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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-07-19 09:02:49.464209 | 2025-07-20 02:16:11.675517 | 9999757 | N/A | N/A | {'payer_id': 'Z1073', 'payer_name': 'Medicare B California Southern', 'provider_npi': '1114042165', 'trace_number': '9999757', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1959-07-02', 'date_of_service': '2025-07-19', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'BALLETTA', 'subscriber_member_id': '8XJ1TM6DQ90', 'subscriber_first_name': 'EDWARD'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250719.120218652.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993961/check_9999757_a5bc056c-ef98-4b14-8035-9e78cd43bf51.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '8XJ1TM6DQ90', 'plan_type': 'Medicare Part B', 'group_name': None, 'payer_name': 'MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY', 'payer_note': '0-BENEFICIARY INSURED DUE TO AGE OASI', 'patient_dob': '1959-07-02', 'plan_number': 'S5617', 'group_number': None, 'insurance_type': None, 'plan_type_code': 'MB', 'enrolled_in_qmb': False, 'patient_last_name': 'BALLETTA', 'plan_sponsor_name': None, 'patient_first_name': 'EDWARD', '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 | 8307569093 | N/A | N/A | 5993961 | 2222 | 4793 | 9762342 | N/A | 4642893 | 2025-07-20 02:16:11.675517 | 2025-05-28 20:58:29.913655 |
| 2025-07-19 09:02:49.201127 | 2025-07-20 02:08:01.951544 | 9999749 | N/A | N/A | {'payer_id': '72261', 'payer_name': 'Scan Health Plan - California', 'provider_npi': '1114042165', 'trace_number': '9999749', 'provider_name': '', 'subscriber_dob': '1952-08-31', 'date_of_service': '2025-07-19', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'CARRILLO', 'subscriber_member_id': '40025807501', 'subscriber_first_name': 'LAURA'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250719.120218652.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993946/check_9999749_5f83da6f-117e-4c31-985c-09f27edb98d7.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '40025807501', 'plan_type': None, 'group_name': None, 'payer_name': 'SCAN HEALTH PLAN - CALIFORNIA', 'payer_note': None, 'patient_dob': '1952-08-31', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'CARRILLO', 'plan_sponsor_name': None, 'patient_first_name': 'LAURA', '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 | 8307568846 | N/A | N/A | 5993946 | 2222 | 4801 | 9755258 | N/A | 4642883 | 2025-07-20 02:08:01.951544 | 2025-05-30 18:05:44.781764 |
| 2025-07-19 09:02:49.064104 | 2025-07-20 02:03:24.307304 | 9999743 | N/A | N/A | {'payer_id': 'REGAL', 'payer_name': 'Regal Medical Group', 'provider_npi': '1114042165', 'trace_number': '9999743', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1949-09-25', 'date_of_service': '2025-07-19', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'LOPEZ', 'subscriber_member_id': '31183522601', 'subscriber_first_name': 'MARIA'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250719.120218652.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993934/check_9999743_23158755-b541-4cfe-b5a5-b94f2d7dfd17.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '31183522601', 'plan_type': None, 'group_name': None, 'payer_name': 'REGAL MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1949-09-25', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'LOPEZ', 'plan_sponsor_name': None, 'patient_first_name': 'MARIA', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8307568845 | N/A | N/A | 5993934 | 2222 | 4801 | 9750559 | N/A | 4642871 | 2025-07-20 02:03:24.307304 | 2025-06-02 21:57:45.887368 |
| 2025-07-19 09:02:48.971494 | 2025-07-20 02:09:13.998142 | 9999738 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9999738', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1993-10-14', 'date_of_service': '2025-07-19', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'subscriber_last_name': 'SPENCE', 'subscriber_member_id': 'SGEFW1503472', 'subscriber_first_name': 'STEPHEN'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250719.120218652.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993917/check_9999738_ecee7008-b0c8-4e0d-b73a-35a0720532f7.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'SGEFW1503472', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'UNITED FOOD & COMMERCIAL WORKERS UNION', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1993-10-14', 'plan_number': '040', 'group_number': '276886M003', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'SPENCE', 'plan_sponsor_name': None, 'patient_first_name': 'STEPHEN', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2024-01-01', 'plan_coverage_description': 'PPO PRUDENT BUYER INCENTIVE', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8307568844 | N/A | N/A | 5993917 | 2222 | 4793 | 9756520 | N/A | 4642854 | 2025-07-20 02:09:13.998142 | 2025-05-28 20:57:05.075130 |
| 2025-07-19 09:02:26.953732 | 2025-07-20 02:09:47.587733 | 9999079 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9999079', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '2005-07-19', 'date_of_service': '2025-07-19', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'MOORE', 'subscriber_member_id': 'WZA952W18561', 'subscriber_first_name': 'FAITH'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250719.120820995.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6644228/check_9999079_debe7773-ab32-4126-a245-89ecfd8ab0b8.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 | 8307636094 | N/A | N/A | 6644228 | 2222 | 4801 | 9757077 | N/A | 5251545 | 2025-07-20 02:09:47.587733 | 2025-07-16 15:52:27.392778 |
| 2025-07-19 09:02:17.472101 | 2025-07-20 02:09:47.206637 | 9998767 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9998767', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1954-06-04', 'date_of_service': '2025-07-19', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'Martin', 'subscriber_member_id': 'JOQ815W10930', 'subscriber_first_name': 'Lilliane'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250719.120820995.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6641910/check_9998767_8264fa4c-8c81-45cf-85bc-3232355f3e3a.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'JOQ815W10930', 'plan_type': None, 'group_name': None, 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1954-06-04', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'MARTIN', 'plan_sponsor_name': None, 'patient_first_name': 'LILLIANE', '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 | 8307636067 | N/A | N/A | 6641910 | 2222 | 4802 | 9757071 | N/A | 5248673 | 2025-07-20 02:09:47.206637 | 2025-09-03 18:56:09.134332 |
