Athletic API Dashboard
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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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-07-16 09:50:54.640483 | 2025-07-16 09:50:58.755390 | 9890730 | 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_9890730_2f30b1a2-ef62-4605-96e8-e5309650086a.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 | 2025-07-16 09:50:58.755390 | 2025-06-13 00:55:48.629734 |
| 2025-07-16 09:50:11.190075 | 2025-07-16 09:50:14.886221 | 9890605 | N/A | N/A | {'payer_id': '87726', 'payer_name': 'United Healthcare', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1929-02-22', 'date_of_service': '2025-07-16', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6411, 'subscriber_last_name': 'SCOTT', 'subscriber_member_id': '076810624-11', 'subscriber_first_name': 'GEORGE'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6105989/check_9890605_9d7a3a10-4893-4235-b931-0ece6c851b5c.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6105989/check_9890605_2b6a9ce7-0da6-4417-84fc-5cab8007d07d.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '076810624', 'plan_type': None, 'group_name': None, 'payer_name': 'UNITEDHEALTHCARE', 'payer_note': None, 'patient_dob': '1929-02-22', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'SCOTT', 'plan_sponsor_name': None, 'patient_first_name': 'GEORGE', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6105989 | 2222 | N/A | 9622228 | N/A | 4750274 | 2025-07-16 09:50:14.886221 | 2025-06-12 22:26:37.845238 |
| 2025-07-16 09:50:07.602745 | 2025-07-16 09:50:11.186910 | 9890592 | N/A | N/A | {'payer_id': '87726', 'payer_name': 'United Healthcare', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1929-02-22', 'date_of_service': '2025-07-16', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6411, 'subscriber_last_name': 'SCOTT', 'subscriber_member_id': '076810624-11', 'subscriber_first_name': 'GEORGE'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6105989/check_9890592_a973a58f-093c-4116-8394-f4755ff0016f.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-16 | N/A | N/A | N/A | N/A | N/A | N/A | {'member_id': '076810624', 'plan_type': None, 'group_name': None, 'payer_name': 'UNITEDHEALTHCARE', 'payer_note': None, 'patient_dob': '1929-02-22', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'SCOTT', 'plan_sponsor_name': None, 'patient_first_name': 'GEORGE', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6105989 | 2222 | N/A | N/A | N/A | 4750274 | 2025-07-16 09:50:11.186910 | 2025-06-12 22:26:37.845238 |
| 2025-07-16 09:13:52.076032 | 2025-07-17 02:10:09.249674 | 9886353 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9886353', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '2009-07-01', 'date_of_service': '2025-07-16', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'subscriber_last_name': 'PAQUETTE', 'subscriber_member_id': 'JQU899A69081', 'subscriber_first_name': 'NICOLAS'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250716.121116957.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6207031/check_9886353_bb29adc4-e3bd-4a71-9363-974bd9e29f91.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'JQU899A69081', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'EN ROUTE TRAVEL', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '2009-07-01', 'plan_number': '040', 'group_number': '371007', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'PAQUETTE', 'plan_sponsor_name': None, 'patient_first_name': 'BIANCA', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2025-06-01', 'plan_coverage_description': 'ANTHEM GOLD PPO 35/500/25%', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8277840812 | N/A | N/A | 6207031 | 2222 | 4793 | 9636798 | N/A | 4766758 | 2025-07-17 02:10:09.249674 | 2025-06-03 21:40:10.090592 |
| 2025-07-16 09:12:14.358464 | 2025-07-17 02:05:54.159934 | 9885296 | N/A | N/A | {'payer_id': '61101', 'payer_name': 'Humana (and subsidiaries) claims', 'provider_npi': '1114042165', 'trace_number': '9885296', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1956-11-11', 'date_of_service': '2025-07-16', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'KROLL', 'subscriber_member_id': 'H75730672', 'subscriber_first_name': 'LINDA'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250716.121116957.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540414/check_9885296_2f9b1434-d6e9-4596-b866-29cc7f207212.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'H75730672', 'plan_type': 'Supplemental Policy', 'group_name': 'HUMANA BENEFIT PLANOF ILL, INC', 'payer_name': 'HUMANA', 'payer_note': '067 019', 'patient_dob': '1956-11-11', 'plan_number': None, 'group_number': '5A409003', 'insurance_type': None, 'plan_type_code': 'SP', 'enrolled_in_qmb': False, 'patient_last_name': 'KROLL', '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': 'MEDICARE MES', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8277840712 | N/A | N/A | 5540414 | 2222 | 4793 | 9634660 | N/A | 4212576 | 2025-07-17 02:05:54.159934 | 2025-07-15 18:12:47.251916 |
| 2025-07-16 09:10:34.347611 | 2025-07-16 09:10:36.054072 | 9884453 | N/A | N/A | {'payer_id': 'LMG01', 'payer_name': 'Lakeside Medical Group', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1952-08-05', 'date_of_service': '2025-07-16', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 23326, 'subscriber_last_name': 'WOOTEN', 'subscriber_member_id': '400412457-01', 'subscriber_first_name': 'GAYLE'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/5551018/check_9884453_15e83406-f0e0-42aa-82ef-3079fc71baae.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5551018/check_9884453_07dc1462-bb47-40f0-9494-48f10c506078.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '400412457-01', 'plan_type': None, 'group_name': None, 'payer_name': 'LAKESIDE MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1952-08-05', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'WOOTEN', 'plan_sponsor_name': None, 'patient_first_name': 'GAYLE', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5551018 | 2222 | N/A | 9617984 | N/A | 4219841 | 2025-07-16 09:10:36.054072 | 2025-05-13 04:29:37.230890 |
