API Data Explorer (Athletic API)
Choose an endpoint and browse pulled records with export support.
API Endpoints
Total rows: 63,317
| 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 09:05:59.762878 | 2025-07-16 02:11:42.978987 | 9853120 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9853120', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1999-05-15', 'date_of_service': '2025-07-15', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'subscriber_last_name': 'CAMPOS', 'subscriber_member_id': 'JQU035W17626', 'subscriber_first_name': 'DEVON'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250715.115829999.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6193743/check_9853120_c61cee8f-10ec-4733-9664-3f150e640f6f.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'JQU035W17626', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'A TECH CONSULTING INC', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1999-05-15', 'plan_number': '040', 'group_number': 'H27312', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'CAMPOS', 'plan_sponsor_name': None, 'patient_first_name': 'DEVON', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2025-01-01', 'plan_coverage_description': 'CA SG ANTHEM HSA', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8266014648 | N/A | N/A | 6193743 | 2222 | 4802 | 9607084 | N/A | 4343457 | 2025-07-16 02:11:42.978987 | 2025-05-13 04:29:37.230935 |
| 2025-07-15 09:05:53.455068 | 2025-07-16 02:02:04.600057 | 9852957 | N/A | N/A | {'payer_id': 'LMG01', 'payer_name': 'Lakeside Medical Group', 'provider_npi': '1114042165', 'trace_number': '9852957', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1960-10-20', 'date_of_service': '2025-07-15', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'KIRKLAND', 'subscriber_member_id': '30729619', 'subscriber_first_name': 'JAMES'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250715.115829999.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6188935/check_9852957_738f98bd-3ff3-4286-858a-0efcc9634191.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '30729619', 'plan_type': None, 'group_name': None, 'payer_name': 'LAKESIDE MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1960-10-20', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'KIRKLAND', 'plan_sponsor_name': None, 'patient_first_name': 'JAMES', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8266016193 | N/A | N/A | 6188935 | 2222 | 4793 | 9600381 | N/A | 4712994 | 2025-07-16 02:02:04.600057 | 2025-07-31 22:51:16.261439 |
| 2025-07-15 09:05:47.568373 | 2025-07-16 02:08:06.442660 | 9852788 | N/A | N/A | {'payer_id': '62308', 'payer_name': 'American Specialty Health', 'provider_npi': '1114042165', 'trace_number': '9852788', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1995-07-14', 'date_of_service': '2025-07-15', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'Yee', 'subscriber_member_id': 'U7171601401', 'subscriber_first_name': 'Amanda'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250715.115829999.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6174184/check_9852788_ed70ebe7-f966-40a9-869e-157e526904f4.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'U7171601401', 'plan_type': None, 'group_name': 'ROKU, INC.', 'payer_name': 'CHLIC', 'payer_note': 'NEW BUSINESS RATES APPLIED PREFERRED CARE MANAGEMENT', 'patient_dob': '1995-07-14', 'plan_number': None, 'group_number': '3340367', 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'YEE', 'plan_sponsor_name': None, 'patient_first_name': 'AMANDA', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'OPEN ACCESS PLUS', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8266015349 | N/A | N/A | 6174184 | 2222 | 4802 | 9604532 | N/A | 4815542 | 2025-07-16 02:08:06.442660 | 2025-06-06 19:25:46.160820 |
| 2025-07-15 09:05:46.241957 | 2025-07-16 02:07:14.424241 | 9852752 | N/A | N/A | {'payer_id': '94134', 'payer_name': 'Kaiser Foundation Health Plan of Southern CA Region', 'provider_npi': '1114042165', 'trace_number': '9852752', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '2008-04-21', 'date_of_service': '2025-07-15', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'BERMUDEZ', 'subscriber_member_id': '000019836525', 'subscriber_first_name': 'RAFAEL'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250715.115434477.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6721942/check_9852752_94d0829b-7041-47a3-9124-220922c9adfd.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '000019836525', 'plan_type': None, 'group_name': None, 'payer_name': 'KFHP 1003', 'payer_note': 'MDC - MEDICAID', 'patient_dob': '2008-04-21', 'plan_number': '4327748', 'group_number': '226977', 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'BERMUDEZ', 'plan_sponsor_name': None, 'patient_first_name': 'RAFAEL', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'STATE OF CA- MRMIB - HEALTHY FAMILIES HF, AGES 2-1', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8265991263 | N/A | N/A | 6721942 | 2222 | 4793 | 9603999 | N/A | 5322280 | 2025-07-16 02:07:14.424241 | 2025-07-01 21:45:15.878047 |
| 2025-07-15 09:05:42.766634 | 2025-07-16 02:04:50.415668 | 9852657 | N/A | N/A | {'payer_id': '52192', 'payer_name': 'Bravo Health', 'provider_npi': '1114042165', 'trace_number': '9852657', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1940-07-26', 'date_of_service': '2025-07-15', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'Behnam', 'subscriber_member_id': '7KJ0T95JJ03', 'subscriber_first_name': 'Azizi'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250715.115829999.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6172127/check_9852657_d64fd362-d9a1-40d7-9ce1-3d13e57d8779.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '7KJ0T95JJ03', 'plan_type': None, 'group_name': None, 'payer_name': 'BRAVO HEALTH', 'payer_note': None, 'patient_dob': '1940-07-26', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'BEHNAM', 'plan_sponsor_name': None, 'patient_first_name': 'AZIZI', '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 | 8266015329 | N/A | N/A | 6172127 | 2222 | 4802 | 9602298 | N/A | 4813566 | 2025-07-16 02:04:50.415668 | 2025-06-06 15:25:53.219226 |
| 2025-07-15 09:05:32.201523 | 2025-07-16 02:11:35.735716 | 9852364 | N/A | N/A | {'payer_id': 'Z1073', 'payer_name': 'Medicare B California Southern', 'provider_npi': '1114042165', 'trace_number': '9852364', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1951-10-16', 'date_of_service': '2025-07-15', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'GARRETT', 'subscriber_member_id': '3EJ1R73ND18', 'subscriber_first_name': 'KATHLEEN'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250715.115434477.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6714932/check_9852364_86c3c2fc-5691-4f21-9c22-24d9f9fa4146.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '3EJ1R73ND18', 'plan_type': 'Medicare Part A', 'group_name': None, 'payer_name': 'SILVERSCRIPT INSURANCE COMPANY', 'payer_note': '0-BENEFICIARY INSURED DUE TO AGE OASI', 'patient_dob': '1951-10-16', 'plan_number': 'S5601', 'group_number': None, 'insurance_type': None, 'plan_type_code': 'MA', 'enrolled_in_qmb': False, 'patient_last_name': 'GARRETT', 'plan_sponsor_name': None, 'patient_first_name': 'KATHLEEN', '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 | 8265991235 | N/A | N/A | 6714932 | 2222 | 4793 | 9606997 | N/A | 5316176 | 2025-07-16 02:11:35.735716 | 2025-07-01 18:44:12.927482 |