| 2025-07-19 09:02:12.019873 | 2025-07-20 02:16:03.444584 | 9998623 | N/A | N/A | {'payer_id': 'Z1073', 'payer_name': 'Medicare B California Southern', 'provider_npi': '1114042165', 'trace_number': '9998623', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1952-10-25', 'date_of_service': '2025-07-19', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'JOHNSTON', 'subscriber_member_id': '7KA0H51YU14', 'subscriber_first_name': 'DEBORAH'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250719.120820995.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6638066/check_9998623_c71f3c4c-ce95-4922-9b35-bda396cb238b.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '7KA0H51YU14', 'plan_type': 'Medicare Part A', 'group_name': None, 'payer_name': 'MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY', 'payer_note': '0-BENEFICIARY INSURED DUE TO AGE OASI', 'patient_dob': '1952-10-25', 'plan_number': 'S5617', 'group_number': None, 'insurance_type': None, 'plan_type_code': 'MA', 'enrolled_in_qmb': False, 'patient_last_name': 'JOHNSTON', 'plan_sponsor_name': None, 'patient_first_name': 'DEBORAH', '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 | 8307635956 | N/A | N/A | 6638066 | 2222 | 4793 | 9762245 | N/A | 5247837 | 2025-07-20 02:16:03.444584 | 2026-02-24 20:36:49.807283 |
| 2025-07-19 03:21:12.308239 | 2025-07-19 03:21:14.197858 | 9995497 | 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_9995497_f40780d6-1fbb-4725-81c7-051459a9340a.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6782227/check_9995497_484e8abc-5c6d-4d96-8eb8-779cb4b1b7ba.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 | 9738059 | N/A | 5813326 | 2025-07-19 03:21:14.197858 | 2025-07-21 17:21:46.553298 |
| 2025-07-19 03:21:09.654301 | 2025-07-19 03:21:12.305944 | 9995495 | 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_9995495_306fe54b-6d67-40a2-ae75-9b895540c7db.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 | 2025-07-19 03:21:12.305944 | 2025-07-21 17:21:46.553298 |
| 2025-07-19 03:21:08.926982 | 2025-07-19 03:21:11.180793 | 9995493 | 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_9995493_6e080c29-3cd1-4b85-ac86-3d22ddad2c6a.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6782227/check_9995493_65a9af77-b2d2-470c-be2e-e452f170ddbd.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 | 9738057 | N/A | 5813326 | 2025-07-19 03:21:11.180793 | 2025-07-21 17:21:46.553298 |
| 2025-07-19 03:21:07.077314 | 2025-07-19 03:21:08.915620 | 9995491 | 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_9995491_4e3acbc1-0e98-424c-8a7b-cde04e2b06d6.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 | 2025-07-19 03:21:08.915620 | 2025-07-21 17:21:46.553298 |
| 2025-07-18 20:36:59.666380 | 2025-07-18 20:37:06.645608 | 9992947 | N/A | N/A | {'payer_id': '60054', 'payer_name': 'Aetna', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1994-05-27', 'date_of_service': '2025-06-10', 'subscriber_gender': 'M', 'service_type_codes': ['PT', 'AE'], 'insurance_company_id': 3948, 'subscriber_last_name': 'KIM', 'subscriber_member_id': 'W288897308', 'subscriber_first_name': 'JOSHUA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6134150/check_9992947_46f77cf9-038d-419e-830d-d2076f7f6f8b.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6134150/check_9992947_f693892f-d5a6-4dda-a6b8-f41fd6a2340a.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'W288897308', 'plan_type': 'Point of Service (POS)', 'group_name': 'ARES MANAGEMENT LLC', 'payer_name': 'AETNA', 'payer_note': None, 'patient_dob': '1995-05-27', 'plan_number': '0804939', 'group_number': '080493901000051', 'insurance_type': None, 'plan_type_code': 'PS', 'enrolled_in_qmb': False, 'patient_last_name': 'KIM', 'plan_sponsor_name': None, 'patient_first_name': 'JOSHUA', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'AETNA CHOICE POS II', 'relationship_to_subscriber': None} | ['PT', 'AE'] | N/A | N/A | N/A | N/A | N/A | 8302756501 | 7694 | N/A | 6134150 | 2222 | N/A | 9709249 | N/A | 4775588 | 2025-07-18 20:37:06.645608 | 2025-12-10 22:39:33.219148 |
| 2025-07-18 20:31:29.845766 | 2025-07-18 20:31:31.606323 | 9992927 | N/A | N/A | {'payer_id': 'Z1073', 'payer_name': 'Medicare B California Southern', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1953-10-05', 'date_of_service': '2025-07-28', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 4497, 'subscriber_last_name': 'ODUM', 'subscriber_member_id': '6NQ5EQJG66', 'subscriber_first_name': 'PAUL'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6932973/check_9992927_5f9aba2c-0060-487f-b1a4-80c5ac9585cd.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6932973/check_9992927_2413620e-5a1c-4519-a4aa-5696d6517e03.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '6NQ5EQJG66', 'plan_type': None, 'group_name': None, 'payer_name': 'MEDICARE A B ELIGIBILITY ALL STATES', 'payer_note': None, 'patient_dob': '1953-10-05', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'ODUM', 'plan_sponsor_name': None, 'patient_first_name': 'PAUL', '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 | 9483 | N/A | 6932973 | 2222 | N/A | 9709222 | N/A | 5964278 | 2025-07-18 20:31:31.606323 | 2025-07-09 16:23:46.356927 |
| 2025-07-18 20:31:22.962993 | 2025-07-18 20:31:29.842859 | 9992925 | N/A | N/A | {'payer_id': 'Z1073', 'payer_name': 'Medicare B California Southern', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1953-10-05', 'date_of_service': '2025-07-28', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 4497, 'subscriber_last_name': 'ODUM', 'subscriber_member_id': '6NQ5EQJG66', 'subscriber_first_name': 'PAUL'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6932973/check_9992925_69211a7e-d4e6-442a-ba6e-d78693e26a15.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-28 | N/A | N/A | N/A | N/A | N/A | N/A | {'member_id': '6NQ5EQJG66', 'plan_type': None, 'group_name': None, 'payer_name': 'MEDICARE A B ELIGIBILITY ALL STATES', 'payer_note': None, 'patient_dob': '1953-10-05', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'ODUM', 'plan_sponsor_name': None, 'patient_first_name': 'PAUL', '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 | 9483 | N/A | 6932973 | 2222 | N/A | N/A | N/A | 5964278 | 2025-07-18 20:31:29.842859 | 2025-07-09 16:23:46.356927 |