| 2025-07-16 09:10:32.737346 | 2025-07-16 09:10:34.339363 | 9884427 | N/A | N/A | {'payer_id': 'LMG01', 'payer_name': 'Lakeside Medical Group', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1952-08-05', 'date_of_service': '2025-07-16', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 23326, 'subscriber_last_name': 'WOOTEN', 'subscriber_member_id': '400412457-01', 'subscriber_first_name': 'GAYLE'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/5551018/check_9884427_31dc477f-b1f0-4387-b9d1-c71bf06eccb1.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-16 | N/A | N/A | N/A | N/A | N/A | N/A | {'member_id': '400412457-01', 'plan_type': None, 'group_name': None, 'payer_name': 'LAKESIDE MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1952-08-05', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'WOOTEN', 'plan_sponsor_name': None, 'patient_first_name': 'GAYLE', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5551018 | 2222 | N/A | N/A | N/A | 4219841 | 2025-07-16 09:10:34.339363 | 2025-05-13 04:29:37.230890 |
| 2025-07-16 09:10:30.997772 | 2025-07-16 09:10:32.923972 | 9884411 | N/A | N/A | {'payer_id': 'LMG01', 'payer_name': 'Lakeside Medical Group', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1973-07-11', 'date_of_service': '2025-07-16', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 23322, 'subscriber_last_name': 'HERMAN', 'subscriber_member_id': '95836743G', 'subscriber_first_name': 'BRETT'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/5540113/check_9884411_3207e3a3-f89f-4b97-b802-0ccfaf9fef6a.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540113/check_9884411_f87f75a2-3c01-49ab-af08-2241541045d0.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '95836743G', 'plan_type': None, 'group_name': None, 'payer_name': 'LAKESIDE MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1973-07-11', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'HERMAN', 'plan_sponsor_name': None, 'patient_first_name': 'BRETT', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5540113 | 2222 | N/A | 9617980 | N/A | 4212315 | 2025-07-16 09:10:32.923972 | 2025-12-29 21:20:15.158611 |
| 2025-07-16 09:10:30.287294 | 2025-07-16 09:10:31.943640 | 9884399 | N/A | N/A | {'payer_id': 'SKCA0', 'payer_name': 'Medicaid California', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1946-06-01', 'date_of_service': '2025-07-16', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 4199, 'subscriber_last_name': 'AMIRI', 'subscriber_member_id': '5A52N18CA24', 'subscriber_first_name': 'POURAN'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/5538157/check_9884399_f9267b1d-a6d9-4c01-82b8-646efd71e1c6.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538157/check_9884399_8abd9ecf-a4c3-4757-aa6d-3696311b38bd.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '5A52N18CA24', 'plan_type': None, 'group_name': None, 'payer_name': 'MEDICAID CALIFORNIA', 'payer_note': None, 'patient_dob': '1946-06-01', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'AMIRI', 'plan_sponsor_name': None, 'patient_first_name': 'POURAN', '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 | 5538157 | 2222 | N/A | 9617978 | N/A | 4210607 | 2025-07-16 09:10:31.943640 | 2025-08-01 18:31:38.620742 |
| 2025-07-16 09:10:29.479184 | 2025-07-16 09:10:39.408172 | 9884391 | 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': '1992-06-25', 'date_of_service': '2025-07-16', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'insurance_company_id': 4184, 'subscriber_last_name': 'FONSECA', 'subscriber_member_id': 'XDP457W18823', 'subscriber_first_name': 'NICOLE'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541789/check_9884391_91d556b6-2a5d-427f-993c-c194462b10f4.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541789/check_9884391_6a73eb4b-3f87-46f8-b497-3028c5af6e01.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XDP457W18823', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'TRLG HOLDINGS LLC', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1992-06-25', 'plan_number': '040', 'group_number': '165681M046', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'FONSECA', 'plan_sponsor_name': None, 'patient_first_name': 'NICOLE', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2025-02-01', 'plan_coverage_description': 'CA GENERIC HLTH SAVINGS ACCT', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8277807657 | N/A | N/A | 5541789 | 2222 | N/A | 9617989 | N/A | 4213775 | 2025-07-16 09:10:39.408172 | 2025-05-13 04:29:37.228095 |
| 2025-07-16 09:10:29.135644 | 2025-07-16 09:10:30.987180 | 9884386 | N/A | N/A | {'payer_id': 'LMG01', 'payer_name': 'Lakeside Medical Group', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1973-07-11', 'date_of_service': '2025-07-16', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 23322, 'subscriber_last_name': 'HERMAN', 'subscriber_member_id': '95836743G', 'subscriber_first_name': 'BRETT'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/5540113/check_9884386_c5a10ea6-f0fa-43b2-8f42-7a731a72d21b.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-16 | N/A | N/A | N/A | N/A | N/A | N/A | {'member_id': '95836743G', 'plan_type': None, 'group_name': None, 'payer_name': 'LAKESIDE MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1973-07-11', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'HERMAN', 'plan_sponsor_name': None, 'patient_first_name': 'BRETT', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5540113 | 2222 | N/A | N/A | N/A | 4212315 | 2025-07-16 09:10:30.987180 | 2025-12-29 21:20:15.158611 |
| 2025-07-16 09:10:28.826845 | 2025-07-16 09:10:30.285060 | 9884382 | N/A | N/A | {'payer_id': 'SKCA0', 'payer_name': 'Medicaid California', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1946-06-01', 'date_of_service': '2025-07-16', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 4199, 'subscriber_last_name': 'AMIRI', 'subscriber_member_id': '5A52N18CA24', 'subscriber_first_name': 'POURAN'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/5538157/check_9884382_b434d900-4eea-4961-88dd-7afa2ced7bc5.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-16 | N/A | N/A | N/A | N/A | N/A | N/A | {'member_id': '5A52N18CA24', 'plan_type': None, 'group_name': None, 'payer_name': 'MEDICAID CALIFORNIA', 'payer_note': None, 'patient_dob': '1946-06-01', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'AMIRI', 'plan_sponsor_name': None, 'patient_first_name': 'POURAN', '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 | 5538157 | 2222 | N/A | N/A | N/A | 4210607 | 2025-07-16 09:10:30.285060 | 2025-08-01 18:31:38.620742 |
