API Data Explorer (Athletic API)
Choose an endpoint and browse pulled records with export support.
API Endpoints
Total rows: 63,271
| created_at | updated_at | id | athelas_task_id | cmds_task_id | raw_request | raw_response_url | check_source | has_error | created_by | date_of_service | parsed_data_url | parsed_data | oon_parsed_data | suggested_copay_amt | is_deductible_met | is_in_network | plan_info | service_type_codes | is_proactive_visit | is_archived | failed_to_parse_response_reason | payer_plan_info | medicare_part | waystar_inquiry_id | created_by_user_id | appointment_id | patient_insurance_info_id | site_id | facility_id | eligibility_coverage_id | mapped_insurance_company_id | patient_id | eligibility_checks_updated_at | patients_updated_at |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-07-18 10:03:50.749152 | 2025-07-18 10:03:57.203265 | 9972655 | N/A | N/A | {'payer_id': '87726', 'payer_name': 'United Healthcare', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1947-08-18', 'date_of_service': '2025-07-21', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6411, 'subscriber_last_name': 'FABER', 'subscriber_member_id': '331524986-11', 'subscriber_first_name': 'LINDA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6522947/check_9972655_e88fb338-4fbc-4310-9678-88671d3ce3d6.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6522947/check_9972655_3242f612-6579-42d7-9df8-aa3fe77d20f6.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '331524986', 'plan_type': None, 'group_name': None, 'payer_name': 'UNITEDHEALTHCARE', 'payer_note': None, 'patient_dob': '1947-08-18', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'FABER', 'plan_sponsor_name': None, 'patient_first_name': 'LINDA', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6522947 | 2222 | N/A | 9688411 | N/A | 5146127 | 2025-07-18 10:03:57.203265 | 2025-06-20 17:58:23.371130 |
| 2025-07-18 10:03:43.753393 | 2025-07-18 10:03:50.735926 | 9972630 | N/A | N/A | {'payer_id': '87726', 'payer_name': 'United Healthcare', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1947-08-18', 'date_of_service': '2025-07-21', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6411, 'subscriber_last_name': 'FABER', 'subscriber_member_id': '331524986-11', 'subscriber_first_name': 'LINDA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6522947/check_9972630_1893239b-d59a-4ab8-8adf-5e2ab983eb11.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-21 | N/A | N/A | N/A | N/A | N/A | N/A | {'member_id': '331524986', 'plan_type': None, 'group_name': None, 'payer_name': 'UNITEDHEALTHCARE', 'payer_note': None, 'patient_dob': '1947-08-18', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'FABER', 'plan_sponsor_name': None, 'patient_first_name': 'LINDA', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6522947 | 2222 | N/A | N/A | N/A | 5146127 | 2025-07-18 10:03:50.735926 | 2025-06-20 17:58:23.371130 |
| 2025-07-18 10:03:28.910070 | 2025-07-18 10:03:33.146883 | 9972581 | N/A | N/A | {'payer_id': '87726', 'payer_name': 'United Healthcare', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1958-09-13', 'date_of_service': '2025-07-21', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6397, 'subscriber_last_name': 'DERR', 'subscriber_member_id': '353354100-11', 'subscriber_first_name': 'DENNIS'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/5874421/check_9972581_41fb786f-4b07-4e90-a08f-b637918916fb.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874421/check_9972581_0fb72195-8de3-4bef-a3a6-0ac3cd982e98.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '221344721', 'plan_type': None, 'group_name': None, 'payer_name': 'UNITEDHEALTHCARE', 'payer_note': None, 'patient_dob': '1958-09-28', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': '', 'plan_sponsor_name': None, 'patient_first_name': '', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5874421 | 2222 | N/A | 9688336 | N/A | 4534550 | 2025-07-18 10:03:33.146883 | 2025-10-15 18:36:58.255255 |
| 2025-07-18 10:03:23.381440 | 2025-07-18 10:03:27.364028 | 9972566 | 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': '1952-07-25', 'date_of_service': '2025-07-21', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6411, 'subscriber_last_name': 'LANE', 'subscriber_member_id': 'MISSINGPOLICYNUMBER', 'subscriber_first_name': 'STEVEN'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/5928917/check_9972566_e4ace675-457e-41f6-ada8-57f017c653de.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5928917/check_9972566_3d1cfcaa-80f9-4d9a-a0bb-98d68ae2f76f.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '328563857', 'plan_type': None, 'group_name': None, 'payer_name': 'UNITEDHEALTHCARE', 'payer_note': None, 'patient_dob': '1952-07-25', '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': 'STEVEN', '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 | 5928917 | 2222 | N/A | 9688319 | N/A | 4219832 | 2025-07-18 10:03:27.364028 | 2025-05-13 04:29:37.230877 |
| 2025-07-18 10:03:19.335720 | 2025-07-18 10:03:23.371965 | 9972555 | 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': '1952-07-25', 'date_of_service': '2025-07-21', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6411, 'subscriber_last_name': 'LANE', 'subscriber_member_id': 'MISSINGPOLICYNUMBER', 'subscriber_first_name': 'STEVEN'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/5928917/check_9972555_1085fbca-bd3d-4028-a272-5c28ee29d14c.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-21 | N/A | N/A | N/A | N/A | N/A | N/A | {'member_id': '328563857', 'plan_type': None, 'group_name': None, 'payer_name': 'UNITEDHEALTHCARE', 'payer_note': None, 'patient_dob': '1952-07-25', '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': 'STEVEN', '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 | 5928917 | 2222 | N/A | N/A | N/A | 4219832 | 2025-07-18 10:03:23.371965 | 2025-05-13 04:29:37.230877 |
| 2025-07-18 10:03:16.809672 | 2025-07-18 10:03:28.875895 | 9972550 | N/A | N/A | {'payer_id': '87726', 'payer_name': 'United Healthcare', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1958-09-13', 'date_of_service': '2025-07-21', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6397, 'subscriber_last_name': 'DERR', 'subscriber_member_id': '353354100-11', 'subscriber_first_name': 'DENNIS'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/5874421/check_9972550_87bdea0d-efd7-4e38-a11d-470a417e1641.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-21 | N/A | N/A | N/A | N/A | N/A | N/A | {'member_id': '221344721', 'plan_type': None, 'group_name': None, 'payer_name': 'UNITEDHEALTHCARE', 'payer_note': None, 'patient_dob': '1958-09-28', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': '', 'plan_sponsor_name': None, 'patient_first_name': '', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5874421 | 2222 | N/A | N/A | N/A | 4534550 | 2025-07-18 10:03:28.875895 | 2025-10-15 18:36:58.255255 |