| 2025-07-18 20:29:33.888124 | 2025-07-18 20:29:37.737310 | 9992916 | 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': '1998-05-19', 'date_of_service': '2025-07-28', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6411, 'subscriber_last_name': 'AMSTUTZ', 'subscriber_member_id': '185746301', 'subscriber_first_name': 'JORDAN'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6819554/check_9992916_69eb727d-c703-42e6-a7be-0c42dc08451a.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6819554/check_9992916_3444eb64-a0f9-4c4b-9ae5-d39682fccbe2.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '185746301', 'plan_type': 'Commercial', 'group_name': 'CASA PACIFICA CENTERS', 'payer_name': 'UNITEDHEALTHCARE', 'payer_note': 'PCP TO SUBMIT A SPECIALIST REFERRAL', 'patient_dob': '1998-05-19', 'plan_number': None, 'group_number': '368907', 'insurance_type': None, 'plan_type_code': 'C1', 'enrolled_in_qmb': False, 'patient_last_name': 'AMSTUTZ', 'plan_sponsor_name': None, 'patient_first_name': 'JORDAN', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'SIGNATUREVALUE ALLIANCE HMO', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8302709078 | 9483 | N/A | 6819554 | 2222 | N/A | 9709208 | N/A | 5861767 | 2025-07-18 20:29:37.737310 | 2025-07-25 16:02:55.050085 |
| 2025-07-18 19:09:05.657877 | 2025-07-18 19:09:09.557738 | 9992414 | N/A | N/A | {'payer_id': '60054', 'payer_name': 'Aetna', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1973-09-11', 'date_of_service': '2025-07-22', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 3939, 'subscriber_last_name': 'Gasperov', 'subscriber_member_id': 'W2782 97827-01', 'subscriber_first_name': 'Anthony'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/7202511/check_9992414_68b0cf2d-c787-4b44-bcd7-f2ac1af29f1a.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7202511/check_9992414_def80736-5408-4318-97ff-8681648bb679.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'W278297827', 'plan_type': 'Health Maintenance Organization (HMO)', 'group_name': 'OASIS HOLDINGS, INC.', 'payer_name': 'AETNA', 'payer_note': None, 'patient_dob': '1973-09-11', 'plan_number': 'EACAJD11', 'group_number': '014303702500053', 'insurance_type': None, 'plan_type_code': 'HM', 'enrolled_in_qmb': False, 'patient_last_name': 'GASPEROV', 'plan_sponsor_name': None, 'patient_first_name': 'ANTHONY', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'AETNA VALUE NETWORK HMO', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8302202278 | N/A | N/A | 7202511 | 2222 | N/A | 9708582 | N/A | 6173156 | 2025-07-18 19:09:09.557738 | 2025-07-18 18:24:11.550919 |
| 2025-07-18 18:49:42.327731 | 2025-07-18 18:49:47.095409 | 9992218 | 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': '2025-07-21', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], '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_9992218_24e33f1c-cc0e-4ffa-9cb0-456790ef1ee0.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6782227/check_9992218_3fe6c6ed-6c50-4bb9-9abb-0dbe4353f204.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} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | N/A | 9487 | N/A | 6782227 | 2222 | N/A | 9708367 | N/A | 5813326 | 2025-07-18 18:49:47.095409 | 2025-07-21 17:21:46.553298 |
| 2025-07-18 18:49:37.645774 | 2025-07-18 18:49:42.324894 | 9992216 | 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': '2025-07-21', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], '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_9992216_f71f8d00-8520-460e-b1e3-aeb82f8d01e1.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-21 | 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} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | N/A | 9487 | N/A | 6782227 | 2222 | N/A | N/A | N/A | 5813326 | 2025-07-18 18:49:42.324894 | 2025-07-21 17:21:46.553298 |
| 2025-07-18 18:45:38.049368 | 2025-07-18 18:45:39.807309 | 9992197 | N/A | N/A | {'payer_id': 'CCHPC', 'payer_name': 'Alignment Health Care (Fee For Service)', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1950-12-20', 'date_of_service': '2025-07-21', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 2630, 'subscriber_last_name': 'Gilmore', 'subscriber_member_id': '00000429599', 'subscriber_first_name': 'Terri'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/7202584/check_9992197_aff49e03-0c1b-4a45-a5c0-540426f1feea.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7202584/check_9992197_16371d7e-b044-450c-8830-9b14f8f771da.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '00000429599', 'plan_type': None, 'group_name': None, 'payer_name': 'ALIGNMENT HEALTH', 'payer_note': None, 'patient_dob': '1950-12-20', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'GILMORE', 'plan_sponsor_name': None, 'patient_first_name': 'TERRI', '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 | 7202584 | 2222 | N/A | 9708345 | N/A | 6173259 | 2025-07-18 18:45:39.807309 | 2025-08-01 19:50:54.497609 |
| 2025-07-18 18:45:35.452840 | 2025-07-18 18:45:38.046349 | 9992196 | N/A | N/A | {'payer_id': 'CCHPC', 'payer_name': 'Alignment Health Care (Fee For Service)', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1950-12-20', 'date_of_service': '2025-07-21', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 2630, 'subscriber_last_name': 'Gilmore', 'subscriber_member_id': '00000429599', 'subscriber_first_name': 'Terri'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/7202584/check_9992196_9840dcf3-08ed-430b-b719-59d8e178d1c8.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-21 | N/A | N/A | N/A | N/A | N/A | N/A | {'member_id': '00000429599', 'plan_type': None, 'group_name': None, 'payer_name': 'ALIGNMENT HEALTH', 'payer_note': None, 'patient_dob': '1950-12-20', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'GILMORE', 'plan_sponsor_name': None, 'patient_first_name': 'TERRI', '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 | 7202584 | 2222 | N/A | N/A | N/A | 6173259 | 2025-07-18 18:45:38.046349 | 2025-08-01 19:50:54.497609 |
| 2025-07-18 18:30:43.165290 | 2025-07-18 18:30:46.130939 | 9992114 | N/A | N/A | {'payer_id': 'Z1073', 'payer_name': 'Medicare B California Southern', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1955-04-08', 'date_of_service': '2025-07-22', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 4497, 'subscriber_last_name': 'BAHNA', 'subscriber_member_id': '3Y50Y33WG19', 'subscriber_first_name': 'HANNY'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541402/check_9992114_a67a015d-45ca-4651-a937-16a7d04b260c.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541402/check_9992114_ebd2a09e-8652-4930-a7c6-0430017a59c9.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '3Y50Y33WG19', 'plan_type': 'Medicare Part A', 'group_name': None, 'payer_name': 'SILVERSCRIPT INSURANCE COMPANY', 'payer_note': '0-BENEFICIARY INSURED DUE TO AGE OASI', 'patient_dob': '1955-04-08', 'plan_number': 'S5601', 'group_number': None, 'insurance_type': None, 'plan_type_code': 'MA', 'enrolled_in_qmb': False, 'patient_last_name': 'BAHNA', 'plan_sponsor_name': None, 'patient_first_name': 'HANNY', '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 | 8301957652 | 9487 | N/A | 5541402 | 2222 | N/A | 9708247 | N/A | 4213424 | 2025-07-18 18:30:46.130939 | 2025-05-13 04:29:37.227744 |
