API Data Explorer (Athletic API)
Choose an endpoint and browse pulled records with export support.
API Endpoints
Total rows: 63,403
| 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-07-10 15:55:27.017967 | 2025-07-10 15:55:28.817197 | 9694640 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1974-11-01', 'date_of_service': '2025-07-10', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'insurance_company_id': 4184, 'subscriber_last_name': 'RAMIREZ', 'subscriber_member_id': 'FJB20014734M', 'subscriber_first_name': 'JOSEPH'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6528169/check_9694640_782d320c-9bf2-406e-bfb0-d54056588ab6.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6528169/check_9694640_5c6ef92d-8def-471a-b58b-c886c33b6251.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'FJB20014734M', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'ALL', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1974-11-01', 'plan_number': '101', 'group_number': '174549M411', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'RAMIREZ', 'plan_sponsor_name': None, 'patient_first_name': 'JOSEPH', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2022-01-01', 'plan_coverage_description': 'BLUECARD PPO', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8223912405 | N/A | N/A | 6528169 | 2222 | N/A | 9417618 | N/A | 5149079 | 2025-07-10 15:55:28.817197 | 2025-07-10 14:52:54.279391 |
| 2025-07-10 15:52:18.404817 | 2025-07-10 15:52:23.306916 | 9694613 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1974-11-01', 'date_of_service': '2025-07-10', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'insurance_company_id': 4184, 'subscriber_last_name': 'RAMIREZ', 'subscriber_member_id': 'FJB20014734M', 'subscriber_first_name': 'JOSEPH'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6528169/check_9694613_9b4ff03b-eb18-4dce-8bbd-8b805ff5bfe2.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6528169/check_9694613_5361f6f8-0f73-4857-8359-e48c47871381.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'FJB20014734M', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'ALL', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1974-11-01', 'plan_number': '101', 'group_number': '174549M411', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'RAMIREZ', 'plan_sponsor_name': None, 'patient_first_name': 'JOSEPH', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2022-01-01', 'plan_coverage_description': 'BLUECARD PPO', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8223891843 | N/A | N/A | 6528169 | 2222 | N/A | 9417587 | N/A | 5149079 | 2025-07-10 15:52:23.306916 | 2025-07-10 14:52:54.279391 |
| 2025-07-10 15:39:21.650269 | 2025-07-10 15:39:24.587712 | 9694486 | N/A | N/A | {'payer_id': '60054', 'payer_name': 'Aetna', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1962-02-18', 'date_of_service': '2025-05-30', 'subscriber_gender': 'M', 'service_type_codes': ['PT', 'AE'], 'insurance_company_id': 3937, 'subscriber_last_name': 'ZHAO', 'subscriber_member_id': '916547548', 'subscriber_first_name': 'CHARLIE'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550983/check_9694486_f5684de1-8d45-440e-a425-a4df7fda154f.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-30 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550983/check_9694486_1a1616ab-5d82-4b7b-a77a-b26f6142c5ba.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '916547548', 'plan_type': None, 'group_name': None, 'payer_name': 'OTHER SOURCE OF INFORMATION', 'payer_note': None, 'patient_dob': '1962-02-18', 'plan_number': '0706458', 'group_number': '070645801200001', 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'ZHAO', 'plan_sponsor_name': None, 'patient_first_name': 'SHANLI', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['PT', 'AE'] | N/A | N/A | N/A | N/A | N/A | N/A | 5687 | N/A | 5550983 | 2222 | N/A | 9417447 | N/A | 4219811 | 2025-07-10 15:39:24.587712 | 2025-05-13 04:29:37.230858 |
| 2025-07-10 15:39:19.010707 | 2025-07-10 15:39:21.647264 | 9694484 | N/A | N/A | {'payer_id': '60054', 'payer_name': 'Aetna', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1962-02-18', 'date_of_service': '2025-05-30', 'subscriber_gender': 'M', 'service_type_codes': ['PT', 'AE'], 'insurance_company_id': 3937, 'subscriber_last_name': 'ZHAO', 'subscriber_member_id': '916547548', 'subscriber_first_name': 'CHARLIE'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550983/check_9694484_331b85d0-c41a-4010-9c02-eba362dc9a76.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-05-30 | N/A | N/A | N/A | N/A | N/A | N/A | {'member_id': '916547548', 'plan_type': None, 'group_name': None, 'payer_name': 'OTHER SOURCE OF INFORMATION', 'payer_note': None, 'patient_dob': '1962-02-18', 'plan_number': '0706458', 'group_number': '070645801200001', 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'ZHAO', 'plan_sponsor_name': None, 'patient_first_name': 'SHANLI', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['PT', 'AE'] | N/A | N/A | N/A | N/A | N/A | N/A | 5687 | N/A | 5550983 | 2222 | N/A | N/A | N/A | 4219811 | 2025-07-10 15:39:21.647264 | 2025-05-13 04:29:37.230858 |
| 2025-07-10 10:06:05.498543 | 2025-07-10 10:06:09.241236 | 9688590 | N/A | N/A | {'payer_id': '87726', 'payer_name': 'United Healthcare', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1987-07-29', 'date_of_service': '2025-07-22', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6411, 'subscriber_last_name': 'Cappello', 'subscriber_member_id': '45750956400', 'subscriber_first_name': 'Benjamin'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6938506/check_9688590_bc69c295-364e-44a1-95d9-9417c777762f.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6938506/check_9688590_2eb8a3e1-7742-45eb-916e-e4a6e54a3a39.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '45750956400', 'plan_type': 'Commercial', 'group_name': None, 'payer_name': 'UNITEDHEALTHCARE BENEFITS PLAN OF CALIFORNIA', 'payer_note': 'FUNDING TYPE = FULLY INSURED - SMALL GROUP', 'patient_dob': '1987-07-29', 'plan_number': None, 'group_number': '1664558', 'insurance_type': None, 'plan_type_code': 'C1', 'enrolled_in_qmb': False, 'patient_last_name': 'CAPPELLO', 'plan_sponsor_name': None, 'patient_first_name': 'BENJAMIN', '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 | 8221492088 | N/A | N/A | 6938506 | 2222 | N/A | 9410956 | N/A | 5969183 | 2025-07-10 10:06:09.241236 | 2025-07-09 21:28:58.856145 |
| 2025-07-10 09:39:24.594550 | 2025-07-10 09:39:28.626494 | 9688478 | 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': '2025-07-11', '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_9688478_113abb8f-5130-42ee-a5c8-3d3f211c666a.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6145941/check_9688478_fd45fa75-c9af-439e-a8f8-b8bb45be7a57.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 | 9410834 | N/A | 4786785 | 2025-07-10 09:39:28.626494 | 2025-06-13 00:55:48.629734 |
