Athletic API Dashboard
View summary metrics and switch endpoint tables from one screen.
API Endpoints
Total rows: 63,271
| 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-07-18 07:00:59.724964 | 2025-07-18 07:01:03.485176 | 9939327 | N/A | N/A | {'payer_id': '52192', 'payer_name': 'Bravo Health', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1940-03-15', 'date_of_service': '2025-03-03', 'subscriber_gender': 'M', 'service_type_codes': ['PT', 'AE'], 'insurance_company_id': 5323, 'subscriber_last_name': 'Nishimoto', 'subscriber_member_id': '8NK7-JC7-CQ39', 'subscriber_first_name': 'Richard'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6104726/check_9939327_3341b7a1-ba85-4195-b2e1-071351504207.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-03-03 | N/A | N/A | N/A | N/A | N/A | N/A | {'member_id': '8NK7-JC7-CQ39', 'plan_type': None, 'group_name': None, 'payer_name': 'BRAVO HEALTH', 'payer_note': None, 'patient_dob': '1940-03-15', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'NISHIMOTO', 'plan_sponsor_name': None, 'patient_first_name': 'RICHARD', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['PT', 'AE'] | N/A | N/A | N/A | N/A | N/A | N/A | 3843 | N/A | 6104726 | 2222 | N/A | N/A | N/A | 4749110 | 2025-07-18 07:01:03.485176 | 2025-06-02 15:44:17.236968 |
| 2025-07-18 04:20:41.049030 | 2025-07-18 04:20:43.298873 | 9939118 | N/A | N/A | {'payer_id': 'Z1073', 'payer_name': 'Medicare B California Southern', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1939-06-24', 'date_of_service': '2025-07-09', 'subscriber_gender': '', 'service_type_codes': ['PT', 'AE'], 'insurance_company_id': 4497, 'subscriber_last_name': 'ULLMAN', 'subscriber_member_id': '8HC8F35AX50', 'subscriber_first_name': 'DAVID'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543201/check_9939118_67f01a76-61cb-4a49-abdb-3af0f60303c7.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543201/check_9939118_9c677463-03e8-4b74-b8b4-0ef2f21d72b5.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '8HC8F35AX50', 'plan_type': 'Medicare Part B', 'group_name': None, 'payer_name': 'UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY', 'payer_note': '0-BENEFICIARY INSURED DUE TO AGE OASI', 'patient_dob': '1939-06-24', 'plan_number': 'S5921', 'group_number': None, 'insurance_type': None, 'plan_type_code': 'MB', '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 | 8296117905 | 1275 | N/A | 5543201 | 2222 | N/A | 9670118 | N/A | 4215026 | 2025-07-18 04:20:43.298873 | 2025-06-07 16:16:41.178119 |
| 2025-07-18 04:20:29.009817 | 2025-07-18 04:20:34.469209 | 9939090 | N/A | N/A | {'payer_id': 'Z1073', 'payer_name': 'Medicare B California Southern', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1939-06-24', 'date_of_service': '2025-07-11', 'subscriber_gender': '', 'service_type_codes': ['PT', 'AE'], 'insurance_company_id': 4497, 'subscriber_last_name': 'ULLMAN', 'subscriber_member_id': '8HC8F35AX50', 'subscriber_first_name': 'DAVID'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543201/check_9939090_3191ae13-ce4b-4144-af88-b9bc6d2d87b8.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543201/check_9939090_443cabe9-3c04-4430-972e-a69d4a948cda.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '8HC8F35AX50', 'plan_type': 'Medicare Part A', 'group_name': None, 'payer_name': 'UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY', 'payer_note': '0-BENEFICIARY INSURED DUE TO AGE OASI', 'patient_dob': '1939-06-24', 'plan_number': 'S5921', 'group_number': None, 'insurance_type': None, 'plan_type_code': 'MA', '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 | 8296115671 | 1275 | N/A | 5543201 | 2222 | N/A | 9670097 | N/A | 4215026 | 2025-07-18 04:20:34.469209 | 2025-06-07 16:16:41.178119 |
| 2025-07-18 04:16:40.001822 | 2025-07-18 04:16:43.004013 | 9938742 | N/A | N/A | {'payer_id': 'Z1073', 'payer_name': 'Medicare B California Southern', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1939-06-24', 'date_of_service': '2025-07-02', 'subscriber_gender': '', 'service_type_codes': ['PT', 'AE'], 'insurance_company_id': 4497, 'subscriber_last_name': 'ULLMAN', 'subscriber_member_id': '8HC8F35AX50', 'subscriber_first_name': 'DAVID'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543201/check_9938742_d35c8fbe-c8e3-4cc1-bcf2-92c27740a513.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543201/check_9938742_9005d6c3-b388-4a9e-b561-5e3eff99ceab.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '8HC8F35AX50', 'plan_type': 'Medicare Part A', 'group_name': None, 'payer_name': 'UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY', 'payer_note': '0-BENEFICIARY INSURED DUE TO AGE OASI', 'patient_dob': '1939-06-24', 'plan_number': 'S5921', 'group_number': None, 'insurance_type': None, 'plan_type_code': 'MA', '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 | 8296076672 | 1275 | N/A | 5543201 | 2222 | N/A | 9669753 | N/A | 4215026 | 2025-07-18 04:16:43.004013 | 2025-06-07 16:16:41.178119 |
| 2025-07-18 03:21:25.139121 | 2025-07-18 03:21:29.002080 | 9936780 | N/A | N/A | {'payer_id': 'REGAL', 'payer_name': 'Regal Medical Group', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1983-03-13', 'date_of_service': '2025-07-10', 'subscriber_gender': '', 'service_type_codes': ['PT', 'AE'], 'insurance_company_id': 23304, 'subscriber_last_name': 'NAZERALI', 'subscriber_member_id': '95517882H', 'subscriber_first_name': 'SHAHEEN'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6782227/check_9936780_6a6027a2-3a3c-4f5b-ac9e-8dbef7bb6554.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6782227/check_9936780_3bf57a94-d382-4520-b943-539cfffe5b4d.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '95517882H', 'plan_type': None, 'group_name': None, 'payer_name': 'REGAL MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1983-03-13', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'NAZERALI', 'plan_sponsor_name': None, 'patient_first_name': 'SHAHEEN', '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 | N/A | 1275 | N/A | 6782227 | 2222 | N/A | 9667798 | N/A | 5813326 | 2025-07-18 03:21:29.002080 | 2025-07-21 17:21:46.553298 |
| 2025-07-18 03:21:22.258104 | 2025-07-18 03:21:25.136126 | 9936770 | N/A | N/A | {'payer_id': 'REGAL', 'payer_name': 'Regal Medical Group', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1983-03-13', 'date_of_service': '2025-07-10', 'subscriber_gender': '', 'service_type_codes': ['PT', 'AE'], 'insurance_company_id': 23304, 'subscriber_last_name': 'NAZERALI', 'subscriber_member_id': '95517882H', 'subscriber_first_name': 'SHAHEEN'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6782227/check_9936770_bc510f7a-7c7c-4266-9914-da78885690aa.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-10 | N/A | N/A | N/A | N/A | N/A | N/A | {'member_id': '95517882H', 'plan_type': None, 'group_name': None, 'payer_name': 'REGAL MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1983-03-13', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'NAZERALI', 'plan_sponsor_name': None, 'patient_first_name': 'SHAHEEN', '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 | N/A | 1275 | N/A | 6782227 | 2222 | N/A | N/A | N/A | 5813326 | 2025-07-18 03:21:25.136126 | 2025-07-21 17:21:46.553298 |