| 2025-07-18 18:30:07.124776 | 2025-07-18 18:30:14.523665 | 9992105 | 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': '1980-03-06', 'date_of_service': '2025-07-21', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'insurance_company_id': 4191, 'subscriber_last_name': 'Lane', 'subscriber_member_id': 'LNJ914036056', 'subscriber_first_name': 'Jason'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6814774/check_9992105_4d22d483-165c-4016-b921-a50207262a16.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6814774/check_9992105_b8d2e4a4-486c-4450-bd97-539f5452b705.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'LNJ914036056', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'LIVE NATION JOINT VENTURES', 'payer_name': 'BLUE SHIELD OF CA', 'payer_note': None, 'patient_dob': '1980-03-06', 'plan_number': '1000VX000001', 'group_number': 'W3000596', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'LANE', 'plan_sponsor_name': None, 'patient_first_name': 'JASON', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'LIVE NATION JOINT VENTURES CUSTOM DENTAL 50 1500 L', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8301954326 | 9487 | N/A | 6814774 | 2222 | N/A | 9708238 | N/A | 5857104 | 2025-07-18 18:30:14.523665 | 2025-07-08 17:08:11.593095 |
| 2025-07-18 18:29:18.406875 | 2025-07-18 18:29:22.242048 | 9992103 | 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': '1980-03-06', 'date_of_service': '2025-07-21', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'insurance_company_id': 4191, 'subscriber_last_name': 'Lane', 'subscriber_member_id': 'LNJ914036056', 'subscriber_first_name': 'Jason'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6814774/check_9992103_579b7680-61a0-4472-af9c-5424f47b524f.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6814774/check_9992103_535e1185-2853-4335-a3e7-c9bbf7aabf52.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'LNJ914036056', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'LIVE NATION JOINT VENTURES', 'payer_name': 'BLUE SHIELD OF CA', 'payer_note': None, 'patient_dob': '1980-03-06', 'plan_number': '1000VX000001', 'group_number': 'W3000596', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'LANE', 'plan_sponsor_name': None, 'patient_first_name': 'JASON', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'LIVE NATION JOINT VENTURES CUSTOM DENTAL 50 1500 L', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8301950395 | 9487 | N/A | 6814774 | 2222 | N/A | 9708235 | N/A | 5857104 | 2025-07-18 18:29:22.242048 | 2025-07-08 17:08:11.593095 |
| 2025-07-18 18:26:02.955158 | 2025-07-18 18:26:04.725649 | 9992081 | 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': '1980-03-06', 'date_of_service': '2025-07-21', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'insurance_company_id': 4191, 'subscriber_last_name': 'Lane', 'subscriber_member_id': 'XEK904721388', 'subscriber_first_name': 'Jason'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6814774/check_9992081_61cfdf1b-555d-4c0d-8fa8-02722e536988.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6814774/check_9992081_6e95702b-cdd5-4f63-a198-8718fb041308.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XEK904721388', 'plan_type': None, 'group_name': None, 'payer_name': 'BLUE SHIELD CALIFORNIA', 'payer_note': None, 'patient_dob': '1980-03-06', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'LANE', 'plan_sponsor_name': None, 'patient_first_name': 'JASON', '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 | N/A | 9487 | N/A | 6814774 | 2222 | N/A | 9708210 | N/A | 5857104 | 2025-07-18 18:26:04.725649 | 2025-07-08 17:08:11.593095 |
| 2025-07-18 18:25:59.254055 | 2025-07-18 18:26:02.951471 | 9992080 | 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': '1980-03-06', 'date_of_service': '2025-07-21', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'insurance_company_id': 4191, 'subscriber_last_name': 'Lane', 'subscriber_member_id': 'XEK904721388', 'subscriber_first_name': 'Jason'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6814774/check_9992080_7ec76cd2-4860-431c-8cb5-a2cdb871bd7a.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-21 | N/A | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XEK904721388', 'plan_type': None, 'group_name': None, 'payer_name': 'BLUE SHIELD CALIFORNIA', 'payer_note': None, 'patient_dob': '1980-03-06', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'LANE', 'plan_sponsor_name': None, 'patient_first_name': 'JASON', '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 | N/A | 9487 | N/A | 6814774 | 2222 | N/A | N/A | N/A | 5857104 | 2025-07-18 18:26:02.951471 | 2025-07-08 17:08:11.593095 |
| 2025-07-18 18:21:04.978548 | 2025-07-18 18:21:07.836343 | 9992042 | N/A | N/A | {'payer_id': 'CCHPC', 'payer_name': 'Alignment Health Care (Fee For Service)', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1937-09-28', 'date_of_service': '2025-07-28', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 2630, 'subscriber_last_name': 'MENDOZA', 'subscriber_member_id': '00000395455', 'subscriber_first_name': 'LEVIE'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6957837/check_9992042_c70cfe41-9bcc-40f7-b069-3fa7773981e5.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-28 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6957837/check_9992042_ca409383-4941-4565-884b-8047bb10cb85.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '00000395455', 'plan_type': None, 'group_name': None, 'payer_name': 'ALIGNMENT HEALTH', 'payer_note': None, 'patient_dob': '1937-09-28', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'MENDOZA', 'plan_sponsor_name': None, 'patient_first_name': 'LEVIE', '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 | 9483 | N/A | 6957837 | 2222 | N/A | 9708165 | N/A | 5983200 | 2025-07-18 18:21:07.836343 | 2025-07-25 17:28:26.584539 |