| 2025-07-15 09:05:14.547143 | 2025-07-16 02:19:28.887758 | 9851864 | N/A | N/A | {'payer_id': 'Z1073', 'payer_name': 'Medicare B California Southern', 'provider_npi': '1114042165', 'trace_number': '9851864', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1951-11-18', 'date_of_service': '2025-07-15', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'JACOBY', 'subscriber_member_id': '5VX4HE8NC98', 'subscriber_first_name': 'LEAH'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250715.115829999.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6145941/check_9851864_dac209a2-532c-498e-895c-6bcae9781c5d.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '5VX4HE8NC98', 'plan_type': 'Medicare Part A', 'group_name': None, 'payer_name': 'UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY', 'payer_note': '0-BENEFICIARY INSURED DUE TO AGE OASI', 'patient_dob': '1951-11-18', 'plan_number': 'S5921', 'group_number': None, 'insurance_type': None, 'plan_type_code': 'MA', 'enrolled_in_qmb': False, 'patient_last_name': 'JACOBY', '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 | 8266015879 | N/A | N/A | 6145941 | 2222 | 4802 | 9611127 | N/A | 4786785 | 2025-07-16 02:19:28.887758 | 2025-06-13 00:55:48.629734 |
| 2025-07-15 09:05:11.634644 | 2025-07-16 02:07:39.689380 | 9851788 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9851788', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '2011-05-10', 'date_of_service': '2025-07-15', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'subscriber_last_name': 'MEEKER', 'subscriber_member_id': 'NCF417A51479', 'subscriber_first_name': 'SEAN'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250715.115434477.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6686921/check_9851788_dc246462-685e-4e2c-8677-db4ebc029c2b.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'NCF417A51479', 'plan_type': 'Health Maintenance Organization (HMO)', 'group_name': 'VENTURA COUNTY DEPUTY SHERIFFS ASSOCIATION', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '2011-05-10', 'plan_number': '040', 'group_number': '282004H001', 'insurance_type': None, 'plan_type_code': 'HM', 'enrolled_in_qmb': False, 'patient_last_name': 'MEEKER', 'plan_sponsor_name': None, 'patient_first_name': 'JOHN', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2022-01-01', 'plan_coverage_description': 'CLASSIC TRADITIONAL HMO NETWORK NON DURATIONAL', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8265991047 | N/A | N/A | 6686921 | 2222 | 4801 | 9604246 | N/A | 5295012 | 2025-07-16 02:07:39.689380 | 2025-06-30 23:26:42.841924 |
| 2025-07-15 09:05:09.568655 | 2025-07-16 02:01:54.398040 | 9851726 | N/A | N/A | {'payer_id': 'REGAL', 'payer_name': 'Regal Medical Group', 'provider_npi': '1114042165', 'trace_number': '9851726', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1942-07-28', 'date_of_service': '2025-07-15', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'SIMMONS', 'subscriber_member_id': '40055722801', 'subscriber_first_name': 'J'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250715.115434477.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6685251/check_9851726_21603f6f-92ba-4ba8-8a1f-3c048993c6dd.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '40055722801', 'plan_type': None, 'group_name': None, 'payer_name': 'REGAL MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1942-07-28', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'SIMMONS', 'plan_sponsor_name': None, 'patient_first_name': 'J', '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 | 8265991022 | N/A | N/A | 6685251 | 2222 | 4793 | 9600275 | N/A | 4209868 | 2025-07-16 02:01:54.398040 | 2025-08-15 22:13:56.514261 |
| 2025-07-15 09:05:01.753065 | 2025-07-16 02:01:56.983641 | 9851508 | N/A | N/A | {'payer_id': 'VCHCP', 'payer_name': 'Ventura County Health Care Plan', 'provider_npi': '1114042165', 'trace_number': '9851508', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1965-10-24', 'date_of_service': '2025-07-15', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'Wold', 'subscriber_member_id': '00900105302', 'subscriber_first_name': 'Tony'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250715.115434477.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6681119/check_9851508_545e0d8c-7b64-49ae-aaf7-045b7b729c3a.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '00900105302', 'plan_type': None, 'group_name': None, 'payer_name': 'VENTURA COUNTY HEALTH CARE PLAN', 'payer_note': None, 'patient_dob': '1965-10-24', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'WOLD', 'plan_sponsor_name': None, 'patient_first_name': 'TONY', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8265990044 | N/A | N/A | 6681119 | 2222 | 4793 | 9600298 | N/A | 5290108 | 2025-07-16 02:01:56.983641 | 2025-07-30 01:01:58.188731 |
| 2025-07-15 09:04:55.851985 | 2025-07-16 02:13:39.926573 | 9851287 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': '1114042165', 'trace_number': '9851287', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1969-07-12', 'date_of_service': '2025-07-15', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'Davis', 'subscriber_member_id': 'GMB811453374', 'subscriber_first_name': 'Colleen'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250715.115829999.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6124061/check_9851287_23cc4c1c-de11-4872-8cfc-3ad0ba3f7c86.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'GMB811453374', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'ARTHUR J GALLAGHER ILLINOIS, LLC', 'payer_name': 'BLUE SHIELD OF CALIFORNIA', 'payer_note': None, 'patient_dob': '1969-07-12', 'plan_number': None, 'group_number': '169148', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'DAVIS', 'plan_sponsor_name': None, 'patient_first_name': 'COLLEEN', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2024-08-26', 'plan_coverage_description': 'PREFERRED PROVIDER OPTION PLUS MEDICAL', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8266014569 | N/A | N/A | 6124061 | 2222 | 4793 | 9608384 | N/A | 4766777 | 2025-07-16 02:13:39.926573 | 2025-06-19 23:01:11.277116 |
| 2025-07-15 09:04:49.731900 | 2025-07-16 02:01:53.712406 | 9851009 | N/A | N/A | {'payer_id': 'REGAL', 'payer_name': 'Regal Medical Group', 'provider_npi': '1114042165', 'trace_number': '9851009', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1958-03-25', 'date_of_service': '2025-07-15', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'RABASA', 'subscriber_member_id': 'H9002483100', 'subscriber_first_name': 'PATRICIA'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250715.115434477.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6667925/check_9851009_553a11ee-5638-465f-b538-6ff7e44b1266.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'H9002483100', 'plan_type': None, 'group_name': None, 'payer_name': 'REGAL MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1958-03-25', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'RABASA', 'plan_sponsor_name': None, 'patient_first_name': 'PATRICIA', '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 | 8265990869 | N/A | N/A | 6667925 | 2222 | 4793 | 9600269 | N/A | 5281834 | 2025-07-16 02:01:53.712406 | 2025-09-11 16:48:19.720660 |