| 2025-07-18 03:20:25.308022 | 2025-07-18 03:20:27.816700 | 9936711 | N/A | N/A | {'payer_id': 'REGAL', 'payer_name': 'Regal Medical Group', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1983-03-13', 'date_of_service': '2025-07-07', 'subscriber_gender': '', 'service_type_codes': ['PT', 'AE'], 'insurance_company_id': 23304, 'subscriber_last_name': 'NAZERALI', 'subscriber_member_id': '95517882H', 'subscriber_first_name': 'SHAHEEN'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6782227/check_9936711_aa92626a-9373-4084-8349-1490cf7cbf35.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6782227/check_9936711_356c64a1-5adb-43ff-a803-f615ae1b3c36.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '95517882H', 'plan_type': None, 'group_name': None, 'payer_name': 'REGAL MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1983-03-13', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'NAZERALI', 'plan_sponsor_name': None, 'patient_first_name': 'SHAHEEN', '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 | N/A | 1275 | N/A | 6782227 | 2222 | N/A | 9667722 | N/A | 5813326 | 2025-07-18 03:20:27.816700 | 2025-07-21 17:21:46.553298 |
| 2025-07-18 03:20:23.636412 | 2025-07-18 03:20:25.304132 | 9936709 | N/A | N/A | {'payer_id': 'REGAL', 'payer_name': 'Regal Medical Group', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1983-03-13', 'date_of_service': '2025-07-07', 'subscriber_gender': '', 'service_type_codes': ['PT', 'AE'], 'insurance_company_id': 23304, 'subscriber_last_name': 'NAZERALI', 'subscriber_member_id': '95517882H', 'subscriber_first_name': 'SHAHEEN'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6782227/check_9936709_a1d3fee2-9390-44f4-b8fb-901258d12477.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-07 | N/A | N/A | N/A | N/A | N/A | N/A | {'member_id': '95517882H', 'plan_type': None, 'group_name': None, 'payer_name': 'REGAL MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1983-03-13', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'NAZERALI', 'plan_sponsor_name': None, 'patient_first_name': 'SHAHEEN', '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 | N/A | 1275 | N/A | 6782227 | 2222 | N/A | N/A | N/A | 5813326 | 2025-07-18 03:20:25.304132 | 2025-07-21 17:21:46.553298 |
| 2025-07-17 21:34:15.832151 | 2025-07-17 21:34:20.515940 | 9933863 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1943-04-04', 'date_of_service': '2025-07-17', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'insurance_company_id': 4185, 'subscriber_last_name': 'KASONDRA', 'subscriber_member_id': 'JQS982A24769', 'subscriber_first_name': 'JAYESH'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6226525/check_9933863_f6e2b9a4-fafb-41ba-bd75-61041b9f70ff.edi.txt | WAYSTAR | N/A | APPOINTMENT_PII_CHANGE | 2025-07-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6226525/check_9933863_71524bcb-25c6-4b31-a7a3-b7513866dfe2.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'JQS982A24769', 'plan_type': 'Medicare Primary', 'group_name': 'CA MEDICARE', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1943-04-04', 'plan_number': '040', 'group_number': 'CAMCRWP0', 'insurance_type': None, 'plan_type_code': 'MP', 'enrolled_in_qmb': False, 'patient_last_name': 'KASONDRA', 'plan_sponsor_name': None, 'patient_first_name': 'JAYESH', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2025-01-01', 'plan_coverage_description': 'CA H0544-063-000 ANTHEM MEDICARE ADVANTAGE (HMO-PO', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8292933270 | N/A | N/A | 6226525 | 2222 | N/A | 9660525 | N/A | 4874079 | 2025-07-17 21:34:20.515940 | 2025-06-11 23:55:57.341570 |
| 2025-07-17 21:16:07.872668 | 2025-07-17 21:16:16.119568 | 9933772 | N/A | N/A | {'payer_id': '87726', 'payer_name': 'United Healthcare', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1996-09-04', 'date_of_service': '2025-07-08', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6411, 'subscriber_last_name': 'Popish', 'subscriber_member_id': '31433817600', 'subscriber_first_name': 'Elijah'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6104677/check_9933772_315ffda9-ed5b-4244-8163-c14d06a8c963.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6104677/check_9933772_40b8340f-eef7-4f0b-96e8-bb0f4c4b5026.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '31433817600', 'plan_type': 'Commercial', 'group_name': None, 'payer_name': 'UNITEDHEALTHCARE BENEFITS PLAN OF CALIFORNIA', 'payer_note': 'FUNDING TYPE = FULLY INSURED - SMALL GROUP', 'patient_dob': '1996-09-04', 'plan_number': None, 'group_number': '1626005', 'insurance_type': None, 'plan_type_code': 'C1', 'enrolled_in_qmb': False, 'patient_last_name': 'POPISH', 'plan_sponsor_name': None, 'patient_first_name': 'ELIJAH', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'SELECT PLUS', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8292844850 | 160460 | N/A | 6104677 | 2222 | N/A | 9660399 | N/A | 4749059 | 2025-07-17 21:16:16.119568 | 2025-06-02 16:35:32.560533 |
| 2025-07-17 21:01:30.777000 | 2025-07-17 21:01:33.267896 | 9933689 | N/A | N/A | {'payer_id': '62308', 'payer_name': 'American Specialty Health', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1980-02-06', 'date_of_service': '2025-06-16', 'subscriber_gender': 'F', 'service_type_codes': ['AD'], 'insurance_company_id': 1534, 'subscriber_last_name': 'PHALON', 'subscriber_member_id': 'U6694621501', 'subscriber_first_name': 'ERIN'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542071/check_9933689_1d060b34-e563-4aff-96c3-3fbde33e9280.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542071/check_9933689_af7bb2fb-67ed-4428-9c9b-7d3cbaee277b.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'U6694621501', 'plan_type': None, 'group_name': 'COX, CASTLE & NICHOLSON, LLP', 'payer_name': 'CHLIC', 'payer_note': 'PROVIDER IS IN NETWORK BASED ON NPI ID PROVIDED IN REQUEST PERSONAL HEALTH SOLUTIONS PLUS', 'patient_dob': '1980-02-06', 'plan_number': None, 'group_number': '3341437', 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'PHALON', 'plan_sponsor_name': None, 'patient_first_name': 'ERIN', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'OPEN ACCESS PLUS HDHP', 'relationship_to_subscriber': None} | ['AD'] | N/A | N/A | N/A | N/A | N/A | 8292772510 | 160084 | N/A | 5542071 | 2222 | N/A | 9660286 | N/A | 4214023 | 2025-07-17 21:01:33.267896 | 2025-05-13 04:29:37.228343 |
| 2025-07-17 20:56:15.737048 | 2025-07-17 20:56:26.131219 | 9933671 | N/A | N/A | {'payer_id': '62308', 'payer_name': 'American Specialty Health', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1980-02-06', 'date_of_service': '2025-06-16', 'subscriber_gender': 'F', 'service_type_codes': ['AD'], 'insurance_company_id': 1534, 'subscriber_last_name': 'PHALON', 'subscriber_member_id': 'U6694621501', 'subscriber_first_name': 'ERIN'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542071/check_9933671_3c5b614b-206b-4ebb-8fd7-802bec302b48.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542071/check_9933671_50345989-a2af-42f8-8f75-07a9de473bfe.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'U6694621501', 'plan_type': None, 'group_name': 'COX, CASTLE & NICHOLSON, LLP', 'payer_name': 'CHLIC', 'payer_note': 'PROVIDER IS IN NETWORK BASED ON NPI ID PROVIDED IN REQUEST PERSONAL HEALTH SOLUTIONS PLUS', 'patient_dob': '1980-02-06', 'plan_number': None, 'group_number': '3341437', 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'PHALON', 'plan_sponsor_name': None, 'patient_first_name': 'ERIN', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'OPEN ACCESS PLUS HDHP', 'relationship_to_subscriber': None} | ['AD'] | N/A | N/A | N/A | N/A | N/A | 8292751757 | 160084 | N/A | 5542071 | 2222 | N/A | 9660262 | N/A | 4214023 | 2025-07-17 20:56:26.131219 | 2025-05-13 04:29:37.228343 |
