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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-07-09 16:04:07.296161 | 2025-07-09 16:04:10.029409 | 9663592 | 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': '1966-04-28', 'date_of_service': '2025-07-09', 'subscriber_gender': 'F', 'service_type_codes': ['PT', 'AE'], 'insurance_company_id': 4184, 'subscriber_last_name': 'HAZARD', 'subscriber_member_id': 'NCF794W22253', 'subscriber_first_name': 'PAULA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6472283/check_9663592_f54d3308-2319-48fb-b51a-a65dc7448654.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6472283/check_9663592_630000f0-c0ee-4d0b-9ec9-39a167a48340.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'NCF794W22253', 'plan_type': 'Health Maintenance Organization (HMO)', 'group_name': 'LAUSD', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1966-04-28', 'plan_number': '040', 'group_number': '57AJCA', 'insurance_type': None, 'plan_type_code': 'HM', 'enrolled_in_qmb': False, 'patient_last_name': 'HAZARD', 'plan_sponsor_name': None, 'patient_first_name': 'PAULA', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2025-01-01', 'plan_coverage_description': 'POWER SELECT HMO NETWORK 126+', 'relationship_to_subscriber': None} | ['PT', 'AE'] | N/A | N/A | N/A | N/A | N/A | 8212688865 | 9483 | N/A | 6472283 | 2222 | N/A | 9390818 | N/A | 5105323 | 2025-07-09 16:04:10.029409 | 2025-07-02 18:01:41.077949 |
| 2025-07-09 15:36:42.444418 | 2025-07-09 15:36:47.319176 | 9663276 | 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': 'W282208806', 'subscriber_first_name': 'LAURA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6932352/check_9663276_d967182b-84e7-4997-95b2-5e84bfaeba40.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6932352/check_9663276_8177c017-9ee0-4fe0-b61f-a201943e4068.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 | 8212351389 | 9482 | N/A | 6932352 | 2222 | N/A | 9390480 | N/A | 5963518 | 2025-07-09 15:36:47.319176 | 2025-07-09 17:02:47.092277 |
| 2025-07-09 13:20:07.536932 | 2025-07-09 13:20:10.423064 | 9662154 | 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': '2000-08-04', 'date_of_service': '2025-07-10', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'insurance_company_id': 4185, 'subscriber_last_name': 'MAGHEN', 'subscriber_member_id': 'XDL992A63501', 'subscriber_first_name': 'ITZCHAK'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6172263/check_9662154_1951e948-747c-45eb-bf9b-a6dd1a1a4b38.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6172263/check_9662154_64bf946d-dee3-4166-8862-74f6f2625837.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XDL992A63501', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': None, 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '2000-08-04', 'plan_number': '040', 'group_number': 'H06200', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'SHAYANI', 'plan_sponsor_name': None, 'patient_first_name': 'ESTHER', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2009-07-01', 'plan_coverage_description': 'PPO SHARE', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8210584744 | 9228 | N/A | 6172263 | 2222 | N/A | 9389210 | N/A | 4813871 | 2025-07-09 13:20:10.423064 | 2025-07-08 23:07:33.420114 |
| 2025-07-09 12:11:19.435608 | 2025-07-09 12:11:22.474759 | 9660746 | 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': '1939-06-24', 'date_of_service': '2025-06-27', 'subscriber_gender': '', 'service_type_codes': ['PT', 'AE'], 'insurance_company_id': 4497, 'subscriber_last_name': 'ULLMAN', 'subscriber_member_id': '8HC8F35AX50', 'subscriber_first_name': 'DAVID'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/5543201/check_9660746_5e32f827-7ef8-44bb-9b05-f7222ab1e083.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-06-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543201/check_9660746_89a16bb5-65b2-463d-b5cd-5cfa91b98beb.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '8HC8F35AX50', 'plan_type': 'Medicare Part B', 'group_name': None, 'payer_name': 'UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY', 'payer_note': '0-BENEFICIARY INSURED DUE TO AGE OASI', 'patient_dob': '1939-06-24', 'plan_number': 'S5921', 'group_number': None, 'insurance_type': None, 'plan_type_code': 'MB', 'enrolled_in_qmb': False, 'patient_last_name': 'ULLMAN', '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': None, 'relationship_to_subscriber': None} | ['PT', 'AE'] | N/A | N/A | N/A | N/A | N/A | 8209701241 | 1275 | N/A | 5543201 | 2222 | N/A | 9387698 | N/A | 4215026 | 2025-07-09 12:11:22.474759 | 2025-06-07 16:16:41.178119 |
| 2025-07-09 09:59:46.249511 | 2025-07-09 09:59:49.991894 | 9657238 | N/A | N/A | {'payer_id': '62308', 'payer_name': 'CIGNA (Connecticut General, Equicor, Equitable)', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1976-11-09', 'date_of_service': '2025-06-27', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 4437, 'subscriber_last_name': 'LAWSON', 'subscriber_member_id': '10975548900', 'subscriber_first_name': 'KENNETH'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6213138/check_9657238_a6413810-183b-444e-b507-ab53b0092453.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-27 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6213138/check_9657238_af9a20c4-3264-44d6-af72-88ea41fefd18.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '10975548900', 'plan_type': None, 'group_name': 'ACELYRIN, INC.', 'payer_name': 'CHLIC', 'payer_note': 'NEW BUSINESS RATES APPLIED COMPLETE CARE MANAGEMENT', 'patient_dob': '1976-11-09', 'plan_number': None, 'group_number': '00652240', 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'LAWSON', 'plan_sponsor_name': None, 'patient_first_name': 'KENNETH', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'OPEN ACCESS PLUS', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8208252253 | 9228 | N/A | 6213138 | 2222 | N/A | 9383978 | N/A | 4856781 | 2025-07-09 09:59:49.991894 | 2025-06-12 21:52:37.627086 |
