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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-07-15 09:50:34.961592 | 2025-07-15 09:50:38.001050 | 9863165 | 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_9863165_28e885be-cfa4-4c04-9ee8-9b64b6cb873b.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6105989/check_9863165_4a08f464-7449-473b-982b-2ad64873fac6.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 | 9589718 | N/A | 4750274 | 2025-07-15 09:50:38.001050 | 2025-06-12 22:26:37.845238 |
| 2025-07-15 09:50:33.430744 | 2025-07-15 09:50:39.117596 | 9863157 | 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_9863157_871cd379-788b-4e6f-ac71-4e8fcc611bc9.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 | 2025-07-15 09:50:39.117596 | 2025-06-13 00:55:48.629734 |
| 2025-07-15 09:50:31.761933 | 2025-07-15 09:50:34.952387 | 9863151 | 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_9863151_edec2b70-321b-4103-ab8c-b4deefdcaa2a.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 | 2025-07-15 09:50:34.952387 | 2025-06-12 22:26:37.845238 |
| 2025-07-15 09:48:38.724238 | 2025-07-15 09:48:43.449636 | 9862828 | 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': '2025-07-17', '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_9862828_53b569c9-52e7-4aec-bcb0-390588121549.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6969089/check_9862828_0ed1e291-fb5d-4330-b9e9-1f659d9d208e.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 | 8266214421 | N/A | N/A | 6969089 | 2222 | N/A | 9589398 | N/A | 5991146 | 2025-07-15 09:48:43.449636 | 2025-07-11 17:49:59.455285 |
| 2025-07-15 09:46:53.164456 | 2025-07-15 09:47:01.255072 | 9862554 | N/A | N/A | {'payer_id': '87726', 'payer_name': 'United Healthcare', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1948-06-01', 'date_of_service': '2025-07-18', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6411, 'subscriber_last_name': 'MOWERY', 'subscriber_member_id': '9118772604', 'subscriber_first_name': 'LYNN'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6611792/check_9862554_a30c363b-b095-4aa5-b5a7-81f3b16e584d.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6611792/check_9862554_65e8e6f7-ede5-42e6-aabe-c0869beda32b.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '988372709', 'plan_type': None, 'group_name': None, 'payer_name': 'UNITEDHEALTHCARE', 'payer_note': None, 'patient_dob': '1948-06-01', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': '', 'plan_sponsor_name': None, 'patient_first_name': '', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8266210129 | N/A | N/A | 6611792 | 2222 | N/A | 9589123 | N/A | 5230196 | 2025-07-15 09:47:01.255072 | 2025-07-08 23:21:57.866357 |
| 2025-07-15 09:46:20.540809 | 2025-07-15 09:46:30.974029 | 9862480 | 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': '1980-09-12', 'date_of_service': '2025-07-18', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6411, 'subscriber_last_name': 'SAPATNEKAR', 'subscriber_member_id': '14388918', 'subscriber_first_name': 'AMEYA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6551060/check_9862480_923b229c-3511-4a04-a10b-c6829f8b0dfd.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6551060/check_9862480_1f37d52b-a740-4c3b-9886-03f16ba463b4.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '14388918', 'plan_type': None, 'group_name': 'ZS ASSOCIATES, INC.', 'payer_name': 'UMR', 'payer_note': None, 'patient_dob': '1980-09-12', 'plan_number': '417007411289001', 'group_number': '76411289', 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'SAPATNEKAR', 'plan_sponsor_name': None, 'patient_first_name': 'AMEYA', '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 | 8266208085 | N/A | N/A | 6551060 | 2222 | N/A | 9589045 | N/A | 5174307 | 2025-07-15 09:46:30.974029 | 2025-07-31 17:40:30.683427 |
| 2025-07-15 09:44:44.563059 | 2025-07-15 09:44:48.710731 | 9862232 | 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': '2025-07-18', '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_9862232_61797b85-0345-48b2-af72-d9b0e3a4bbaf.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6104677/check_9862232_55b84405-7094-49df-a23e-aa3a4ba11798.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 | 8266201704 | N/A | N/A | 6104677 | 2222 | N/A | 9588805 | N/A | 4749059 | 2025-07-15 09:44:48.710731 | 2025-06-02 16:35:32.560533 |
| 2025-07-15 09:44:38.447387 | 2025-07-15 09:44:42.303543 | 9862214 | N/A | N/A | {'payer_id': '87726', 'payer_name': 'United Healthcare', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1941-04-30', 'date_of_service': '2025-07-18', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6411, 'subscriber_last_name': 'URBACH', 'subscriber_member_id': '986803155-00', 'subscriber_first_name': 'MARY'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6068052/check_9862214_d3f9f304-ebe3-4137-b83c-0d380a337e52.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6068052/check_9862214_dc0638e6-09e5-4b3f-912a-16f22783cd62.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '209654791', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': None, 'payer_name': 'UNITEDHEALTHCARE', 'payer_note': 'A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED', 'patient_dob': '1941-04-30', 'plan_number': None, 'group_number': '74134', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': '', 'plan_sponsor_name': None, 'patient_first_name': '', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'LPPO-AARP MEDICARE ADVANTAGE FROM UHC CA-0038 (PPO', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8266201304 | N/A | N/A | 6068052 | 2222 | N/A | 9588788 | N/A | 4712993 | 2025-07-15 09:44:42.303543 | 2025-06-12 23:03:47.433557 |
| 2025-07-15 09:43:58.756497 | 2025-07-15 09:44:03.293233 | 9862132 | 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': '2007-11-30', 'date_of_service': '2025-07-17', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6411, 'subscriber_last_name': 'BIERNER', 'subscriber_member_id': '941921536', 'subscriber_first_name': 'ISABEL'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543359/check_9862132_a3844453-650c-4b08-9e27-5c8b2958be72.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543359/check_9862132_32cdec72-b344-461d-85cf-44eec04165bb.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '941921536', 'plan_type': 'Commercial', 'group_name': 'APPLE INC.', 'payer_name': 'UNITEDHEALTHCARE', 'payer_note': 'FUNDING TYPE = SELF INSURED - LARGE GROUP A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED', 'patient_dob': '2007-11-30', 'plan_number': '1254 1254', 'group_number': '700406', 'insurance_type': None, 'plan_type_code': 'C1', 'enrolled_in_qmb': False, 'patient_last_name': 'BIERNER', 'plan_sponsor_name': None, 'patient_first_name': 'JACOB', '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 | 8266198791 | N/A | N/A | 5543359 | 2222 | N/A | 9588706 | N/A | 4215160 | 2025-07-15 09:44:03.293233 | 2025-05-13 04:29:37.229477 |