| 2025-07-18 10:01:56.965567 | 2025-07-18 10:01:59.728750 | 9972288 | 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': '1954-04-02', 'date_of_service': '2025-07-18', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6411, 'subscriber_last_name': 'HIRSCH', 'subscriber_member_id': '319157634-11', 'subscriber_first_name': 'ELISA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6959069/check_9972288_f0379224-5e46-4b5a-be98-481b9e034f81.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6959069/check_9972288_1a0a0aff-03e5-4887-95c0-ccfd4e0041c2.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '319157634', 'plan_type': None, 'group_name': None, 'payer_name': 'UNITEDHEALTHCARE', 'payer_note': None, 'patient_dob': '1954-04-02', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'HIRSCH', 'plan_sponsor_name': None, 'patient_first_name': 'ELISA', '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 | 6959069 | 2222 | N/A | 9688048 | N/A | 5984212 | 2025-07-18 10:01:59.728750 | 2025-07-10 22:53:20.928686 |
| 2025-07-18 10:01:53.357129 | 2025-07-18 10:01:56.962953 | 9972272 | 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': '1954-04-02', 'date_of_service': '2025-07-18', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6411, 'subscriber_last_name': 'HIRSCH', 'subscriber_member_id': '319157634-11', 'subscriber_first_name': 'ELISA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6959069/check_9972272_b49a5c61-2db6-4080-a7fc-011153a28841.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-18 | N/A | N/A | N/A | N/A | N/A | N/A | {'member_id': '319157634', 'plan_type': None, 'group_name': None, 'payer_name': 'UNITEDHEALTHCARE', 'payer_note': None, 'patient_dob': '1954-04-02', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'HIRSCH', 'plan_sponsor_name': None, 'patient_first_name': 'ELISA', '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 | 6959069 | 2222 | N/A | N/A | N/A | 5984212 | 2025-07-18 10:01:56.962953 | 2025-07-10 22:53:20.928686 |
| 2025-07-18 10:01:48.725540 | 2025-07-18 10:01:51.737304 | 9972260 | N/A | N/A | {'payer_id': '87726', 'payer_name': 'United Healthcare', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1951-11-18', 'date_of_service': '2025-07-18', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6411, 'subscriber_last_name': 'JACOBY', 'subscriber_member_id': '34555828811', 'subscriber_first_name': 'LEAH'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6145941/check_9972260_13063616-77e9-497a-ab4f-33480a08e2aa.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6145941/check_9972260_df0727b3-828c-4c75-9eb1-c27a1e5cd310.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '345558288', 'plan_type': None, 'group_name': None, 'payer_name': 'UNITEDHEALTHCARE', 'payer_note': None, 'patient_dob': '1951-11-18', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'JACOBI', 'plan_sponsor_name': None, 'patient_first_name': 'LEAH', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6145941 | 2222 | N/A | 9688024 | N/A | 4786785 | 2025-07-18 10:01:51.737304 | 2025-06-13 00:55:48.629734 |
| 2025-07-18 10:01:44.986466 | 2025-07-18 10:01:48.715567 | 9972248 | N/A | N/A | {'payer_id': '87726', 'payer_name': 'United Healthcare', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1951-11-18', 'date_of_service': '2025-07-18', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6411, 'subscriber_last_name': 'JACOBY', 'subscriber_member_id': '34555828811', 'subscriber_first_name': 'LEAH'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6145941/check_9972248_2e372712-66d3-49d6-9a63-0b70bd9d3613.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-18 | N/A | N/A | N/A | N/A | N/A | N/A | {'member_id': '345558288', 'plan_type': None, 'group_name': None, 'payer_name': 'UNITEDHEALTHCARE', 'payer_note': None, 'patient_dob': '1951-11-18', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'JACOBI', 'plan_sponsor_name': None, 'patient_first_name': 'LEAH', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6145941 | 2222 | N/A | N/A | N/A | 4786785 | 2025-07-18 10:01:48.715567 | 2025-06-13 00:55:48.629734 |
| 2025-07-18 09:55:14.031458 | 2025-07-18 09:55:18.031818 | 9971326 | N/A | N/A | {'payer_id': '87726', 'payer_name': 'United Healthcare', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1948-06-01', 'date_of_service': '2025-07-21', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6411, 'subscriber_last_name': 'MOWERY', 'subscriber_member_id': '9118772604', 'subscriber_first_name': 'LYNN'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6611792/check_9971326_5bd23c72-5f4d-45f2-a30a-a971da138df7.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6611792/check_9971326_0e2b7971-67c2-4548-8f04-b54245e67602.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '988372709', 'plan_type': None, 'group_name': None, 'payer_name': 'UNITEDHEALTHCARE', 'payer_note': None, 'patient_dob': '1948-06-01', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': '', 'plan_sponsor_name': None, 'patient_first_name': '', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8297563461 | N/A | N/A | 6611792 | 2222 | N/A | 9687088 | N/A | 5230196 | 2025-07-18 09:55:18.031818 | 2025-07-08 23:21:57.866357 |
| 2025-07-18 09:54:37.479992 | 2025-07-18 09:54:44.494474 | 9971242 | 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': '1988-08-12', 'date_of_service': '2025-07-21', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6411, 'subscriber_last_name': 'MILLER', 'subscriber_member_id': 'Y21933352', 'subscriber_first_name': 'MATTHEW'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6554009/check_9971242_04a5415a-1bd1-4745-ac07-c29a0845095d.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6554009/check_9971242_8e7deed9-3090-4a30-bb67-837ac1686b65.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'Y21933352', 'plan_type': None, 'group_name': 'AMERICAN ORTHODONTICS CORPORATION', 'payer_name': 'UMR', 'payer_note': None, 'patient_dob': '1988-08-12', 'plan_number': '767000410285001', 'group_number': '76410285', 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'MILLER', 'plan_sponsor_name': None, 'patient_first_name': 'MATTHEW', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8297562252 | N/A | N/A | 6554009 | 2222 | N/A | 9687008 | N/A | 5177173 | 2025-07-18 09:54:44.494474 | 2025-06-23 20:51:27.090412 |
| 2025-07-18 09:52:30.200418 | 2025-07-18 09:52:34.342699 | 9970934 | 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': '1975-07-15', 'date_of_service': '2025-07-21', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6411, 'subscriber_last_name': 'SKLAR', 'subscriber_member_id': '997341869', 'subscriber_first_name': 'ANDREA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6124041/check_9970934_ef4f3746-2ec8-4afb-adf0-9fc1ef266898.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6124041/check_9970934_8796fe5d-e104-4036-871c-4a778724da7b.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '997341869', 'plan_type': 'Commercial', 'group_name': 'PFIZER INC', 'payer_name': 'UNITEDHEALTHCARE', 'payer_note': 'FUNDING TYPE = SELF INSURED - LARGE GROUP A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED', 'patient_dob': '1975-07-15', 'plan_number': '2366 2022', 'group_number': '183644', 'insurance_type': None, 'plan_type_code': 'C1', 'enrolled_in_qmb': False, 'patient_last_name': 'SKLAR', 'plan_sponsor_name': None, 'patient_first_name': 'ANDREA', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'POS CHOICE PLUS', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8297558309 | N/A | N/A | 6124041 | 2222 | N/A | 9686693 | N/A | 4766742 | 2025-07-18 09:52:34.342699 | 2025-06-04 15:23:35.717260 |