| 2025-07-10 09:39:22.914615 | 2025-07-10 09:39:27.783959 | 9688472 | 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': '1970-07-02', 'date_of_service': '2025-07-11', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6411, 'subscriber_last_name': 'FRIEDMAN', 'subscriber_member_id': 'G46825417', 'subscriber_first_name': 'JOEL'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/5540931/check_9688472_9626ec64-db50-4c18-920c-db779932cf51.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540931/check_9688472_8ff5c5cc-a621-4837-a7d2-dd9b7cfe0795.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'G46825417', 'plan_type': None, 'group_name': 'GEHA MEDICAL FEHB/PSHB', 'payer_name': 'UMR', 'payer_note': None, 'patient_dob': '1970-07-02', 'plan_number': '767000416933002', 'group_number': '76416933', 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'SHELBURNE', 'plan_sponsor_name': None, 'patient_first_name': 'TANYA', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8221407302 | N/A | N/A | 5540931 | 2222 | N/A | 9410831 | N/A | 4213013 | 2025-07-10 09:39:27.783959 | 2025-05-13 04:29:37.227340 |
| 2025-07-10 09:39:20.389734 | 2025-07-10 09:39:24.586136 | 9688460 | 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': '2025-07-11', '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_9688460_d3e4a247-af32-49b1-aad2-63b187565170.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-11 | 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 | 2025-07-10 09:39:24.586136 | 2025-06-13 00:55:48.629734 |
| 2025-07-10 09:38:39.546047 | 2025-07-10 09:38:43.398341 | 9688332 | 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': '2025-07-10', '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_9688332_c2d1a1fa-835e-4650-b26d-888e682570c9.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6522947/check_9688332_d5544092-1498-4ab5-85c2-4f0abd5020cc.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 | 9410686 | N/A | 5146127 | 2025-07-10 09:38:43.398341 | 2025-06-20 17:58:23.371130 |
| 2025-07-10 09:38:36.565564 | 2025-07-10 09:38:39.540860 | 9688318 | 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': '2025-07-10', '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_9688318_fb35622b-08f6-48c7-956e-36b76b4f9d5a.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6145941/check_9688318_38814784-0105-43b8-a207-d8e326aaf61f.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 | 9410669 | N/A | 4786785 | 2025-07-10 09:38:39.540860 | 2025-06-13 00:55:48.629734 |
| 2025-07-10 09:38:31.773765 | 2025-07-10 09:38:39.540272 | 9688305 | 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': '2025-07-10', '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_9688305_26c436e3-6b8b-4f1e-9985-c0b0be7a83e6.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-10 | 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 | 2025-07-10 09:38:39.540272 | 2025-06-20 17:58:23.371130 |
| 2025-07-10 09:38:28.821183 | 2025-07-10 09:38:36.547339 | 9688295 | 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': '2025-07-10', '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_9688295_189d9f64-8df7-40df-9c7c-19f1054b4201.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-10 | 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 | 2025-07-10 09:38:36.547339 | 2025-06-13 00:55:48.629734 |
| 2025-07-10 09:35:34.281768 | 2025-07-10 09:35:38.872510 | 9687820 | 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': '2001-04-06', 'date_of_service': '2025-07-11', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6411, 'subscriber_last_name': 'HARRAKA', 'subscriber_member_id': '992737509', 'subscriber_first_name': 'ROBERT'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/5874440/check_9687820_ef517d2c-3c20-414f-91e0-a07e8c2c2153.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5874440/check_9687820_0e7688e6-75f6-464f-9ccb-3b1e88f03022.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '992737509', 'plan_type': 'Commercial', 'group_name': 'FIG LLC (FORTRESS)', 'payer_name': 'UNITEDHEALTHCARE', 'payer_note': 'FUNDING TYPE = SELF INSURED - LARGE GROUP A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED', 'patient_dob': '2001-04-06', 'plan_number': '0009 0009', 'group_number': '704441', 'insurance_type': None, 'plan_type_code': 'C1', 'enrolled_in_qmb': False, 'patient_last_name': 'HARRAKA', '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': 'UNITEDHEALTHCARE CHOICE PLUS', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8221391275 | N/A | N/A | 5874440 | 2222 | N/A | 9410174 | N/A | 4534568 | 2025-07-10 09:35:38.872510 | 2025-05-27 20:53:12.991758 |
| 2025-07-10 09:20:35.567726 | 2025-07-10 09:21:13.964692 | 9686634 | N/A | N/A | {'payer_id': 'TDFIC', 'payer_name': 'TRICARE FOR LIFE', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '2011-05-18', 'date_of_service': '2025-07-11', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6338, 'subscriber_last_name': 'YUNG', 'subscriber_member_id': '00854676304', 'subscriber_first_name': 'MAYA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543379/check_9686634_89929ca9-dc1c-4e0f-8730-610676c56135.json | AVAILITY | N/A | GOOGLE_CLOUD | 2025-07-11 | N/A | N/A | N/A | N/A | N/A | N/A | {'member_id': '00854676304', 'plan_type': None, 'group_name': None, 'payer_name': 'TRICARE FOR LIFE', 'payer_note': None, 'patient_dob': '2011-05-18', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'YUNG', 'plan_sponsor_name': None, 'patient_first_name': 'MAYA', '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 | 5543379 | 2222 | N/A | N/A | N/A | 4215179 | 2025-07-10 09:21:13.964692 | 2025-05-13 04:29:37.229495 |
| 2025-07-10 09:16:14.829551 | 2025-07-10 09:16:16.812789 | 9686173 | N/A | N/A | {'payer_id': 'Z1073', 'payer_name': 'Medicare B California Southern', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1950-03-19', 'date_of_service': '2025-07-10', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'insurance_company_id': 4497, 'subscriber_last_name': 'AZUCENA', 'subscriber_member_id': '1YT9RR4MX51', 'subscriber_first_name': 'ESPERANZA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6234679/check_9686173_393a2c77-c5fb-4795-b09a-70249e2b81e0.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6234679/check_9686173_0951d6e3-0dd7-4a3f-a166-6ef98a4e48d3.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 | N/A | N/A | N/A | 6234679 | 2222 | N/A | 9408508 | N/A | 4213743 | 2025-07-10 09:16:16.812789 | 2025-05-13 04:29:37.228064 |