| 2025-07-17 20:40:01.680112 | 2025-07-17 20:40:05.831042 | 9933591 | N/A | N/A | {'payer_id': 'Z1073', 'payer_name': 'Medicare B California Southern', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1950-06-19', 'date_of_service': '2025-08-08', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 4497, 'subscriber_last_name': 'SMITH', 'subscriber_member_id': '1D24D36GC01', 'subscriber_first_name': 'WILLIAM'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/7173790/check_9933591_f0780afc-27d5-4a08-83d1-dd2e88f6dc13.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-08-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7173790/check_9933591_f0b96349-552b-4de1-a5a8-7de29cea7152.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '1D24D36GC01', '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': '1950-06-19', 'plan_number': 'S4802', 'group_number': None, 'insurance_type': None, 'plan_type_code': 'MA', 'enrolled_in_qmb': False, 'patient_last_name': 'SMITH', 'plan_sponsor_name': None, 'patient_first_name': 'WILLIAM', '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 | 8292676304 | N/A | N/A | 7173790 | 2222 | N/A | 9660162 | N/A | 6149539 | 2025-07-17 20:40:05.831042 | 2025-07-17 20:34:26.073953 |
| 2025-07-17 19:14:48.602039 | 2025-07-17 19:14:50.358190 | 9932922 | N/A | N/A | {'payer_id': 'REGAL', 'payer_name': 'Regal Medical Group', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1989-09-12', 'date_of_service': '2025-07-23', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 23304, 'subscriber_last_name': 'Carmassi', 'subscriber_member_id': '91020894F', 'subscriber_first_name': 'Amanda'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/7174034/check_9932922_9edbc41b-aecc-48e6-a3c9-3381c84884cb.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-23 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7174034/check_9932922_c454e704-d831-4906-8d2c-ce776747cb7b.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '91020894F', 'plan_type': None, 'group_name': None, 'payer_name': 'REGAL MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1989-09-12', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'CARMASSI', 'plan_sponsor_name': None, 'patient_first_name': 'AMANDA', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 7174034 | 2222 | N/A | 9659358 | N/A | 6149852 | 2025-07-17 19:14:50.358190 | 2025-07-17 19:03:04.432477 |
| 2025-07-17 19:14:43.977715 | 2025-07-17 19:14:48.599582 | 9932919 | N/A | N/A | {'payer_id': 'REGAL', 'payer_name': 'Regal Medical Group', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1989-09-12', 'date_of_service': '2025-07-23', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 23304, 'subscriber_last_name': 'Carmassi', 'subscriber_member_id': '91020894F', 'subscriber_first_name': 'Amanda'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/7174034/check_9932919_29de596f-4330-4be4-a606-a74831f452ee.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-23 | N/A | N/A | N/A | N/A | N/A | N/A | {'member_id': '91020894F', 'plan_type': None, 'group_name': None, 'payer_name': 'REGAL MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1989-09-12', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'CARMASSI', 'plan_sponsor_name': None, 'patient_first_name': 'AMANDA', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 7174034 | 2222 | N/A | N/A | N/A | 6149852 | 2025-07-17 19:14:48.599582 | 2025-07-17 19:03:04.432477 |
| 2025-07-17 18:07:21.011088 | 2025-07-17 18:07:22.982066 | 9932264 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1964-07-02', 'date_of_service': '2025-07-17', 'subscriber_gender': 'M', 'service_type_codes': ['PT', 'AE'], 'insurance_company_id': 4184, 'subscriber_last_name': 'SMITH', 'subscriber_member_id': '991A72122-10', 'subscriber_first_name': 'THOMAS'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6671804/check_9932264_de83278c-8dbc-427d-a083-de9c38e26246.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6671804/check_9932264_d068ea1a-9a21-4bd0-9e26-2d0960411ab2.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '991A72122-10', 'plan_type': None, 'group_name': None, 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1964-07-02', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'SMITH', 'plan_sponsor_name': None, 'patient_first_name': 'THOMAS', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['PT', 'AE'] | N/A | N/A | N/A | N/A | N/A | N/A | 9483 | N/A | 6671804 | 2222 | N/A | 9658626 | N/A | 5285158 | 2025-07-17 18:07:22.982066 | 2025-07-17 18:25:07.830041 |
| 2025-07-17 18:07:13.050961 | 2025-07-17 18:07:21.007862 | 9932261 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1964-07-02', 'date_of_service': '2025-07-17', 'subscriber_gender': 'M', 'service_type_codes': ['PT', 'AE'], 'insurance_company_id': 4184, 'subscriber_last_name': 'SMITH', 'subscriber_member_id': '991A72122-10', 'subscriber_first_name': 'THOMAS'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6671804/check_9932261_bcd29f8f-6f0d-43b1-84e7-e10a3d1a18ce.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-17 | N/A | N/A | N/A | N/A | N/A | N/A | {'member_id': '991A72122-10', 'plan_type': None, 'group_name': None, 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1964-07-02', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'SMITH', 'plan_sponsor_name': None, 'patient_first_name': 'THOMAS', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['PT', 'AE'] | N/A | N/A | N/A | N/A | N/A | N/A | 9483 | N/A | 6671804 | 2222 | N/A | N/A | N/A | 5285158 | 2025-07-17 18:07:21.007862 | 2025-07-17 18:25:07.830041 |
| 2025-07-17 17:41:04.105888 | 2025-07-17 17:41:07.032981 | 9931978 | N/A | N/A | {'payer_id': 'Z1073', 'payer_name': 'Medicare B California Southern', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1948-08-08', 'date_of_service': '2025-07-17', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 4497, 'subscriber_last_name': 'KUTAY', 'subscriber_member_id': '5U44FP5KP64', 'subscriber_first_name': 'JALE'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6896314/check_9931978_8c6426ba-f043-4f48-ae8b-d1c377c2b2e9.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6896314/check_9931978_06e4be59-9028-4b93-8b11-2434d83dc364.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '5U44FP5KP64', 'plan_type': 'Medicare Part A', 'group_name': None, 'payer_name': 'UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY', 'payer_note': '0-BENEFICIARY INSURED DUE TO AGE OASI', 'patient_dob': '1948-08-08', 'plan_number': 'S5921', 'group_number': None, 'insurance_type': None, 'plan_type_code': 'MA', 'enrolled_in_qmb': False, 'patient_last_name': 'KUTAY', 'plan_sponsor_name': None, 'patient_first_name': 'JALE', '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 | 8291674879 | N/A | N/A | 6896314 | 2222 | N/A | 9658330 | N/A | 5929817 | 2025-07-17 17:41:07.032981 | 2025-07-08 18:57:12.551440 |