| 2025-07-18 09:51:18.327005 | 2025-07-18 09:51:22.430001 | 9970706 | N/A | N/A | {'payer_id': '87726', 'payer_name': 'UHC Shared Services', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1965-07-31', 'date_of_service': '2025-07-21', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 21981, 'subscriber_last_name': 'GUEVARA', 'subscriber_member_id': 'G45053839', 'subscriber_first_name': 'DIANE'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550940/check_9970706_7446cf58-b1e6-44da-9681-690f2e27a42b.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550940/check_9970706_6984836c-06f1-4800-9140-f373bb9e2cc0.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'G45053839', 'plan_type': None, 'group_name': 'GEHA MEDICAL FEHB/PSHB', 'payer_name': 'UMR', 'payer_note': None, 'patient_dob': '1965-07-31', 'plan_number': '767000416933001', 'group_number': '76416933', 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'GUEVARA', 'plan_sponsor_name': None, 'patient_first_name': 'DIANE', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8297555969 | N/A | N/A | 5550940 | 2222 | N/A | 9686470 | N/A | 4219779 | 2025-07-18 09:51:22.430001 | 2025-05-13 04:29:37.230820 |
| 2025-07-18 09:51:17.510137 | 2025-07-18 09:51:22.412050 | 9970704 | N/A | N/A | {'payer_id': '87726', 'payer_name': 'United Healthcare', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '2007-11-30', 'date_of_service': '2025-07-21', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6411, 'subscriber_last_name': 'BIERNER', 'subscriber_member_id': '941921536', 'subscriber_first_name': 'ISABEL'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543359/check_9970704_f6c3d70c-9fea-4845-9da0-3160c536c804.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543359/check_9970704_10b7ba89-0222-4579-b111-9a0ef5b479f4.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '941921536', 'plan_type': 'Commercial', 'group_name': 'APPLE INC.', 'payer_name': 'UNITEDHEALTHCARE', 'payer_note': 'FUNDING TYPE = SELF INSURED - LARGE GROUP A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED', 'patient_dob': '2007-11-30', 'plan_number': '1254 1254', 'group_number': '700406', 'insurance_type': None, 'plan_type_code': 'C1', 'enrolled_in_qmb': False, 'patient_last_name': 'BIERNER', 'plan_sponsor_name': None, 'patient_first_name': 'JACOB', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'SELECT PLUS', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8297555938 | N/A | N/A | 5543359 | 2222 | N/A | 9686471 | N/A | 4215160 | 2025-07-18 09:51:22.412050 | 2025-05-13 04:29:37.229477 |
| 2025-07-18 09:51:16.898879 | 2025-07-18 09:51:20.691299 | 9970703 | 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': '1977-05-05', 'date_of_service': '2025-07-21', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6411, 'subscriber_last_name': 'FERRER', 'subscriber_member_id': '983167284', 'subscriber_first_name': 'AUDEEN'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/5541310/check_9970703_b5ecd0be-ba92-43dd-8ec3-e564857868a2.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541310/check_9970703_32817dc7-ae7c-4305-809c-c53d13631e37.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '983167284', 'plan_type': 'Commercial', 'group_name': 'KINDEVA DRUG DELIVERY', 'payer_name': 'UNITEDHEALTHCARE', 'payer_note': 'FUNDING TYPE = SELF INSURED - LARGE GROUP A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED', 'patient_dob': '1977-05-05', 'plan_number': '0001 0001', 'group_number': '926994', 'insurance_type': None, 'plan_type_code': 'C1', 'enrolled_in_qmb': False, 'patient_last_name': 'FERRER', 'plan_sponsor_name': None, 'patient_first_name': 'AUDEEN', '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 | 8297555917 | N/A | N/A | 5541310 | 2222 | N/A | 9686467 | N/A | 4213342 | 2025-07-18 09:51:20.691299 | 2025-06-06 02:19:28.320975 |
| 2025-07-18 09:51:16.895752 | 2025-07-18 09:51:20.831982 | 9970702 | 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': '1984-01-20', 'date_of_service': '2025-07-21', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6411, 'subscriber_last_name': 'MARSHALL', 'subscriber_member_id': '77182156300', 'subscriber_first_name': 'STEVE'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543275/check_9970702_5c8f58a0-b876-40b8-af92-2932585fb8aa.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543275/check_9970702_9addbd0d-21b2-48e8-84d6-fb7305398e60.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '77182156300', 'plan_type': 'Commercial', 'group_name': None, 'payer_name': 'UNITEDHEALTHCARE INSURANCE COMPANY', 'payer_note': 'FUNDING TYPE = FULLY INSURED - SMALL GROUP LABORATORY DESIGNATED DIAGNOSTIC BENEFITS IMAGING DESIGNATED DIAGNOSTIC BENEFITS', 'patient_dob': '1984-01-20', 'plan_number': None, 'group_number': '1682006', 'insurance_type': None, 'plan_type_code': 'C1', 'enrolled_in_qmb': False, 'patient_last_name': 'MARSHALL', 'plan_sponsor_name': None, 'patient_first_name': 'STEVEN', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'CHOICE PLUS', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8297555916 | N/A | N/A | 5543275 | 2222 | N/A | 9686468 | N/A | 4215090 | 2025-07-18 09:51:20.831982 | 2025-05-13 04:29:37.229405 |
| 2025-07-18 09:15:44.467097 | 2025-07-19 02:10:02.216620 | 9965450 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': '1114042165', 'trace_number': '9965450', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1934-12-03', 'date_of_service': '2025-07-18', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'Dayzadeh', 'subscriber_member_id': 'XEM903033247', 'subscriber_first_name': 'Nasser'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250718.120515531.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6595255/check_9965450_fe70e3d9-48df-4f4b-a9a0-8a2d7342846d.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XEM903033247', 'plan_type': 'Other', 'group_name': 'MEDICARE SUPPLEMENT', 'payer_name': 'MEDICARE PART A AND B', 'payer_note': None, 'patient_dob': '1934-12-03', 'plan_number': '2101SD000023', 'group_number': 'X0001002', 'insurance_type': None, 'plan_type_code': 'OT', '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': 'MEDICARE SUPPLEMENT PLAN D', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8297441422 | N/A | N/A | 6595255 | 2222 | 4802 | 9718609 | N/A | 5202586 | 2025-07-19 02:10:02.216620 | 2025-06-25 17:55:27.155518 |
| 2025-07-18 09:14:26.647946 | 2025-07-19 02:10:48.308234 | 9964444 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': '1114042165', 'trace_number': '9964444', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1976-12-21', 'date_of_service': '2025-07-18', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'subscriber_last_name': 'Plante', 'subscriber_member_id': 'AJC910453879', 'subscriber_first_name': 'John'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250718.120523026.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7022325/check_9964444_5b1451eb-96c2-4e9d-897d-f7301dcdab8c.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'AJC910453879', 'plan_type': 'Medicaid', 'group_name': 'BSC PROMISE HEALTH PLAN MEDI CAL', 'payer_name': 'BLUE SHIELD OF CALIFORNIA PROMISE HEALTH PLAN', 'payer_note': None, 'patient_dob': '1976-12-21', 'plan_number': '1000MCAL0008', 'group_number': 'E0001001', 'insurance_type': None, 'plan_type_code': 'MC', 'enrolled_in_qmb': False, 'patient_last_name': 'PLANTE', 'plan_sponsor_name': None, 'patient_first_name': 'JOHN', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'BLUE SHIELD PROMISE MEDI CAL', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8297439727 | N/A | N/A | 7022325 | 2222 | 4802 | 9719780 | N/A | 6037494 | 2025-07-19 02:10:48.308234 | 2025-07-15 21:00:08.282965 |