| 2025-07-16 09:09:18.023652 | 2025-07-16 09:09:18.695274 | 9883748 | N/A | N/A | {'payer_id': 'CCHPC', 'payer_name': 'ALIGNMENT HEALTH CARE', 'provider_npi': '1114042165', 'trace_number': '9883748', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1959-07-25', 'date_of_service': '2025-07-16', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'CARRANZA', 'subscriber_member_id': '6T34N58CE65', 'subscriber_first_name': 'KISELL'} | N/A | WAYSTAR | N/A | BATCH | 2025-07-18 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 7019836 | 2222 | 4802 | N/A | 2630 | 4214064 | 2025-07-16 09:09:18.695274 | 2025-07-15 17:36:25.711810 |
| 2025-07-16 09:07:31.456197 | 2025-07-17 02:04:11.919286 | 9882577 | N/A | N/A | {'payer_id': '95567', 'payer_name': 'Health Net of California and Oregon', 'provider_npi': '1114042165', 'trace_number': '9882577', 'provider_name': '', 'subscriber_dob': '1959-07-25', 'date_of_service': '2025-07-16', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'CARRANZA', 'subscriber_member_id': '94113505C', 'subscriber_first_name': 'KISELL'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250716.115924183.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7019842/check_9882577_a3553c19-691e-4f4e-8604-f8fa53ff8947.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '94113505C', 'plan_type': None, 'group_name': None, 'payer_name': 'HEALTH NET OF CALIFORNIA AND OREGON', '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 | 8277786936 | N/A | N/A | 7019842 | 2222 | 4802 | 9634021 | N/A | 4214064 | 2025-07-17 02:04:11.919286 | 2025-07-15 17:36:25.711810 |
| 2025-07-16 09:05:13.757126 | 2025-07-17 02:08:25.348476 | 9880509 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9880509', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '2009-07-01', 'date_of_service': '2025-07-16', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'subscriber_last_name': 'PAQUETTE', 'subscriber_member_id': '490145', 'subscriber_first_name': 'NICOLAS'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250716.120633162.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6124048/check_9880509_bff56908-d756-4bd1-b88c-2188b0971f5f.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '490145', 'plan_type': None, 'group_name': None, 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '2009-07-01', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'PAQUETTE', 'plan_sponsor_name': None, 'patient_first_name': 'NICOLAS', '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 | 8277825256 | N/A | N/A | 6124048 | 2222 | 4793 | 9636055 | N/A | 4766758 | 2025-07-17 02:08:25.348476 | 2025-06-03 21:40:10.090592 |
| 2025-07-16 09:03:33.088313 | 2025-07-17 02:08:43.328726 | 9878216 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': '1114042165', 'trace_number': '9878216', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1996-07-04', 'date_of_service': '2025-07-16', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'STOLTZ', 'subscriber_member_id': 'XED912573254', 'subscriber_first_name': 'ARDENN'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250716.120633162.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543121/check_9878216_d3a1dda5-1f71-4d85-8f03-150662a67412.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XED912573254', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'IFP ON EXCHANGE', 'payer_name': 'BLUE SHIELD CALIFORNIA', 'payer_note': 'HIX GRACE PERIOD SUBSIDIZED MEMBER S COVERAGE IS SUSPENDED DUE TO NONPAYMENT OF PREMIUMS PROCESSING OF CLAIMS WILL RESUME ONCE PREMIUMS ARE CURRENT OR CLAIMS WILL BE DENIED AT END OF THE GRACE PERIOD', 'patient_dob': '1996-07-04', 'plan_number': '2001ZK002186', 'group_number': 'X0001004', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'STOLZ', 'plan_sponsor_name': None, 'patient_first_name': 'ARDENN', 'patient_middle_name': None, 'date_time_period_end': '2025-07-31', 'date_time_period_start': '2023-10-01', 'plan_coverage_description': 'IFP EMB PED DPPO JAN15', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8277824814 | N/A | N/A | 5543121 | 2222 | 4802 | 9636214 | N/A | 4214948 | 2025-07-17 02:08:43.328726 | 2025-06-26 01:28:07.741882 |
| 2025-07-16 09:03:32.975749 | 2025-07-17 02:18:23.515723 | 9878214 | N/A | N/A | {'payer_id': 'Z1073', 'payer_name': 'Medicare B California Southern', 'provider_npi': '1114042165', 'trace_number': '9878214', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1956-11-11', 'date_of_service': '2025-07-16', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'KROLL', 'subscriber_member_id': '7TM8GH4UP59', 'subscriber_first_name': 'LINDA'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250716.120633162.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540410/check_9878214_1722a6ac-1719-4054-97fa-31bdfba7622d.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '7TM8GH4UP59', 'plan_type': 'Medicare Part B', 'group_name': None, 'payer_name': 'SILVERSCRIPT INSURANCE COMPANY', 'payer_note': '0-BENEFICIARY INSURED DUE TO AGE OASI', 'patient_dob': '1956-11-11', 'plan_number': 'S5601', 'group_number': None, 'insurance_type': None, 'plan_type_code': 'MB', 'enrolled_in_qmb': False, 'patient_last_name': 'KROLL', '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 | 8277824813 | N/A | N/A | 5540410 | 2222 | 4793 | 9639382 | N/A | 4212576 | 2025-07-17 02:18:23.515723 | 2025-07-15 18:12:47.251916 |
| 2025-07-16 09:03:32.851352 | 2025-07-17 02:08:24.802775 | 9878212 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9878212', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1979-07-09', 'date_of_service': '2025-07-16', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'subscriber_last_name': 'KUMAR', 'subscriber_member_id': 'S6A828382017', 'subscriber_first_name': 'ARVIND'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250716.120633162.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537228/check_9878212_95cd704d-d713-4721-bfa6-956a82b8b6c5.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 | 8277824811 | N/A | N/A | 5537228 | 2222 | 4793 | 9636052 | N/A | 4209833 | 2025-07-17 02:08:24.802775 | 2025-05-13 04:29:37.224254 |