| 2025-07-17 16:11:34.315142 | 2025-07-17 16:11:37.497828 | 9930768 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '2000-08-04', 'date_of_service': '2025-07-17', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'insurance_company_id': 4185, 'subscriber_last_name': 'MAGHEN', 'subscriber_member_id': 'XDL992A63501', 'subscriber_first_name': 'ITZCHAK'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6172263/check_9930768_a88227be-977e-4e27-a1a9-c3e3405a8aea.edi.txt | WAYSTAR | N/A | APPOINTMENT_PII_CHANGE | 2025-07-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6172263/check_9930768_ce59af4b-d376-4732-869d-8c5b7f547730.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XDL992A63501', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': None, 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '2000-08-04', 'plan_number': '040', 'group_number': 'H06200', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'SHAYANI', 'plan_sponsor_name': None, 'patient_first_name': 'ESTHER', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2009-07-01', 'plan_coverage_description': 'PPO SHARE', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8291107548 | N/A | N/A | 6172263 | 2222 | N/A | 9657075 | N/A | 4813871 | 2025-07-17 16:11:37.497828 | 2025-07-08 23:07:33.420114 |
| 2025-07-17 16:08:53.898680 | 2025-07-17 16:08:57.842417 | 9930751 | N/A | N/A | {'payer_id': '87726', 'payer_name': 'United Healthcare', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1987-08-22', 'date_of_service': '2025-07-14', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6411, 'subscriber_last_name': 'Bloomfield', 'subscriber_member_id': '991624759', 'subscriber_first_name': 'Rose'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6969089/check_9930751_20ab6418-27d6-45e6-ae84-88c31d3db55b.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6969089/check_9930751_e8ed1304-9c23-48df-87e1-ee004ada286d.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '991624759', 'plan_type': 'Commercial', 'group_name': 'GALLUP', 'payer_name': 'UNITEDHEALTHCARE', 'payer_note': 'PROVIDER IS OUT NETWORK FOR MEMBER FUNDING TYPE = SELF INSURED - LARGE GROUP A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED', 'patient_dob': '1987-08-22', 'plan_number': '0201 0201', 'group_number': '903320', 'insurance_type': None, 'plan_type_code': 'C1', 'enrolled_in_qmb': False, 'patient_last_name': 'BLOOMFIELD', 'plan_sponsor_name': None, 'patient_first_name': 'ROSE', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'UNITEDHEALTHCARE CHOICE PLUS', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8291085275 | 160466 | N/A | 6969089 | 2222 | N/A | 9657054 | N/A | 5991146 | 2025-07-17 16:08:57.842417 | 2025-07-11 17:49:59.455285 |
| 2025-07-17 14:35:51.132213 | 2025-07-17 14:35:53.960425 | 9929979 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1995-10-20', 'date_of_service': '2025-07-17', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'insurance_company_id': 4185, 'subscriber_last_name': 'BONILLA', 'subscriber_member_id': 'JQC90900331D', 'subscriber_first_name': 'GUSTAVO'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6234914/check_9929979_2871ae75-e0a5-4f04-b3ed-70ee80d393c4.edi.txt | WAYSTAR | N/A | APPOINTMENT_PII_CHANGE | 2025-07-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6234914/check_9929979_d223eae8-2119-4eb3-997c-d34871a45b87.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'JQC90900331D', 'plan_type': 'Medicaid', 'group_name': 'LOS ANGELES/MEDI-CAL/LIHP', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1995-10-20', 'plan_number': '040', 'group_number': '1191ZT', 'insurance_type': None, 'plan_type_code': 'MC', 'enrolled_in_qmb': False, 'patient_last_name': 'BONILLA', 'plan_sponsor_name': None, 'patient_first_name': 'GUSTAVO EL', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2021-05-01', 'plan_coverage_description': 'MEDI-CAL LA', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8290274053 | N/A | N/A | 6234914 | 2222 | N/A | 9656245 | N/A | 4882663 | 2025-07-17 14:35:53.960425 | 2025-06-29 23:59:35.783056 |
| 2025-07-17 11:21:46.703615 | 2025-07-17 11:21:48.505876 | 9926895 | N/A | N/A | {'payer_id': 'REGAL', 'payer_name': 'Regal Medical Group', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1983-03-13', 'date_of_service': '2025-07-10', 'subscriber_gender': '', 'service_type_codes': ['PT', 'AE'], 'insurance_company_id': 23304, 'subscriber_last_name': 'NAZERALI', 'subscriber_member_id': '95517882H', 'subscriber_first_name': 'SHAHEEN'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6782227/check_9926895_b42f9cf6-ef20-4a5d-8cfc-a0d742a983db.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6782227/check_9926895_eaa7419b-199c-441f-b913-4d6300c0a4c2.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '95517882H', 'plan_type': None, 'group_name': None, 'payer_name': 'REGAL MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1983-03-13', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'NAZERALI', 'plan_sponsor_name': None, 'patient_first_name': 'SHAHEEN', '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 | N/A | 1275 | N/A | 6782227 | 2222 | N/A | 9652735 | N/A | 5813326 | 2025-07-17 11:21:48.505876 | 2025-07-21 17:21:46.553298 |
| 2025-07-17 11:21:44.956025 | 2025-07-17 11:21:46.699834 | 9926893 | N/A | N/A | {'payer_id': 'REGAL', 'payer_name': 'Regal Medical Group', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1983-03-13', 'date_of_service': '2025-07-10', 'subscriber_gender': '', 'service_type_codes': ['PT', 'AE'], 'insurance_company_id': 23304, 'subscriber_last_name': 'NAZERALI', 'subscriber_member_id': '95517882H', 'subscriber_first_name': 'SHAHEEN'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6782227/check_9926893_72d08a39-8297-4567-aa92-1214ef03b776.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-10 | N/A | N/A | N/A | N/A | N/A | N/A | {'member_id': '95517882H', 'plan_type': None, 'group_name': None, 'payer_name': 'REGAL MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1983-03-13', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'NAZERALI', 'plan_sponsor_name': None, 'patient_first_name': 'SHAHEEN', '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 | N/A | 1275 | N/A | 6782227 | 2222 | N/A | N/A | N/A | 5813326 | 2025-07-17 11:21:46.699834 | 2025-07-21 17:21:46.553298 |
| 2025-07-17 11:21:36.685387 | 2025-07-17 11:21:38.441178 | 9926882 | N/A | N/A | {'payer_id': 'REGAL', 'payer_name': 'Regal Medical Group', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1983-03-13', 'date_of_service': '2025-07-07', 'subscriber_gender': '', 'service_type_codes': ['PT', 'AE'], 'insurance_company_id': 23304, 'subscriber_last_name': 'NAZERALI', 'subscriber_member_id': '95517882H', 'subscriber_first_name': 'SHAHEEN'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6782227/check_9926882_e67cb38c-a50c-4f44-a0e5-e593800c1b24.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6782227/check_9926882_f0ec83a7-8b19-4571-be1a-3d5407f96ad1.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '95517882H', 'plan_type': None, 'group_name': None, 'payer_name': 'REGAL MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1983-03-13', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'NAZERALI', 'plan_sponsor_name': None, 'patient_first_name': 'SHAHEEN', '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 | N/A | 1275 | N/A | 6782227 | 2222 | N/A | 9652722 | N/A | 5813326 | 2025-07-17 11:21:38.441178 | 2025-07-21 17:21:46.553298 |