| 2025-07-18 09:14:05.164860 | 2025-07-19 02:02:33.569763 | 9964163 | N/A | N/A | {'payer_id': 'REGAL', 'payer_name': 'Regal Medical Group', 'provider_npi': '1114042165', 'trace_number': '9964163', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1954-11-24', 'date_of_service': '2025-07-18', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'BLANCHFIELD', 'subscriber_member_id': '2RP5EF8DU55', 'subscriber_first_name': 'THOMAS'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250718.120515531.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6528155/check_9964163_e5cbf9cd-c7bf-4c8e-b048-fb045a2458d1.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '2RP5EF8DU55', 'plan_type': None, 'group_name': None, 'payer_name': 'REGAL MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1954-11-24', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'BLANCHFIELD', 'plan_sponsor_name': None, 'patient_first_name': 'THOMAS', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8297438596 | N/A | N/A | 6528155 | 2222 | 4793 | 9710738 | N/A | 4214447 | 2025-07-19 02:02:33.569763 | 2025-05-13 04:29:37.228764 |
| 2025-07-18 09:14:02.070597 | 2025-07-19 02:09:58.078139 | 9964114 | N/A | N/A | {'payer_id': 'CCHPC', 'payer_name': 'ALIGNMENT HEALTH CARE', 'provider_npi': '1114042165', 'trace_number': '9964114', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1959-07-25', 'date_of_service': '2025-07-18', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'CARRANZA', 'subscriber_member_id': '6T34N58CE65', 'subscriber_first_name': 'KISELL'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250718.120523026.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7019836/check_9964114_da819782-de19-4095-9485-6a1e40355631.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '6T34N58CE65', 'plan_type': None, 'group_name': None, 'payer_name': 'ALIGNMENT HEALTH', 'payer_note': None, 'patient_dob': '1959-07-25', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'CARRANZA', 'plan_sponsor_name': None, 'patient_first_name': 'KISELL', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8297439629 | N/A | N/A | 7019836 | 2222 | 4802 | 9718506 | 2630 | 4214064 | 2025-07-19 02:09:58.078139 | 2025-07-15 17:36:25.711810 |
| 2025-07-18 09:13:04.848243 | 2025-07-19 02:10:03.514057 | 9963384 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': '1114042165', 'trace_number': '9963384', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1952-08-27', 'date_of_service': '2025-07-18', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'STEINBERG', 'subscriber_member_id': 'XEM905858221', 'subscriber_first_name': 'PETER'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250718.120515531.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6473155/check_9963384_7594664f-6305-485b-8dd5-e9b1e43784d2.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XEM905858221', 'plan_type': 'Other', 'group_name': 'MEDICARE SUPPLEMENT', 'payer_name': 'MEDICARE PART A AND B', 'payer_note': None, 'patient_dob': '1952-08-27', 'plan_number': '2002SD000004', 'group_number': 'X0001002', 'insurance_type': None, 'plan_type_code': 'OT', 'enrolled_in_qmb': False, 'patient_last_name': 'STEINBERG', 'plan_sponsor_name': None, 'patient_first_name': 'PETER', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'MEDICARE SUPPLEMENT PLAN F', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8297437903 | N/A | N/A | 6473155 | 2222 | 4802 | 9718641 | N/A | 5106188 | 2025-07-19 02:10:03.514057 | 2025-06-18 23:17:37.195231 |
| 2025-07-18 09:12:38.469660 | 2025-07-19 02:04:15.784665 | 9962962 | N/A | N/A | {'payer_id': 'REGAL', 'payer_name': 'Regal Medical Group', 'provider_npi': '1114042165', 'trace_number': '9962962', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1969-08-20', 'date_of_service': '2025-07-18', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'STARK', 'subscriber_member_id': '877956802', 'subscriber_first_name': 'DANA'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250718.120523026.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7003099/check_9962962_828252fd-4430-48f7-89a0-61b0c02fd3af.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '877956802', '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 | 8297438330 | N/A | N/A | 7003099 | 2222 | 4793 | 9711621 | N/A | 6021278 | 2025-07-19 02:04:15.784665 | 2025-07-14 22:36:43.535840 |
| 2025-07-18 09:12:21.541475 | 2025-07-19 02:14:12.343298 | 9962529 | N/A | N/A | {'payer_id': 'Z1073', 'payer_name': 'Medicare B California Southern', 'provider_npi': '1114042165', 'trace_number': '9962529', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1949-04-23', 'date_of_service': '2025-07-18', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'Grinberg', 'subscriber_member_id': '1N83R22XY06', 'subscriber_first_name': 'Fedor'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250718.120523026.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7001767/check_9962529_77f6763b-8498-4259-a17c-3159c3ac6bce.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '1N83R22XY06', 'plan_type': 'Medicare Part B', 'group_name': None, 'payer_name': 'SILVERSCRIPT INSURANCE COMPANY', 'payer_note': '0-BENEFICIARY INSURED DUE TO AGE OASI', 'patient_dob': '1949-04-23', 'plan_number': 'S5601', 'group_number': None, 'insurance_type': None, 'plan_type_code': 'MB', 'enrolled_in_qmb': False, 'patient_last_name': 'GRINBERG', 'plan_sponsor_name': None, 'patient_first_name': 'FEDOR', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8297441495 | N/A | N/A | 7001767 | 2222 | 4802 | 9724686 | N/A | 6020039 | 2025-07-19 02:14:12.343298 | 2025-07-14 21:08:43.065779 |
| 2025-07-18 09:11:59.624252 | 2025-07-19 02:16:28.601345 | 9962004 | N/A | N/A | {'payer_id': 'LACAR', 'payer_name': 'LA Care Health Plan (Los Angeles Care Health Plan)', 'provider_npi': '1114042165', 'trace_number': '9962004', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1973-05-29', 'date_of_service': '2025-07-18', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'KIM', 'subscriber_member_id': '96135332F', 'subscriber_first_name': 'JOSEPH'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250718.080029716.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6917652/check_9962004_c6f745c9-0ecb-44f8-a53d-2b0057b17443.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '96135332F', 'plan_type': None, 'group_name': 'MCLA WELL ND ME>=21', 'payer_name': 'LA CARE HEALTH PLAN', 'payer_note': None, 'patient_dob': '1973-05-29', 'plan_number': 'MCLA', 'group_number': 'MWLLNMEG21', 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'KIM', 'plan_sponsor_name': None, 'patient_first_name': 'JOSEPH', 'patient_middle_name': None, 'date_time_period_end': '2078-12-31', 'date_time_period_start': '2023-09-01', 'plan_coverage_description': 'LACARE MEDICAL', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8297390066 | N/A | N/A | 6917652 | 2222 | 4802 | 9727471 | N/A | 5949044 | 2025-07-19 02:16:28.601345 | 2025-07-08 23:15:13.625855 |