| 2025-07-16 09:02:46.096180 | 2025-07-16 09:02:46.245608 | 9877447 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': '1114042165', 'trace_number': '9877447', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '2012-11-14', 'date_of_service': '2025-07-16', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'IOANNOU', 'subscriber_member_id': 'PAS839113807', 'subscriber_first_name': 'PENELOPE'} | N/A | WAYSTAR | N/A | BATCH | 2025-07-17 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | ['PT'] | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6621141 | 2222 | 4801 | N/A | N/A | 5237460 | 2025-07-16 09:02:46.245608 | 2025-07-24 16:59:54.908041 |
| 2025-07-16 09:02:32.491520 | 2025-07-16 09:02:32.668689 | 9877200 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9877200', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1963-02-27', 'date_of_service': '2025-07-16', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'MARYAN', 'subscriber_member_id': 'JPU047A23611', 'subscriber_first_name': 'MICHELLE'} | N/A | WAYSTAR | N/A | BATCH | 2025-07-17 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | ['PT'] | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6600346 | 2222 | 4801 | N/A | N/A | 4211322 | 2025-07-16 09:02:32.668689 | 2025-07-17 16:31:59.104530 |
| 2025-07-16 09:02:06.061862 | 2025-07-17 02:04:46.949235 | 9876835 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9876835', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1996-07-04', 'date_of_service': '2025-07-16', '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/272741.20250716.115924183.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6605808/check_9876835_1e8e705b-3d9d-497c-a518-727eca63c6ca.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 | 8277786197 | N/A | N/A | 6605808 | 2222 | 4802 | 9634230 | N/A | 4214948 | 2025-07-17 02:04:46.949235 | 2025-06-26 01:28:07.741882 |
| 2025-07-16 03:30:30.880115 | 2025-07-16 03:30:32.765780 | 9873896 | 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_9873896_5f9f2fcc-0639-4cb9-a71d-b125eb1ccd49.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6782227/check_9873896_b4c04a82-c05c-42f3-a606-598c8ffb7276.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 | 9614035 | N/A | 5813326 | 2025-07-16 03:30:32.765780 | 2025-07-21 17:21:46.553298 |
| 2025-07-16 03:30:28.850533 | 2025-07-16 03:30:30.875902 | 9873893 | 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_9873893_d67930f9-9b37-4f6b-9dd3-c186fe12e55e.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 | 2025-07-16 03:30:30.875902 | 2025-07-21 17:21:46.553298 |
| 2025-07-16 03:27:08.265151 | 2025-07-16 03:27:10.064589 | 9873738 | 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_9873738_69f77817-3722-4dfb-90cc-489997eeeadf.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6782227/check_9873738_aaa0c74d-5114-49c3-9a89-01446f2f5a10.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 | 9613880 | N/A | 5813326 | 2025-07-16 03:27:10.064589 | 2025-07-21 17:21:46.553298 |
| 2025-07-16 03:27:06.549434 | 2025-07-16 03:27:08.260762 | 9873730 | 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_9873730_6fc4a9ef-0a46-4891-bb69-6a969fcd7f1c.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 | 2025-07-16 03:27:08.260762 | 2025-07-21 17:21:46.553298 |
| 2025-07-16 02:41:52.197313 | 2025-07-16 02:41:55.018560 | 9872109 | 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': '2005-07-19', 'date_of_service': '2025-07-16', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'insurance_company_id': 4184, 'subscriber_last_name': 'MOORE', 'subscriber_member_id': 'WZA952W18561', 'subscriber_first_name': 'FAITH'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6644228/check_9872109_2692a45c-09c1-4a5e-8aac-5cde402dd203.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6644228/check_9872109_102e9c70-dadb-4cbb-8df8-da27112f6af6.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'WZA952W18561', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'WARNER BROS DISCOVERY INC', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '2005-07-19', 'plan_number': '130', 'group_number': '270240M25A', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'MOORE', 'plan_sponsor_name': None, 'patient_first_name': 'YOLANDA', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2024-01-01', 'plan_coverage_description': 'CDHP IN HEALTH SAVINGS ACCOUNT', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8275191328 | N/A | N/A | 6644228 | 2222 | N/A | 9612252 | N/A | 5251545 | 2025-07-16 02:41:55.018560 | 2025-07-16 15:52:27.392778 |
| 2025-07-15 22:10:09.574395 | 2025-07-15 22:10:11.339835 | 9871540 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '2006-11-16', 'date_of_service': '2025-07-09', 'subscriber_gender': 'M', 'service_type_codes': ['PT', 'AE'], 'insurance_company_id': 4191, 'subscriber_last_name': 'ANDERSON', 'subscriber_member_id': 'PNE9139322192', 'subscriber_first_name': 'SEAN'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6713863/check_9871540_e3dfce97-19ae-44d5-b54a-ce1bdefe89f4.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6713863/check_9871540_f6aa9ab3-bcd1-440e-8e79-3b1c058c5dc9.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'PNE9139322192', 'plan_type': None, 'group_name': None, 'payer_name': 'BLUE SHIELD CALIFORNIA', 'payer_note': None, 'patient_dob': '2006-11-16', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'ANDERSON', 'plan_sponsor_name': None, 'patient_first_name': 'SEAN', '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 | 7694 | N/A | 6713863 | 2222 | N/A | 9599049 | N/A | 5315237 | 2025-07-15 22:10:11.339835 | 2025-07-09 22:23:37.046417 |