| 2025-07-17 11:21:35.034132 | 2025-07-17 11:21:36.683021 | 9926877 | N/A | N/A | {'payer_id': 'REGAL', 'payer_name': 'Regal Medical Group', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1983-03-13', 'date_of_service': '2025-07-07', 'subscriber_gender': '', 'service_type_codes': ['PT', 'AE'], 'insurance_company_id': 23304, 'subscriber_last_name': 'NAZERALI', 'subscriber_member_id': '95517882H', 'subscriber_first_name': 'SHAHEEN'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6782227/check_9926877_f33755a4-dbb5-459c-8c0d-676663ad1630.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-07 | N/A | N/A | N/A | N/A | N/A | N/A | {'member_id': '95517882H', 'plan_type': None, 'group_name': None, 'payer_name': 'REGAL MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1983-03-13', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'NAZERALI', 'plan_sponsor_name': None, 'patient_first_name': 'SHAHEEN', '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 | N/A | 1275 | N/A | 6782227 | 2222 | N/A | N/A | N/A | 5813326 | 2025-07-17 11:21:36.683021 | 2025-07-21 17:21:46.553298 |
| 2025-07-17 09:47:02.754360 | 2025-07-17 09:47:05.531746 | 9924513 | N/A | N/A | {'payer_id': '87726', 'payer_name': 'United Healthcare', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1951-11-18', 'date_of_service': '2025-07-18', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6411, 'subscriber_last_name': 'JACOBY', 'subscriber_member_id': '34555828811', 'subscriber_first_name': 'LEAH'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6145941/check_9924513_5f6ff930-ce6b-47b3-ad80-c51feae5a9cd.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6145941/check_9924513_3d2ef6fd-e83e-4dcc-9894-afcd4642d6ba.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '345558288', 'plan_type': None, 'group_name': None, 'payer_name': 'UNITEDHEALTHCARE', 'payer_note': None, 'patient_dob': '1951-11-18', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'JACOBI', 'plan_sponsor_name': None, 'patient_first_name': 'LEAH', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6145941 | 2222 | N/A | 9650275 | N/A | 4786785 | 2025-07-17 09:47:05.531746 | 2025-06-13 00:55:48.629734 |
| 2025-07-17 09:46:59.944275 | 2025-07-17 09:47:02.745245 | 9924503 | N/A | N/A | {'payer_id': '87726', 'payer_name': 'United Healthcare', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1951-11-18', 'date_of_service': '2025-07-18', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6411, 'subscriber_last_name': 'JACOBY', 'subscriber_member_id': '34555828811', 'subscriber_first_name': 'LEAH'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6145941/check_9924503_823011dc-fc12-46a0-99f4-1b19418d99ef.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-18 | N/A | N/A | N/A | N/A | N/A | N/A | {'member_id': '345558288', 'plan_type': None, 'group_name': None, 'payer_name': 'UNITEDHEALTHCARE', 'payer_note': None, 'patient_dob': '1951-11-18', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'JACOBI', 'plan_sponsor_name': None, 'patient_first_name': 'LEAH', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6145941 | 2222 | N/A | N/A | N/A | 4786785 | 2025-07-17 09:47:02.745245 | 2025-06-13 00:55:48.629734 |
| 2025-07-17 09:46:22.970841 | 2025-07-17 09:46:26.753201 | 9924356 | N/A | N/A | {'payer_id': '87726', 'payer_name': 'United Healthcare', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1958-09-13', 'date_of_service': '2025-07-17', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6397, 'subscriber_last_name': 'DERR', 'subscriber_member_id': '353354100-11', 'subscriber_first_name': 'DENNIS'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/5874421/check_9924356_72ea4a86-ac54-4334-8cd8-97252f48755f.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874421/check_9924356_60abdf72-29e1-46b6-8a6a-b2a31ed9563c.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '221344721', 'plan_type': None, 'group_name': None, 'payer_name': 'UNITEDHEALTHCARE', 'payer_note': None, 'patient_dob': '1958-09-28', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': '', 'plan_sponsor_name': None, 'patient_first_name': '', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5874421 | 2222 | N/A | 9650134 | N/A | 4534550 | 2025-07-17 09:46:26.753201 | 2025-10-15 18:36:58.255255 |
| 2025-07-17 09:46:22.161454 | 2025-07-17 09:46:25.191277 | 9924355 | N/A | N/A | {'payer_id': '87726', 'payer_name': 'United Healthcare', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1947-08-18', 'date_of_service': '2025-07-17', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6411, 'subscriber_last_name': 'FABER', 'subscriber_member_id': '331524986-11', 'subscriber_first_name': 'LINDA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6522947/check_9924355_0eea803e-a847-4388-b39a-0a19160902eb.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6522947/check_9924355_07dca03a-3c5c-40dd-9f93-695d00b4d2b6.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '331524986', 'plan_type': None, 'group_name': None, 'payer_name': 'UNITEDHEALTHCARE', 'payer_note': None, 'patient_dob': '1947-08-18', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'FABER', 'plan_sponsor_name': None, 'patient_first_name': 'LINDA', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6522947 | 2222 | N/A | 9650129 | N/A | 5146127 | 2025-07-17 09:46:25.191277 | 2025-06-20 17:58:23.371130 |
| 2025-07-17 09:46:19.578474 | 2025-07-17 09:46:22.156874 | 9924348 | N/A | N/A | {'payer_id': '87726', 'payer_name': 'United Healthcare', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1947-08-18', 'date_of_service': '2025-07-17', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6411, 'subscriber_last_name': 'FABER', 'subscriber_member_id': '331524986-11', 'subscriber_first_name': 'LINDA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6522947/check_9924348_c22e2090-d638-4afd-be6a-62a3a4035b6a.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-17 | N/A | N/A | N/A | N/A | N/A | N/A | {'member_id': '331524986', 'plan_type': None, 'group_name': None, 'payer_name': 'UNITEDHEALTHCARE', 'payer_note': None, 'patient_dob': '1947-08-18', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'FABER', 'plan_sponsor_name': None, 'patient_first_name': 'LINDA', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6522947 | 2222 | N/A | N/A | N/A | 5146127 | 2025-07-17 09:46:22.156874 | 2025-06-20 17:58:23.371130 |