| 2025-07-18 09:11:20.526534 | 2025-07-19 02:10:02.551696 | 9961215 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': '1114042165', 'trace_number': '9961215', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1955-03-14', 'date_of_service': '2025-07-18', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'GOTTLIEB', 'subscriber_member_id': 'XEM909776828', 'subscriber_first_name': 'ROY'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250718.120515531.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6398702/check_9961215_563cdd39-4ad8-46f2-9cd1-4647b2fced99.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XEM909776828', 'plan_type': 'Other', 'group_name': 'MEDICARE SUPPLEMENT', 'payer_name': 'MEDICARE PART A AND B', 'payer_note': None, 'patient_dob': '1955-03-14', 'plan_number': '2002SF000029', 'group_number': 'X0001002', 'insurance_type': None, 'plan_type_code': 'OT', 'enrolled_in_qmb': False, 'patient_last_name': 'GOTTLIEB', 'plan_sponsor_name': None, 'patient_first_name': 'ROY', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'MEDICARE SUPPLEMENT DENTAL PPO 1000 AUG14', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8297438731 | N/A | N/A | 6398702 | 2222 | 4793 | 9718616 | N/A | 5046257 | 2025-07-19 02:10:02.551696 | 2025-06-15 19:16:28.356486 |
| 2025-07-18 09:11:10.391872 | 2025-07-19 02:13:52.049211 | 9960983 | N/A | N/A | {'payer_id': 'Z1073', 'payer_name': 'Medicare B California Southern', 'provider_npi': '1114042165', 'trace_number': '9960983', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1950-03-19', 'date_of_service': '2025-07-18', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'AZUCENA', 'subscriber_member_id': '1YT9RR4MX51', 'subscriber_first_name': 'ESPERANZA'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250718.120515531.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6235090/check_9960983_379795af-bc45-4d25-a6bd-1a21fc76edcf.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '1YT9RR4MX51', 'plan_type': None, 'group_name': None, 'payer_name': 'CMS', 'payer_note': None, 'patient_dob': '1950-03-19', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'AZUCENA', 'plan_sponsor_name': None, 'patient_first_name': 'ESPERANZA', '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 | 8297438696 | N/A | N/A | 6235090 | 2222 | 4801 | 9724223 | N/A | 4213743 | 2025-07-19 02:13:52.049211 | 2025-05-13 04:29:37.228064 |
| 2025-07-18 09:10:44.349861 | 2025-07-19 02:10:02.844047 | 9960355 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': '1114042165', 'trace_number': '9960355', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1959-04-20', 'date_of_service': '2025-07-18', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'GRANT', 'subscriber_member_id': 'xem914408420', 'subscriber_first_name': 'ROBERT'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250718.120515531.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6211380/check_9960355_cd411190-5d52-43c4-91b0-d660dad629fa.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XEM914408420', 'plan_type': 'Other', 'group_name': 'MEDICARE SUPPLEMENT', 'payer_name': 'MEDICARE PART A AND B', 'payer_note': None, 'patient_dob': '1959-04-20', 'plan_number': '2002SEW00028', 'group_number': 'X0001002', 'insurance_type': None, 'plan_type_code': 'OT', 'enrolled_in_qmb': False, 'patient_last_name': 'GRANT', 'plan_sponsor_name': None, 'patient_first_name': 'ROBERT', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'MEDICARE SUPPLEMENT PLAN G', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8297439163 | N/A | N/A | 6211380 | 2222 | 4793 | 9718624 | N/A | 4214087 | 2025-07-19 02:10:02.844047 | 2025-05-13 04:29:37.228402 |
| 2025-07-18 09:10:27.441116 | 2025-07-19 02:10:03.174048 | 9959979 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': '1114042165', 'trace_number': '9959979', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1960-07-20', 'date_of_service': '2025-07-18', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'NAFTZGER', 'subscriber_member_id': 'XEM914412859', 'subscriber_first_name': 'SANDRA'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250718.120515531.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6194938/check_9959979_5fbc4272-b224-47c4-ba5d-21fd07122257.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XEM914412859', 'plan_type': 'Other', 'group_name': 'MEDICARE SUPPLEMENT', 'payer_name': 'MEDICARE PART A AND B', 'payer_note': None, 'patient_dob': '1960-07-20', 'plan_number': '2002SEW00030', 'group_number': 'X0001002', 'insurance_type': None, 'plan_type_code': 'OT', 'enrolled_in_qmb': False, 'patient_last_name': 'NAFTZGER', 'plan_sponsor_name': None, 'patient_first_name': 'SANDRA', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'MEDICARE SUPPLEMENT PLAN G EXTRA', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8297438068 | N/A | N/A | 6194938 | 2222 | 4802 | 9718631 | N/A | 4214889 | 2025-07-19 02:10:03.174048 | 2025-05-13 04:29:37.229212 |
| 2025-07-18 09:09:53.187945 | 2025-07-19 02:19:41.484914 | 9959071 | N/A | N/A | {'payer_id': '94134', 'payer_name': 'Kaiser Foundation Health Plan of Southern CA Region', 'provider_npi': '1114042165', 'trace_number': '9959071', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1977-04-16', 'date_of_service': '2025-07-18', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'MUDDANA', 'subscriber_member_id': '000019632130', 'subscriber_first_name': 'MADHU'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250718.115827385.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993960/check_9959071_a1d5dd0f-3d46-4c5a-97df-bc08ab9405f8.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '000019632130', 'plan_type': None, 'group_name': None, 'payer_name': 'KFHP 1000', 'payer_note': 'HMO - HMO COMMERCIAL', 'patient_dob': '1977-04-16', 'plan_number': '4312174', 'group_number': '233717', 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'MUDDANA', 'plan_sponsor_name': None, 'patient_first_name': 'MADHU', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'TRINET HR III, INC. - 232001 (OCT HMO20) $20 HMO B', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8297355352 | N/A | N/A | 5993960 | 2222 | 4801 | 9729545 | N/A | 4642894 | 2025-07-19 02:19:41.484914 | 2025-06-26 23:37:55.748278 |
| 2025-07-18 09:09:52.854783 | 2025-07-19 02:13:08.797179 | 9959060 | N/A | N/A | {'payer_id': '60054', 'payer_name': 'Aetna', 'provider_npi': '1114042165', 'trace_number': '9959060', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1986-01-20', 'date_of_service': '2025-07-18', '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/272741.20250718.115827385.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993951/check_9959060_b32f92bf-56a4-4f87-a08f-3c53d3121b22.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 | 8297355351 | N/A | N/A | 5993951 | 2222 | 4802 | 9723171 | N/A | 4642884 | 2025-07-19 02:13:08.797179 | 2025-12-02 20:19:19.910444 |
| 2025-07-18 09:09:52.612318 | 2025-07-19 02:10:16.546627 | 9959054 | N/A | N/A | {'payer_id': 'LMG01', 'payer_name': 'Lakeside Medical Group', 'provider_npi': '1114042165', 'trace_number': '9959054', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1969-01-08', 'date_of_service': '2025-07-18', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'ALROMAIH', 'subscriber_member_id': '91237812E', 'subscriber_first_name': 'SARAH'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250718.115827385.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993940/check_9959054_1f365b65-ff86-4954-ae6b-1b00e8499da5.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '91237812E', 'plan_type': None, 'group_name': None, 'payer_name': 'LAKESIDE MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1969-01-08', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'ALROMAIH', 'plan_sponsor_name': None, 'patient_first_name': 'SARAH', '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 | 8297355350 | N/A | N/A | 5993940 | 2222 | 4802 | 9718911 | N/A | 4642877 | 2025-07-19 02:10:16.546627 | 2025-12-23 23:49:16.627667 |