| 2025-07-15 09:43:18.502828 | 2025-07-15 09:43:21.669773 | 9862068 | N/A | N/A | {'payer_id': '87726', 'payer_name': 'United Healthcare', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1945-08-03', 'date_of_service': '2025-07-18', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6411, 'subscriber_last_name': 'GORMLEY', 'subscriber_member_id': '4UH0QA1WF00', 'subscriber_first_name': 'MICHAEL'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/5536816/check_9862068_87f61aec-55ed-4d32-8e28-f5b6989add4f.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536816/check_9862068_e1b30cc9-5eaa-48bb-990b-17cbb61477da.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '105598581', 'plan_type': None, 'group_name': None, 'payer_name': 'UNITEDHEALTHCARE', 'payer_note': None, 'patient_dob': '1945-08-03', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': '', 'plan_sponsor_name': None, 'patient_first_name': '', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5536816 | 2222 | N/A | 9588643 | N/A | 4209498 | 2025-07-15 09:43:21.669773 | 2025-09-22 06:46:20.286658 |
| 2025-07-15 09:43:16.252730 | 2025-07-15 09:43:19.543826 | 9862060 | N/A | N/A | {'payer_id': '87726', 'payer_name': 'UHC Shared Services', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1965-07-31', 'date_of_service': '2025-07-18', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 21981, 'subscriber_last_name': 'GUEVARA', 'subscriber_member_id': 'G45053839', 'subscriber_first_name': 'DIANE'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550940/check_9862060_e4a62263-028a-49ad-bcab-1ecc436df98a.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550940/check_9862060_f8c3df75-9901-4abe-90a8-918388955244.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'G45053839', 'plan_type': None, 'group_name': 'GEHA MEDICAL FEHB/PSHB', 'payer_name': 'UMR', 'payer_note': None, 'patient_dob': '1965-07-31', 'plan_number': '767000416933001', 'group_number': '76416933', 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'GUEVARA', 'plan_sponsor_name': None, 'patient_first_name': 'DIANE', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8266196491 | N/A | N/A | 5550940 | 2222 | N/A | 9588638 | N/A | 4219779 | 2025-07-15 09:43:19.543826 | 2025-05-13 04:29:37.230820 |
| 2025-07-15 09:43:10.513580 | 2025-07-15 09:43:14.375649 | 9862057 | N/A | N/A | {'payer_id': '87726', 'payer_name': 'UHC Shared Services', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1985-08-14', 'date_of_service': '2025-07-18', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 21981, 'subscriber_last_name': 'LIN', 'subscriber_member_id': 'G44715088', 'subscriber_first_name': 'JESSICA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541550/check_9862057_74477b97-ec28-4522-af2d-fae92b4756c2.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541550/check_9862057_cd926e05-0173-47e0-9906-720a02a6c518.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'G44715088', 'plan_type': None, 'group_name': 'GEHA MEDICAL FEHB/PSHB', 'payer_name': 'UMR', 'payer_note': None, 'patient_dob': '1985-08-14', 'plan_number': '767000416933003', 'group_number': '76416933', 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'LIN', 'plan_sponsor_name': None, 'patient_first_name': 'JESSICA', '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 | 8266196183 | N/A | N/A | 5541550 | 2222 | N/A | 9588633 | N/A | 4213560 | 2025-07-15 09:43:14.375649 | 2025-05-13 04:29:37.227892 |
| 2025-07-15 09:43:09.435333 | 2025-07-15 09:43:13.561296 | 9862053 | 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': '2008-07-13', 'date_of_service': '2025-07-18', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6411, 'subscriber_last_name': 'CONNOLLY', 'subscriber_member_id': '974474822', 'subscriber_first_name': 'ELAINE'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/5540675/check_9862053_3eb12e21-7ccc-47ff-9dab-eebb1fd293d4.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540675/check_9862053_5066b7df-c8d8-47ff-bf84-cc07dc8bc295.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '974474822', 'plan_type': 'Commercial', 'group_name': 'LEVI STRAUSS & CO.', 'payer_name': 'UNITEDHEALTHCARE', 'payer_note': 'FUNDING TYPE = SELF INSURED - LARGE GROUP A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED', 'patient_dob': '2008-07-13', 'plan_number': '0069 0069', 'group_number': '923812', 'insurance_type': None, 'plan_type_code': 'C1', 'enrolled_in_qmb': False, 'patient_last_name': 'HILL', 'plan_sponsor_name': None, 'patient_first_name': 'JENNIFER', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'UNITEDHEALTHCARE SELECT PLUS', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8266196139 | N/A | N/A | 5540675 | 2222 | N/A | 9588631 | N/A | 4212786 | 2025-07-15 09:43:13.561296 | 2025-05-13 04:29:37.227120 |
| 2025-07-15 09:43:08.651021 | 2025-07-15 09:43:12.747683 | 9862052 | 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': '1996-05-29', 'date_of_service': '2025-07-18', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6411, 'subscriber_last_name': 'CORNELISON', 'subscriber_member_id': '990430252', 'subscriber_first_name': 'ASHLEY'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/5539453/check_9862052_be1fd246-f9a6-45c4-930a-ac7f2410e3d9.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539453/check_9862052_4eb8d271-b15a-4f4f-b621-f8784e5c90f7.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '990430252', 'plan_type': 'Commercial', 'group_name': 'HELUNA HEALTH', 'payer_name': 'UNITEDHEALTHCARE', 'payer_note': 'FUNDING TYPE = FULLY INSURED - LARGE GROUP A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED', 'patient_dob': '1996-05-29', 'plan_number': '0010 0010', 'group_number': '928077', 'insurance_type': None, 'plan_type_code': 'C1', 'enrolled_in_qmb': False, 'patient_last_name': 'CORNELISON', 'plan_sponsor_name': None, 'patient_first_name': 'ASHLEY', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'SELECT PLUS PPO CA 2023 CUJA MOD', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8266196105 | N/A | N/A | 5539453 | 2222 | N/A | 9588629 | N/A | 4211755 | 2025-07-15 09:43:12.747683 | 2025-05-13 04:29:37.226075 |
| 2025-07-15 09:43:08.525070 | 2025-07-15 09:43:18.492031 | 9862051 | N/A | N/A | {'payer_id': '87726', 'payer_name': 'United Healthcare', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1945-08-03', 'date_of_service': '2025-07-18', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6411, 'subscriber_last_name': 'GORMLEY', 'subscriber_member_id': '4UH0QA1WF00', 'subscriber_first_name': 'MICHAEL'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/5536816/check_9862051_ab52688f-8bda-4614-9c1d-50bf82360584.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-18 | N/A | N/A | N/A | N/A | N/A | N/A | {'member_id': '105598581', 'plan_type': None, 'group_name': None, 'payer_name': 'UNITEDHEALTHCARE', 'payer_note': None, 'patient_dob': '1945-08-03', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': '', 'plan_sponsor_name': None, 'patient_first_name': '', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5536816 | 2222 | N/A | N/A | N/A | 4209498 | 2025-07-15 09:43:18.492031 | 2025-09-22 06:46:20.286658 |