| 2025-07-15 09:04:39.763441 | 2025-07-16 02:02:58.847606 | 9850582 | N/A | N/A | {'payer_id': 'REGAL', 'payer_name': 'Regal Medical Group', 'provider_npi': '1114042165', 'trace_number': '9850582', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1983-03-03', 'date_of_service': '2025-07-15', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'NAZERALI', 'subscriber_member_id': '95517882H', 'subscriber_first_name': 'SHAHEEN'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250715.120831529.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6782227/check_9850582_1f17b3c1-864e-4d58-b345-459a6302488e.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': '1983-03-03', '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 | 8266108288 | N/A | N/A | 6782227 | 2222 | 4802 | 9601014 | N/A | 5813326 | 2025-07-16 02:02:58.847606 | 2025-07-21 17:21:46.553298 |
| 2025-07-15 09:04:37.267154 | 2025-07-16 02:11:43.669912 | 9850488 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9850488', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1991-01-16', 'date_of_service': '2025-07-15', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'LI', 'subscriber_member_id': 'XTS845M84428', 'subscriber_first_name': 'ZHANMEI'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250715.115829999.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6085650/check_9850488_4457cf63-24fd-496e-a1ca-735e3746e798.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XTS845M84428', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'SEMTECH CORPORATION CA/OOS', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1991-01-16', 'plan_number': '040', 'group_number': '277405M037', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'HAN', 'plan_sponsor_name': None, 'patient_first_name': 'PENGCHENG', '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 | 8266015500 | N/A | N/A | 6085650 | 2222 | 4793 | 9607090 | N/A | 4728966 | 2025-07-16 02:11:43.669912 | 2025-06-09 22:35:38.956800 |
| 2025-07-15 09:04:30.768348 | 2025-07-16 02:07:38.937009 | 9850238 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9850238', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1967-03-31', 'date_of_service': '2025-07-15', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'BARRERA', 'subscriber_member_id': 'XEH903389121', 'subscriber_first_name': 'LOLA'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250715.115434477.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6611912/check_9850238_b862f76d-2829-41c1-9478-5ca987732fe7.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XEH903389121', 'plan_type': None, 'group_name': None, 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1967-03-31', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'BARRERA', 'plan_sponsor_name': None, 'patient_first_name': 'LOLA', '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 | 8265990301 | N/A | N/A | 6611912 | 2222 | 4793 | 9604236 | N/A | 5230345 | 2025-07-16 02:07:38.937009 | 2025-07-11 20:32:03.183345 |
| 2025-07-15 09:04:22.236035 | 2025-07-16 02:19:28.267628 | 9849898 | N/A | N/A | {'payer_id': 'Z1073', 'payer_name': 'Medicare B California Southern', 'provider_npi': '1114042165', 'trace_number': '9849898', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1939-06-25', 'date_of_service': '2025-07-15', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'JACOBS', 'subscriber_member_id': '4XJ0X61FM35', 'subscriber_first_name': 'PATRICIA'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250715.115829999.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6068049/check_9849898_3553115a-6a33-4f6c-9e1f-a5b853982715.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '4XJ0X61FM35', 'plan_type': 'Medicare Part A', 'group_name': None, 'payer_name': 'UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY', 'payer_note': '0-BENEFICIARY INSURED DUE TO AGE OASI', 'patient_dob': '1939-06-25', 'plan_number': 'S5921', 'group_number': None, 'insurance_type': None, 'plan_type_code': 'MA', 'enrolled_in_qmb': False, 'patient_last_name': 'JACOBS', 'plan_sponsor_name': None, 'patient_first_name': 'PATRICIA', '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 | 8266015084 | N/A | N/A | 6068049 | 2222 | 4793 | 9611122 | N/A | 4642852 | 2025-07-16 02:19:28.267628 | 2025-11-21 18:38:17.056437 |
| 2025-07-15 09:04:20.587361 | 2025-07-16 02:05:04.065340 | 9849830 | N/A | N/A | {'payer_id': '62308', 'payer_name': 'Cigna Health Plans', 'provider_npi': '1114042165', 'trace_number': '9849830', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1963-05-23', 'date_of_service': '2025-07-15', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'SMART', 'subscriber_member_id': '108678548', 'subscriber_first_name': 'CARRIE'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250715.115434477.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6597151/check_9849830_4654ad8a-b777-47e9-97a4-11608b8b95dd.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '10867854801', 'plan_type': None, 'group_name': 'KILROY REALTY CORPORATION', 'payer_name': 'CHLIC', 'payer_note': 'COMPLETE CARE MANAGEMENT', 'patient_dob': '1963-05-23', 'plan_number': None, 'group_number': '00639041', 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'SMART', 'plan_sponsor_name': None, 'patient_first_name': 'CARRIE', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'HSA QUALIFIED HDHP', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8265991145 | N/A | N/A | 6597151 | 2222 | 4793 | 9602461 | N/A | 5215090 | 2025-07-16 02:05:04.065340 | 2025-06-25 19:01:09.622494 |
| 2025-07-15 09:04:08.083228 | 2025-07-16 02:11:35.294400 | 9849366 | N/A | N/A | {'payer_id': 'Z1073', 'payer_name': 'Medicare B California Southern', 'provider_npi': '1114042165', 'trace_number': '9849366', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1934-12-03', 'date_of_service': '2025-07-15', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'Dayzadeh', 'subscriber_member_id': '9A94PK6GA08', 'subscriber_first_name': 'Nasser'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250715.115434477.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6583825/check_9849366_f6409d25-d349-4f4b-a750-7b3a47cc4654.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '9A94PK6GA08', 'plan_type': 'Medicare Part B', 'group_name': None, 'payer_name': "CALIFORNIA PHYSICIANS' SERVICE", 'payer_note': '0-BENEFICIARY INSURED DUE TO AGE OASI', 'patient_dob': '1934-12-03', 'plan_number': 'S2468', 'group_number': None, 'insurance_type': None, 'plan_type_code': 'MB', 'enrolled_in_qmb': False, 'patient_last_name': 'DAYZADEH', 'plan_sponsor_name': None, 'patient_first_name': 'NASSER', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8265989966 | N/A | N/A | 6583825 | 2222 | 4802 | 9606992 | N/A | 5202586 | 2025-07-16 02:11:35.294400 | 2025-06-25 17:55:27.155518 |