| 2025-07-18 09:09:52.454786 | 2025-07-19 02:19:44.282855 | 9959049 | N/A | N/A | {'payer_id': '95567', 'payer_name': 'Health Net of California and Oregon', 'provider_npi': '1114042165', 'trace_number': '9959049', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1983-05-31', 'date_of_service': '2025-07-18', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'JOHNSON', 'subscriber_member_id': 'R04617470MM1', 'subscriber_first_name': 'ROTH'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250718.115827385.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993907/check_9959049_b7ea4326-fcf2-4688-8e64-b495e5bde408.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'R04617470MM1', 'plan_type': None, 'group_name': None, 'payer_name': 'HEALTH NET, LLC', 'payer_note': None, 'patient_dob': '1983-05-31', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'JOHNSON', 'plan_sponsor_name': None, 'patient_first_name': 'ROTH', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'K7Z PPOSBG', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8297355349 | N/A | N/A | 5993907 | 2222 | 4793 | 9729573 | N/A | 4534544 | 2025-07-19 02:19:44.282855 | 2025-05-28 20:51:40.104091 |
| 2025-07-18 09:09:52.259967 | 2025-07-19 02:20:38.060597 | 9959040 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9959040', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1996-01-20', 'date_of_service': '2025-07-18', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'WORDEN', 'subscriber_member_id': 'ORU910469318', 'subscriber_first_name': 'SARAH'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250718.115827385.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5993479/check_9959040_5c85cf8c-b1fd-4269-a067-35a97846084c.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'ORU910469318', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'OAK RIDGE ASSOCIATED UNIVERSITIES', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1996-01-20', 'plan_number': 'MBPORAU0', 'group_number': '89513', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'WORDEN', 'plan_sponsor_name': None, 'patient_first_name': 'SARAH', 'patient_middle_name': None, 'date_time_period_end': '2199-12-31', 'date_time_period_start': '2024-07-16', 'plan_coverage_description': 'BLUE NETWORK P', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8297355348 | N/A | N/A | 5993479 | 2222 | 4801 | 9730062 | N/A | 4219476 | 2025-07-19 02:20:38.060597 | 2025-05-28 20:18:04.039855 |
| 2025-07-18 09:09:27.491879 | 2025-07-19 02:07:19.388443 | 9958082 | N/A | N/A | {'payer_id': 'REGAL', 'payer_name': 'Regal Medical Group', 'provider_npi': '1114042165', 'trace_number': '9958082', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '2005-03-11', 'date_of_service': '2025-07-18', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'GOODIN IV', 'subscriber_member_id': '240431503', 'subscriber_first_name': 'THOMAS'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250718.080029716.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6821324/check_9958082_62403ad2-81c7-4c41-b5c6-a9c864833678.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '240431503', 'plan_type': None, 'group_name': None, 'payer_name': 'REGAL MEDICAL GROUP', 'payer_note': None, 'patient_dob': '2005-03-11', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'GOODIN IV', 'plan_sponsor_name': None, 'patient_first_name': 'THOMAS', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8297388182 | N/A | N/A | 6821324 | 2222 | 4793 | 9714705 | N/A | 5863588 | 2025-07-19 02:07:19.388443 | 2025-07-14 15:42:23.336140 |
| 2025-07-18 09:09:26.295514 | 2025-07-19 02:18:00.415942 | 9958042 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': '1114042165', 'trace_number': '9958042', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1979-10-20', 'date_of_service': '2025-07-18', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'VAUGHAN', 'subscriber_member_id': 'XEH910348305', 'subscriber_first_name': 'BRIANNA'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250718.115822428.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6415249/check_9958042_dd093f61-a8f8-49f8-98ce-25e7fc63ac81.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XEH910348305', 'plan_type': 'Health Maintenance Organization (HMO)', 'group_name': 'TRINET HR III INC', 'payer_name': 'BLUE SHIELD CALIFORNIA', 'payer_note': None, 'patient_dob': '1979-10-20', 'plan_number': '1001HMOX0014', 'group_number': 'W0051486', 'insurance_type': None, 'plan_type_code': 'HM', 'enrolled_in_qmb': False, 'patient_last_name': 'VAUGHAN', 'plan_sponsor_name': None, 'patient_first_name': 'BRIANNA', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'TRINET HR III INC CUSTOM HMO 30 500 ADMIT ER 250', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8297350844 | N/A | N/A | 6415249 | 2222 | 4801 | 9728595 | N/A | 5062890 | 2025-07-19 02:18:00.415942 | 2025-06-30 20:31:45.414426 |
| 2025-07-18 09:09:25.402064 | 2025-07-19 02:12:46.678950 | 9958016 | N/A | N/A | {'payer_id': '62308', 'payer_name': 'Cigna Health Plans', 'provider_npi': '1114042165', 'trace_number': '9958016', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1994-12-15', 'date_of_service': '2025-07-18', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'MEYER', 'subscriber_member_id': '11144010000', 'subscriber_first_name': 'BRETT'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250718.115822428.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6414910/check_9958016_792c4635-5f9f-47da-8c92-fcd00af22a73.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '11144010000', 'plan_type': None, 'group_name': 'NIGHT MEDIA, INC', 'payer_name': 'CHLIC', 'payer_note': 'COMPLETE CARE MANAGEMENT', 'patient_dob': '1994-12-15', 'plan_number': None, 'group_number': '00658445', 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'MEYER', 'plan_sponsor_name': None, 'patient_first_name': 'BRETT', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'HSA QUALIFIED HDHP', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8297350841 | N/A | N/A | 6414910 | 2222 | 4802 | 9722674 | N/A | 5062479 | 2025-07-19 02:12:46.678950 | 2025-06-25 19:12:27.318943 |
| 2025-07-18 09:09:08.186711 | 2025-07-19 02:18:36.779607 | 9957504 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': '1114042165', 'trace_number': '9957504', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1980-03-06', 'date_of_service': '2025-07-18', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'subscriber_last_name': 'Lane', 'subscriber_member_id': 'XEK904721388', 'subscriber_first_name': 'Jason'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250718.080029716.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6814774/check_9957504_9cb618da-063c-48a9-8330-98b5ff5208fb.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 | 8297390001 | N/A | N/A | 6814774 | 2222 | 4802 | 9728938 | N/A | 5857104 | 2025-07-19 02:18:36.779607 | 2025-07-08 17:08:11.593095 |