| 2025-07-10 09:16:12.029488 | 2025-07-10 09:16:14.822916 | 9686165 | N/A | N/A | {'payer_id': 'Z1073', 'payer_name': 'Medicare B California Southern', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1950-03-19', 'date_of_service': '2025-07-10', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'insurance_company_id': 4497, 'subscriber_last_name': 'AZUCENA', 'subscriber_member_id': '1YT9RR4MX51', 'subscriber_first_name': 'ESPERANZA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6234679/check_9686165_e8b114b8-9df0-4880-817b-e173761bfef1.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-10 | N/A | 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 | N/A | N/A | N/A | 6234679 | 2222 | N/A | N/A | N/A | 4213743 | 2025-07-10 09:16:14.822916 | 2025-05-13 04:29:37.228064 |
| 2025-07-10 09:15:43.851996 | 2025-07-10 09:15:46.499650 | 9686089 | N/A | N/A | {'payer_id': '95567', 'payer_name': 'Health Net of California and Oregon', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '2007-12-08', 'date_of_service': '2025-07-10', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 4709, 'subscriber_last_name': 'LARSEN', 'subscriber_member_id': 'R06053944FD1', 'subscriber_first_name': 'LANA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/5542850/check_9686089_c349c2b9-6297-458a-9d58-e2165f6974a0.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542850/check_9686089_97c38201-5045-497e-93b4-cbdba04bd697.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'R06053944FD1', 'plan_type': None, 'group_name': None, 'payer_name': 'HEALTH NET, LLC', 'payer_note': None, 'patient_dob': '2007-12-08', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'LARSEN', 'plan_sponsor_name': None, 'patient_first_name': 'LANA', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'MGY COMHMO', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8221290145 | N/A | N/A | 5542850 | 2222 | N/A | 9408424 | N/A | 4214714 | 2025-07-10 09:15:46.499650 | 2025-05-13 04:29:37.229031 |
| 2025-07-10 09:13:59.655621 | 2025-07-10 09:14:17.720636 | 9685805 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1967-05-29', 'date_of_service': '2025-07-10', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'insurance_company_id': 4185, 'subscriber_last_name': 'FINN', 'subscriber_member_id': 'JQU683A20101', 'subscriber_first_name': 'PATRICK'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6938589/check_9685805_317d3413-a8a7-4001-bf40-f89aa0c0b189.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6938589/check_9685805_1133d9f6-c3d5-47b4-bbda-651171debdef.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'JQU683A20101', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'GLOBALWIDE MEDIA INC', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1967-05-29', 'plan_number': '040', 'group_number': 'Q18255', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'FINN', 'plan_sponsor_name': None, 'patient_first_name': 'PATRICK', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2024-12-01', 'plan_coverage_description': 'CA SG ANTHEM PPO', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8221274096 | N/A | N/A | 6938589 | 2222 | N/A | 9408175 | N/A | 5969280 | 2025-07-10 09:14:17.720636 | 2025-07-09 21:37:07.694893 |
| 2025-07-10 09:10:17.852308 | 2025-07-10 09:10:23.736674 | 9685282 | N/A | N/A | {'payer_id': 'LMG01', 'payer_name': 'Lakeside Medical Group', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1998-01-12', 'date_of_service': '2025-07-10', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 23322, 'subscriber_last_name': 'GUTIERREZ DE LA TORR', 'subscriber_member_id': '99184430E', 'subscriber_first_name': 'JOEL'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6436444/check_9685282_583a1fda-c26c-466a-b20a-f4947c934805.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6436444/check_9685282_49bce7d6-bb5a-4331-b42f-170a18d04b7d.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 | N/A | N/A | N/A | 6436444 | 2222 | N/A | 9407611 | N/A | 5082110 | 2025-07-10 09:10:23.736674 | 2025-06-24 20:17:03.860413 |
| 2025-07-10 09:10:16.155908 | 2025-07-10 09:10:17.844276 | 9685274 | N/A | N/A | {'payer_id': 'LMG01', 'payer_name': 'Lakeside Medical Group', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1998-01-12', 'date_of_service': '2025-07-10', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 23322, 'subscriber_last_name': 'GUTIERREZ DE LA TORR', 'subscriber_member_id': '99184430E', 'subscriber_first_name': 'JOEL'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6436444/check_9685274_20a5ff2e-6144-4a33-92eb-2973a6ff76be.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-10 | N/A | 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 | N/A | N/A | N/A | 6436444 | 2222 | N/A | N/A | N/A | 5082110 | 2025-07-10 09:10:17.844276 | 2025-06-24 20:17:03.860413 |
| 2025-07-10 09:10:01.084313 | 2025-07-10 09:10:04.061532 | 9685219 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1950-03-19', 'date_of_service': '2025-07-10', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'insurance_company_id': 4185, 'subscriber_last_name': 'AZUCENA', 'subscriber_member_id': 'MMA139W21606', 'subscriber_first_name': 'ESPERANZA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6234679/check_9685219_1084557b-9c81-458c-8941-63fe536d8257.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6234679/check_9685219_afcee1ea-999e-4b44-a828-962d0520de02.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 | 8221227984 | N/A | N/A | 6234679 | 2222 | N/A | 9407557 | N/A | 4213743 | 2025-07-10 09:10:04.061532 | 2025-05-13 04:29:37.228064 |
| 2025-07-10 09:09:41.513910 | 2025-07-10 09:09:46.267277 | 9685004 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '2009-10-30', 'date_of_service': '2025-07-10', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'insurance_company_id': 4191, 'subscriber_last_name': 'SMITH', 'subscriber_member_id': 'XEA911729154', 'subscriber_first_name': 'KAMALA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6162659/check_9685004_7171b83d-901a-4ea6-80cb-c8accc79b097.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6162659/check_9685004_6045a422-d08c-44d3-b4b6-b2ed40af9b61.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XEA911729154', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'SHANTHA K SMITH BOOKS AND TAX LLC', 'payer_name': 'BLUE SHIELD CALIFORNIA', 'payer_note': None, 'patient_dob': '2009-10-30', 'plan_number': '1000VX000103', 'group_number': 'W0074149', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'SMITH', 'plan_sponsor_name': None, 'patient_first_name': 'SHANTHA', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2024-11-01', 'plan_coverage_description': 'BLUE SHIELD SILVER 70 PPO 2500 55 CHILD DENTAL', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8221223505 | N/A | N/A | 6162659 | 2222 | N/A | 9407512 | N/A | 4805243 | 2025-07-10 09:09:46.267277 | 2025-06-23 19:30:24.977468 |
