'Medicare B California Southern', 'provider_npi': '1114042165', 'trace_number': '9548973', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1958-09-13', 'date_of_service': '2025-07-06', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'DERR', 'subscriber_member_id': '4GK3GN5DV73', 'subscriber_first_name': 'DENNIS'} | 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/2222/5874420/check_9548973_19c8b327-143c-4e92-a7bf-6c8256746a59.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '4GK3GN5DV73', 'plan_type': None, 'group_name': None, 'payer_name': 'CMS', 'payer_note': None, 'patient_dob': '1958-09-13', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'DERR', 'plan_sponsor_name': None, 'patient_first_name': 'DENNIS', '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 | 8176963459 | N/A | N/A | 5874420 | 2222 | 4793 | 9291781 | N/A | 4534550 | 2025-07-07 02:13:41.552386 | 2025-10-15 18:36:58.255255 |