| 2025-07-15 09:19:30.841317 | 2025-07-16 02:18:30.466274 | 9860239 | N/A | N/A | {'payer_id': 'Z1073', 'payer_name': 'Medicare B California Southern', 'provider_npi': '1114042165', 'trace_number': '9860239', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1949-04-23', 'date_of_service': '2025-07-15', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'Grinberg', 'subscriber_member_id': '1N83R22XY06', 'subscriber_first_name': 'Fedor'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250715.120831529.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7001767/check_9860239_99ad9d3f-89fb-455f-8a60-1419affbef0f.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '1N83R22XY06', 'plan_type': 'Medicare Part B', 'group_name': None, 'payer_name': 'SILVERSCRIPT INSURANCE COMPANY', 'payer_note': '0-BENEFICIARY INSURED DUE TO AGE OASI', 'patient_dob': '1949-04-23', 'plan_number': 'S5601', 'group_number': None, 'insurance_type': None, 'plan_type_code': 'MB', 'enrolled_in_qmb': False, 'patient_last_name': 'GRINBERG', 'plan_sponsor_name': None, 'patient_first_name': 'FEDOR', '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 | 8266109046 | N/A | N/A | 7001767 | 2222 | 4802 | 9610760 | N/A | 6020039 | 2025-07-16 02:18:30.466274 | 2025-07-14 21:08:43.065779 |
| 2025-07-15 09:18:47.563109 | 2025-07-16 02:10:40.739829 | 9860000 | N/A | N/A | {'payer_id': 'CCHPC', 'payer_name': 'Alignment Health Care (Fee For Service)', 'provider_npi': '1114042165', 'trace_number': '9860000', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1944-11-13', 'date_of_service': '2025-07-15', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'HACKBARTH', 'subscriber_member_id': '00000294758', 'subscriber_first_name': 'HAROLD'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250715.135109181.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5568081/check_9860000_33846764-3556-4b3d-865b-67b1cc3c6aa0.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '00000294758', 'plan_type': None, 'group_name': None, 'payer_name': 'ALIGNMENT HEALTH', 'payer_note': None, 'patient_dob': '1944-11-13', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'HACKBARTH', 'plan_sponsor_name': None, 'patient_first_name': 'HAROLD', '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 | 8266113452 | N/A | N/A | 5568081 | 2222 | 4801 | 9606339 | N/A | 4212656 | 2025-07-16 02:10:40.739829 | 2025-08-12 21:09:57.607033 |
| 2025-07-15 09:18:22.903963 | 2025-07-16 02:11:02.569421 | 9859839 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9859839', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '2008-06-03', 'date_of_service': '2025-07-15', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'subscriber_last_name': 'DATO', 'subscriber_member_id': 'NGO555A50496', 'subscriber_first_name': 'BRETT'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250715.135109181.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5551045/check_9859839_0f384a6e-37f3-4e50-a2ee-d2a4b557c6ee.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'NGO555A50496', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'NORTHROP GRUMMAN CORP', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '2008-06-03', 'plan_number': '040', 'group_number': '174022MJAD', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'DATO', 'plan_sponsor_name': None, 'patient_first_name': 'GREGORY', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2021-01-02', 'plan_coverage_description': 'CDHP CA GENERIC HLTH SAVINGS ACCT', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8266113388 | N/A | N/A | 5551045 | 2222 | 4793 | 9606599 | N/A | 4219851 | 2025-07-16 02:11:02.569421 | 2025-05-13 04:29:37.230897 |
| 2025-07-15 09:18:22.697955 | 2025-07-16 02:11:03.033361 | 9859836 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9859836', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1959-07-17', 'date_of_service': '2025-07-15', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'GILBERT', 'subscriber_member_id': 'JPU461A71640', 'subscriber_first_name': 'SHERRI'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250715.135109181.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550973/check_9859836_e888c463-e9c3-46f3-958c-c42043975055.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '3VT9D21WD25', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'AGENCY FOR THE PERFORMING ARTS INC CA/OOS', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1959-07-17', 'plan_number': '040', 'group_number': 'L12155M001', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': '', 'plan_sponsor_name': None, 'patient_first_name': '', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2025-01-01', 'plan_coverage_description': 'PPO PRUDENT BUYER CLASSIC MULTI-CHOICE', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8266113387 | N/A | N/A | 5550973 | 2222 | 4793 | 9606606 | N/A | 4219803 | 2025-07-16 02:11:03.033361 | 2025-05-13 04:29:37.230842 |
| 2025-07-15 09:18:22.347596 | 2025-07-16 02:03:28.086326 | 9859833 | N/A | N/A | {'payer_id': '14163', 'payer_name': 'WELLCARE HEALTH PLAN', 'provider_npi': '1114042165', 'trace_number': '9859833', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1941-05-24', 'date_of_service': '2025-07-15', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'REGGIANI', 'subscriber_member_id': '41813758', 'subscriber_first_name': 'SUSANA'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250715.135109181.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549015/check_9859833_dda013d1-a150-4cf3-8d19-8ff7b406d302.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '41813758', 'plan_type': None, 'group_name': None, 'payer_name': 'WELLCARE HEALTH PLANS', 'payer_note': None, 'patient_dob': '1941-05-24', 'plan_number': '406-024-000', 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'REGGIANI', 'plan_sponsor_name': None, 'patient_first_name': 'SUSANA', '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 | 8266113386 | N/A | N/A | 5549015 | 2222 | 4801 | 9601337 | 6798 | 4208849 | 2025-07-16 02:03:28.086326 | 2025-05-13 04:29:37.223279 |
| 2025-07-15 09:18:22.038702 | 2025-07-16 02:17:49.784905 | 9859831 | N/A | N/A | {'payer_id': 'Z1073', 'payer_name': 'Medicare B California Southern', 'provider_npi': '1114042165', 'trace_number': '9859831', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1956-02-09', 'date_of_service': '2025-07-15', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'DOUGLAS', 'subscriber_member_id': '6RW0R23KU11', 'subscriber_first_name': 'HEATHER'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250715.135109181.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5548965/check_9859831_e9675199-b84a-4512-850a-d25e831d3758.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '6RW0R23KU11', 'plan_type': 'Medicare Part A', 'group_name': None, 'payer_name': 'ANTHEM INSURANCE COMPANIES, INC.', 'payer_note': '0-BENEFICIARY INSURED DUE TO AGE OASI', 'patient_dob': '1956-02-09', 'plan_number': 'S5596', 'group_number': None, 'insurance_type': None, 'plan_type_code': 'MA', 'enrolled_in_qmb': False, 'patient_last_name': 'DOUGLAS', 'plan_sponsor_name': None, 'patient_first_name': 'HEATHER', '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 | 8266113385 | N/A | N/A | 5548965 | 2222 | 4802 | 9610471 | N/A | 4218725 | 2025-07-16 02:17:49.784905 | 2025-05-13 04:29:37.229715 |