| 2025-07-17 09:46:14.002055 | 2025-07-17 09:46:22.930249 | 9924331 | N/A | N/A | {'payer_id': '87726', 'payer_name': 'United Healthcare', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1958-09-13', 'date_of_service': '2025-07-17', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6397, 'subscriber_last_name': 'DERR', 'subscriber_member_id': '353354100-11', 'subscriber_first_name': 'DENNIS'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/5874421/check_9924331_bd658dcd-8727-4a3f-8da8-62a9238a1c97.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-17 | N/A | N/A | N/A | N/A | N/A | N/A | {'member_id': '221344721', 'plan_type': None, 'group_name': None, 'payer_name': 'UNITEDHEALTHCARE', 'payer_note': None, 'patient_dob': '1958-09-28', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': '', 'plan_sponsor_name': None, 'patient_first_name': '', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5874421 | 2222 | N/A | N/A | N/A | 4534550 | 2025-07-17 09:46:22.930249 | 2025-10-15 18:36:58.255255 |
| 2025-07-17 09:42:00.878988 | 2025-07-17 09:42:07.590507 | 9923733 | N/A | N/A | {'payer_id': '87726', 'payer_name': 'United Healthcare', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1958-01-24', 'date_of_service': '2025-07-18', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6411, 'subscriber_last_name': 'SAUER', 'subscriber_member_id': '995746438', 'subscriber_first_name': 'MARCOS'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/5539785/check_9923733_74de8b0b-2691-45fa-a08b-91429ff18125.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539785/check_9923733_3f772a47-18ab-4ab1-9d10-1eb583ff9de8.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '995746438', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': None, 'payer_name': 'UNITEDHEALTHCARE', 'payer_note': 'A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED', 'patient_dob': '1958-01-24', 'plan_number': None, 'group_number': '74126', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'SAUER', 'plan_sponsor_name': None, 'patient_first_name': 'MARCOS', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'LPPO-AARP MEDICARE ADVANTAGE FROM UHC CA-0029 (PPO', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8288593168 | N/A | N/A | 5539785 | 2222 | N/A | 9649507 | N/A | 4212024 | 2025-07-17 09:42:07.590507 | 2025-05-28 20:17:35.019662 |
| 2025-07-17 09:10:32.790069 | 2025-07-17 09:10:35.827710 | 9920075 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1963-02-27', 'date_of_service': '2025-07-17', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'insurance_company_id': 4185, 'subscriber_last_name': 'MARYAN', 'subscriber_member_id': 'JPU047A23611', 'subscriber_first_name': 'MICHELLE'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6600346/check_9920075_0024aff4-2c9c-46e3-83dc-af869e365891.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6600346/check_9920075_8a60d0ff-e8f5-445d-ab74-e983853cf611.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'JPU047A23611', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'PREMIER AMERICA CREDIT UNION', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1963-02-27', 'plan_number': '040', 'group_number': 'L06734M004', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'MARYAN', 'plan_sponsor_name': None, 'patient_first_name': 'MICHELLE', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2025-01-01', 'plan_coverage_description': 'CA GENERIC HLTH SAVINGS ACCT', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8288424157 | N/A | N/A | 6600346 | 2222 | N/A | 9646038 | N/A | 4211322 | 2025-07-17 09:10:35.827710 | 2025-07-17 16:31:59.104530 |
| 2025-07-17 09:09:09.666294 | 2025-07-17 09:09:18.468118 | 9919057 | N/A | N/A | {'payer_id': '94134', 'payer_name': 'Kaiser Foundation Health Plan of Southern CA Region', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1985-10-09', 'date_of_service': '2025-07-17', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 5504, 'subscriber_last_name': 'MURPHY', 'subscriber_member_id': '000014458907', 'subscriber_first_name': 'CARRIE'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6222264/check_9919057_931ec5c5-b073-4099-96af-ff7e6080ec90.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6222264/check_9919057_d0ca6d27-f762-4c8b-bf57-24256e863c6e.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': 'MEDI-CAL GOLD COAST MEDI-CAL GOLD COAST HEALTH PLA', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8288410213 | N/A | N/A | 6222264 | 2222 | N/A | 9645819 | N/A | 4866412 | 2025-07-17 09:09:18.468118 | 2025-09-05 20:32:08.117585 |
| 2025-07-17 09:08:34.428022 | 2025-07-18 05:06:35.456193 | 9918711 | N/A | N/A | {'payer_id': '60054', 'payer_name': 'AETNA', 'provider_npi': '1114042165', 'trace_number': '9918711', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1954-11-18', 'date_of_service': '2025-07-17', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'CUNNINGHAM', 'subscriber_member_id': '101899291800', 'subscriber_first_name': 'RAY'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250717.120054673.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543176/check_9918711_91d9ed54-12fd-4b93-b2e6-9bc3b63f45a0.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '101899291800', 'plan_type': 'Qualified Medicare Beneficiary', 'group_name': 'MA INDIVIDUAL - CALIFORNIA', 'payer_name': 'AETNA', 'payer_note': 'MEDICARE', 'patient_dob': '1954-11-18', 'plan_number': '000003-CA000083', 'group_number': '000003-CA', 'insurance_type': None, 'plan_type_code': 'QM', 'enrolled_in_qmb': False, 'patient_last_name': 'CUNNINGHAM', 'plan_sponsor_name': None, 'patient_first_name': 'RAY', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'AETNA MEDICARE VALUE PLUS (HMO-POS)', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8288438853 | N/A | N/A | 5543176 | 2222 | 4802 | 9671875 | 3939 | 4215002 | 2025-07-18 05:06:35.456193 | 2025-05-28 20:18:01.917044 |
| 2025-07-17 09:08:04.195281 | 2025-07-17 09:08:06.268955 | 9918423 | N/A | N/A | {'payer_id': 'Z1073', 'payer_name': 'Medicare B California Southern', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1958-09-13', 'date_of_service': '2025-07-17', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 4497, 'subscriber_last_name': 'DERR', 'subscriber_member_id': '4GK3GN5DV73', 'subscriber_first_name': 'DENNIS'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/5874420/check_9918423_5e4dbf38-21c4-4aaa-baa8-92c2ece2691b.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874420/check_9918423_24099fc0-55b7-4b7d-a6f4-a991200898fd.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 | N/A | N/A | N/A | 5874420 | 2222 | N/A | 9645651 | N/A | 4534550 | 2025-07-17 09:08:06.268955 | 2025-10-15 18:36:58.255255 |
| 2025-07-17 09:08:01.451551 | 2025-07-17 09:08:04.189426 | 9918405 | N/A | N/A | {'payer_id': 'Z1073', 'payer_name': 'Medicare B California Southern', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1958-09-13', 'date_of_service': '2025-07-17', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 4497, 'subscriber_last_name': 'DERR', 'subscriber_member_id': '4GK3GN5DV73', 'subscriber_first_name': 'DENNIS'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/5874420/check_9918405_b86817bb-d92b-4a78-bc5b-32bc22840d18.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-17 | N/A | 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 | N/A | N/A | N/A | 5874420 | 2222 | N/A | N/A | N/A | 4534550 | 2025-07-17 09:08:04.189426 | 2025-10-15 18:36:58.255255 |