| 2025-07-18 18:20:53.179595 | 2025-07-18 18:21:04.974845 | 9992037 | N/A | N/A | {'payer_id': 'CCHPC', 'payer_name': 'Alignment Health Care (Fee For Service)', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1937-09-28', 'date_of_service': '2025-07-28', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 2630, 'subscriber_last_name': 'MENDOZA', 'subscriber_member_id': '00000395455', 'subscriber_first_name': 'LEVIE'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6957837/check_9992037_c4009b84-798c-429f-86fe-6c258ac68ea5.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-28 | N/A | N/A | N/A | N/A | N/A | N/A | {'member_id': '00000395455', 'plan_type': None, 'group_name': None, 'payer_name': 'ALIGNMENT HEALTH', 'payer_note': None, 'patient_dob': '1937-09-28', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'MENDOZA', 'plan_sponsor_name': None, 'patient_first_name': 'LEVIE', '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 | 9483 | N/A | 6957837 | 2222 | N/A | N/A | N/A | 5983200 | 2025-07-18 18:21:04.974845 | 2025-07-25 17:28:26.584539 |
| 2025-07-18 18:17:37.832838 | 2025-07-18 18:17:46.701448 | 9992006 | N/A | N/A | {'payer_id': 'CCHPC', 'payer_name': 'Alignment Health Care (Fee For Service)', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1958-04-03', 'date_of_service': '2025-07-18', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 2630, 'subscriber_last_name': 'NIAZI', 'subscriber_member_id': '00000388782', 'subscriber_first_name': 'RAHIMA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6958289/check_9992006_b76839a3-4d65-4a17-933e-7aa29b8098e6.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6958289/check_9992006_bf1779e7-32b6-48b0-a16e-7f1875a50aef.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '00000388782', 'plan_type': 'Health Maintenance Organization (HMO)', 'group_name': None, 'payer_name': 'MEDICARE', 'payer_note': 'OVERALL DEDUCTIBLE', 'patient_dob': '1958-04-03', 'plan_number': 'H3815028', 'group_number': None, 'insurance_type': None, 'plan_type_code': 'HM', 'enrolled_in_qmb': False, 'patient_last_name': 'NIAZI', 'plan_sponsor_name': None, 'patient_first_name': 'RAHIMA', '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 | 8301843644 | N/A | N/A | 6958289 | 2222 | N/A | 9708127 | N/A | 5983606 | 2025-07-18 18:17:46.701448 | 2025-07-18 18:03:17.155924 |
| 2025-07-18 18:03:59.740586 | 2025-07-18 18:04:01.517679 | 9991933 | 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': '1956-07-22', 'date_of_service': '2025-07-18', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'insurance_company_id': 4184, 'subscriber_last_name': 'DE GARCIA', 'subscriber_member_id': '843W0902920', 'subscriber_first_name': 'SMIRNA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6473411/check_9991933_cc36020a-43bc-47bb-860c-032c76c29f77.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6473411/check_9991933_b1b8a07e-a894-4297-8a08-8d9d86308b70.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '843W0902920', 'plan_type': None, 'group_name': None, 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1956-07-22', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'DE GARCIA', 'plan_sponsor_name': None, 'patient_first_name': 'SMIRNA', '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 | N/A | 9483 | N/A | 6473411 | 2222 | N/A | 9708038 | N/A | 5106449 | 2025-07-18 18:04:01.517679 | 2025-07-17 17:51:16.415897 |
| 2025-07-18 18:03:58.128880 | 2025-07-18 18:03:59.737665 | 9991932 | 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': '1956-07-22', 'date_of_service': '2025-07-18', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'insurance_company_id': 4184, 'subscriber_last_name': 'DE GARCIA', 'subscriber_member_id': '843W0902920', 'subscriber_first_name': 'SMIRNA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6473411/check_9991932_0b0293cf-5759-4e39-b099-2e11869e72ae.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-18 | N/A | N/A | N/A | N/A | N/A | N/A | {'member_id': '843W0902920', 'plan_type': None, 'group_name': None, 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1956-07-22', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'DE GARCIA', 'plan_sponsor_name': None, 'patient_first_name': 'SMIRNA', '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 | N/A | 9483 | N/A | 6473411 | 2222 | N/A | N/A | N/A | 5106449 | 2025-07-18 18:03:59.737665 | 2025-07-17 17:51:16.415897 |
| 2025-07-18 18:03:37.953092 | 2025-07-18 18:03:39.901775 | 9991926 | 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': '1956-07-22', 'date_of_service': '2025-07-18', 'subscriber_gender': 'F', 'service_type_codes': ['PT', 'AE'], 'insurance_company_id': 4184, 'subscriber_last_name': 'DE GARCIA', 'subscriber_member_id': '843W0902920', 'subscriber_first_name': 'SMIRNA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6473411/check_9991926_1e631be0-6d2e-4ed2-8d06-20a532cd4787.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6473411/check_9991926_7ded9bd0-2328-4b99-ba39-98a808ed45f3.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '843W0902920', 'plan_type': None, 'group_name': None, 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1956-07-22', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'DE GARCIA', 'plan_sponsor_name': None, 'patient_first_name': 'SMIRNA', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['PT', 'AE'] | N/A | N/A | N/A | N/A | N/A | N/A | 9483 | N/A | 6473411 | 2222 | N/A | 9708031 | N/A | 5106449 | 2025-07-18 18:03:39.901775 | 2025-07-17 17:51:16.415897 |
| 2025-07-18 18:03:35.127341 | 2025-07-18 18:03:37.945377 | 9991925 | 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': '1956-07-22', 'date_of_service': '2025-07-18', 'subscriber_gender': 'F', 'service_type_codes': ['PT', 'AE'], 'insurance_company_id': 4184, 'subscriber_last_name': 'DE GARCIA', 'subscriber_member_id': '843W0902920', 'subscriber_first_name': 'SMIRNA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6473411/check_9991925_034cb804-20af-45d5-b4cc-4307fc173adf.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-18 | N/A | N/A | N/A | N/A | N/A | N/A | {'member_id': '843W0902920', 'plan_type': None, 'group_name': None, 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1956-07-22', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'DE GARCIA', 'plan_sponsor_name': None, 'patient_first_name': 'SMIRNA', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['PT', 'AE'] | N/A | N/A | N/A | N/A | N/A | N/A | 9483 | N/A | 6473411 | 2222 | N/A | N/A | N/A | 5106449 | 2025-07-18 18:03:37.945377 | 2025-07-17 17:51:16.415897 |