| 2025-07-15 09:18:19.929827 | 2025-07-16 02:17:51.224410 | 9859813 | N/A | N/A | {'payer_id': 'Z1073', 'payer_name': 'Medicare B California Southern', 'provider_npi': '1114042165', 'trace_number': '9859813', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1953-05-17', 'date_of_service': '2025-07-15', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'SINGER', 'subscriber_member_id': '8XN3QF1XM78', 'subscriber_first_name': 'KAREN'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250715.135109181.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543247/check_9859813_f83da1a1-7358-4e3a-a9a8-c8a7e0303f5c.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '8XN3QF1XM78', 'plan_type': 'Medicare Part B', 'group_name': None, 'payer_name': 'SILVERSCRIPT INSURANCE COMPANY', 'payer_note': '0-BENEFICIARY INSURED DUE TO AGE OASI', 'patient_dob': '1953-05-17', 'plan_number': 'S5601', 'group_number': None, 'insurance_type': None, 'plan_type_code': 'MB', 'enrolled_in_qmb': False, 'patient_last_name': 'SINGER', 'plan_sponsor_name': None, 'patient_first_name': 'KAREN', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8266113377 | N/A | N/A | 5543247 | 2222 | 4793 | 9610483 | N/A | 4215066 | 2025-07-16 02:17:51.224410 | 2025-05-13 04:29:37.229384 |
| 2025-07-15 09:18:19.634691 | 2025-07-16 02:12:24.475658 | 9859810 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': '1114042165', 'trace_number': '9859810', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '2002-06-02', 'date_of_service': '2025-07-15', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'subscriber_last_name': 'VIRGIL', 'subscriber_member_id': 'XEK905426435', 'subscriber_first_name': 'NICHOLAS'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250715.135109181.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543237/check_9859810_f5af387d-2a7a-4030-aa82-ee008fd654ff.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XEK905426435', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'IFP OFF EXCHANGE', 'payer_name': 'BLUE SHIELD CALIFORNIA', 'payer_note': None, 'patient_dob': '2002-06-02', 'plan_number': '2001ZK002195', 'group_number': 'X0001000', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'VIRGIL', 'plan_sponsor_name': None, 'patient_first_name': 'JEFF', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2021-07-01', 'plan_coverage_description': 'IFP EMB PED DPPO JAN15', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8266113376 | N/A | N/A | 5543237 | 2222 | 4802 | 9607564 | N/A | 4215054 | 2025-07-16 02:12:24.475658 | 2025-05-13 04:29:37.229375 |
| 2025-07-15 09:18:19.224472 | 2025-07-16 02:11:04.278577 | 9859808 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9859808', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1981-10-08', 'date_of_service': '2025-07-15', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'GOULD', 'subscriber_member_id': 'M9Z806734456', 'subscriber_first_name': 'HEATHER'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250715.135109181.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543209/check_9859808_73061186-1506-4887-89ae-369447a57394.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'M9Z806734456', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': None, 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1981-10-08', 'plan_number': None, 'group_number': '55060', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'GOULD', 'plan_sponsor_name': None, 'patient_first_name': 'HEATHER', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'PREFERRED CARE', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8266113375 | N/A | N/A | 5543209 | 2222 | 4793 | 9606616 | N/A | 4215027 | 2025-07-16 02:11:04.278577 | 2025-05-13 04:29:37.229345 |
| 2025-07-15 09:18:18.784072 | 2025-07-16 02:11:05.488441 | 9859806 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9859806', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1983-04-13', 'date_of_service': '2025-07-15', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'MICHAEL', 'subscriber_member_id': 'JXN531M63256', 'subscriber_first_name': 'JUNITHA'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250715.135109181.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543190/check_9859806_c4679609-745c-44d9-932a-7c4d289e0cdd.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'JXN531M63256', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'CDHP -HSA VALUE PPO W/ NON-INTEGRATED BANKING W/ C', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1983-04-13', 'plan_number': '040', 'group_number': '174222M9A1', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'MICHAEL', 'plan_sponsor_name': None, 'patient_first_name': 'JUNITHA', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2021-05-11', 'plan_coverage_description': 'CDHP CA GENERIC HLTH SAVINGS ACCT', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8266113374 | N/A | N/A | 5543190 | 2222 | 4793 | 9606635 | N/A | 4215014 | 2025-07-16 02:11:05.488441 | 2025-06-01 22:57:55.386960 |
| 2025-07-15 09:18:18.493849 | 2025-07-16 02:12:23.102650 | 9859804 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': '1114042165', 'trace_number': '9859804', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1996-07-04', 'date_of_service': '2025-07-15', '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/272741.20250715.135109181.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543121/check_9859804_4bbeae74-8573-495a-9d15-515db779c57b.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 | 8266113373 | N/A | N/A | 5543121 | 2222 | 4802 | 9607545 | N/A | 4214948 | 2025-07-16 02:12:23.102650 | 2025-06-26 01:28:07.741882 |
| 2025-07-15 09:18:18.250530 | 2025-07-16 02:17:51.661557 | 9859802 | N/A | N/A | {'payer_id': 'Z1073', 'payer_name': 'Medicare B California Southern', 'provider_npi': '1114042165', 'trace_number': '9859802', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1946-11-18', 'date_of_service': '2025-07-15', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'STECHER', 'subscriber_member_id': '4P42WA3QM82', 'subscriber_first_name': 'BRIAN'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250715.135109181.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543052/check_9859802_d87742c9-f386-48b0-9304-eb4159bca628.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '4P42WA3QM82', 'plan_type': 'Medicare Part B', 'group_name': None, 'payer_name': 'WELLCARE PRESCRIPTION INSURANCE, INC.', 'payer_note': '0-BENEFICIARY INSURED DUE TO AGE OASI', 'patient_dob': '1946-11-18', 'plan_number': 'S4802', 'group_number': None, 'insurance_type': None, 'plan_type_code': 'MB', 'enrolled_in_qmb': False, 'patient_last_name': 'STECHER', 'plan_sponsor_name': None, 'patient_first_name': 'BRIAN', '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 | 8266113372 | N/A | N/A | 5543052 | 2222 | 4802 | 9610485 | N/A | 4214891 | 2025-07-16 02:17:51.661557 | 2025-05-13 04:29:37.229214 |