| 2025-07-15 09:04:03.604647 | 2025-07-16 02:08:31.730748 | 9849170 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': '1114042165', 'trace_number': '9849170', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1966-03-26', 'date_of_service': '2025-07-15', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'Deschatres', 'subscriber_member_id': 'XED912070650', 'subscriber_first_name': 'Nathalie'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250715.115434477.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6577909/check_9849170_416fc5a6-1938-424f-8f84-7bf998f3962e.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XED912070650', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'IFP ON EXCHANGE', 'payer_name': 'BLUE SHIELD CALIFORNIA', 'payer_note': None, 'patient_dob': '1966-03-26', 'plan_number': '2001ZK002186', 'group_number': 'X0001004', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'DESCHATRES', 'plan_sponsor_name': None, 'patient_first_name': 'NATHALIE', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2023-02-01', 'plan_coverage_description': 'IFP EMB PED VISION', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8265991613 | N/A | N/A | 6577909 | 2222 | 4802 | 9604839 | N/A | 4766701 | 2025-07-16 02:08:31.730748 | 2025-06-03 21:11:46.573919 |
| 2025-07-15 09:04:01.401883 | 2025-07-16 02:01:52.991300 | 9849073 | N/A | N/A | {'payer_id': 'LMG01', 'payer_name': 'Lakeside Medical Group', 'provider_npi': '1114042165', 'trace_number': '9849073', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1975-07-06', 'date_of_service': '2025-07-15', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'FERNANDO', 'subscriber_member_id': '391A5620540', 'subscriber_first_name': 'MANORY'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250715.115434477.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6574729/check_9849073_6c302241-ebdb-44c5-9a42-e7cfe00e4cf0.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '391A5620540', 'plan_type': None, 'group_name': None, 'payer_name': 'LAKESIDE MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1975-07-06', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'FERNANDO', 'plan_sponsor_name': None, 'patient_first_name': 'MANORY', '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 | 8265991591 | N/A | N/A | 6574729 | 2222 | 4793 | 9600262 | N/A | 5195072 | 2025-07-16 02:01:52.991300 | 2025-07-02 23:59:09.756169 |
| 2025-07-15 09:04:00.808477 | 2025-07-16 02:08:38.566183 | 9849046 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': '1114042165', 'trace_number': '9849046', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1986-05-13', 'date_of_service': '2025-07-15', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'GUDIEL', 'subscriber_member_id': 'ZGP812841152', 'subscriber_first_name': 'LEAH'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250715.115434477.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6573745/check_9849046_39892c5d-6b3f-4624-95ad-7f8af70aad1f.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'ZGP812841152', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'RIMKUS CONSULTING GROUP, INC', 'payer_name': 'BLUE SHIELD OF CALIFORNIA', 'payer_note': None, 'patient_dob': '1986-05-13', 'plan_number': None, 'group_number': '279469', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'GUDIEL', 'plan_sponsor_name': None, 'patient_first_name': 'LEAH', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2025-03-01', 'plan_coverage_description': 'PREFERRED PROVIDER OPTION MEDICAL', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8265991584 | N/A | N/A | 6573745 | 2222 | 4801 | 9604918 | N/A | 5194450 | 2025-07-16 02:08:38.566183 | 2025-07-13 23:50:25.607492 |
| 2025-07-15 09:03:57.168608 | 2025-07-16 02:07:15.928833 | 9848896 | N/A | N/A | {'payer_id': '95567', 'payer_name': 'Health Net of California and Oregon', 'provider_npi': '1114042165', 'trace_number': '9848896', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '2009-08-12', 'date_of_service': '2025-07-15', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'Aldana', 'subscriber_member_id': '95423949E', 'subscriber_first_name': 'George'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250715.115434477.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6568645/check_9848896_154d8f90-5267-4060-8c69-37061dfd00a1.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '95423949E', 'plan_type': None, 'group_name': None, 'payer_name': 'HEALTH NET, LLC', 'payer_note': None, 'patient_dob': '2009-08-12', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'ALDANA', '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': 'KCW MCALSTD', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8265990524 | N/A | N/A | 6568645 | 2222 | 4802 | 9604016 | N/A | 5190481 | 2025-07-16 02:07:15.928833 | 2025-06-24 17:29:30.756528 |
| 2025-07-15 09:03:55.739564 | 2025-07-16 02:05:00.222567 | 9848841 | N/A | N/A | {'payer_id': '60054', 'payer_name': 'Aetna', 'provider_npi': '1114042165', 'trace_number': '9848841', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1986-01-20', 'date_of_service': '2025-07-15', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'DAVIS', 'subscriber_member_id': 'W258779471', 'subscriber_first_name': 'MARTINA'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250715.115829999.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993951/check_9848841_eba833a2-e0d7-4295-b6f7-cd1f132ffefa.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'W258779471', 'plan_type': 'Point of Service (POS)', 'group_name': 'ADP TOTALSOURCE SERVICES, INC.', 'payer_name': 'AETNA', 'payer_note': None, 'patient_dob': '1986-01-20', 'plan_number': '0251371', 'group_number': '025137101900020', 'insurance_type': None, 'plan_type_code': 'PS', 'enrolled_in_qmb': False, 'patient_last_name': 'DAVIS', 'plan_sponsor_name': None, 'patient_first_name': 'ASTIN', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'OPEN ACCESS MC', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8266016005 | N/A | N/A | 5993951 | 2222 | 4802 | 9602405 | N/A | 4642884 | 2025-07-16 02:05:00.222567 | 2025-12-02 20:19:19.910444 |
| 2025-07-15 09:03:55.648721 | 2025-07-16 02:05:00.966611 | 9848835 | N/A | N/A | {'payer_id': '60054', 'payer_name': 'Aetna', 'provider_npi': '1114042165', 'trace_number': '9848835', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1992-06-11', 'date_of_service': '2025-07-15', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'ROSS', 'subscriber_member_id': 'W292476869', 'subscriber_first_name': 'BRYAN'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250715.115829999.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993949/check_9848835_e74ee67b-317c-4d78-aa7c-e89396eb589c.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'W292476869', 'plan_type': 'Point of Service (POS)', 'group_name': 'PAYCHEX BUSINESS SOLUTIONS, LLC.', 'payer_name': 'AETNA', 'payer_note': None, 'patient_dob': '1992-06-11', 'plan_number': '0176563', 'group_number': '017656301200042', 'insurance_type': None, 'plan_type_code': 'PS', 'enrolled_in_qmb': False, 'patient_last_name': 'ROSS', 'plan_sponsor_name': None, 'patient_first_name': 'BRYAN', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'OPEN ACCESS MC', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8266016004 | N/A | N/A | 5993949 | 2222 | 4793 | 9602415 | N/A | 4642881 | 2025-07-16 02:05:00.966611 | 2025-06-06 02:27:19.212061 |