| 2025-07-10 09:09:13.483440 | 2025-07-10 09:09:39.783116 | 9684642 | N/A | N/A | {'payer_id': '62308', 'payer_name': 'Cigna Health Plans', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1980-01-01', 'date_of_service': '2025-07-10', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 23412, 'subscriber_last_name': 'BAKER', 'subscriber_member_id': '856047151', 'subscriber_first_name': 'JOHN'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/5676404/check_9684642_b7fec21e-40b7-4103-ae5d-9f8fb8842cee.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676404/check_9684642_dab32c02-a06d-47ad-b4bf-9b25ac51375d.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '856047151', 'plan_type': None, 'group_name': None, 'payer_name': 'HEALTHEZ', 'payer_note': 'PATIENT HAS ACTIVE COVERAGE BASED ON DATA AVAILABLE AS OF DATE OF REQUEST. CONTACT OTHER ENTITY TO VALIDATE', 'patient_dob': '1980-01-01', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'BAKER', 'plan_sponsor_name': None, 'patient_first_name': 'SHARIE', '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 | 8221218655 | N/A | N/A | 5676404 | 2222 | N/A | 9407498 | N/A | 4343463 | 2025-07-10 09:09:39.783116 | 2025-05-13 04:29:37.230940 |
| 2025-07-10 09:08:36.071838 | 2025-07-10 09:09:13.456031 | 9684089 | N/A | N/A | {'payer_id': '62308', 'payer_name': 'Cigna Health Plans', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1980-01-01', 'date_of_service': '2025-07-10', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 23412, 'subscriber_last_name': 'BAKER', 'subscriber_member_id': '856047151', 'subscriber_first_name': 'JOHN'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/5676404/check_9684089_5612dee4-f47d-4c48-9750-2a6cf670b45b.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-10 | N/A | N/A | N/A | N/A | N/A | N/A | {'member_id': '856047151', 'plan_type': None, 'group_name': None, 'payer_name': 'CIGNA HEALTH PLANS', 'payer_note': None, 'patient_dob': '1980-01-01', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'BAKER', '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': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 5676404 | 2222 | N/A | N/A | N/A | 4343463 | 2025-07-10 09:09:13.456031 | 2025-05-13 04:29:37.230940 |
| 2025-07-10 09:07:54.106886 | 2025-07-11 02:09:47.364027 | 9683367 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9683367', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1997-01-14', 'date_of_service': '2025-07-10', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'Wainman', 'subscriber_member_id': 'YSQ892W00831', 'subscriber_first_name': 'Irene'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250710.115843732.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6940413/check_9683367_5b98eb55-35ea-45dd-a1bb-a5ee008fc4e4.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'YSQ892W00831', 'plan_type': None, 'group_name': None, 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1997-01-14', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'WAINMAN', 'plan_sponsor_name': None, 'patient_first_name': 'IRENE', '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 | 8221241702 | N/A | N/A | 6940413 | 2222 | 4802 | 9426522 | N/A | 5970242 | 2025-07-11 02:09:47.364027 | 2025-07-24 16:51:12.448791 |
| 2025-07-10 09:07:53.029865 | 2025-07-11 02:09:46.666713 | 9683330 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9683330', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '2025-07-09', 'date_of_service': '2025-07-10', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'Sanker', 'subscriber_member_id': 'XDPZ61W22399', 'subscriber_first_name': 'Stacy'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250710.115843732.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6938269/check_9683330_5de98abf-137a-41bc-a76e-b6482ee531df.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XDPZ61W22399', 'plan_type': None, 'group_name': None, 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '2025-07-09', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'SANKER', 'plan_sponsor_name': None, 'patient_first_name': 'STACY', '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 | 8221241692 | N/A | N/A | 6938269 | 2222 | 4802 | 9426513 | N/A | 5968994 | 2025-07-11 02:09:46.666713 | 2025-08-06 15:28:51.698909 |
| 2025-07-10 09:06:27.953876 | 2025-07-11 02:09:47.003090 | 9680035 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9680035', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1947-12-19', 'date_of_service': '2025-07-10', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'Taggart', 'subscriber_member_id': 'MBL830M95233', 'subscriber_first_name': 'Rita'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250710.115843732.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6780011/check_9680035_426e6a3f-7eb1-4b16-8ebb-f0efdd8498d3.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'MBL830M95233', 'plan_type': None, 'group_name': 'MOTION PICTURE INDUSTRY HEALTH PLAN', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1947-12-19', 'plan_number': '040', 'group_number': 'CAEGR002', 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'TAGGART', 'plan_sponsor_name': None, 'patient_first_name': 'RITA', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2021-01-01', 'plan_coverage_description': 'CA GRS MPI H4036-802 ANTHEM MEDICARE PREFERRED MA', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8221241774 | N/A | N/A | 6780011 | 2222 | 4802 | 9426518 | N/A | 5811238 | 2025-07-11 02:09:47.003090 | 2025-07-03 18:24:56.520298 |
| 2025-07-10 09:06:16.946133 | 2025-07-11 02:09:46.306559 | 9679504 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9679504', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1953-12-02', 'date_of_service': '2025-07-10', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'NAVARRO', 'subscriber_member_id': 'MMA845W21687', 'subscriber_first_name': 'SYLVIA'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250710.115843732.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6770900/check_9679504_48c5a0c6-3d37-4728-a578-37ae877cb135.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'MMA845W21687', 'plan_type': 'Medicare Primary', 'group_name': 'CA MEDICARE', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1953-12-02', 'plan_number': '040', 'group_number': 'CAMCRWP0', 'insurance_type': None, 'plan_type_code': 'MP', 'enrolled_in_qmb': False, 'patient_last_name': 'NAVARRO', 'plan_sponsor_name': None, 'patient_first_name': 'SYLVIA', '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 | 8221242898 | N/A | N/A | 6770900 | 2222 | 4793 | 9426509 | N/A | 5788735 | 2025-07-11 02:09:46.306559 | 2025-07-09 16:24:26.907790 |