| 2025-07-15 09:18:18.001599 | 2025-07-16 02:12:20.748679 | 9859800 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': '1114042165', 'trace_number': '9859800', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1965-01-24', 'date_of_service': '2025-07-15', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'JAIN', 'subscriber_member_id': 'XEK909304497', 'subscriber_first_name': 'SUPARNA'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250715.135109181.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542952/check_9859800_0e281c2a-2e72-440d-a05a-09b25a9ff6ab.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XEK909304497', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'IFP OFF EXCHANGE', 'payer_name': 'BLUE SHIELD CALIFORNIA', 'payer_note': None, 'patient_dob': '1965-01-24', 'plan_number': '2001ZK002189', 'group_number': 'X0001000', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'JAIN', 'plan_sponsor_name': None, 'patient_first_name': 'SUPARNA', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2019-09-01', 'plan_coverage_description': 'IFP EMB PED VISION', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8266113371 | N/A | N/A | 5542952 | 2222 | 4802 | 9607521 | N/A | 4214804 | 2025-07-16 02:12:20.748679 | 2025-05-13 20:09:53.786482 |
| 2025-07-15 09:18:17.753350 | 2025-07-16 02:12:21.464197 | 9859797 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': '1114042165', 'trace_number': '9859797', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1974-06-26', 'date_of_service': '2025-07-15', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'subscriber_last_name': 'ARSHADNIA', 'subscriber_member_id': 'XEK904721388', 'subscriber_first_name': 'SHAHRIAR'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250715.135109181.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542770/check_9859797_a8fe1fd4-012c-4afe-b66b-9f9cd7244cf7.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XEK904721388', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'IFP OFF EXCHANGE', 'payer_name': 'BLUE SHIELD CALIFORNIA', 'payer_note': None, 'patient_dob': '1974-06-26', 'plan_number': '2001ZJ002648', 'group_number': 'X0001000', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'NOSRAT', 'plan_sponsor_name': None, 'patient_first_name': 'CAROLYN', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2016-01-01', 'plan_coverage_description': 'IFP EMB PED VISION', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8266113370 | N/A | N/A | 5542770 | 2222 | 4802 | 9607529 | N/A | 4214643 | 2025-07-16 02:12:21.464197 | 2025-05-13 04:29:37.228964 |
| 2025-07-15 09:18:17.484826 | 2025-07-16 02:02:41.791157 | 9859795 | N/A | N/A | {'payer_id': 'LMG01', 'payer_name': 'Lakeside Medical Group', 'provider_npi': '1114042165', 'trace_number': '9859795', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1968-04-07', 'date_of_service': '2025-07-15', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'CHERE', 'subscriber_member_id': '98953535F', 'subscriber_first_name': 'DIANA'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250715.135109181.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542660/check_9859795_8218e012-5b4f-4e9d-9605-780af4eef32f.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '98953535F', 'plan_type': None, 'group_name': None, 'payer_name': 'LAKESIDE MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1968-04-07', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'CHERE', 'plan_sponsor_name': None, 'patient_first_name': 'DIANA', '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 | 8266113369 | N/A | N/A | 5542660 | 2222 | 4802 | 9600787 | N/A | 4214542 | 2025-07-16 02:02:41.791157 | 2025-05-13 04:29:37.228868 |
| 2025-07-15 09:18:17.152429 | 2025-07-16 02:11:07.883755 | 9859793 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9859793', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '2008-04-12', 'date_of_service': '2025-07-15', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'subscriber_last_name': 'PULS', 'subscriber_member_id': 'XTS068A69201', 'subscriber_first_name': 'LUKE'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250715.135109181.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542214/check_9859793_fbdb2785-383f-498f-9383-453a02cefe67.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XTS068A69201', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'SEMTECH CORPORATION CA/OOS', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '2008-04-12', 'plan_number': '040', 'group_number': '277405M037', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'PULS', 'plan_sponsor_name': None, 'patient_first_name': 'TIMOTHY', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2023-01-01', 'plan_coverage_description': 'CA GENERIC HLTH SAVINGS ACCT', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8266113368 | N/A | N/A | 5542214 | 2222 | 4793 | 9606661 | N/A | 4214158 | 2025-07-16 02:11:07.883755 | 2025-05-13 04:29:37.228486 |
| 2025-07-15 09:18:16.875355 | 2025-07-16 02:02:45.435812 | 9859791 | N/A | N/A | {'payer_id': 'REGAL', 'payer_name': 'Regal Medical Group', 'provider_npi': '1114042165', 'trace_number': '9859791', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1988-06-09', 'date_of_service': '2025-07-15', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'RIVERO', 'subscriber_member_id': '776926401', 'subscriber_first_name': 'TANYA'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250715.135109181.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542149/check_9859791_eda052dc-6ade-459d-be52-983ffb798ce1.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '776926401', 'plan_type': None, 'group_name': None, 'payer_name': 'REGAL MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1988-06-09', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'RIVERO', 'plan_sponsor_name': None, 'patient_first_name': 'TANYA', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8266113367 | N/A | N/A | 5542149 | 2222 | 4801 | 9600835 | N/A | 4214103 | 2025-07-16 02:02:45.435812 | 2025-05-13 04:29:37.228419 |
| 2025-07-15 09:18:16.546430 | 2025-07-16 02:11:06.977947 | 9859788 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9859788', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1979-04-20', 'date_of_service': '2025-07-15', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'NOSRAT', 'subscriber_member_id': 'XEK904721388', 'subscriber_first_name': 'CAROLYN'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250715.135109181.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542109/check_9859788_da354e75-d273-4202-af0c-896e4c300779.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XEK904721388', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'IFP OFF EXCHANGE', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1979-04-20', 'plan_number': '2001ZJ002648', 'group_number': 'X0001000', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'NOSRAT', 'plan_sponsor_name': None, 'patient_first_name': 'CAROLYN', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2016-01-01', 'plan_coverage_description': 'IFP EMB PED DPPO JAN15', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8266113366 | N/A | N/A | 5542109 | 2222 | 4802 | 9606650 | N/A | 4214065 | 2025-07-16 02:11:06.977947 | 2025-05-13 04:29:37.228379 |