| 2025-07-15 09:03:51.003788 | 2025-07-16 02:08:32.120470 | 9848637 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': '1114042165', 'trace_number': '9848637', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1995-01-31', 'date_of_service': '2025-07-15', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'MAJD', 'subscriber_member_id': 'XED911263594', 'subscriber_first_name': 'SYDNEY'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250715.115434477.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6555034/check_9848637_1968b093-9229-4941-b856-00cdf26397f0.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XED911263594', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'IFP ON EXCHANGE', 'payer_name': 'BLUE SHIELD CALIFORNIA', 'payer_note': None, 'patient_dob': '1995-01-31', 'plan_number': '2001ZK002185', 'group_number': 'X0001004', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'MAJD', 'plan_sponsor_name': None, 'patient_first_name': 'SYDNEY', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2025-01-01', 'plan_coverage_description': 'SILVER 87 PPO JAN25', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8265991463 | N/A | N/A | 6555034 | 2222 | 4793 | 9604844 | N/A | 5178259 | 2025-07-16 02:08:32.120470 | 2025-07-08 22:15:02.277880 |
| 2025-07-15 09:03:49.896584 | 2025-07-16 02:07:40.058186 | 9848596 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9848596', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '2006-03-24', 'date_of_service': '2025-07-15', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'subscriber_last_name': 'STRUYK', 'subscriber_member_id': 'KXJ856W22729', 'subscriber_first_name': 'WILLIAM'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250715.115434477.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6554190/check_9848596_0d8eb812-0780-4bbb-acd0-f379e2dcc576.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'KXJ856W22729', 'plan_type': None, 'group_name': None, 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '2006-03-24', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'STRUYK', 'plan_sponsor_name': None, 'patient_first_name': 'WILLIAM', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8265991448 | N/A | N/A | 6554190 | 2222 | 4793 | 9604251 | N/A | 5177382 | 2025-07-16 02:07:40.058186 | 2025-06-30 00:02:38.867255 |
| 2025-07-15 09:03:49.378003 | 2025-07-16 02:11:36.093452 | 9848572 | N/A | N/A | {'payer_id': 'Z1073', 'payer_name': 'Medicare B California Southern', 'provider_npi': '1114042165', 'trace_number': '9848572', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1939-06-18', 'date_of_service': '2025-07-15', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'SEGURA', 'subscriber_member_id': '8DD9YX8FN41', 'subscriber_first_name': 'CIRA'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250715.115434477.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6553930/check_9848572_0c19c611-d735-4bd0-b4de-5a42e86fd5bc.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '8DD9YX8FN41', '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': '1939-06-18', 'plan_number': 'S5617', 'group_number': None, 'insurance_type': None, 'plan_type_code': 'MB', 'enrolled_in_qmb': False, 'patient_last_name': 'SEGURA', 'plan_sponsor_name': None, 'patient_first_name': 'CIRA', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8265991441 | N/A | N/A | 6553930 | 2222 | 4801 | 9607002 | N/A | 5177091 | 2025-07-16 02:11:36.093452 | 2025-06-23 20:23:14.340232 |
| 2025-07-15 09:03:43.198461 | 2025-07-16 02:12:22.760478 | 9848354 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9848354', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1965-06-26', 'date_of_service': '2025-07-15', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'MAGHSOUDLOO', 'subscriber_member_id': 'XEA913772161', 'subscriber_first_name': 'FARIBAB'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250715.120831529.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6770593/check_9848354_0069bbeb-3137-4912-916a-2168dc81e08e.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XEA913772161', 'plan_type': None, 'group_name': None, 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1965-06-26', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'MAGHSOUDLOO', 'plan_sponsor_name': None, 'patient_first_name': 'FARIBAB', '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 | 8266107065 | N/A | N/A | 6770593 | 2222 | 4793 | 9607542 | N/A | 5788398 | 2025-07-16 02:12:22.760478 | 2025-07-31 22:52:15.686379 |
| 2025-07-15 09:03:37.917431 | 2025-07-16 02:01:54.739038 | 9848159 | N/A | N/A | {'payer_id': 'REGAL', 'payer_name': 'Regal Medical Group', 'provider_npi': '1114042165', 'trace_number': '9848159', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1944-03-21', 'date_of_service': '2025-07-15', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'WEBB', 'subscriber_member_id': 'JQS041M77883', 'subscriber_first_name': 'ALICE'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250715.115434477.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6522470/check_9848159_2b9d7287-b6da-4f92-8129-e3582a7d4fd9.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'JQS041M77883', 'plan_type': None, 'group_name': None, 'payer_name': 'REGAL MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1944-03-21', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'WEBB', 'plan_sponsor_name': None, 'patient_first_name': 'ALICE', '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 | 8265991360 | N/A | N/A | 6522470 | 2222 | 4801 | 9600278 | N/A | 4214765 | 2025-07-16 02:01:54.739038 | 2025-05-13 04:29:37.229089 |
| 2025-07-15 09:03:37.726778 | 2025-07-16 02:08:32.597991 | 9848150 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': '1114042165', 'trace_number': '9848150', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1969-01-17', 'date_of_service': '2025-07-15', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'subscriber_last_name': 'PELICO', 'subscriber_member_id': 'XED914193130', 'subscriber_first_name': 'HUGO'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250715.115434477.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6522375/check_9848150_3d9b5c13-d91e-4c4b-ba13-6910adbfc5e5.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XED914193130', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'IFP ON EXCHANGE', 'payer_name': 'BLUE SHIELD CALIFORNIA', 'payer_note': None, 'patient_dob': '1969-01-17', 'plan_number': '2001ZK002186', 'group_number': 'X0001004', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'PELICO', 'plan_sponsor_name': None, 'patient_first_name': 'HUGO', '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 | 8265991358 | N/A | N/A | 6522375 | 2222 | 4801 | 9604849 | N/A | 5145597 | 2025-07-16 02:08:32.597991 | 2025-07-01 00:04:17.798423 |