| 2025-07-18 17:53:38.357531 | 2025-07-18 17:53:40.198491 | 9991881 | N/A | N/A | {'payer_id': '72261', 'payer_name': 'Scan Health Plan - California', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1949-01-04', 'date_of_service': '2025-07-18', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6237, 'subscriber_last_name': 'MARTINEZ', 'subscriber_member_id': '400316530-01', 'subscriber_first_name': 'CONSUELO'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6442609/check_9991881_b49cc825-66e0-4a4e-9876-f0fad8f463e3.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6442609/check_9991881_3f42e3ef-b857-4921-83ec-042f8ec0e468.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '40031653001', 'plan_type': None, 'group_name': None, 'payer_name': 'SCAN HEALTH PLAN', 'payer_note': 'CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS', 'patient_dob': '1949-01-04', 'plan_number': '2025H5425001', 'group_number': 'H5425M', 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'MARTINEZ', 'plan_sponsor_name': None, 'patient_first_name': 'CONSUELO', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'SCAN CLASSIC (HMO), VENTURA', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8301686421 | 9483 | N/A | 6442609 | 2222 | N/A | 9707979 | N/A | 5083714 | 2025-07-18 17:53:40.198491 | 2025-07-18 18:00:26.722024 |
| 2025-07-18 17:52:07.439489 | 2025-07-18 17:52:27.420266 | 9991865 | N/A | N/A | {'payer_id': '72261', 'payer_name': 'Scan Health Plan - California', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1949-01-04', 'date_of_service': '2025-07-18', 'subscriber_gender': 'M', 'service_type_codes': ['PT', 'AE'], 'insurance_company_id': 6237, 'subscriber_last_name': 'MARTINEZ', 'subscriber_member_id': '400316530-01', 'subscriber_first_name': 'CONSUELO'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6442609/check_9991865_dd637dc5-7a9d-4aa2-b85e-84ba95ce4f5d.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6442609/check_9991865_da9ecc52-6b6d-4d5c-ba9b-870b1e48993d.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '40031653001', 'plan_type': None, 'group_name': None, 'payer_name': 'SCAN HEALTH PLAN', 'payer_note': 'CONTACT THE PAYER FOR SPECIFIC BENEFIT DETAILS', 'patient_dob': '1949-01-04', 'plan_number': '2025H5425001', 'group_number': 'H5425M', 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'MARTINEZ', 'plan_sponsor_name': None, 'patient_first_name': 'CONSUELO', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'SCAN CLASSIC (HMO), VENTURA', 'relationship_to_subscriber': None} | ['PT', 'AE'] | N/A | N/A | N/A | N/A | N/A | 8301678827 | 9483 | N/A | 6442609 | 2222 | N/A | 9707965 | N/A | 5083714 | 2025-07-18 17:52:27.420266 | 2025-07-18 18:00:26.722024 |
| 2025-07-18 17:30:06.977664 | 2025-07-18 17:30:10.882168 | 9991646 | 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': '1975-11-23', 'date_of_service': '2025-07-18', 'subscriber_gender': 'F', 'service_type_codes': ['PT', 'AE'], 'insurance_company_id': 4184, 'subscriber_last_name': 'THATTE', 'subscriber_member_id': 'JQU615W06820', 'subscriber_first_name': 'MADHAVI'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6861355/check_9991646_55828dc0-bb80-4936-bb1e-680c13e569fb.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6861355/check_9991646_728b71ca-05f9-4c67-967e-449241fcd454.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'JQU615W06820', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'CAPSIDA, INC.', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1975-11-23', 'plan_number': '040', 'group_number': 'K92872', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'THATTE', 'plan_sponsor_name': None, 'patient_first_name': 'MADHAVI', 'patient_middle_name': None, 'date_time_period_end': '2025-08-01', 'date_time_period_start': '2024-08-01', 'plan_coverage_description': 'CA SG ANTHEM HSA', 'relationship_to_subscriber': None} | ['PT', 'AE'] | N/A | N/A | N/A | N/A | N/A | 8301571979 | 9483 | N/A | 6861355 | 2222 | N/A | 9707723 | N/A | 5899637 | 2025-07-18 17:30:10.882168 | 2025-07-23 05:11:18.843091 |
| 2025-07-18 17:25:59.256051 | 2025-07-18 17:26:03.087551 | 9991616 | 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': '1968-12-28', 'date_of_service': '2025-07-18', 'subscriber_gender': 'F', 'service_type_codes': ['PT', 'AE'], 'insurance_company_id': 5349, 'subscriber_last_name': 'TAYLOR', 'subscriber_member_id': 'H7956038800', 'subscriber_first_name': 'JOY'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6892305/check_9991616_d2240ad6-77a2-445d-a683-4c56c6bba1f6.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6892305/check_9991616_d554b1cd-b44e-4914-a566-0ccf00dda4df.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'H79560388', 'plan_type': 'Health Maintenance Organization (HMO) - Medicare Risk', 'group_name': 'ARCNDINN HENLTH PLNN, INC.', 'payer_name': 'HUMANA', 'payer_note': '076 659 GOLD+/EMP HMO - ALL OTHR WA THIS MEMBER MAY BE ELIGIBLE FOR A FREE FITNESS MEMBERSHIP THROUGH SILVERSNEAKERS OR SILVER&FIT. PLEASE ENCOURAGE HIM OR HER TO CALL SILVERSNEAKERS AT 1-888-423-4632 (FOR MOST STATES) OR SILVER&FIT AT 1-877-427-4788 (FOR ARIZONA AND PENNSYLVANIA) FOR ELIGIB', 'patient_dob': '1968-12-28', 'plan_number': None, 'group_number': '0B527001', 'insurance_type': None, 'plan_type_code': 'HN', 'enrolled_in_qmb': False, 'patient_last_name': 'TAYLOR', 'plan_sponsor_name': None, 'patient_first_name': 'JOY', '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 | 8301542017 | 9483 | N/A | 6892305 | 2222 | N/A | 9707691 | N/A | 5926158 | 2025-07-18 17:26:03.087551 | 2025-07-23 16:31:42.104431 |
| 2025-07-18 17:07:58.994840 | 2025-07-18 17:08:07.543174 | 9991246 | N/A | N/A | {'payer_id': '62308', 'payer_name': 'CIGNA (Connecticut General, Equicor, Equitable)', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1996-03-28', 'date_of_service': '2025-07-18', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 4437, 'subscriber_last_name': 'SAGMAN', 'subscriber_member_id': 'U9205101701', 'subscriber_first_name': 'SYDNEY'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6078312/check_9991246_c32ce43f-78a0-473c-b718-44d4b1850675.edi.txt | WAYSTAR | N/A | APPOINTMENT_PII_CHANGE | 2025-07-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6078312/check_9991246_5d059de4-1606-44da-9988-393be903061c.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'U9205101701', 'plan_type': 'Health Maintenance Organization (HMO)', 'group_name': 'DISNEY WORLDWIDE SERVICES, INC.', 'payer_name': 'CGLIC', 'payer_note': 'PROVIDER IS OUT OF NETWORK BASED ON NPI ID PROVIDED IN REQUEST PERSONAL HEALTH SOLUTIONS PLUS', 'patient_dob': '1996-03-28', 'plan_number': None, 'group_number': '3346355', 'insurance_type': None, 'plan_type_code': 'HM', 'enrolled_in_qmb': False, 'patient_last_name': 'SAGMAN', 'plan_sponsor_name': None, 'patient_first_name': 'SYDNEY', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'NETWORK', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8301369802 | N/A | N/A | 6078312 | 2222 | N/A | 9707304 | N/A | 4722569 | 2025-07-18 17:08:07.543174 | 2025-08-26 00:16:35.895658 |