| 2025-07-15 09:18:16.285205 | 2025-07-16 02:07:46.003016 | 9859786 | N/A | N/A | {'payer_id': '62308', 'payer_name': 'American Specialty Health', 'provider_npi': '1114042165', 'trace_number': '9859786', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1950-06-06', 'date_of_service': '2025-07-15', 'subscriber_gender': 'M', 'service_type_codes': ['AD'], 'subscriber_last_name': 'SULLIVAN', 'subscriber_member_id': '110324368', 'subscriber_first_name': 'VINCENT'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250715.135109181.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542000/check_9859786_1e97179c-cac3-4b42-8022-59e8da79d862.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '11032436800', 'plan_type': None, 'group_name': 'JETSUITEX, INC.', 'payer_name': 'CHLIC', 'payer_note': 'COMPLETE CARE MANAGEMENT', 'patient_dob': '1950-06-06', 'plan_number': None, 'group_number': '00653848', 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'SULLIVAN', 'plan_sponsor_name': None, 'patient_first_name': 'VINCENT', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'HSA QUALIFIED HDHP', 'relationship_to_subscriber': None} | ['AD'] | N/A | N/A | N/A | N/A | N/A | 8266113365 | N/A | N/A | 5542000 | 2222 | 4793 | 9604313 | N/A | 4213966 | 2025-07-16 02:07:46.003016 | 2025-05-13 04:29:37.228285 |
| 2025-07-15 09:18:15.903352 | 2025-07-16 02:02:44.779866 | 9859784 | N/A | N/A | {'payer_id': 'REGAL', 'payer_name': 'Regal Medical Group', 'provider_npi': '1114042165', 'trace_number': '9859784', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1998-05-22', 'date_of_service': '2025-07-15', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'subscriber_last_name': 'HAFNER', 'subscriber_member_id': 'JQV598W06257', 'subscriber_first_name': 'DYLAN'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250715.135109181.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541976/check_9859784_c1378304-61f3-45d3-b30a-5410d281e391.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'JQV598W06257', 'plan_type': None, 'group_name': None, 'payer_name': 'REGAL MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1998-05-22', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'HAFNER', 'plan_sponsor_name': None, 'patient_first_name': 'DYLAN', '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 | 8266113364 | N/A | N/A | 5541976 | 2222 | 4793 | 9600825 | N/A | 4213943 | 2025-07-16 02:02:44.779866 | 2025-05-13 04:29:37.228261 |
| 2025-07-15 09:18:15.600155 | 2025-07-16 02:02:46.431889 | 9859782 | N/A | N/A | {'payer_id': 'REGAL', 'payer_name': 'Regal Medical Group', 'provider_npi': '1114042165', 'trace_number': '9859782', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1947-02-01', 'date_of_service': '2025-07-15', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'YEE', 'subscriber_member_id': '412922301', 'subscriber_first_name': 'HARRY'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250715.135109181.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541972/check_9859782_1963f682-91fb-44a9-b30c-47433c6a8bc8.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '412922301', 'plan_type': None, 'group_name': None, 'payer_name': 'REGAL MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1947-02-01', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'YEE', 'plan_sponsor_name': None, 'patient_first_name': 'HARRY', '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 | 8266113363 | N/A | N/A | 5541972 | 2222 | 4793 | 9600844 | N/A | 4213941 | 2025-07-16 02:02:46.431889 | 2025-05-13 04:29:37.228259 |
| 2025-07-15 09:18:15.214709 | 2025-07-16 02:12:19.160478 | 9859778 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': '1114042165', 'trace_number': '9859778', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1990-09-04', 'date_of_service': '2025-07-15', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'subscriber_last_name': 'HASHEMI', 'subscriber_member_id': 'XEA914007676', 'subscriber_first_name': 'SEYED'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250715.135109181.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541956/check_9859778_e20ce534-10b3-4584-9465-2ffb1a103e29.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XEA914007676', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'SILVUS TECHNOLOGIES INC', 'payer_name': 'BLUE SHIELD CALIFORNIA', 'payer_note': None, 'patient_dob': '1990-09-04', 'plan_number': '1000PPOX0002', 'group_number': 'W3000628', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'HASHEMI', 'plan_sponsor_name': None, 'patient_first_name': 'SEYED MEHRDAD', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'FULL PPO SAVINGS TWO TIER EMBEDDED DEDUCTIBLE 1800', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8266113362 | N/A | N/A | 5541956 | 2222 | 4802 | 9607502 | N/A | 4213923 | 2025-07-16 02:12:19.160478 | 2025-05-13 04:29:37.228244 |
| 2025-07-15 09:18:14.786057 | 2025-07-16 02:11:00.885426 | 9859774 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'ANTHEM BLUE CROSS', 'provider_npi': '1114042165', 'trace_number': '9859774', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1959-05-13', 'date_of_service': '2025-07-15', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'ADRIANZEN FERNAN', 'subscriber_member_id': 'MMA221W20054', 'subscriber_first_name': 'AURA'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250715.135109181.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541944/check_9859774_a8a0f8c9-23eb-431e-b14d-96a1e61bc61c.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'MMA221W20054', 'plan_type': 'Medicare Primary', 'group_name': 'CA MEDICARE', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1959-05-13', 'plan_number': '040', 'group_number': 'CAMCRWP0', 'insurance_type': None, 'plan_type_code': 'MP', 'enrolled_in_qmb': False, 'patient_last_name': 'ADRIANZEN FERNANDEZ', 'plan_sponsor_name': None, 'patient_first_name': 'AURA', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2025-01-01', 'plan_coverage_description': 'CA H4161-007-000 ANTHEM PRIME (HMO-POS) RISK', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8266113361 | N/A | N/A | 5541944 | 2222 | 4801 | 9606576 | 4184 | 4213907 | 2025-07-16 02:11:00.885426 | 2025-05-13 04:29:37.228228 |
| 2025-07-15 09:18:14.144240 | 2025-07-16 02:11:08.966094 | 9859772 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9859772', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1940-08-31', 'date_of_service': '2025-07-15', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'subscriber_last_name': 'STEINBERG', 'subscriber_member_id': 'MBL875M98441', 'subscriber_first_name': 'HARRIS'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250715.135109181.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541917/check_9859772_c8320bf0-1652-4e55-a961-c5f3fd65e88d.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'MBL875M98441', 'plan_type': None, 'group_name': 'LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD)', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1940-08-31', 'plan_number': '040', 'group_number': 'CAEGR005', 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'STEINBERG', 'plan_sponsor_name': None, 'patient_first_name': 'HARRIS', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2021-01-01', 'plan_coverage_description': 'CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8266113360 | N/A | N/A | 5541917 | 2222 | 4793 | 9606677 | N/A | 4213891 | 2025-07-16 02:11:08.966094 | 2025-05-13 04:29:37.228207 |