| 2025-07-15 09:03:36.248357 | 2025-07-16 02:07:14.838128 | 9848088 | N/A | N/A | {'payer_id': '94134', 'payer_name': 'Kaiser Foundation Health Plan of Southern CA Region', 'provider_npi': '1114042165', 'trace_number': '9848088', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1958-01-09', 'date_of_service': '2025-07-15', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'MEISTER', 'subscriber_member_id': '000004042289', 'subscriber_first_name': 'JACQUELINE'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250715.115434477.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6518751/check_9848088_d9daffe8-5960-483f-b78b-aaa3c22b48de.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} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8265991111 | N/A | N/A | 6518751 | 2222 | 4793 | 9604005 | N/A | 4766789 | 2025-07-16 02:07:14.838128 | 2025-06-04 04:12:38.642669 |
| 2025-07-15 09:03:29.463427 | 2025-07-16 02:01:52.637309 | 9847828 | N/A | N/A | {'payer_id': 'LMG01', 'payer_name': 'Lakeside Medical Group', 'provider_npi': '1114042165', 'trace_number': '9847828', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1953-07-12', 'date_of_service': '2025-07-15', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'CROSS', 'subscriber_member_id': 'H7061645100', 'subscriber_first_name': 'VICTORIA'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250715.115434477.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6497469/check_9847828_9c3cb348-2b0b-45c4-a468-aa2d511ba8e1.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'H7061645100', 'plan_type': None, 'group_name': None, 'payer_name': 'LAKESIDE MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1953-07-12', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'CROSS', 'plan_sponsor_name': None, 'patient_first_name': 'VICTORIA', '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 | 8265990918 | N/A | N/A | 6497469 | 2222 | 4793 | 9600258 | N/A | 4211178 | 2025-07-16 02:01:52.637309 | 2025-05-13 04:29:37.225579 |
| 2025-07-15 09:03:27.803797 | 2025-07-16 02:07:39.320601 | 9847774 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9847774', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1964-10-24', 'date_of_service': '2025-07-15', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'subscriber_last_name': 'CROWLEY', 'subscriber_member_id': 'MTA374M92552', 'subscriber_first_name': 'SEAN'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250715.115434477.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6493087/check_9847774_7ff2cca7-0640-442d-a8ef-012227680bd0.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'MTA374M92552', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'SILVER PPO PLAN', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1964-10-24', 'plan_number': '423', 'group_number': '201052M4A1', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'CROWLEY', 'plan_sponsor_name': None, 'patient_first_name': 'KAMEY L', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2018-01-01', 'plan_coverage_description': 'BC PPO', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8265990840 | N/A | N/A | 6493087 | 2222 | 4793 | 9604241 | N/A | 5122224 | 2025-07-16 02:07:39.320601 | 2025-07-03 20:38:26.526222 |
| 2025-07-15 09:03:27.344020 | 2025-07-16 02:11:36.992970 | 9847762 | N/A | N/A | {'payer_id': 'Z1073', 'payer_name': 'Medicare B California Southern', 'provider_npi': '1114042165', 'trace_number': '9847762', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1957-12-13', 'date_of_service': '2025-07-15', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'WALLEN', 'subscriber_member_id': '8Q55EE9RC74', 'subscriber_first_name': 'ELLYN'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250715.115434477.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6492809/check_9847762_625d2e32-f68d-4b2b-8777-896e3b237f73.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '8Q55EE9RC74', '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': '1957-12-13', 'plan_number': 'S5617', 'group_number': None, 'insurance_type': None, 'plan_type_code': 'MA', 'enrolled_in_qmb': False, 'patient_last_name': 'WALLEN', 'plan_sponsor_name': None, 'patient_first_name': 'ELLYN', '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 | 8265990835 | N/A | N/A | 6492809 | 2222 | 4793 | 9607012 | N/A | 5121955 | 2025-07-16 02:11:36.992970 | 2025-06-19 17:23:34.410819 |
| 2025-07-15 09:03:13.037600 | 2025-07-16 02:02:09.924095 | 9847427 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9847427', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1947-09-13', 'date_of_service': '2025-07-15', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'ELDRIDGE', 'subscriber_member_id': 'JQE441W06428', 'subscriber_first_name': 'MARGARET'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250715.115703817.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536115/check_9847427_67992711-6eca-4bad-9ac2-f77c977137a0.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'JQE441W06428', 'plan_type': None, 'group_name': 'CA MED-SUPP', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1947-09-13', 'plan_number': '040', 'group_number': 'CASUPWP0', 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'ELDRIDGE', 'plan_sponsor_name': None, 'patient_first_name': 'MARGARET', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2021-01-01', 'plan_coverage_description': 'CA MODERNIZED PLAN G', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8265965870 | N/A | N/A | 5536115 | 2222 | 4793 | 9600437 | N/A | 4208915 | 2025-07-16 02:02:09.924095 | 2025-07-25 17:30:46.084330 |
| 2025-07-15 09:03:08.461129 | 2025-07-16 02:07:54.957068 | 9847304 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9847304', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1956-07-22', 'date_of_service': '2025-07-15', 'subscriber_gender': 'U', 'service_type_codes': ['PT'], 'subscriber_last_name': 'DE GARCIA', 'subscriber_member_id': '843W0902920', 'subscriber_first_name': 'SMIRNA'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250715.115434477.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6473411/check_9847304_bc189375-1cac-45d7-b292-f5b25c374917.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '843W0902920', 'plan_type': None, 'group_name': None, 'payer_name': 'BLUE CROSS CALIFORNIA', '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 | 8265990420 | N/A | N/A | 6473411 | 2222 | 4801 | 9604415 | N/A | 5106449 | 2025-07-16 02:07:54.957068 | 2025-07-17 17:51:16.415897 |