| 2025-07-18 16:51:48.468777 | 2025-07-18 16:51:53.350136 | 9991006 | N/A | N/A | {'payer_id': '60054', 'payer_name': 'Aetna', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1987-03-27', 'date_of_service': '2025-07-18', 'subscriber_gender': 'M', 'service_type_codes': ['PT', 'AE'], 'insurance_company_id': 3948, 'subscriber_last_name': 'RAFIQI', 'subscriber_member_id': 'W291506071', 'subscriber_first_name': 'ROMAN'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6813848/check_9991006_532b459f-03d1-4f37-9343-02516822da96.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6813848/check_9991006_7fddda43-e17d-4e3d-9433-fed263b09d31.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'W291629581', 'plan_type': 'Point of Service (POS)', 'group_name': 'CONTRACEPTIVE SERVICES PAYMENT PROG', 'payer_name': 'AETNA SUPPLEMENTAL CONTRACEPTIVE PPO', 'payer_note': None, 'patient_dob': '1987-03-27', 'plan_number': '0865224', 'group_number': '086522405000004', 'insurance_type': None, 'plan_type_code': 'PS', 'enrolled_in_qmb': False, 'patient_last_name': 'RAFIQI', 'plan_sponsor_name': None, 'patient_first_name': 'ROMAN', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'AETNA CHOICE POS II', 'relationship_to_subscriber': None} | ['PT', 'AE'] | N/A | N/A | N/A | N/A | N/A | 8301269976 | 9483 | N/A | 6813848 | 2222 | N/A | 9707043 | N/A | 5856139 | 2025-07-18 16:51:53.350136 | 2025-07-22 03:39:47.404623 |
| 2025-07-18 16:02:29.765761 | 2025-07-18 16:02:33.549642 | 9990555 | 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': '1970-03-27', 'date_of_service': '2025-07-18', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'insurance_company_id': 4185, 'subscriber_last_name': 'DATO', 'subscriber_member_id': 'NGO555A50496', 'subscriber_first_name': 'JEN'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542196/check_9990555_a79e7881-ca66-4d74-ba19-f4d1f235e9fc.edi.txt | WAYSTAR | N/A | APPOINTMENT_PII_CHANGE | 2025-07-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542196/check_9990555_7538693c-bc02-4fbd-a926-a7c354e74cb6.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'NGO555A50496', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'NORTHROP GRUMMAN CORP', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1970-03-27', 'plan_number': '040', 'group_number': '174022MJAD', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'DATO', 'plan_sponsor_name': None, 'patient_first_name': 'GREGORY', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2021-01-02', 'plan_coverage_description': 'CDHP CA GENERIC HLTH SAVINGS ACCT', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8300997133 | N/A | N/A | 5542196 | 2222 | N/A | 9706530 | N/A | 4214140 | 2025-07-18 16:02:33.549642 | 2025-05-13 04:29:37.228468 |
| 2025-07-18 15:23:27.104204 | 2025-07-18 15:23:32.106852 | 9990235 | 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_9990235_455c5d4a-337c-42e6-88d3-9b4bfc7da347.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6969089/check_9990235_d80cbfb3-1dff-45aa-b60f-580a89271c68.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 | 8300660910 | 160084 | N/A | 6969089 | 2222 | N/A | 9706148 | N/A | 5991146 | 2025-07-18 15:23:32.106852 | 2025-07-11 17:49:59.455285 |
| 2025-07-18 11:28:20.733133 | 2025-07-18 11:28:24.581549 | 9986704 | N/A | N/A | {'payer_id': '94134', 'payer_name': 'Kaiser Foundation Health Plan of Southern CA Region', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1958-01-09', 'date_of_service': '2025-07-16', 'subscriber_gender': '', 'service_type_codes': ['PT', 'AE'], 'insurance_company_id': 5505, 'subscriber_last_name': 'MEISTER', 'subscriber_member_id': '000004042289', 'subscriber_first_name': 'JACQUELINE'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6518751/check_9986704_2e575600-a292-40e5-b1c6-a1076aa86185.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6518751/check_9986704_d08e3a83-a192-4fd7-a612-90ebe4eddd05.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '000004042289', 'plan_type': None, 'group_name': None, 'payer_name': 'KFHP 1000', 'payer_note': 'SRA - SENIOR ADVANTAGE', 'patient_dob': '1958-01-09', 'plan_number': '4319864', 'group_number': '101877', 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'MEISTER', 'plan_sponsor_name': None, 'patient_first_name': 'JACQUELINE', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'KPSA SOLD TO-SOUTH KPSA SOLD TO-SOUTH', 'relationship_to_subscriber': None} | ['PT', 'AE'] | N/A | N/A | N/A | N/A | N/A | 8297883938 | 1275 | N/A | 6518751 | 2222 | N/A | 9702389 | N/A | 4766789 | 2025-07-18 11:28:24.581549 | 2025-06-04 04:12:38.642669 |
| 2025-07-18 11:27:10.093703 | 2025-07-18 11:27:13.178900 | 9986663 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1995-02-28', 'date_of_service': '2025-07-15', 'subscriber_gender': '', 'service_type_codes': ['PT', 'AE'], 'insurance_company_id': 4185, 'subscriber_last_name': 'JONES', 'subscriber_member_id': 'LTC290M90213', 'subscriber_first_name': 'CAROLINE'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6134260/check_9986663_e81018e1-5bde-495c-b97a-99a60aca87f4.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-15 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6134260/check_9986663_3d07cce8-ae80-44ef-ace4-52d89deaaa59.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'LTC290M90213', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'THE AEROSPACE CORPORATION', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1995-02-28', 'plan_number': '040', 'group_number': '174151MCA3', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'JONES', 'plan_sponsor_name': None, 'patient_first_name': 'CAROLINE', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2025-01-01', 'plan_coverage_description': 'BC PPO INCENTIVE', 'relationship_to_subscriber': None} | ['PT', 'AE'] | N/A | N/A | N/A | N/A | N/A | 8297881183 | 1275 | N/A | 6134260 | 2222 | N/A | 9702347 | N/A | 4775735 | 2025-07-18 11:27:13.178900 | 2025-07-08 23:42:37.640916 |
| 2025-07-18 11:25:24.546712 | 2025-07-18 11:25:26.339630 | 9986596 | N/A | N/A | {'payer_id': '62308', 'payer_name': 'CIGNA (Connecticut General, Equicor, Equitable)', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1940-03-15', 'date_of_service': '2025-06-26', 'subscriber_gender': '', 'service_type_codes': ['PT', 'AE'], 'insurance_company_id': 4437, 'subscriber_last_name': 'Nishimoto', 'subscriber_member_id': '8NK7JC7CQ39', 'subscriber_first_name': 'Richard'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6957529/check_9986596_42ddcf53-0f5b-4e84-a691-894d4ff39385.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-26 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6957529/check_9986596_5ab1c4ce-5adb-45fc-888a-10c27d92aed9.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '8NK7JC7CQ39', 'plan_type': None, 'group_name': None, 'payer_name': 'CIGNA HEALTH PLANS', 'payer_note': None, 'patient_dob': '1940-03-15', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'NISHIMOTO', 'plan_sponsor_name': None, 'patient_first_name': 'RICHARD', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['PT', 'AE'] | N/A | N/A | N/A | N/A | N/A | N/A | 1275 | N/A | 6957529 | 2222 | N/A | 9702279 | N/A | 4749110 | 2025-07-18 11:25:26.339630 | 2025-06-02 15:44:17.236968 |