| 2025-07-17 09:07:43.701432 | 2025-07-17 09:07:45.705816 | 9918122 | N/A | N/A | {'payer_id': 'REGAL', 'payer_name': 'Regal Medical Group', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1988-06-09', 'date_of_service': '2025-07-17', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 23298, 'subscriber_last_name': 'RIVERO', 'subscriber_member_id': '7769264-01', 'subscriber_first_name': 'TANYA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542149/check_9918122_73f70cf8-f50b-4014-b75f-c8b4bc5b62e0.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542149/check_9918122_eb312954-2dae-4bfb-96a4-7833efd92c61.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '7769264-01', '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 | N/A | N/A | N/A | 5542149 | 2222 | N/A | 9645599 | N/A | 4214103 | 2025-07-17 09:07:45.705816 | 2025-05-13 04:29:37.228419 |
| 2025-07-17 09:07:41.658703 | 2025-07-17 09:07:43.684292 | 9918088 | N/A | N/A | {'payer_id': 'REGAL', 'payer_name': 'Regal Medical Group', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1988-06-09', 'date_of_service': '2025-07-17', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 23298, 'subscriber_last_name': 'RIVERO', 'subscriber_member_id': '7769264-01', 'subscriber_first_name': 'TANYA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542149/check_9918088_2e9d010b-e7bf-4be2-9465-237cf062564a.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-17 | N/A | N/A | N/A | N/A | N/A | N/A | {'member_id': '7769264-01', '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 | N/A | N/A | N/A | 5542149 | 2222 | N/A | N/A | N/A | 4214103 | 2025-07-17 09:07:43.684292 | 2025-05-13 04:29:37.228419 |
| 2025-07-17 09:07:41.520295 | 2025-07-17 09:07:46.506596 | 9918084 | N/A | N/A | {'payer_id': '60054', 'payer_name': 'Aetna', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '2003-08-09', 'date_of_service': '2025-07-17', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 3939, 'subscriber_last_name': 'CHORSKE', 'subscriber_member_id': 'W279473475', 'subscriber_first_name': 'GABRIELLE'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541384/check_9918084_8d3dd4e2-95a7-49f0-b319-984d422ecf38.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541384/check_9918084_a66fd5de-a0b7-48d5-a7d7-5c3a1a79269c.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'W279473475', 'plan_type': 'Point of Service (POS)', 'group_name': 'WESTERN ALLIANCE BANK', 'payer_name': 'AETNA', 'payer_note': None, 'patient_dob': '2003-08-09', 'plan_number': '0237851', 'group_number': '023785101200005', 'insurance_type': None, 'plan_type_code': 'PS', 'enrolled_in_qmb': False, 'patient_last_name': 'CHORSKE', 'plan_sponsor_name': None, 'patient_first_name': 'MATTHEW', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'AETNA CHOICE POS II', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8288397861 | N/A | N/A | 5541384 | 2222 | N/A | 9645601 | N/A | 4213412 | 2025-07-17 09:07:46.506596 | 2025-05-13 04:29:37.227734 |
| 2025-07-17 09:04:51.038767 | 2025-07-18 05:05:35.193911 | 9913084 | N/A | N/A | {'payer_id': '60054', 'payer_name': 'AETNA', 'provider_npi': '1114042165', 'trace_number': '9913084', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1940-12-29', 'date_of_service': '2025-07-17', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'TRUNNELL', 'subscriber_member_id': '101505559100', 'subscriber_first_name': 'WAYNE'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250717.115431331.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6786642/check_9913084_5685d493-c77d-45e4-9b60-7d573bdce551.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '101505559100', 'plan_type': 'Point of Service (POS)', 'group_name': 'MA INDIVIDUAL - CALIFORNIA', 'payer_name': 'AETNA', 'payer_note': 'MEDICARE', 'patient_dob': '1940-12-29', 'plan_number': '000003-CA000074', 'group_number': '000003-CA', 'insurance_type': None, 'plan_type_code': 'PS', 'enrolled_in_qmb': False, 'patient_last_name': 'TRUNNELL', 'plan_sponsor_name': None, 'patient_first_name': 'WAYNE', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'AETNA MEDICARE PLUS (HMO-POS)', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8288393035 | N/A | N/A | 6786642 | 2222 | 4793 | 9671106 | 3939 | 5818009 | 2025-07-18 05:05:35.193911 | 2025-07-15 23:19:05.900633 |
| 2025-07-17 09:02:48.166682 | 2025-07-18 05:12:02.963899 | 9907338 | N/A | N/A | {'payer_id': 'CCHPC', 'payer_name': 'ALIGNMENT HEALTH CARE', 'provider_npi': '1114042165', 'trace_number': '9907338', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1959-07-25', 'date_of_service': '2025-07-17', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'CARRANZA', 'subscriber_member_id': '6T34N58CE65', 'subscriber_first_name': 'KISELL'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250717.115151676.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7019836/check_9907338_0c6016c8-a0df-41bc-abf3-99e285975bc5.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '6T34N58CE65', 'plan_type': None, 'group_name': None, 'payer_name': 'ALIGNMENT HEALTH', 'payer_note': None, 'patient_dob': '1959-07-25', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'CARRANZA', 'plan_sponsor_name': None, 'patient_first_name': 'KISELL', '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 | 8288378076 | N/A | N/A | 7019836 | 2222 | 4802 | 9674709 | 2630 | 4214064 | 2025-07-18 05:12:02.963899 | 2025-07-15 17:36:25.711810 |
| 2025-07-17 03:24:52.338219 | 2025-07-17 03:24:54.250606 | 9902110 | N/A | N/A | {'payer_id': 'REGAL', 'payer_name': 'Regal Medical Group', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1983-03-13', 'date_of_service': '2025-07-10', 'subscriber_gender': '', 'service_type_codes': ['PT', 'AE'], 'insurance_company_id': 23304, 'subscriber_last_name': 'NAZERALI', 'subscriber_member_id': '95517882H', 'subscriber_first_name': 'SHAHEEN'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6782227/check_9902110_712d2966-d015-4b7b-8a67-01f2f9f910b4.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6782227/check_9902110_ab373c89-4c30-477f-a4c6-75bf0e83171d.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '95517882H', 'plan_type': None, 'group_name': None, 'payer_name': 'REGAL MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1983-03-13', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'NAZERALI', 'plan_sponsor_name': None, 'patient_first_name': 'SHAHEEN', '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 | N/A | 1275 | N/A | 6782227 | 2222 | N/A | 9642053 | N/A | 5813326 | 2025-07-17 03:24:54.250606 | 2025-07-21 17:21:46.553298 |
| 2025-07-17 03:24:50.425244 | 2025-07-17 03:24:52.329813 | 9902109 | N/A | N/A | {'payer_id': 'REGAL', 'payer_name': 'Regal Medical Group', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1983-03-13', 'date_of_service': '2025-07-10', 'subscriber_gender': '', 'service_type_codes': ['PT', 'AE'], 'insurance_company_id': 23304, 'subscriber_last_name': 'NAZERALI', 'subscriber_member_id': '95517882H', 'subscriber_first_name': 'SHAHEEN'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6782227/check_9902109_77a1cdcd-98ec-4aa6-85e8-b995685ee57d.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-10 | N/A | N/A | N/A | N/A | N/A | N/A | {'member_id': '95517882H', 'plan_type': None, 'group_name': None, 'payer_name': 'REGAL MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1983-03-13', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'NAZERALI', 'plan_sponsor_name': None, 'patient_first_name': 'SHAHEEN', '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 | N/A | 1275 | N/A | 6782227 | 2222 | N/A | N/A | N/A | 5813326 | 2025-07-17 03:24:52.329813 | 2025-07-21 17:21:46.553298 |