| 2025-07-15 09:03:07.160875 | 2025-07-16 02:11:36.439205 | 9847272 | N/A | N/A | {'payer_id': 'Z1073', 'payer_name': 'Medicare B California Southern', 'provider_npi': '1114042165', 'trace_number': '9847272', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1957-03-29', 'date_of_service': '2025-07-15', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'WALDEN', 'subscriber_member_id': '5AF5PY3HV89', 'subscriber_first_name': 'REGAN'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250715.115434477.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6472393/check_9847272_95ece54c-f4cd-49d9-8cbe-bddd901b72e6.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '5AF5PY3HV89', 'plan_type': 'Medicare Part A', 'group_name': None, 'payer_name': 'UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY', 'payer_note': '0-BENEFICIARY INSURED DUE TO AGE OASI', 'patient_dob': '1957-03-29', 'plan_number': 'S5921', 'group_number': None, 'insurance_type': None, 'plan_type_code': 'MA', 'enrolled_in_qmb': False, 'patient_last_name': 'WALDEN', 'plan_sponsor_name': None, 'patient_first_name': 'REGAN', '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 | 8265990412 | N/A | N/A | 6472393 | 2222 | 4801 | 9607007 | N/A | 5105545 | 2025-07-16 02:11:36.439205 | 2025-07-07 15:29:01.484955 |
| 2025-07-15 09:02:26.092802 | 2025-07-16 02:18:30.856274 | 9846164 | N/A | N/A | {'payer_id': 'Z1073', 'payer_name': 'Medicare B California Southern', 'provider_npi': '1114042165', 'trace_number': '9846164', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1929-07-02', 'date_of_service': '2025-07-15', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'Walter', 'subscriber_member_id': '1TQ1EQ4FJ98', 'subscriber_first_name': 'Howard'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250715.120831529.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6751304/check_9846164_587cbe96-00d8-4a3f-b817-cf73b69769e3.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '1TQ1EQ4FJ98', 'plan_type': None, 'group_name': None, 'payer_name': 'CMS', 'payer_note': None, 'patient_dob': '1929-07-02', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'WALTER', 'plan_sponsor_name': None, 'patient_first_name': 'HOWARD', '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 | 8266106176 | N/A | N/A | 6751304 | 2222 | 4802 | 9610763 | N/A | 5557241 | 2025-07-16 02:18:30.856274 | 2025-07-22 17:08:51.810153 |
| 2025-07-15 09:02:24.508665 | 2025-07-16 02:01:54.040089 | 9846118 | N/A | N/A | {'payer_id': 'REGAL', 'payer_name': 'Regal Medical Group', 'provider_npi': '1114042165', 'trace_number': '9846118', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1951-11-24', 'date_of_service': '2025-07-15', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'SILVA', 'subscriber_member_id': '40047267701', 'subscriber_first_name': 'ROSALIA'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250715.115434477.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6445982/check_9846118_a953fb18-9caa-4241-838f-00d8e4cfc77a.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '40047267701', 'plan_type': None, 'group_name': None, 'payer_name': 'REGAL MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1951-11-24', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'SILVA', 'plan_sponsor_name': None, 'patient_first_name': 'ROSALIA', '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 | 8265989852 | N/A | N/A | 6445982 | 2222 | 4801 | 9600272 | N/A | 5085675 | 2025-07-16 02:01:54.040089 | 2025-11-17 23:46:25.232629 |
| 2025-07-15 09:02:21.968100 | 2025-07-16 02:06:10.218143 | 9846042 | N/A | N/A | {'payer_id': '72261', 'payer_name': 'Scan Health Plan - California', 'provider_npi': '1114042165', 'trace_number': '9846042', 'provider_name': '', 'subscriber_dob': '1949-01-04', 'date_of_service': '2025-07-15', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'MARTINEZ', 'subscriber_member_id': '40031653001', 'subscriber_first_name': 'CONSUELO'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250715.115434477.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6442609/check_9846042_d2eb7291-24b4-48d6-8588-991e3fefda4f.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 - CALIFORNIA', 'payer_note': None, 'patient_dob': '1949-01-04', 'plan_number': None, 'group_number': None, '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': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8265989830 | N/A | N/A | 6442609 | 2222 | 4801 | 9603281 | N/A | 5083714 | 2025-07-16 02:06:10.218143 | 2025-07-18 18:00:26.722024 |
| 2025-07-15 09:02:19.227295 | 2025-07-16 02:01:53.350513 | 9845958 | N/A | N/A | {'payer_id': 'LMG01', 'payer_name': 'Lakeside Medical Group', 'provider_npi': '1114042165', 'trace_number': '9845958', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1998-01-12', 'date_of_service': '2025-07-15', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'GUTIERREZ DE LA TORR', 'subscriber_member_id': '99184430E', 'subscriber_first_name': 'JOEL'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250715.115434477.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6436444/check_9845958_21acf535-5d21-4614-a3ab-797a0efc9a99.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '99184430E', 'plan_type': None, 'group_name': None, 'payer_name': 'LAKESIDE MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1998-01-12', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'GUTIERREZ DE LA TORR', 'plan_sponsor_name': None, 'patient_first_name': 'JOEL', '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 | 8265989711 | N/A | N/A | 6436444 | 2222 | 4802 | 9600265 | N/A | 5082110 | 2025-07-16 02:01:53.350513 | 2025-06-24 20:17:03.860413 |
| 2025-07-15 09:02:18.662105 | 2025-07-16 02:19:25.905635 | 9845937 | N/A | N/A | {'payer_id': 'Z1073', 'payer_name': 'Medicare B California Southern', 'provider_npi': '1114042165', 'trace_number': '9845937', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1946-04-16', 'date_of_service': '2025-07-15', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'GNAD', 'subscriber_member_id': '9EM9VP4XX36', 'subscriber_first_name': 'MELANIE'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250715.115829999.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676353/check_9845937_afd76c38-4473-43fd-92b9-0aea5aa3ce5b.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '9EM9VP4XX36', 'plan_type': 'Medicare Part B', 'group_name': None, 'payer_name': 'SILVERSCRIPT INSURANCE COMPANY', 'payer_note': '0-BENEFICIARY INSURED DUE TO AGE OASI', 'patient_dob': '1946-04-16', 'plan_number': 'S5601', 'group_number': None, 'insurance_type': None, 'plan_type_code': 'MB', 'enrolled_in_qmb': False, 'patient_last_name': 'GNAD', 'plan_sponsor_name': None, 'patient_first_name': 'MELANIE', '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 | 8266014231 | N/A | N/A | 5676353 | 2222 | 4801 | 9611110 | N/A | 4212792 | 2025-07-16 02:19:25.905635 | 2025-10-07 20:33:25.637997 |
| 2025-07-14 23:12:11.779251 | 2025-07-14 23:12:13.625592 | 9841302 | 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': '1998-05-22', 'date_of_service': '2025-07-14', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 23277, 'subscriber_last_name': 'HAFNER', 'subscriber_member_id': 'JQV598W06257', 'subscriber_first_name': 'DYLAN'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541976/check_9841302_54d629bd-f42d-42c7-bd3d-d808941b5ad3.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541976/check_9841302_905038ff-a7a9-4e22-bd07-a0d07920a877.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} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 5541976 | 2222 | N/A | 9560097 | N/A | 4213943 | 2025-07-14 23:12:13.625592 | 2025-05-13 04:29:37.228261 |