| 2025-07-18 11:25:24.058773 | 2025-07-18 11:25:25.855393 | 9986595 | N/A | N/A | {'payer_id': '62308', 'payer_name': 'CIGNA (Connecticut General, Equicor, Equitable)', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1940-03-15', 'date_of_service': '2025-06-19', 'subscriber_gender': '', 'service_type_codes': ['PT', 'AE'], 'insurance_company_id': 4437, 'subscriber_last_name': 'Nishimoto', 'subscriber_member_id': '8NK7JC7CQ39', 'subscriber_first_name': 'Richard'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6957529/check_9986595_7010a784-7b32-421a-8bea-6be5acd6475f.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-19 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6957529/check_9986595_6830b2f7-6ffd-4eca-bda6-ee5a27e268a5.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '8NK7JC7CQ39', 'plan_type': None, 'group_name': None, 'payer_name': 'CIGNA HEALTH PLANS', 'payer_note': None, 'patient_dob': '1940-03-15', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'NISHIMOTO', 'plan_sponsor_name': None, 'patient_first_name': 'RICHARD', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['PT', 'AE'] | N/A | N/A | N/A | N/A | N/A | N/A | 1275 | N/A | 6957529 | 2222 | N/A | 9702278 | N/A | 4749110 | 2025-07-18 11:25:25.855393 | 2025-06-02 15:44:17.236968 |
| 2025-07-18 11:25:22.812187 | 2025-07-18 11:25:24.538005 | 9986593 | N/A | N/A | {'payer_id': '62308', 'payer_name': 'CIGNA (Connecticut General, Equicor, Equitable)', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1940-03-15', 'date_of_service': '2025-06-26', 'subscriber_gender': '', 'service_type_codes': ['PT', 'AE'], 'insurance_company_id': 4437, 'subscriber_last_name': 'Nishimoto', 'subscriber_member_id': '8NK7JC7CQ39', 'subscriber_first_name': 'Richard'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6957529/check_9986593_33134a30-99e1-4836-b7be-e8d1c5ed6fc9.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-26 | N/A | N/A | N/A | N/A | N/A | N/A | {'member_id': '8NK7JC7CQ39', 'plan_type': None, 'group_name': None, 'payer_name': 'CIGNA HEALTH PLANS', 'payer_note': None, 'patient_dob': '1940-03-15', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'NISHIMOTO', 'plan_sponsor_name': None, 'patient_first_name': 'RICHARD', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['PT', 'AE'] | N/A | N/A | N/A | N/A | N/A | N/A | 1275 | N/A | 6957529 | 2222 | N/A | N/A | N/A | 4749110 | 2025-07-18 11:25:24.538005 | 2025-06-02 15:44:17.236968 |
| 2025-07-18 11:25:22.145841 | 2025-07-18 11:25:24.056210 | 9986592 | N/A | N/A | {'payer_id': '62308', 'payer_name': 'CIGNA (Connecticut General, Equicor, Equitable)', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1940-03-15', 'date_of_service': '2025-06-19', 'subscriber_gender': '', 'service_type_codes': ['PT', 'AE'], 'insurance_company_id': 4437, 'subscriber_last_name': 'Nishimoto', 'subscriber_member_id': '8NK7JC7CQ39', 'subscriber_first_name': 'Richard'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6957529/check_9986592_eb265784-5739-4d63-800a-3a43c6691827.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-19 | N/A | N/A | N/A | N/A | N/A | N/A | {'member_id': '8NK7JC7CQ39', 'plan_type': None, 'group_name': None, 'payer_name': 'CIGNA HEALTH PLANS', 'payer_note': None, 'patient_dob': '1940-03-15', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'NISHIMOTO', 'plan_sponsor_name': None, 'patient_first_name': 'RICHARD', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['PT', 'AE'] | N/A | N/A | N/A | N/A | N/A | N/A | 1275 | N/A | 6957529 | 2222 | N/A | N/A | N/A | 4749110 | 2025-07-18 11:25:24.056210 | 2025-06-02 15:44:17.236968 |
| 2025-07-18 11:25:20.883671 | 2025-07-18 11:25:22.962967 | 9986591 | 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_9986591_c7f44b80-3495-41e8-adaf-ee1072be5c11.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6782227/check_9986591_912c8e5b-a7d8-44a9-9c15-e5da9212b342.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 | 9702271 | N/A | 5813326 | 2025-07-18 11:25:22.962967 | 2025-07-21 17:21:46.553298 |
| 2025-07-18 11:25:19.098944 | 2025-07-18 11:25:20.879262 | 9986590 | 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_9986590_231cd38c-c656-4580-acf9-ef11b66ee5cf.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-10 | N/A | N/A | N/A | N/A | N/A | N/A | {'member_id': '95517882H', 'plan_type': None, 'group_name': None, 'payer_name': 'REGAL MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1983-03-13', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'NAZERALI', 'plan_sponsor_name': None, 'patient_first_name': 'SHAHEEN', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['PT', 'AE'] | N/A | N/A | N/A | N/A | N/A | N/A | 1275 | N/A | 6782227 | 2222 | N/A | N/A | N/A | 5813326 | 2025-07-18 11:25:20.879262 | 2025-07-21 17:21:46.553298 |
| 2025-07-18 11:24:36.570425 | 2025-07-18 11:24:38.321366 | 9986566 | 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_9986566_c5fbe754-4795-4a82-b9a2-e5be32ebce64.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6782227/check_9986566_00dfdf08-5512-405e-9658-d16a5278e4e5.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 | 9702251 | N/A | 5813326 | 2025-07-18 11:24:38.321366 | 2025-07-21 17:21:46.553298 |
| 2025-07-18 11:24:34.769182 | 2025-07-18 11:24:36.565592 | 9986561 | 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_9986561_d135fc6d-c7fd-4845-b278-3b9547798f0d.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-07 | N/A | N/A | N/A | N/A | N/A | N/A | {'member_id': '95517882H', 'plan_type': None, 'group_name': None, 'payer_name': 'REGAL MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1983-03-13', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'NAZERALI', 'plan_sponsor_name': None, 'patient_first_name': 'SHAHEEN', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['PT', 'AE'] | N/A | N/A | N/A | N/A | N/A | N/A | 1275 | N/A | 6782227 | 2222 | N/A | N/A | N/A | 5813326 | 2025-07-18 11:24:36.565592 | 2025-07-21 17:21:46.553298 |
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