| 2025-07-10 09:05:53.653571 | 2025-07-11 02:09:26.529381 | 9678372 | N/A | N/A | {'payer_id': '94134', 'payer_name': 'Kaiser Foundation Health Plan of Southern CA Region', 'provider_npi': '1114042165', 'trace_number': '9678372', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '2008-04-21', 'date_of_service': '2025-07-10', '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/272741.20250710.115843732.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6721942/check_9678372_0c012601-62bd-4a04-b591-8189da8b13bc.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': 'MEDI-CAL LA CARE HEALTH PLAN ADULT AND FAMILY LTSS', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8221241399 | N/A | N/A | 6721942 | 2222 | 4793 | 9426295 | N/A | 5322280 | 2025-07-11 02:09:26.529381 | 2025-07-01 21:45:15.878047 |
| 2025-07-10 09:05:43.932363 | 2025-07-11 02:19:01.210153 | 9677889 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'ANTHEM BLUE CROSS', 'provider_npi': '1114042165', 'trace_number': '9677889', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '2007-05-15', 'date_of_service': '2025-07-10', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'subscriber_last_name': 'BAIRD', 'subscriber_member_id': 'XEH909620608', 'subscriber_first_name': 'WILLIAM'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250710.115536909.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542883/check_9677889_d0702811-df3c-47af-bf51-7cfcc90548dd.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XEH909620608', 'plan_type': 'Health Maintenance Organization (HMO)', 'group_name': 'PUBLIC EMPLOYEES BENEFIT RETIREMENT SYSTEM', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '2007-05-15', 'plan_number': '1479HMOX0001', 'group_number': 'W0051411', 'insurance_type': None, 'plan_type_code': 'HM', 'enrolled_in_qmb': False, 'patient_last_name': 'BAIRD', 'plan_sponsor_name': None, 'patient_first_name': 'SHAYA', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'CALPERS ACTIVE ACCESS HMO GROUP BILL', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8221204143 | N/A | N/A | 5542883 | 2222 | 4793 | 9432594 | 4184 | 4214747 | 2025-07-11 02:19:01.210153 | 2025-05-13 04:29:37.229066 |
| 2025-07-10 09:05:43.844945 | 2025-07-11 02:19:39.486550 | 9677885 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': '1114042165', 'trace_number': '9677885', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1990-09-04', 'date_of_service': '2025-07-10', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'subscriber_last_name': 'HASHEMI', 'subscriber_member_id': 'XEA914007676', 'subscriber_first_name': 'SEYED'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250710.115536909.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541956/check_9677885_4d8674c8-d6bc-4a19-b6e5-7fb86c8b01ef.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XEA914007676', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'SILVUS TECHNOLOGIES INC', 'payer_name': 'BLUE SHIELD CALIFORNIA', 'payer_note': None, 'patient_dob': '1990-09-04', 'plan_number': '1000PPOX0002', 'group_number': 'W3000628', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'HASHEMI', 'plan_sponsor_name': None, 'patient_first_name': 'SEYED MEHRDAD', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'FULL PPO SAVINGS TWO TIER EMBEDDED DEDUCTIBLE 1800', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8221204142 | N/A | N/A | 5541956 | 2222 | 4802 | 9432855 | N/A | 4213923 | 2025-07-11 02:19:39.486550 | 2025-05-13 04:29:37.228244 |
| 2025-07-10 07:45:35.410211 | 2025-07-10 07:45:43.387184 | 9671732 | 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': '1967-08-24', 'date_of_service': '2025-07-10', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6411, 'subscriber_last_name': 'DEL CAMPO', 'subscriber_member_id': '936778989', 'subscriber_first_name': 'PAULA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6583335/check_9671732_03cb6253-6068-481e-b817-e5791f688f44.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6583335/check_9671732_05ba1944-5112-4e80-853a-1c230074bc4d.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '936778989', 'plan_type': 'Commercial', 'group_name': 'FEDEX CORPORATION', 'payer_name': 'UNITEDHEALTHCARE', 'payer_note': 'FUNDING TYPE = SELF INSURED - LARGE GROUP A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED', 'patient_dob': '1967-08-24', 'plan_number': '0780 0780', 'group_number': '920923', 'insurance_type': None, 'plan_type_code': 'C1', 'enrolled_in_qmb': False, 'patient_last_name': 'DRECKMANN', 'plan_sponsor_name': None, 'patient_first_name': 'JEAN PHILI', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'SELECT EPO', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8220712139 | N/A | N/A | 6583335 | 2222 | N/A | 9406534 | N/A | 5202234 | 2025-07-10 07:45:43.387184 | 2025-07-09 21:36:44.603599 |
| 2025-07-10 05:05:50.235363 | 2025-07-10 05:05:52.071626 | 9671701 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1990-01-12', 'date_of_service': '2025-07-10', 'subscriber_gender': 'U', 'service_type_codes': ['PT'], 'insurance_company_id': 4191, 'subscriber_last_name': 'Adhoot', 'subscriber_member_id': 'XED913946463', 'subscriber_first_name': 'Jennifer'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6947892/check_9671701_40f9e220-3b66-44cb-b967-15783280de84.edi.txt | WAYSTAR | N/A | APPOINTMENT_PII_CHANGE | 2025-07-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6947892/check_9671701_4f94f9d7-e199-4e05-af15-6438c94e58b5.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XED913946463', 'plan_type': None, 'group_name': None, 'payer_name': 'BLUE SHIELD CALIFORNIA', 'payer_note': None, 'patient_dob': '1990-01-12', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'ADHOOT', 'plan_sponsor_name': None, 'patient_first_name': 'JENNIFER', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6947892 | 2222 | N/A | 9406318 | N/A | 5975888 | 2025-07-10 05:05:52.071626 | 2025-07-10 15:36:45.280553 |
| 2025-07-10 05:05:48.549343 | 2025-07-10 05:05:50.232374 | 9671700 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1990-01-12', 'date_of_service': '2025-07-10', 'subscriber_gender': 'U', 'service_type_codes': ['PT'], 'insurance_company_id': 4191, 'subscriber_last_name': 'Adhoot', 'subscriber_member_id': 'XED913946463', 'subscriber_first_name': 'Jennifer'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6947892/check_9671700_30d33cbd-14bf-4699-9c3d-3433002493da.edi.txt | WAYSTAR | N/A | APPOINTMENT_PII_CHANGE | 2025-07-10 | N/A | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XED913946463', 'plan_type': None, 'group_name': None, 'payer_name': 'BLUE SHIELD CALIFORNIA', 'payer_note': None, 'patient_dob': '1990-01-12', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'ADHOOT', 'plan_sponsor_name': None, 'patient_first_name': 'JENNIFER', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6947892 | 2222 | N/A | N/A | N/A | 5975888 | 2025-07-10 05:05:50.232374 | 2025-07-10 15:36:45.280553 |