| 2025-07-14 23:12:10.177095 | 2025-07-14 23:12:11.775108 | 9841301 | 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': '1998-05-22', 'date_of_service': '2025-07-14', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 23277, 'subscriber_last_name': 'HAFNER', 'subscriber_member_id': 'JQV598W06257', 'subscriber_first_name': 'DYLAN'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541976/check_9841301_68b5978d-99dc-42cd-98a4-f3fce01fcbbc.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-14 | N/A | 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} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 5541976 | 2222 | N/A | N/A | N/A | 4213943 | 2025-07-14 23:12:11.775108 | 2025-05-13 04:29:37.228261 |
| 2025-07-14 22:43:57.802252 | 2025-07-14 22:43:59.504786 | 9841188 | 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': '1969-08-20', 'date_of_service': '2025-07-21', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 23298, 'subscriber_last_name': 'STARK', 'subscriber_member_id': '8779568-02', 'subscriber_first_name': 'DANA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/7003099/check_9841188_924ac940-09b9-417b-ac79-0e9edbd0142e.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7003099/check_9841188_386409ab-e85d-472c-ad2a-67d9a7edee76.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '8779568-02', 'plan_type': None, 'group_name': None, 'payer_name': 'REGAL MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1969-08-20', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'STARK', 'plan_sponsor_name': None, 'patient_first_name': 'DANA', '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 | 7003099 | 2222 | N/A | 9559917 | N/A | 6021278 | 2025-07-14 22:43:59.504786 | 2025-07-14 22:36:43.535840 |
| 2025-07-14 22:43:56.227184 | 2025-07-14 22:43:57.800016 | 9841187 | 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': '1969-08-20', 'date_of_service': '2025-07-21', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 23298, 'subscriber_last_name': 'STARK', 'subscriber_member_id': '8779568-02', 'subscriber_first_name': 'DANA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/7003099/check_9841187_df26f320-f455-45ae-b390-5d8b2ee7f00e.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-21 | N/A | N/A | N/A | N/A | N/A | N/A | {'member_id': '8779568-02', 'plan_type': None, 'group_name': None, 'payer_name': 'REGAL MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1969-08-20', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'STARK', 'plan_sponsor_name': None, 'patient_first_name': 'DANA', '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 | 7003099 | 2222 | N/A | N/A | N/A | 6021278 | 2025-07-14 22:43:57.800016 | 2025-07-14 22:36:43.535840 |
| 2025-07-14 22:42:31.292206 | 2025-07-14 22:42:33.146151 | 9841179 | 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': '1969-08-20', 'date_of_service': '2025-07-21', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 23298, 'subscriber_last_name': 'STARK', 'subscriber_member_id': '8779568-02', 'subscriber_first_name': 'DANA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/7003099/check_9841179_b3d0455b-65ad-46ba-95d3-6b8be7f6ca2b.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7003099/check_9841179_02ed3f33-0cd6-4cb8-82fe-b9252448783a.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '8779568-02', 'plan_type': None, 'group_name': None, 'payer_name': 'REGAL MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1969-08-20', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'STARK', 'plan_sponsor_name': None, 'patient_first_name': 'DANA', '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 | 7003099 | 2222 | N/A | 9559907 | N/A | 6021278 | 2025-07-14 22:42:33.146151 | 2025-07-14 22:36:43.535840 |
| 2025-07-14 22:42:29.720545 | 2025-07-14 22:42:31.286990 | 9841178 | 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': '1969-08-20', 'date_of_service': '2025-07-21', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 23298, 'subscriber_last_name': 'STARK', 'subscriber_member_id': '8779568-02', 'subscriber_first_name': 'DANA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/7003099/check_9841178_028e12f1-785c-4023-8561-d7c447e94c4a.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-21 | N/A | N/A | N/A | N/A | N/A | N/A | {'member_id': '8779568-02', 'plan_type': None, 'group_name': None, 'payer_name': 'REGAL MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1969-08-20', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'STARK', 'plan_sponsor_name': None, 'patient_first_name': 'DANA', '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 | 7003099 | 2222 | N/A | N/A | N/A | 6021278 | 2025-07-14 22:42:31.286990 | 2025-07-14 22:36:43.535840 |
| 2025-07-14 22:42:21.722612 | 2025-07-14 22:42:26.529122 | 9841177 | 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': '1969-08-20', 'date_of_service': '2025-07-21', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 23298, 'subscriber_last_name': 'STARK', 'subscriber_member_id': '8779568-02', 'subscriber_first_name': 'DANA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/7003099/check_9841177_e660cf49-4f5d-4b39-b7a3-c9216267aa1d.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7003099/check_9841177_0adc3d81-1f81-4c85-9ed4-04287d1c151f.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '8779568-02', 'plan_type': None, 'group_name': None, 'payer_name': 'REGAL MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1969-08-20', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'STARK', 'plan_sponsor_name': None, 'patient_first_name': 'DANA', '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 | 7003099 | 2222 | N/A | 9559905 | N/A | 6021278 | 2025-07-14 22:42:26.529122 | 2025-07-14 22:36:43.535840 |
| 2025-07-14 22:42:20.152453 | 2025-07-14 22:42:21.717659 | 9841176 | 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': '1969-08-20', 'date_of_service': '2025-07-21', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 23298, 'subscriber_last_name': 'STARK', 'subscriber_member_id': '8779568-02', 'subscriber_first_name': 'DANA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/7003099/check_9841176_47bf0be5-e9a6-475d-a07a-7988d73e12b0.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-21 | N/A | N/A | N/A | N/A | N/A | N/A | {'member_id': '8779568-02', 'plan_type': None, 'group_name': None, 'payer_name': 'REGAL MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1969-08-20', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'STARK', 'plan_sponsor_name': None, 'patient_first_name': 'DANA', '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 | 7003099 | 2222 | N/A | N/A | N/A | 6021278 | 2025-07-14 22:42:21.717659 | 2025-07-14 22:36:43.535840 |