| 2025-07-15 22:10:06.944962 | 2025-07-15 22:10:09.570312 | 9871538 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '2006-11-16', 'date_of_service': '2025-07-09', 'subscriber_gender': 'M', 'service_type_codes': ['PT', 'AE'], 'insurance_company_id': 4191, 'subscriber_last_name': 'ANDERSON', 'subscriber_member_id': 'PNE9139322192', 'subscriber_first_name': 'SEAN'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6713863/check_9871538_ac0a7a68-2c0d-4bab-9596-73a9c4b0fb02.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-09 | N/A | N/A | N/A | N/A | N/A | N/A | {'member_id': 'PNE9139322192', 'plan_type': None, 'group_name': None, 'payer_name': 'BLUE SHIELD CALIFORNIA', 'payer_note': None, 'patient_dob': '2006-11-16', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'ANDERSON', 'plan_sponsor_name': None, 'patient_first_name': 'SEAN', '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 | 7694 | N/A | 6713863 | 2222 | N/A | N/A | N/A | 5315237 | 2025-07-15 22:10:09.570312 | 2025-07-09 22:23:37.046417 |
| 2025-07-15 20:18:31.557699 | 2025-07-15 20:18:36.358492 | 9870999 | N/A | N/A | {'payer_id': '14163', 'payer_name': 'Wellcare Health Plans', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1955-08-25', 'date_of_service': '2025-07-08', 'subscriber_gender': 'M', 'service_type_codes': ['PT', 'AE'], 'insurance_company_id': 6798, 'subscriber_last_name': 'ZEPEDA AMBRIZ', 'subscriber_member_id': '41933827', 'subscriber_first_name': 'LUIS'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6582940/check_9870999_740ea5a8-46e0-4e2a-8717-8e9e60cbac2e.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6582940/check_9870999_afe36b5f-144e-460a-bb20-ead4346763f3.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '41933827', 'plan_type': None, 'group_name': None, 'payer_name': 'WELLCARE HEALTH PLANS', 'payer_note': None, 'patient_dob': '1955-08-25', 'plan_number': '406-024-000', 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'ZEPEDA AMBRIZ', 'plan_sponsor_name': None, 'patient_first_name': 'LUIS', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['PT', 'AE'] | N/A | N/A | N/A | N/A | N/A | 8272454055 | 7691 | N/A | 6582940 | 2222 | N/A | 9598342 | N/A | 5201925 | 2025-07-15 20:18:36.358492 | 2025-06-26 00:47:02.467933 |
| 2025-07-15 20:12:17.532281 | 2025-07-15 20:12:19.266427 | 9870969 | N/A | N/A | {'payer_id': '61101', 'payer_name': 'Humana (and subsidiaries) claims', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1959-09-26', 'date_of_service': '2025-07-16', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 5349, 'subscriber_last_name': 'Barnes', 'subscriber_member_id': 'H65662426', 'subscriber_first_name': 'Felica'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6969360/check_9870969_48170aec-7945-49eb-8aac-dae4d3fc81e0.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6969360/check_9870969_7de61d66-45a7-4168-a925-f8991f90acab.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'H65662426', 'plan_type': 'Health Maintenance Organization (HMO) - Medicare Risk', 'group_name': 'ARCADIAN HEALTH PLAN, INC.', 'payer_name': 'HUMANA', 'payer_note': '076 949 GOLD+/EMP HMO - ALL OTHR WA MEMBER CANNOT BE BALANCED BILLED FOR MEDICAL COPAYMENTS, COINSURANCE OR DEDUCTIBLES ON THIS PLAN. MEMBER IS COST-SHARE PROTECTED BY THE STATE MEDICAID. 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': '1959-09-26', 'plan_number': None, 'group_number': 'Y9623001', 'insurance_type': None, 'plan_type_code': 'HN', 'enrolled_in_qmb': False, 'patient_last_name': 'BEIDER BARNES', 'plan_sponsor_name': None, 'patient_first_name': 'FELICA', '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 | 8272406967 | N/A | N/A | 6969360 | 2222 | N/A | 9598297 | N/A | 5991529 | 2025-07-15 20:12:19.266427 | 2025-07-15 20:01:22.290348 |
| 2025-07-15 20:10:43.340455 | 2025-07-15 20:10:45.104546 | 9870959 | N/A | N/A | {'payer_id': '61101', 'payer_name': 'Humana (and subsidiaries) claims', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1959-09-26', 'date_of_service': '2025-07-16', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 5349, 'subscriber_last_name': 'Barnes', 'subscriber_member_id': 'H65662426', 'subscriber_first_name': 'Felica'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6969360/check_9870959_9521ed61-a4c2-46af-9235-2a633e05653f.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6969360/check_9870959_6d05678e-1c13-48fe-bdd3-cdabc744c76c.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'H65662426', 'plan_type': 'Health Maintenance Organization (HMO) - Medicare Risk', 'group_name': 'ARCADIAN HEALTH PLAN, INC.', 'payer_name': 'HUMANA', 'payer_note': '076 949 GOLD+/EMP HMO - ALL OTHR WA MEMBER CANNOT BE BALANCED BILLED FOR MEDICAL COPAYMENTS, COINSURANCE OR DEDUCTIBLES ON THIS PLAN. MEMBER IS COST-SHARE PROTECTED BY THE STATE MEDICAID. 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': '1959-09-26', 'plan_number': None, 'group_number': 'Y9623001', 'insurance_type': None, 'plan_type_code': 'HN', 'enrolled_in_qmb': False, 'patient_last_name': 'BEIDER BARNES', 'plan_sponsor_name': None, 'patient_first_name': 'FELICA', '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 | 8272396516 | N/A | N/A | 6969360 | 2222 | N/A | 9598282 | N/A | 5991529 | 2025-07-15 20:10:45.104546 | 2025-07-15 20:01:22.290348 |
| 2025-07-15 20:10:24.789464 | 2025-07-15 20:10:26.518472 | 9870957 | N/A | N/A | {'payer_id': '61101', 'payer_name': 'Humana (and subsidiaries) claims', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1959-09-26', 'date_of_service': '2025-07-16', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 5349, 'subscriber_last_name': 'Barnes', 'subscriber_member_id': 'H65662426', 'subscriber_first_name': 'Felica'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6969360/check_9870957_72778019-3e1a-4a51-9897-91766bf18ad4.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6969360/check_9870957_178b360c-4111-476d-9778-f764e7bd5f22.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'H65662426', 'plan_type': 'Health Maintenance Organization (HMO) - Medicare Risk', 'group_name': 'ARCADIAN HEALTH PLAN, INC.', 'payer_name': 'HUMANA', 'payer_note': '076 949 GOLD+/EMP HMO - ALL OTHR WA MEMBER CANNOT BE BALANCED BILLED FOR MEDICAL COPAYMENTS, COINSURANCE OR DEDUCTIBLES ON THIS PLAN. MEMBER IS COST-SHARE PROTECTED BY THE STATE MEDICAID. 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': '1959-09-26', 'plan_number': None, 'group_number': 'Y9623001', 'insurance_type': None, 'plan_type_code': 'HN', 'enrolled_in_qmb': False, 'patient_last_name': 'BEIDER BARNES', 'plan_sponsor_name': None, 'patient_first_name': 'FELICA', '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 | 8272394564 | N/A | N/A | 6969360 | 2222 | N/A | 9598280 | N/A | 5991529 | 2025-07-15 20:10:26.518472 | 2025-07-15 20:01:22.290348 |