| 2025-07-10 04:12:17.862554 | 2025-07-10 04:12:20.767655 | 9671520 | N/A | N/A | {'payer_id': 'Z1073', 'payer_name': 'Medicare B California Southern', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1970-03-23', 'date_of_service': '2025-07-07', 'subscriber_gender': '', 'service_type_codes': ['PT', 'AE'], 'insurance_company_id': 4497, 'subscriber_last_name': 'ADAMSKY', 'subscriber_member_id': '5AR2R76UH88', 'subscriber_first_name': 'ARLEEN'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6222571/check_9671520_93b28713-242b-4be2-b714-644b96e9f507.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6222571/check_9671520_dffb3750-799c-4f16-b003-23a2c0382c4e.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '5AR2R76UH88', 'plan_type': 'Medicare Part B', 'group_name': None, 'payer_name': 'WELLCARE PRESCRIPTION INSURANCE, INC.', 'payer_note': '1-BENEFICIARY INSURED DUE TO DISABILITY', 'patient_dob': '1970-03-23', 'plan_number': 'S4802', 'group_number': None, 'insurance_type': None, 'plan_type_code': 'MB', 'enrolled_in_qmb': False, 'patient_last_name': 'ADAMSKY', 'plan_sponsor_name': None, 'patient_first_name': 'ARLEEN', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['PT', 'AE'] | N/A | N/A | N/A | N/A | N/A | 8218683517 | 1275 | N/A | 6222571 | 2222 | N/A | 9406141 | N/A | 4219835 | 2025-07-10 04:12:20.767655 | 2025-06-11 17:06:07.512166 |
| 2025-07-10 02:19:57.891235 | 2025-07-10 02:20:00.631617 | 9667273 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1976-09-20', 'date_of_service': '2025-07-10', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'insurance_company_id': 4191, 'subscriber_last_name': 'Bolton', 'subscriber_member_id': 'XEK910377236', 'subscriber_first_name': 'Stephen'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6814151/check_9667273_a1a2e9ce-24fe-4eb6-a781-7ec999a4d24f.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6814151/check_9667273_330e268c-a4c6-4269-9dfe-93fc7991497d.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 | 8217651827 | N/A | N/A | 6814151 | 2222 | N/A | 9401893 | N/A | 5856522 | 2025-07-10 02:20:00.631617 | 2025-07-10 02:16:48.328344 |
| 2025-07-10 00:37:11.163425 | 2025-07-10 00:37:13.942487 | 9667098 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1969-02-14', 'date_of_service': '2025-07-16', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'insurance_company_id': 4191, 'subscriber_last_name': 'Shachory', 'subscriber_member_id': 'XEK906003800', 'subscriber_first_name': 'Rafael'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6919729/check_9667098_a79506f2-6cc8-47f2-882e-692d65040afd.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6919729/check_9667098_60181074-936d-4171-8f6e-ab2a197cf7f1.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XEK906003800', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'IFP OFF EXCHANGE', 'payer_name': 'BLUE SHIELD CALIFORNIA', 'payer_note': None, 'patient_dob': '1969-02-14', 'plan_number': '2001ZJ002648', 'group_number': 'X0001000', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'SHACHORY', 'plan_sponsor_name': None, 'patient_first_name': 'RAFAEL', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2018-01-01', 'plan_coverage_description': 'IFP EMB PED DPPO JAN15', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8216695913 | N/A | N/A | 6919729 | 2222 | N/A | 9395122 | N/A | 5950744 | 2025-07-10 00:37:13.942487 | 2025-07-10 00:33:25.010317 |
| 2025-07-09 23:18:37.679956 | 2025-07-09 23:18:39.351563 | 9666961 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1997-01-14', 'date_of_service': '2025-07-11', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'insurance_company_id': 4184, 'subscriber_last_name': 'Wainman', 'subscriber_member_id': 'YSQ892W00831', 'subscriber_first_name': 'Irene'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6940413/check_9666961_24763894-1bf1-4e21-9cdc-d45c035e18d4.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6940413/check_9666961_4aafd8b5-b3a2-4d33-b71c-408bff188e22.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'YSQ892W00831', 'plan_type': None, 'group_name': None, 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1997-01-14', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'WAINMAN', 'plan_sponsor_name': None, 'patient_first_name': 'IRENE', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6940413 | 2222 | N/A | 9394847 | N/A | 5970242 | 2025-07-09 23:18:39.351563 | 2025-07-24 16:51:12.448791 |
| 2025-07-09 23:18:35.096802 | 2025-07-09 23:18:37.674988 | 9666960 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1997-01-14', 'date_of_service': '2025-07-11', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'insurance_company_id': 4184, 'subscriber_last_name': 'Wainman', 'subscriber_member_id': 'YSQ892W00831', 'subscriber_first_name': 'Irene'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6940413/check_9666960_1ad612c9-397c-466e-9967-c7421037a640.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-11 | N/A | N/A | N/A | N/A | N/A | N/A | {'member_id': 'YSQ892W00831', 'plan_type': None, 'group_name': None, 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1997-01-14', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'WAINMAN', 'plan_sponsor_name': None, 'patient_first_name': 'IRENE', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6940413 | 2222 | N/A | N/A | N/A | 5970242 | 2025-07-09 23:18:37.674988 | 2025-07-24 16:51:12.448791 |
| 2025-07-09 23:06:48.379359 | 2025-07-09 23:06:51.453370 | 9666939 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1973-12-29', 'date_of_service': '2025-07-25', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'insurance_company_id': 4191, 'subscriber_last_name': 'SCHWAB', 'subscriber_member_id': 'XEH906212099', 'subscriber_first_name': 'JAYNIE'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6939454/check_9666939_344274cc-bab4-431a-b7e8-bbe128e4f80f.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-25 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6939454/check_9666939_673e2510-dad7-4f4e-a01d-9703daf5e2d5.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XEH906212099', 'plan_type': 'Health Maintenance Organization (HMO)', 'group_name': 'VENTURA COUNTY PROFESSIONAL FIREFIGHTERS', 'payer_name': 'BLUE SHIELD CALIFORNIA', 'payer_note': None, 'patient_dob': '1973-12-29', 'plan_number': '1000HMOX0002', 'group_number': 'W0065470', 'insurance_type': None, 'plan_type_code': 'HM', 'enrolled_in_qmb': False, 'patient_last_name': 'SCHWAB', 'plan_sponsor_name': None, 'patient_first_name': 'DAVID', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'VENTURA COUNTY PROFESSIONAL FIREFIGHTERS ACCESS H', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8216060717 | N/A | N/A | 6939454 | 2222 | N/A | 9394793 | N/A | 5969811 | 2025-07-09 23:06:51.453370 | 2025-07-09 23:02:08.268777 |