| 2025-07-15 09:18:13.634382 | 2025-07-16 02:12:19.889830 | 9859769 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': '1114042165', 'trace_number': '9859769', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1980-03-25', 'date_of_service': '2025-07-15', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'HILLIGER', 'subscriber_member_id': 'XEA902904791', 'subscriber_first_name': 'JENNIE'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250715.135109181.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541730/check_9859769_ef8af0d0-8a7c-413f-abaf-7314889e41e3.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XEA902904791', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'HILLIGER INC', 'payer_name': 'BLUE SHIELD CALIFORNIA', 'payer_note': None, 'patient_dob': '1980-03-25', 'plan_number': '1000VX000102', 'group_number': 'W0060472', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'HILLIGER', 'plan_sponsor_name': None, 'patient_first_name': 'JENNIFER', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2017-01-01', 'plan_coverage_description': 'BLUE SHIELD OF CALIFORNIA CHILDREN S DENTAL', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8266113359 | N/A | N/A | 5541730 | 2222 | 4793 | 9607510 | N/A | 4213725 | 2025-07-16 02:12:19.889830 | 2025-05-13 04:29:37.228045 |
| 2025-07-15 09:18:13.406740 | 2025-07-16 02:02:44.117891 | 9859768 | N/A | N/A | {'payer_id': 'REGAL', 'payer_name': 'Regal Medical Group', 'provider_npi': '1114042165', 'trace_number': '9859768', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1974-10-21', 'date_of_service': '2025-07-15', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'GARCIA', 'subscriber_member_id': 'NCF666A56083', 'subscriber_first_name': 'DAWN'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250715.135109181.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541664/check_9859768_c5c0eedc-763c-4ace-b7ff-14d6e2fda7ca.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'NCF666A56083', 'plan_type': None, 'group_name': None, 'payer_name': 'REGAL MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1974-10-21', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'GARCIA', 'plan_sponsor_name': None, 'patient_first_name': 'DAWN', '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 | 8266113358 | N/A | N/A | 5541664 | 2222 | 4793 | 9600818 | N/A | 4213662 | 2025-07-16 02:02:44.117891 | 2025-05-13 04:29:37.227982 |
| 2025-07-15 09:18:13.139060 | 2025-07-16 02:07:45.435676 | 9859766 | N/A | N/A | {'payer_id': '62308', 'payer_name': 'American Specialty Health', 'provider_npi': '1114042165', 'trace_number': '9859766', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '2001-11-21', 'date_of_service': '2025-07-15', 'subscriber_gender': 'M', 'service_type_codes': ['AD'], 'subscriber_last_name': 'LYKIDIS', 'subscriber_member_id': 'U1221753503', 'subscriber_first_name': 'JOHN'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250715.135109181.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541552/check_9859766_9f14ae98-b544-4e31-bc33-b0e301f04186.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'U1221753503', 'plan_type': None, 'group_name': 'DISNEY WORLDWIDE SERVICES, INC.', 'payer_name': 'CHLIC', 'payer_note': 'PROVIDER IS IN NETWORK BASED ON NPI ID PROVIDED IN REQUEST COMPLETE CARE MANAGEMENT', 'patient_dob': '2001-11-21', 'plan_number': None, 'group_number': '3207160', 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'LYKIDIS', 'plan_sponsor_name': None, 'patient_first_name': 'JOHN', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'OPEN ACCESS PLUS', 'relationship_to_subscriber': None} | ['AD'] | N/A | N/A | N/A | N/A | N/A | 8266113357 | N/A | N/A | 5541552 | 2222 | 4802 | 9604306 | N/A | 4213562 | 2025-07-16 02:07:45.435676 | 2025-05-13 04:29:37.227895 |
| 2025-07-15 09:18:12.876321 | 2025-07-16 02:12:23.810276 | 9859764 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': '1114042165', 'trace_number': '9859764', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1981-08-26', 'date_of_service': '2025-07-15', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'subscriber_last_name': 'TOHLCHINSKY', 'subscriber_member_id': 'XEA901508061', 'subscriber_first_name': 'MICHAEL'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250715.135109181.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541542/check_9859764_7c2601f5-ebbd-4b79-a120-0495047ae3a7.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XEA901508061', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'TOHL ENTERPRISES INC', 'payer_name': 'BLUE SHIELD CALIFORNIA', 'payer_note': None, 'patient_dob': '1981-08-26', 'plan_number': '1000VX000102', 'group_number': 'W0006154', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'TOHLCHINSKY', 'plan_sponsor_name': None, 'patient_first_name': 'MICHAEL', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2016-12-01', 'plan_coverage_description': 'BLUE SHIELD OF CALIFORNIA CHILDREN S DENTAL', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8266113356 | N/A | N/A | 5541542 | 2222 | 4793 | 9607556 | N/A | 4213542 | 2025-07-16 02:12:23.810276 | 2025-06-03 22:12:38.498592 |
| 2025-07-15 09:18:12.662589 | 2025-07-16 02:11:08.408178 | 9859762 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9859762', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1974-12-26', 'date_of_service': '2025-07-15', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'subscriber_last_name': 'SALEWSKE', 'subscriber_member_id': 'SZR600905624', 'subscriber_first_name': 'TYSON'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250715.135109181.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541518/check_9859762_15f48982-4c02-4455-aab7-f44914eca91f.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'SZR60090562401', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'SCHWEITZER ENGINEERING LABORATORIES, INC.', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1974-12-26', 'plan_number': None, 'group_number': '1038812', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'SALEWSKE', 'plan_sponsor_name': None, 'patient_first_name': 'TYSON', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2023-01-01', 'plan_coverage_description': 'SELF-FUNDED EXP HERITAGE', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8266113355 | N/A | N/A | 5541518 | 2222 | 4793 | 9606671 | N/A | 4213526 | 2025-07-16 02:11:08.408178 | 2025-11-13 19:34:43.197819 |