| 2025-07-15 20:09:44.879417 | 2025-07-15 20:09:46.640495 | 9870953 | N/A | N/A | {'payer_id': '61101', 'payer_name': 'Humana (and subsidiaries) claims', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1959-09-26', 'date_of_service': '2025-07-16', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 5349, 'subscriber_last_name': 'Barnes', 'subscriber_member_id': 'H65662426', 'subscriber_first_name': 'Felica'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6969360/check_9870953_84b563eb-4264-4968-a251-e3bcc56c6681.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6969360/check_9870953_2488b80c-944f-4866-a139-b60c3bd21556.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'H65662426', 'plan_type': 'Health Maintenance Organization (HMO) - Medicare Risk', 'group_name': 'ARCADIAN HEALTH PLAN, INC.', 'payer_name': 'HUMANA', 'payer_note': '076 949 GOLD+/EMP HMO - ALL OTHR WA MEMBER CANNOT BE BALANCED BILLED FOR MEDICAL COPAYMENTS, COINSURANCE OR DEDUCTIBLES ON THIS PLAN. MEMBER IS COST-SHARE PROTECTED BY THE STATE MEDICAID. 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': '1959-09-26', 'plan_number': None, 'group_number': 'Y9623001', 'insurance_type': None, 'plan_type_code': 'HN', 'enrolled_in_qmb': False, 'patient_last_name': 'BEIDER BARNES', 'plan_sponsor_name': None, 'patient_first_name': 'FELICA', '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 | 8272390247 | N/A | N/A | 6969360 | 2222 | N/A | 9598275 | N/A | 5991529 | 2025-07-15 20:09:46.640495 | 2025-07-15 20:01:22.290348 |
| 2025-07-15 20:09:13.479770 | 2025-07-15 20:09:17.242117 | 9870950 | N/A | N/A | {'payer_id': '61101', 'payer_name': 'Humana (and subsidiaries) claims', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1959-09-26', 'date_of_service': '2025-07-16', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 5349, 'subscriber_last_name': 'Barnes', 'subscriber_member_id': 'H65662426', 'subscriber_first_name': 'Felica'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6969360/check_9870950_06c87ceb-2f6b-4ad2-99c2-653228f6fbf4.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6969360/check_9870950_607e52fb-58a4-4e22-aee9-82b020b5c58b.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'H65662426', 'plan_type': 'Health Maintenance Organization (HMO) - Medicare Risk', 'group_name': 'ARCADIAN HEALTH PLAN, INC.', 'payer_name': 'HUMANA', 'payer_note': '076 949 GOLD+/EMP HMO - ALL OTHR WA MEMBER CANNOT BE BALANCED BILLED FOR MEDICAL COPAYMENTS, COINSURANCE OR DEDUCTIBLES ON THIS PLAN. MEMBER IS COST-SHARE PROTECTED BY THE STATE MEDICAID. 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': '1959-09-26', 'plan_number': None, 'group_number': 'Y9623001', 'insurance_type': None, 'plan_type_code': 'HN', 'enrolled_in_qmb': False, 'patient_last_name': 'BEIDER BARNES', 'plan_sponsor_name': None, 'patient_first_name': 'FELICA', '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 | 8272386374 | N/A | N/A | 6969360 | 2222 | N/A | 9598272 | N/A | 5991529 | 2025-07-15 20:09:17.242117 | 2025-07-15 20:01:22.290348 |
| 2025-07-15 19:22:43.988228 | 2025-07-15 19:22:48.796332 | 9870643 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1948-09-14', 'date_of_service': '2025-06-10', 'subscriber_gender': 'F', 'service_type_codes': ['PT', 'AE'], 'insurance_company_id': 4191, 'subscriber_last_name': 'Yiannakakis', 'subscriber_member_id': 'JQS136M00056', 'subscriber_first_name': 'Kathy'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/7018428/check_9870643_ced533bd-6077-42c7-827a-df8650aa23ef.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7018428/check_9870643_059e131c-134a-42bd-9a38-9c9eb0accc09.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'JQS136M00056', 'plan_type': 'Medicare Primary', 'group_name': 'CA MEDICARE', 'payer_name': 'BLUE SHIELD OF CALIFORNIA', 'payer_note': None, 'patient_dob': '1948-09-14', 'plan_number': '040', 'group_number': 'CAMCRWP0', 'insurance_type': None, 'plan_type_code': 'MP', 'enrolled_in_qmb': False, 'patient_last_name': 'YIANNAKAKIS', 'plan_sponsor_name': None, 'patient_first_name': 'KATHY', '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', 'AE'] | N/A | N/A | N/A | N/A | N/A | 8272033233 | 7693 | N/A | 7018428 | 2222 | N/A | 9597894 | N/A | 4766950 | 2025-07-15 19:22:48.796332 | 2025-06-03 22:10:54.646473 |
| 2025-07-15 18:33:07.727970 | 2025-07-15 18:33:11.568055 | 9870153 | N/A | N/A | {'payer_id': '61101', 'payer_name': 'Humana (and subsidiaries) claims', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1953-12-22', 'date_of_service': '2025-07-15', 'subscriber_gender': 'M', 'service_type_codes': ['PT', 'AE'], 'insurance_company_id': 5349, 'subscriber_last_name': 'REYNO', 'subscriber_member_id': 'H6352781000', 'subscriber_first_name': 'CENON'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/7020219/check_9870153_c2ca4bf4-9205-475a-8996-a7567b2a4f0b.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7020219/check_9870153_49ded47e-c277-4632-a38d-f3fe5dc21f08.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'H63527810', 'plan_type': 'Health Maintenance Organization (HMO) - Medicare Risk', 'group_name': 'ARCNDINN HENLTH PLNN, INC.', 'payer_name': 'HUMANA', 'payer_note': '076 557 GOLD+/EMP HMO - ALL OTHR WA THIS MEMBER MAY BE ELIGIBLE FOR A FREE FITNESS MEMBERSHIP THROUGH SILVERSNEAKERS OR SILVER&FIT. PLEASE ENCOURAGE HIM OR HER TO CALL SILVERSNEAKERS AT 1-888-423-4632 (FOR MOST STATES) OR SILVER&FIT AT 1-877-427-4788 (FOR ARIZONA AND PENNSYLVANIA) FOR ELIGIB', 'patient_dob': '1953-12-22', 'plan_number': None, 'group_number': '0B635001', 'insurance_type': None, 'plan_type_code': 'HN', 'enrolled_in_qmb': False, 'patient_last_name': 'REYNO', 'plan_sponsor_name': None, 'patient_first_name': 'CENON', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'HUMANA GOLD PLUS', 'relationship_to_subscriber': None} | ['PT', 'AE'] | N/A | N/A | N/A | N/A | N/A | 8271628857 | 9483 | N/A | 7020219 | 2222 | N/A | 9597341 | N/A | 6035272 | 2025-07-15 18:33:11.568055 | 2025-07-15 18:28:44.804441 |