| 2025-07-17 03:23:15.320578 | 2025-07-17 03:23:17.210729 | 9902040 | N/A | N/A | {'payer_id': 'REGAL', 'payer_name': 'Regal Medical Group', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1983-03-13', 'date_of_service': '2025-07-07', 'subscriber_gender': '', 'service_type_codes': ['PT', 'AE'], 'insurance_company_id': 23304, 'subscriber_last_name': 'NAZERALI', 'subscriber_member_id': '95517882H', 'subscriber_first_name': 'SHAHEEN'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6782227/check_9902040_eaf95883-1acf-4fa0-8754-79fdffe3bb31.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6782227/check_9902040_d3e336ab-0c44-4446-86da-07f69c0f9d1e.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '95517882H', 'plan_type': None, 'group_name': None, 'payer_name': 'REGAL MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1983-03-13', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'NAZERALI', 'plan_sponsor_name': None, 'patient_first_name': 'SHAHEEN', '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 | N/A | 1275 | N/A | 6782227 | 2222 | N/A | 9641977 | N/A | 5813326 | 2025-07-17 03:23:17.210729 | 2025-07-21 17:21:46.553298 |
| 2025-07-17 03:23:13.624348 | 2025-07-17 03:23:15.315911 | 9902038 | N/A | N/A | {'payer_id': 'REGAL', 'payer_name': 'Regal Medical Group', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1983-03-13', 'date_of_service': '2025-07-07', 'subscriber_gender': '', 'service_type_codes': ['PT', 'AE'], 'insurance_company_id': 23304, 'subscriber_last_name': 'NAZERALI', 'subscriber_member_id': '95517882H', 'subscriber_first_name': 'SHAHEEN'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6782227/check_9902038_84479377-dfb0-4cbb-a88a-57e05e14402c.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-07 | N/A | N/A | N/A | N/A | N/A | N/A | {'member_id': '95517882H', 'plan_type': None, 'group_name': None, 'payer_name': 'REGAL MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1983-03-13', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'NAZERALI', 'plan_sponsor_name': None, 'patient_first_name': 'SHAHEEN', '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 | N/A | 1275 | N/A | 6782227 | 2222 | N/A | N/A | N/A | 5813326 | 2025-07-17 03:23:15.315911 | 2025-07-21 17:21:46.553298 |
| 2025-07-17 01:31:44.087414 | 2025-07-17 01:31:49.271028 | 9900299 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1979-07-09', 'date_of_service': '2025-07-17', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'insurance_company_id': 4185, 'subscriber_last_name': 'KUMAR', 'subscriber_member_id': 'S6A828382017', 'subscriber_first_name': 'ARVIND'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/5537228/check_9900299_7d0905a2-aaf1-4bec-bbb9-ff3e28c5c45d.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537228/check_9900299_9e39bee1-5b8c-40b0-be60-851f466b746f.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'EVD828382017', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'ATOS SYNTEL', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1979-07-09', 'plan_number': None, 'group_number': '375074', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'KUMAR', 'plan_sponsor_name': None, 'patient_first_name': 'ARVIND', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2024-01-01', 'plan_coverage_description': 'PREFERRED PROVIDER OPTION MEDICAL', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8285472301 | 2182 | N/A | 5537228 | 2222 | N/A | 9633313 | N/A | 4209833 | 2025-07-17 01:31:49.271028 | 2025-05-13 04:29:37.224254 |
| 2025-07-16 23:22:18.170261 | 2025-07-16 23:22:19.927593 | 9900083 | N/A | N/A | {'payer_id': 'VCHCP', 'payer_name': 'Ventura County Health Care Plan', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1965-10-24', 'date_of_service': '2025-07-16', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 2815, 'subscriber_last_name': 'Wold', 'subscriber_member_id': '00900105302', 'subscriber_first_name': 'Tony'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6681119/check_9900083_942f10e5-88a2-4913-a76b-05a8e59c6140.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6681119/check_9900083_ace5b0fa-c075-41d1-aa95-3cbdd9e8655e.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '00900105302', 'plan_type': None, 'group_name': None, 'payer_name': 'VENTURA COUNTY HEALTH CARE PLAN', 'payer_note': None, 'patient_dob': '1965-10-24', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'WOLD', 'plan_sponsor_name': None, 'patient_first_name': 'TONY', '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 | 9482 | N/A | 6681119 | 2222 | N/A | 9632880 | N/A | 5290108 | 2025-07-16 23:22:19.927593 | 2025-07-30 01:01:58.188731 |
| 2025-07-16 23:22:16.573889 | 2025-07-16 23:22:18.166677 | 9900082 | N/A | N/A | {'payer_id': 'VCHCP', 'payer_name': 'Ventura County Health Care Plan', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1965-10-24', 'date_of_service': '2025-07-16', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 2815, 'subscriber_last_name': 'Wold', 'subscriber_member_id': '00900105302', 'subscriber_first_name': 'Tony'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6681119/check_9900082_7a573000-32e4-4faf-97fc-7664736bd0dc.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-16 | N/A | N/A | N/A | N/A | N/A | N/A | {'member_id': '00900105302', 'plan_type': None, 'group_name': None, 'payer_name': 'VENTURA COUNTY HEALTH CARE PLAN', 'payer_note': None, 'patient_dob': '1965-10-24', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'WOLD', 'plan_sponsor_name': None, 'patient_first_name': 'TONY', '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 | 9482 | N/A | 6681119 | 2222 | N/A | N/A | N/A | 5290108 | 2025-07-16 23:22:18.166677 | 2025-07-30 01:01:58.188731 |
| 2025-07-16 23:21:42.466118 | 2025-07-16 23:21:44.213963 | 9900080 | N/A | N/A | {'payer_id': 'VCHCP', 'payer_name': 'Ventura County Health Care Plan', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1965-10-24', 'date_of_service': '2025-07-16', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 2815, 'subscriber_last_name': 'Wold', 'subscriber_member_id': '00900105302', 'subscriber_first_name': 'Tony'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6681119/check_9900080_6810e4fc-a3d0-48fa-aba1-6f0f4cde78f6.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6681119/check_9900080_670fa33f-fc50-4fc6-a232-9be7bd8febde.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '00900105302', 'plan_type': None, 'group_name': None, 'payer_name': 'VENTURA COUNTY HEALTH CARE PLAN', 'payer_note': None, 'patient_dob': '1965-10-24', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'WOLD', 'plan_sponsor_name': None, 'patient_first_name': 'TONY', '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 | 9482 | N/A | 6681119 | 2222 | N/A | 9632875 | N/A | 5290108 | 2025-07-16 23:21:44.213963 | 2025-07-30 01:01:58.188731 |