| 2025-07-18 09:09:07.295556 | 2025-07-19 02:18:37.282886 | 9957484 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': '1114042165', 'trace_number': '9957484', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1961-03-07', 'date_of_service': '2025-07-18', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'PERLOV', 'subscriber_member_id': 'XEA905216171', 'subscriber_first_name': 'MERA'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250718.080029716.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6814311/check_9957484_a982be14-4748-4f60-ad85-45962744dd43.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XEA905216171', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'LA CARE HEALTH PLAN', 'payer_name': 'BLUE SHIELD CALIFORNIA', 'payer_note': None, 'patient_dob': '1961-03-07', 'plan_number': '1000PPOX0003', 'group_number': 'W0051027', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'PERLOV', 'plan_sponsor_name': None, 'patient_first_name': 'MERA', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2025-01-01', 'plan_coverage_description': 'LA CARE HEALTH PLAN PPO SAVINGS TWO TIER EMBEDDED', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8297389999 | N/A | N/A | 6814311 | 2222 | 4793 | 9728945 | N/A | 5856694 | 2025-07-19 02:18:37.282886 | 2025-07-07 18:45:06.287504 |
| 2025-07-18 09:09:05.989965 | 2025-07-19 02:18:35.230782 | 9957447 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': '1114042165', 'trace_number': '9957447', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1976-09-20', 'date_of_service': '2025-07-18', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'subscriber_last_name': 'Bolton', 'subscriber_member_id': 'XEK910377236', 'subscriber_first_name': 'Stephen'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250718.080029716.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6814151/check_9957447_d23ae38b-97a2-4683-85df-cbd5ec04d5a1.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XEK910377236', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'IFP OFF EXCHANGE', 'payer_name': 'BLUE SHIELD CALIFORNIA', 'payer_note': None, 'patient_dob': '1976-09-20', 'plan_number': '2001ZJ002648', 'group_number': 'X0001000', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'BOLTON', 'plan_sponsor_name': None, 'patient_first_name': 'STEPHEN', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2025-01-01', 'plan_coverage_description': 'SILVER 1750 PPO JAN25', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8297389995 | N/A | N/A | 6814151 | 2222 | 4793 | 9728924 | N/A | 5856522 | 2025-07-19 02:18:35.230782 | 2025-07-10 02:16:48.328344 |
| 2025-07-18 09:08:55.271232 | 2025-07-19 02:16:53.888947 | 9957100 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9957100', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1975-03-18', 'date_of_service': '2025-07-18', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'FARRUKH', 'subscriber_member_id': 'JXN208M92481', 'subscriber_first_name': 'ANBARIN'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250718.080029716.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6811878/check_9957100_2c1601d5-e669-4009-87af-b3ed969223d6.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'JXN208M92481', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'CDHP -HSA VALUE PPO W/ NON-INTEGRATED BANKING W/ C', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1975-03-18', 'plan_number': '040', 'group_number': '174222M9A1', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'FARRUKH', 'plan_sponsor_name': None, 'patient_first_name': 'ANBARIN', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2025-01-01', 'plan_coverage_description': 'CDHP CA GENERIC HLTH SAVINGS ACCT', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8297389481 | N/A | N/A | 6811878 | 2222 | 4793 | 9727904 | N/A | 5854231 | 2025-07-19 02:16:53.888947 | 2025-07-07 16:52:38.056680 |
| 2025-07-18 09:08:54.063754 | 2025-07-19 02:16:53.150798 | 9957060 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9957060', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1964-02-27', 'date_of_service': '2025-07-18', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'CARTER', 'subscriber_member_id': 'NSA00625557H', 'subscriber_first_name': 'CARMEN'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250718.080029716.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6811269/check_9957060_d56cccf2-cabe-4ef5-87d4-516d377f4fe2.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'NSA00625557H', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'MAIN PPO PLAN- EARNED', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1964-02-27', 'plan_number': '040', 'group_number': 'L05927A001', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'CARTER', 'plan_sponsor_name': None, 'patient_first_name': 'CARMEN', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2023-01-01', 'plan_coverage_description': 'PB INCENTIVE NO SUTTER', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8297389477 | N/A | N/A | 6811269 | 2222 | 4793 | 9727893 | N/A | 5853695 | 2025-07-19 02:16:53.150798 | 2025-07-17 17:31:58.326838 |
| 2025-07-18 09:08:43.805121 | 2025-07-19 02:16:52.988172 | 9956712 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9956712', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1967-08-29', 'date_of_service': '2025-07-18', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'subscriber_last_name': 'HARDING', 'subscriber_member_id': 'XDP157A51099', 'subscriber_first_name': 'NATHAN'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250718.115822428.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6398773/check_9956712_22c9fd99-42b7-477d-9185-acd86769d55c.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XDP157A51099', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'CALIFORNIA SCHOOL EMPLOYEE BENEFIT ORGANIZATION', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1967-08-29', 'plan_number': '040', 'group_number': '175092M330', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'HARDING', 'plan_sponsor_name': None, 'patient_first_name': 'MICHELE', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2024-01-01', 'plan_coverage_description': 'CA GENERIC HLTH SAVINGS ACCT', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8297352363 | N/A | N/A | 6398773 | 2222 | 4801 | 9727890 | N/A | 5046326 | 2025-07-19 02:16:52.988172 | 2025-06-30 17:04:21.721546 |
| 2025-07-18 09:08:43.091116 | 2025-07-19 02:24:53.997044 | 9956684 | N/A | N/A | {'payer_id': 'Z1073', 'payer_name': 'Medicare B California Southern', 'provider_npi': '1114042165', 'trace_number': '9956684', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1955-03-14', 'date_of_service': '2025-07-18', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'GOTTLIEB', 'subscriber_member_id': '5QC5Y42RU84', 'subscriber_first_name': 'ROY'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250718.115822428.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6398701/check_9956684_07b4e68f-c474-4dae-baad-509b56ea337a.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '5QC5Y42RU84', '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': '1955-03-14', 'plan_number': 'S5617', 'group_number': None, 'insurance_type': None, 'plan_type_code': 'MB', 'enrolled_in_qmb': False, 'patient_last_name': 'GOTTLIEB', 'plan_sponsor_name': None, 'patient_first_name': 'ROY', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8297352361 | N/A | N/A | 6398701 | 2222 | 4793 | 9732034 | N/A | 5046257 | 2025-07-19 02:24:53.997044 | 2025-06-15 19:16:28.356486 |