| 2025-07-15 16:59:54.543510 | 2025-07-15 17:00:01.427460 | 9869368 | N/A | N/A | {'payer_id': 'TRP1E', 'payer_name': 'Transamerica Financial Life Insurance (IA, MD, PA) (EOBC)', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1951-12-26', 'date_of_service': '2025-07-15', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 3293, 'subscriber_last_name': 'FINEBERG', 'subscriber_member_id': '9501063655', 'subscriber_first_name': 'MARTIN'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/5549982/check_9869368_3dca0e19-41fc-4087-aa3e-3980a2b6c081.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549982/check_9869368_aefd77e0-8226-431e-b1cb-0d8909bd56f1.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '9501063655', 'plan_type': None, 'group_name': None, 'payer_name': 'TRANSAMERICA FINANCIAL LIFE INSURANCE (IA, MD, PA) (EOBC)', 'payer_note': None, 'patient_dob': '1951-12-26', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'FINEBERG', 'plan_sponsor_name': None, 'patient_first_name': 'MARTIN', '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 | 9341 | N/A | 5549982 | 2222 | N/A | 9596485 | N/A | 4219436 | 2025-07-15 17:00:01.427460 | 2025-05-13 04:29:37.230471 |
| 2025-07-15 16:59:52.902815 | 2025-07-15 16:59:54.541616 | 9869367 | N/A | N/A | {'payer_id': 'TRP1E', 'payer_name': 'Transamerica Financial Life Insurance (IA, MD, PA) (EOBC)', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1951-12-26', 'date_of_service': '2025-07-15', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 3293, 'subscriber_last_name': 'FINEBERG', 'subscriber_member_id': '9501063655', 'subscriber_first_name': 'MARTIN'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/5549982/check_9869367_01097040-d014-40ad-90a8-f6e6ad1bc0b9.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-15 | N/A | N/A | N/A | N/A | N/A | N/A | {'member_id': '9501063655', 'plan_type': None, 'group_name': None, 'payer_name': 'TRANSAMERICA FINANCIAL LIFE INSURANCE (IA, MD, PA) (EOBC)', 'payer_note': None, 'patient_dob': '1951-12-26', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'FINEBERG', 'plan_sponsor_name': None, 'patient_first_name': 'MARTIN', '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 | 9341 | N/A | 5549982 | 2222 | N/A | N/A | N/A | 4219436 | 2025-07-15 16:59:54.541616 | 2025-05-13 04:29:37.230471 |
| 2025-07-15 16:53:37.480597 | 2025-07-15 16:53:39.351994 | 9869324 | 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': '1948-09-14', 'date_of_service': '2025-07-01', 'subscriber_gender': 'F', 'service_type_codes': ['PT', 'AE'], 'insurance_company_id': 23277, 'subscriber_last_name': 'Yiannakakis', 'subscriber_member_id': 'JQS136M00056', 'subscriber_first_name': 'Kathy'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6630336/check_9869324_c80b38fe-9c24-4c0c-b5b2-a0a53901dc4d.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6630336/check_9869324_9ff7965e-2fe6-4d92-bb29-f825538d42c2.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'JQS136M00056', 'plan_type': None, 'group_name': None, 'payer_name': 'REGAL MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1948-09-14', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'YIANNAKAKIS', 'plan_sponsor_name': None, 'patient_first_name': 'KATHY', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['PT', 'AE'] | N/A | N/A | N/A | N/A | N/A | N/A | 7689 | N/A | 6630336 | 2222 | N/A | 9596436 | N/A | 4766950 | 2025-07-15 16:53:39.351994 | 2025-06-03 22:10:54.646473 |
| 2025-07-15 16:53:35.795955 | 2025-07-15 16:53:37.477667 | 9869322 | 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': '1948-09-14', 'date_of_service': '2025-07-01', 'subscriber_gender': 'F', 'service_type_codes': ['PT', 'AE'], 'insurance_company_id': 23277, 'subscriber_last_name': 'Yiannakakis', 'subscriber_member_id': 'JQS136M00056', 'subscriber_first_name': 'Kathy'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6630336/check_9869322_7011e42a-f698-41d5-bedd-7a82bf7ffcb7.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-01 | N/A | N/A | N/A | N/A | N/A | N/A | {'member_id': 'JQS136M00056', 'plan_type': None, 'group_name': None, 'payer_name': 'REGAL MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1948-09-14', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'YIANNAKAKIS', 'plan_sponsor_name': None, 'patient_first_name': 'KATHY', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['PT', 'AE'] | N/A | N/A | N/A | N/A | N/A | N/A | 7689 | N/A | 6630336 | 2222 | N/A | N/A | N/A | 4766950 | 2025-07-15 16:53:37.477667 | 2025-06-03 22:10:54.646473 |
| 2025-07-15 16:52:45.387449 | 2025-07-15 16:52:47.246699 | 9869316 | 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': '1948-09-14', 'date_of_service': '2025-07-01', 'subscriber_gender': 'F', 'service_type_codes': ['PT', 'AE'], 'insurance_company_id': 23277, 'subscriber_last_name': 'Yiannakakis', 'subscriber_member_id': '913624039', 'subscriber_first_name': 'Kathy'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6589127/check_9869316_d4a3ea70-e6cc-46f8-9bec-8e803b0a8caf.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6589127/check_9869316_0a0494d9-f2bc-4c7a-8322-71e2b478f207.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '913624039', 'plan_type': None, 'group_name': None, 'payer_name': 'REGAL MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1948-09-14', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'YIANNAKAKIS', 'plan_sponsor_name': None, 'patient_first_name': 'KATHY', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['PT', 'AE'] | N/A | N/A | N/A | N/A | N/A | N/A | 7689 | N/A | 6589127 | 2222 | N/A | 9596428 | N/A | 4766950 | 2025-07-15 16:52:47.246699 | 2025-06-03 22:10:54.646473 |