| 2025-07-09 22:53:35.279834 | 2025-07-09 22:53:38.110624 | 9666901 | N/A | N/A | {'payer_id': 'CCHPC', 'payer_name': 'Alignment Health Care (Fee For Service)', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1959-09-28', 'date_of_service': '2025-06-18', 'subscriber_gender': 'F', 'service_type_codes': ['PT', 'AE'], 'insurance_company_id': 2630, 'subscriber_last_name': 'STEVENS', 'subscriber_member_id': '00000348252', 'subscriber_first_name': 'JANET'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/5540659/check_9666901_0d90adfa-a148-4b29-9e68-edf022b7a675.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-18 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540659/check_9666901_82159092-ef32-4f0a-8f8f-776b23f7a9f6.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '00000348252', 'plan_type': 'Health Maintenance Organization (HMO)', 'group_name': None, 'payer_name': 'MEDICARE', 'payer_note': 'OVERALL DEDUCTIBLE', 'patient_dob': '1959-09-28', 'plan_number': 'H3815028', 'group_number': None, 'insurance_type': None, 'plan_type_code': 'HM', 'enrolled_in_qmb': False, 'patient_last_name': 'STEVENS', 'plan_sponsor_name': None, 'patient_first_name': 'JANET', '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 | 8216027955 | 5686 | N/A | 5540659 | 2222 | N/A | 9394726 | N/A | 4212773 | 2025-07-09 22:53:38.110624 | 2025-05-13 04:29:37.227109 |
| 2025-07-09 21:45:58.713515 | 2025-07-09 21:46:01.480477 | 9666616 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1967-05-29', 'date_of_service': '2025-07-10', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'insurance_company_id': 4184, 'subscriber_last_name': 'FINN', 'subscriber_member_id': 'JQU683A20101', 'subscriber_first_name': 'PATRICK'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6938589/check_9666616_7ac7b50d-fe67-4850-b430-412b90d3bf26.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6938589/check_9666616_862de86a-2fad-488c-a317-ffea2911302c.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'JQU683A20101', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'GLOBALWIDE MEDIA INC', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1967-05-29', 'plan_number': '040', 'group_number': 'Q18255', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'FINN', 'plan_sponsor_name': None, 'patient_first_name': 'PATRICK', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2024-12-01', 'plan_coverage_description': 'CA SG ANTHEM PPO', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8215813580 | N/A | N/A | 6938589 | 2222 | N/A | 9394301 | N/A | 5969280 | 2025-07-09 21:46:01.480477 | 2025-07-09 21:37:07.694893 |
| 2025-07-09 20:11:49.672733 | 2025-07-09 20:11:51.520170 | 9666109 | N/A | N/A | {'payer_id': 'Z1073', 'payer_name': 'Medicare B California Southern', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1944-10-23', 'date_of_service': '2025-07-10', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 4497, 'subscriber_last_name': 'SCHOFIELD', 'subscriber_member_id': '5F35P40FC63', 'subscriber_first_name': 'JAN'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6601819/check_9666109_7bb90d97-f1a8-4fbf-bc57-3b2f1ad3ddf6.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6601819/check_9666109_8001b472-d401-4b2c-bfc8-1923422aac79.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '5F35P40FC63', 'plan_type': 'Medicare Part B', 'group_name': None, 'payer_name': 'SILVERSCRIPT INSURANCE COMPANY', 'payer_note': '0-BENEFICIARY INSURED DUE TO AGE OASI', 'patient_dob': '1944-10-23', 'plan_number': 'S5601', 'group_number': None, 'insurance_type': None, 'plan_type_code': 'MB', 'enrolled_in_qmb': False, 'patient_last_name': 'SCHOFIELD', 'plan_sponsor_name': None, 'patient_first_name': 'JANET', '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 | 8215280171 | N/A | N/A | 6601819 | 2222 | N/A | 9393647 | N/A | 5219416 | 2025-07-09 20:11:51.520170 | 2025-06-25 22:58:45.652209 |
| 2025-07-09 20:07:24.135141 | 2025-07-09 20:07:25.935140 | 9666074 | N/A | N/A | {'payer_id': 'CCHPC', 'payer_name': 'Alignment Health Care (Fee For Service)', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1947-07-01', 'date_of_service': '2025-07-09', 'subscriber_gender': 'M', 'service_type_codes': ['PT', 'AE'], 'insurance_company_id': 2630, 'subscriber_last_name': 'KAUR', 'subscriber_member_id': '00000363046', 'subscriber_first_name': 'RANJIT'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/5536406/check_9666074_f7e4a740-cd4f-4128-8739-b2b749e6b799.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536406/check_9666074_98d58c83-2ea8-4212-8256-d0720e83dd15.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '00000363046', 'plan_type': 'Health Maintenance Organization (HMO)', 'group_name': None, 'payer_name': 'MEDICARE', 'payer_note': 'OVERALL DEDUCTIBLE', 'patient_dob': '1947-07-01', 'plan_number': 'H3815048', 'group_number': None, 'insurance_type': None, 'plan_type_code': 'HM', 'enrolled_in_qmb': False, 'patient_last_name': 'KAUR', 'plan_sponsor_name': None, 'patient_first_name': 'RANJIT', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'ALIGNMENT HEALTH HEART & DIABETES CARE (HMO C-SNP)', 'relationship_to_subscriber': None} | ['PT', 'AE'] | N/A | N/A | N/A | N/A | N/A | 8215251583 | 9483 | N/A | 5536406 | 2222 | N/A | 9393606 | N/A | 4209149 | 2025-07-09 20:07:25.935140 | 2025-05-13 04:29:37.223572 |