| 2025-07-18 09:08:42.185593 | 2025-07-19 02:16:53.708585 | 9956656 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9956656', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '2008-02-17', 'date_of_service': '2025-07-18', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'HARO', 'subscriber_member_id': 'N5X1918954204', 'subscriber_first_name': 'JILLIAN'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250718.115822428.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6398683/check_9956656_7086c79f-6ba1-45de-9b85-b0d3978136b4.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'N5X1918954204', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': '014652 BC PPO CLASSIC - ACTIVE - CA', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '2008-02-17', 'plan_number': None, 'group_number': '014666', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'HARO', 'plan_sponsor_name': None, 'patient_first_name': 'PETE', 'patient_middle_name': None, 'date_time_period_end': '2034-02-28', 'date_time_period_start': '2023-01-01', 'plan_coverage_description': 'ACTIVE PPO PLAN_13214', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8297352358 | N/A | N/A | 6398683 | 2222 | 4801 | 9727902 | N/A | 5046240 | 2025-07-19 02:16:53.708585 | 2025-07-01 04:05:26.762675 |
| 2025-07-18 09:08:30.978868 | 2025-07-19 02:09:47.502089 | 9956244 | N/A | N/A | {'payer_id': '60054', 'payer_name': 'Aetna', 'provider_npi': '1114042165', 'trace_number': '9956244', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1991-08-09', 'date_of_service': '2025-07-18', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'TORIO', 'subscriber_member_id': 'W287278504', 'subscriber_first_name': 'MICHAEL'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250718.115822428.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6235883/check_9956244_87bb5e37-f779-4179-8925-2547a38f3f85.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'W287278504', 'plan_type': 'Point of Service (POS)', 'group_name': 'COADVANTAGE RESOURCES, INC.', 'payer_name': 'AETNA', 'payer_note': None, 'patient_dob': '1991-08-09', 'plan_number': '0159468', 'group_number': '015946801000026', 'insurance_type': None, 'plan_type_code': 'PS', 'enrolled_in_qmb': False, 'patient_last_name': 'TORIO', 'plan_sponsor_name': None, 'patient_first_name': 'MICHAEL', '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 | 8297352231 | N/A | N/A | 6235883 | 2222 | 4802 | 9718237 | N/A | 4883697 | 2025-07-19 02:09:47.502089 | 2025-07-08 14:55:53.397662 |
| 2025-07-18 09:08:30.893473 | 2025-07-19 02:20:03.618598 | 9956241 | N/A | N/A | {'payer_id': 'CCHPC', 'payer_name': 'ALIGNMENT HEALTH CARE', 'provider_npi': '1114042165', 'trace_number': '9956241', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1958-06-23', 'date_of_service': '2025-07-18', 'subscriber_gender': 'F', 'service_type_codes': ['PT', 'AE'], 'subscriber_last_name': 'USEVITCH', 'subscriber_member_id': '00000387757', 'subscriber_first_name': 'KAREN'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250718.115827385.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874444/check_9956241_3762124d-5d53-4b5f-99a4-4e4f79549005.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '00000387757', 'plan_type': 'Health Maintenance Organization (HMO)', 'group_name': None, 'payer_name': 'MEDICARE', 'payer_note': 'OVERALL DEDUCTIBLE', 'patient_dob': '1958-06-23', 'plan_number': 'H3815028', 'group_number': None, 'insurance_type': None, 'plan_type_code': 'HM', 'enrolled_in_qmb': False, 'patient_last_name': 'USEVITCH', 'plan_sponsor_name': None, 'patient_first_name': 'KAREN', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'ALIGNMENT HEALTH MY CHOICE (HMO)', 'relationship_to_subscriber': None} | ['PT', 'AE'] | N/A | N/A | N/A | N/A | N/A | 8297355096 | N/A | N/A | 5874444 | 2222 | 4801 | 9729765 | 2630 | 4534570 | 2025-07-19 02:20:03.618598 | 2025-06-09 21:54:54.217413 |
| 2025-07-18 09:08:30.725553 | 2025-07-19 02:21:46.124600 | 9956234 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': '1114042165', 'trace_number': '9956234', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1994-05-07', 'date_of_service': '2025-07-18', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'RAFFERTY', 'subscriber_member_id': 'XED913453119', 'subscriber_first_name': 'ZOE'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250718.115827385.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874430/check_9956234_3c8d7424-53c6-4719-84ba-1fbc0fe58b86.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XED913453119', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'IFP ON EXCHANGE', 'payer_name': 'BLUE SHIELD CALIFORNIA', 'payer_note': None, 'patient_dob': '1994-05-07', 'plan_number': '2001ZK002187', 'group_number': 'X0001004', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'RAFFERTY', 'plan_sponsor_name': None, 'patient_first_name': 'ZOE', '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 | 8297355095 | N/A | N/A | 5874430 | 2222 | 4802 | 9730589 | N/A | 4534559 | 2025-07-19 02:21:46.124600 | 2025-06-06 02:13:35.698378 |
| 2025-07-18 09:08:30.508792 | 2025-07-19 02:10:19.192187 | 9956227 | N/A | N/A | {'payer_id': 'LMG01', 'payer_name': 'Lakeside Medical Group', 'provider_npi': '1114042165', 'trace_number': '9956227', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1964-11-15', 'date_of_service': '2025-07-18', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'BIKOULOVA', 'subscriber_member_id': '92040499F', 'subscriber_first_name': 'ALEXANDRA'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250718.115827385.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874423/check_9956227_efb75689-0798-4410-b98a-98c9078baaaf.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '92040499F', 'plan_type': None, 'group_name': None, 'payer_name': 'LAKESIDE MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1964-11-15', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'BIKOULOVA', 'plan_sponsor_name': None, 'patient_first_name': 'ALEXANDRA', '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 | 8297355094 | N/A | N/A | 5874423 | 2222 | 4802 | 9718966 | N/A | 4534552 | 2025-07-19 02:10:19.192187 | 2025-05-30 18:01:03.324126 |
| 2025-07-18 09:08:30.324140 | 2025-07-19 02:16:51.180262 | 9956220 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9956220', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1950-03-19', 'date_of_service': '2025-07-18', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'AZUCENA', 'subscriber_member_id': 'MMA139W21606', 'subscriber_first_name': 'ESPERANZA'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250718.115822428.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6234679/check_9956220_31c450d2-59d6-4b61-b25f-d26ae630633a.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'MMA139W21606', 'plan_type': 'Medicare Primary', 'group_name': 'CA MEDICARE', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1950-03-19', 'plan_number': '040', 'group_number': 'CAMCRWP0', 'insurance_type': None, 'plan_type_code': 'MP', 'enrolled_in_qmb': False, 'patient_last_name': 'AZUCENA', 'plan_sponsor_name': None, 'patient_first_name': 'ESPERANZA', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2025-01-01', 'plan_coverage_description': 'CA H4161-007-000 ANTHEM PRIME (HMO-POS) RISK', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8297352227 | N/A | N/A | 6234679 | 2222 | 4801 | 9727863 | N/A | 4213743 | 2025-07-19 02:16:51.180262 | 2025-05-13 04:29:37.228064 |