| 2025-07-15 16:52:43.629249 | 2025-07-15 16:52:45.384952 | 9869314 | 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': '1948-09-14', 'date_of_service': '2025-07-01', 'subscriber_gender': 'F', 'service_type_codes': ['PT', 'AE'], 'insurance_company_id': 23277, 'subscriber_last_name': 'Yiannakakis', 'subscriber_member_id': '913624039', 'subscriber_first_name': 'Kathy'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6589127/check_9869314_82464ecc-9d9a-49a7-bd09-af65d8de8791.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-01 | N/A | N/A | N/A | N/A | N/A | N/A | {'member_id': '913624039', 'plan_type': None, 'group_name': None, 'payer_name': 'REGAL MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1948-09-14', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'YIANNAKAKIS', 'plan_sponsor_name': None, 'patient_first_name': 'KATHY', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['PT', 'AE'] | N/A | N/A | N/A | N/A | N/A | N/A | 7689 | N/A | 6589127 | 2222 | N/A | N/A | N/A | 4766950 | 2025-07-15 16:52:45.384952 | 2025-06-03 22:10:54.646473 |
| 2025-07-15 16:46:56.961452 | 2025-07-15 16:46:58.754664 | 9869269 | 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': '1959-07-23', 'date_of_service': '2025-07-15', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 4184, 'subscriber_last_name': 'Harvey', 'subscriber_member_id': '282527M002', 'subscriber_first_name': 'Roy'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6714942/check_9869269_4908741f-07ca-4aad-b03a-7daa31909322.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6714942/check_9869269_bb546301-3cc3-4876-9ce9-a4f86053b3f8.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '282527M002', 'plan_type': None, 'group_name': None, 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1959-07-23', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'HARVEY', 'plan_sponsor_name': None, 'patient_first_name': 'ROY', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | N/A | 9341 | N/A | 6714942 | 2222 | N/A | 9596378 | N/A | 5316172 | 2025-07-15 16:46:58.754664 | 2025-07-02 15:09:36.678003 |
| 2025-07-15 16:46:54.276568 | 2025-07-15 16:46:56.959037 | 9869267 | 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': '1959-07-23', 'date_of_service': '2025-07-15', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 4184, 'subscriber_last_name': 'Harvey', 'subscriber_member_id': '282527M002', 'subscriber_first_name': 'Roy'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6714942/check_9869267_9aa5357e-aedd-4c08-875c-270976b58cd9.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-15 | N/A | N/A | N/A | N/A | N/A | N/A | {'member_id': '282527M002', 'plan_type': None, 'group_name': None, 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1959-07-23', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'HARVEY', 'plan_sponsor_name': None, 'patient_first_name': 'ROY', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | N/A | 9341 | N/A | 6714942 | 2222 | N/A | N/A | N/A | 5316172 | 2025-07-15 16:46:56.959037 | 2025-07-02 15:09:36.678003 |
| 2025-07-15 15:40:48.788125 | 2025-07-15 15:40:52.816892 | 9868709 | 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_9868709_ea98730f-8f65-4eec-a3a7-23e0d2ec2dc6.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6969089/check_9868709_7c32967d-4289-497c-bd37-5b2081a67290.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 | 8270241484 | 160460 | N/A | 6969089 | 2222 | N/A | 9595717 | N/A | 5991146 | 2025-07-15 15:40:52.816892 | 2025-07-11 17:49:59.455285 |
| 2025-07-15 14:49:24.351800 | 2025-07-15 14:49:28.511164 | 9868223 | 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': '2009-07-01', 'date_of_service': '2025-07-09', 'subscriber_gender': 'M', 'service_type_codes': ['PT', 'AE'], 'insurance_company_id': 4185, 'subscriber_last_name': 'PAQUETTE', 'subscriber_member_id': 'JQU899A69081', 'subscriber_first_name': 'NICOLAS'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6207031/check_9868223_8a36dcec-ad65-4366-ad73-fe75c5cf2b6d.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6207031/check_9868223_9c9e9d4d-02c9-4d15-9b3e-d184e5d409e1.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'JQU899A69081', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'EN ROUTE TRAVEL', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '2009-07-01', 'plan_number': '040', 'group_number': '371007', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'PAQUETTE', 'plan_sponsor_name': None, 'patient_first_name': 'BIANCA', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2025-06-01', 'plan_coverage_description': 'ANTHEM GOLD PPO 35/500/25%', 'relationship_to_subscriber': None} | ['PT', 'AE'] | N/A | N/A | N/A | N/A | N/A | 8269657953 | 7693 | N/A | 6207031 | 2222 | N/A | 9595218 | N/A | 4766758 | 2025-07-15 14:49:28.511164 | 2025-06-03 21:40:10.090592 |
| 2025-07-15 14:12:53.792001 | 2025-07-15 14:12:59.802709 | 9867959 | 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': '2025-07-15', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 4184, 'subscriber_last_name': 'MARYAN', 'subscriber_member_id': 'JPU047A23611', 'subscriber_first_name': 'MICHELLE'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6600346/check_9867959_75989547-638f-48c6-a390-e83006b4e841.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6600346/check_9867959_bf9dec09-a042-42ca-968e-47cb909cdf04.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} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8269090471 | N/A | N/A | 6600346 | 2222 | N/A | 9594929 | N/A | 4211322 | 2025-07-15 14:12:59.802709 | 2025-07-17 16:31:59.104530 |
| 2025-07-15 09:50:45.469096 | 2025-07-15 09:50:49.155007 | 9863209 | 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_9863209_7c179d87-caf1-4e8b-b7b2-df03c5abf2f4.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6522947/check_9863209_0429f997-24ca-4201-86d0-20fe10f385b9.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 | 9589758 | N/A | 5146127 | 2025-07-15 09:50:49.155007 | 2025-06-20 17:58:23.371130 |
| 2025-07-15 09:50:42.819740 | 2025-07-15 09:50:45.466450 | 9863199 | 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_9863199_88b2f9ea-e558-45e4-816b-ea57eaf36c3b.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 | 2025-07-15 09:50:45.466450 | 2025-06-20 17:58:23.371130 |
| 2025-07-15 09:50:39.124046 | 2025-07-15 09:50:41.971103 | 9863183 | 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_9863183_20ec2680-8897-423b-96b1-1d2c6f8186fd.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6145941/check_9863183_3bdc7198-3afe-4092-8980-62429625edfb.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 | 9589732 | N/A | 4786785 | 2025-07-15 09:50:41.971103 | 2025-06-13 00:55:48.629734 |