| 2025-07-15 09:18:12.429400 | 2025-07-16 02:12:18.558426 | 9859759 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': '1114042165', 'trace_number': '9859759', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1993-03-02', 'date_of_service': '2025-07-15', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'subscriber_last_name': 'CHORLIAN', 'subscriber_member_id': 'XED914382344', 'subscriber_first_name': 'BERJ'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250715.135109181.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541177/check_9859759_aea1ab8c-bd0c-464f-b20b-30c37225e71a.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XED914382344', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'IFP ON EXCHANGE', 'payer_name': 'BLUE SHIELD CALIFORNIA', 'payer_note': None, 'patient_dob': '1993-03-02', 'plan_number': '2001ZK002187', 'group_number': 'X0001004', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'CHORLIAN', 'plan_sponsor_name': None, 'patient_first_name': 'BERJ', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'IFP EMB PED DPPO JAN15', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8266113354 | N/A | N/A | 5541177 | 2222 | 4793 | 9607497 | N/A | 4213223 | 2025-07-16 02:12:18.558426 | 2025-06-03 20:59:34.856515 |
| 2025-07-15 09:18:12.129004 | 2025-07-16 02:02:41.153916 | 9859755 | N/A | N/A | {'payer_id': 'LMG01', 'payer_name': 'Lakeside Medical Group', 'provider_npi': '1114042165', 'trace_number': '9859755', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '2008-09-18', 'date_of_service': '2025-07-15', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'BENDAVID', 'subscriber_member_id': '95318118F', 'subscriber_first_name': 'TALIA'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250715.135109181.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540893/check_9859755_08c1b1db-e2d3-474d-b6e4-91d0e30cb1db.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '95318118F', 'plan_type': None, 'group_name': None, 'payer_name': 'LAKESIDE MEDICAL GROUP', 'payer_note': None, 'patient_dob': '2008-09-18', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'BENDAVID', 'plan_sponsor_name': None, 'patient_first_name': 'TALIA', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8266113353 | N/A | N/A | 5540893 | 2222 | 4793 | 9600775 | N/A | 4212979 | 2025-07-16 02:02:41.153916 | 2025-06-04 21:11:15.590634 |
| 2025-07-15 09:18:11.724601 | 2025-07-16 02:04:54.705472 | 9859753 | N/A | N/A | {'payer_id': '60054', 'payer_name': 'Aetna', 'provider_npi': '1114042165', 'trace_number': '9859753', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1982-07-27', 'date_of_service': '2025-07-15', 'subscriber_gender': 'M', 'service_type_codes': ['PT', 'AE'], 'subscriber_last_name': 'BOKHTIER', 'subscriber_member_id': 'W275493875', 'subscriber_first_name': 'GOLAM'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250715.135109181.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540723/check_9859753_acaf95cc-2435-45e7-a340-4f6385902960.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'W275493875', 'plan_type': 'Exclusive Provider Organization', 'group_name': 'AMERICAN EXPRESS COMPANY', 'payer_name': 'AETNA', 'payer_note': None, 'patient_dob': '1982-07-27', 'plan_number': '0169631', 'group_number': '016963101100001', 'insurance_type': None, 'plan_type_code': 'EP', 'enrolled_in_qmb': False, 'patient_last_name': 'BOKHTIER', 'plan_sponsor_name': None, 'patient_first_name': 'SUMMER', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'OPEN ACCESS AETNA SELECT', 'relationship_to_subscriber': None} | ['PT', 'AE'] | N/A | N/A | N/A | N/A | N/A | 8266113352 | N/A | N/A | 5540723 | 2222 | 4793 | 9602294 | N/A | 4212833 | 2025-07-16 02:04:54.705472 | 2025-05-28 20:46:35.079848 |
| 2025-07-15 09:18:11.353820 | 2025-07-16 02:11:02.013441 | 9859750 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9859750', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1936-06-28', 'date_of_service': '2025-07-15', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'BOYLAN', 'subscriber_member_id': 'MBL857M98403', 'subscriber_first_name': 'JOAN'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250715.135109181.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540074/check_9859750_b1129478-9830-4308-872f-899e4cdd18b7.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'MBL857M98403', 'plan_type': None, 'group_name': 'LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD)', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1936-06-28', 'plan_number': '040', 'group_number': 'CAEGR005', 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'BOYLAN', 'plan_sponsor_name': None, 'patient_first_name': 'JOAN', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2021-01-01', 'plan_coverage_description': 'CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8266113351 | N/A | N/A | 5540074 | 2222 | 4802 | 9606593 | N/A | 4212282 | 2025-07-16 02:11:02.013441 | 2025-05-13 04:29:37.226623 |
| 2025-07-15 09:18:11.125088 | 2025-07-16 02:11:04.900518 | 9859748 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9859748', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1975-10-23', 'date_of_service': '2025-07-15', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'MAGEE', 'subscriber_member_id': 'SRYHC0157512', 'subscriber_first_name': 'JENNIFER'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250715.135109181.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539606/check_9859748_ff68cc7f-58b9-4f7f-a5dd-8a4a1c99eff2.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'SRYHC0157512', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'SURVEYMONKEY PPO IN STATE', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1975-10-23', 'plan_number': '040', 'group_number': 'L12152M001', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'MAGEE', 'plan_sponsor_name': None, 'patient_first_name': 'JENNIFER', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2025-01-01', 'plan_coverage_description': 'PPO PRUDENT BUYER INCENTIVE', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8266113350 | N/A | N/A | 5539606 | 2222 | 4793 | 9606628 | N/A | 4211886 | 2025-07-16 02:11:04.900518 | 2026-02-06 19:09:03.082684 |
| 2025-07-15 09:18:10.736865 | 2025-07-16 02:10:41.539526 | 9859746 | N/A | N/A | {'payer_id': 'CCHPC', 'payer_name': 'ALIGNMENT HEALTH CARE', 'provider_npi': '1114042165', 'trace_number': '9859746', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1956-11-11', 'date_of_service': '2025-07-15', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'SULLIVAN', 'subscriber_member_id': '00000375700', 'subscriber_first_name': 'STEVEN'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250715.135109181.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539569/check_9859746_841be4bd-f76a-4442-aebd-56fcd8aec815.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '00000375700', 'plan_type': 'Health Maintenance Organization (HMO)', 'group_name': None, 'payer_name': 'MEDICARE', 'payer_note': 'OVERALL DEDUCTIBLE', 'patient_dob': '1956-11-11', 'plan_number': 'H3815028', 'group_number': None, 'insurance_type': None, 'plan_type_code': 'HM', 'enrolled_in_qmb': False, 'patient_last_name': 'SULLIVAN', 'plan_sponsor_name': None, 'patient_first_name': 'STEVEN', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'ALIGNMENT HEALTH MY CHOICE (HMO)', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8266113349 | N/A | N/A | 5539569 | 2222 | 4801 | 9606345 | 2630 | 4211851 | 2025-07-16 02:10:41.539526 | 2025-06-25 18:38:39.189571 |