| 2025-07-09 19:16:34.492903 | 2025-07-09 19:16:44.314022 | 9665583 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1962-01-25', 'date_of_service': '2025-07-09', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'insurance_company_id': 4185, 'subscriber_last_name': 'LUCZYWEK', 'subscriber_member_id': 'HFD100011213709', 'subscriber_first_name': 'DEBORA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/5549317/check_9665583_3474432d-969e-4b5d-a4a1-d57368562951.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5549317/check_9665583_f35fac8f-a43e-4152-864d-2db78c9ca86f.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'HFD100011213709', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': None, 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': 'IF THE MEMBER QUALIFIES FOR COBRA COVERAGE,THE POLICY MAY BE SUBJECT TO RETROACTIVE CANCELLATION OR REINSTATEMENT, BASED ON THE PLAN DESIGN AND THE MEMBER COBRA ELECTION. FOR A COMPLETE LIST OF COVERED PREVENTIVE SERVICES PLEASE VISIT WWW.USPREVENTIVESERVICESTASKFORCE.ORG.THEN AT THE BOTTOM OF THE PAGE, UNDER RECOMMENDATIONS, CLICK ON THE LINK FOR USPSTF A AND B RECOMMENDATIONS.', 'patient_dob': '1962-01-25', 'plan_number': None, 'group_number': '716116N04', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'LUCZYWEK', 'plan_sponsor_name': None, 'patient_first_name': 'MARIUSZ', 'patient_middle_name': None, 'date_time_period_end': '2026-01-01', 'date_time_period_start': '2025-01-01', 'plan_coverage_description': 'PREFERRED_PROVIDER_ORG_(PPO)', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8214957151 | N/A | N/A | 5549317 | 2222 | N/A | 9393010 | N/A | 4219010 | 2025-07-09 19:16:44.314022 | 2026-01-09 18:32:07.618867 |
| 2025-07-09 18:35:32.293404 | 2025-07-09 18:35:37.238541 | 9665113 | N/A | N/A | {'payer_id': '60054', 'payer_name': 'Aetna', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1982-01-04', 'date_of_service': '2025-07-10', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 3948, 'subscriber_last_name': 'BURKE', 'subscriber_member_id': 'W2880 72188', 'subscriber_first_name': 'DANIELLE'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6813488/check_9665113_98dc0222-a32c-49ca-9f24-cfd6d37a709f.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6813488/check_9665113_a24bb940-210c-4ab7-ace2-a3893624a174.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'W288072188', 'plan_type': 'Point of Service (POS)', 'group_name': 'PRECISION CASTPARTS CORP.', 'payer_name': 'AETNA', 'payer_note': None, 'patient_dob': '1982-01-04', 'plan_number': '0804202', 'group_number': '080420201400030', 'insurance_type': None, 'plan_type_code': 'PS', 'enrolled_in_qmb': False, 'patient_last_name': 'BURKE', 'plan_sponsor_name': None, 'patient_first_name': 'DANIELLE', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'AETNA CHOICE POS II', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8214693024 | N/A | N/A | 6813488 | 2222 | N/A | 9392472 | N/A | 5855703 | 2025-07-09 18:35:37.238541 | 2025-07-09 18:25:42.890614 |
| 2025-07-09 17:13:23.729735 | 2025-07-09 17:13:29.604302 | 9664273 | N/A | N/A | {'payer_id': '60054', 'payer_name': 'Aetna', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1964-04-27', 'date_of_service': '2025-07-17', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 3948, 'subscriber_last_name': 'PADHI', 'subscriber_member_id': 'W2822 08806', 'subscriber_first_name': 'LAURA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6932352/check_9664273_ef28fc5d-f911-44b2-a1a1-d1018d269877.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6932352/check_9664273_3cbbcc18-0e4f-4742-a456-5965024d8dd7.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'W282208806', 'plan_type': 'Point of Service (POS)', 'group_name': 'ASPEN HR PEO, LLC', 'payer_name': 'AETNA', 'payer_note': None, 'patient_dob': '1964-04-27', 'plan_number': '0175126', 'group_number': '017512601200032', 'insurance_type': None, 'plan_type_code': 'PS', 'enrolled_in_qmb': False, 'patient_last_name': 'PADHI', 'plan_sponsor_name': None, 'patient_first_name': 'IAN', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'OA MANAGED CHOICE POS', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8213680094 | N/A | N/A | 6932352 | 2222 | N/A | 9391545 | N/A | 5963518 | 2025-07-09 17:13:29.604302 | 2025-07-09 17:02:47.092277 |
| 2025-07-09 16:54:38.994766 | 2025-07-09 16:54:42.975938 | 9664016 | N/A | N/A | {'payer_id': '94134', 'payer_name': 'Kaiser Foundation Health Plan of Southern CA Region', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '2008-04-21', 'date_of_service': '2025-07-09', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 5505, 'subscriber_last_name': 'BERMUDEZ', 'subscriber_member_id': '000019836525', 'subscriber_first_name': 'RAFAEL'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6721942/check_9664016_927ad949-7463-4bac-b38e-aab9239113ea.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6721942/check_9664016_919bfaf5-4984-4a81-9f5e-94e783916c0a.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': 'MEDI-CAL LA CARE HEALTH PLAN HF AID CODE H3 AGES 1', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8213398689 | 9482 | N/A | 6721942 | 2222 | N/A | 9391269 | N/A | 5322280 | 2025-07-09 16:54:42.975938 | 2025-07-01 21:45:15.878047 |
| 2025-07-09 16:53:08.559997 | 2025-07-09 16:53:10.327960 | 9664003 | N/A | N/A | {'payer_id': '94134', 'payer_name': 'Kaiser Foundation Health Plan of Southern CA Region', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '2008-04-21', 'date_of_service': '2025-07-09', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 5505, 'subscriber_last_name': 'BERMUDEZ', 'subscriber_member_id': '0019836525', 'subscriber_first_name': 'RAFAEL'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6721942/check_9664003_5b5813c4-a36c-4cf4-bf6e-4f82960341bf.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6721942/check_9664003_22d1a8b5-4be6-4d81-9ead-c1b7ac893abd.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '0019836525', 'plan_type': None, 'group_name': None, 'payer_name': 'KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA', 'payer_note': None, 'patient_dob': '2008-04-21', 'plan_number': None, 'group_number': None, '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': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 6721942 | 2222 | N/A | 9391256 | N/A | 5322280 | 2025-07-09 16:53:10.327960 | 2025-07-01 21:45:15.878047 |
| 2025-07-09 16:53:06.983463 | 2025-07-09 16:53:08.557402 | 9664002 | N/A | N/A | {'payer_id': '94134', 'payer_name': 'Kaiser Foundation Health Plan of Southern CA Region', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '2008-04-21', 'date_of_service': '2025-07-09', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 5505, 'subscriber_last_name': 'BERMUDEZ', 'subscriber_member_id': '0019836525', 'subscriber_first_name': 'RAFAEL'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6721942/check_9664002_18ae80c6-cc8b-45bc-8abd-0cc9a4b8bc71.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-09 | N/A | N/A | N/A | N/A | N/A | N/A | {'member_id': '0019836525', 'plan_type': None, 'group_name': None, 'payer_name': 'KAISER FOUNDATION HEALTH PLAN OF SOUTHERN CALIFORNIA', 'payer_note': None, 'patient_dob': '2008-04-21', 'plan_number': None, 'group_number': None, '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': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | N/A | 9482 | N/A | 6721942 | 2222 | N/A | N/A | N/A | 5322280 | 2025-07-09 16:53:08.557402 | 2025-07-01 21:45:15.878047 |