| 2025-07-09 09:59:43.198907 | 2025-07-09 09:59:46.247697 | 9657237 | N/A | N/A | {'payer_id': '62308', 'payer_name': 'CIGNA (Connecticut General, Equicor, Equitable)', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1976-11-09', 'date_of_service': '2025-06-27', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 4437, 'subscriber_last_name': 'LAWSON', 'subscriber_member_id': '10975548900', 'subscriber_first_name': 'KENNETH'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6213138/check_9657237_26ec7080-59c6-4795-b2f9-a258674987d9.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-06-27 | N/A | N/A | N/A | N/A | N/A | N/A | {'member_id': '10975548900', 'plan_type': None, 'group_name': None, 'payer_name': 'CIGNA HEALTH PLANS', 'payer_note': None, 'patient_dob': '1976-11-09', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'LAWSON', 'plan_sponsor_name': None, 'patient_first_name': 'KENNETH', '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 | 9228 | N/A | 6213138 | 2222 | N/A | N/A | N/A | 4856781 | 2025-07-09 09:59:46.247697 | 2025-06-12 21:52:37.627086 |
| 2025-07-09 09:31:55.088420 | 2025-07-09 09:31:59.110274 | 9657140 | 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_9657140_40e2e5be-e89a-4d98-991b-94a00fe5d030.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6522947/check_9657140_9c57ed27-6701-4feb-b4c5-bc94e361e566.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 | 9383888 | N/A | 5146127 | 2025-07-09 09:31:59.110274 | 2025-06-20 17:58:23.371130 |
| 2025-07-09 09:31:51.183076 | 2025-07-09 09:31:55.082400 | 9657134 | 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_9657134_67c56f52-6b49-4c2e-93f1-1cf7fd8de20a.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 | 2025-07-09 09:31:55.082400 | 2025-06-20 17:58:23.371130 |
| 2025-07-09 09:31:48.691071 | 2025-07-09 09:31:52.890695 | 9657128 | 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_9657128_0b905a6c-527d-486e-8a9c-3fec9f20f5b1.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540931/check_9657128_f3325509-ae20-4f77-b84a-7c4c842b34ed.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 | 8207942412 | N/A | N/A | 5540931 | 2222 | N/A | 9383874 | N/A | 4213013 | 2025-07-09 09:31:52.890695 | 2025-05-13 04:29:37.227340 |
| 2025-07-09 09:31:48.264699 | 2025-07-09 09:31:52.235268 | 9657125 | 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_9657125_7a919c6a-d660-4103-98d7-5c91a38fd9f1.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6145941/check_9657125_9a2c95d6-81c3-4920-8091-67b60f82eb9b.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 | 9383871 | N/A | 4786785 | 2025-07-09 09:31:52.235268 | 2025-06-13 00:55:48.629734 |
| 2025-07-09 09:31:45.458633 | 2025-07-09 09:31:48.259592 | 9657117 | 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_9657117_7efd3a4f-2643-445d-8992-87b82a89c021.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 | 2025-07-09 09:31:48.259592 | 2025-06-13 00:55:48.629734 |
| 2025-07-09 09:31:23.977798 | 2025-07-09 09:31:27.215013 | 9657058 | N/A | N/A | {'payer_id': '87726', 'payer_name': 'United Healthcare', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1929-02-22', 'date_of_service': '2025-07-09', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6411, 'subscriber_last_name': 'SCOTT', 'subscriber_member_id': '076810624-11', 'subscriber_first_name': 'GEORGE'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6105989/check_9657058_d23bf268-5ebc-4f0d-a467-e81872e3096f.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6105989/check_9657058_b9c2c175-c5c4-4c5f-9638-e7bc1f2e32c7.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '076810624', 'plan_type': None, 'group_name': None, 'payer_name': 'UNITEDHEALTHCARE', 'payer_note': None, 'patient_dob': '1929-02-22', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'SCOTT', 'plan_sponsor_name': None, 'patient_first_name': 'GEORGE', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6105989 | 2222 | N/A | 9383807 | N/A | 4750274 | 2025-07-09 09:31:27.215013 | 2025-06-12 22:26:37.845238 |
| 2025-07-09 09:31:14.896847 | 2025-07-09 09:31:23.972408 | 9657031 | N/A | N/A | {'payer_id': '87726', 'payer_name': 'United Healthcare', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1929-02-22', 'date_of_service': '2025-07-09', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6411, 'subscriber_last_name': 'SCOTT', 'subscriber_member_id': '076810624-11', 'subscriber_first_name': 'GEORGE'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6105989/check_9657031_48096f70-ff9e-46a2-9066-2e229229bd4a.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-09 | N/A | N/A | N/A | N/A | N/A | N/A | {'member_id': '076810624', 'plan_type': None, 'group_name': None, 'payer_name': 'UNITEDHEALTHCARE', 'payer_note': None, 'patient_dob': '1929-02-22', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'SCOTT', 'plan_sponsor_name': None, 'patient_first_name': 'GEORGE', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | 6105989 | 2222 | N/A | N/A | N/A | 4750274 | 2025-07-09 09:31:23.972408 | 2025-06-12 22:26:37.845238 |
| 2025-07-09 09:29:43.914845 | 2025-07-09 09:29:47.640577 | 9656815 | 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': '1995-05-25', 'date_of_service': '2025-07-10', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6411, 'subscriber_last_name': 'DEMEKE', 'subscriber_member_id': '993298216', 'subscriber_first_name': 'BETHELHEM'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6398770/check_9656815_d68ae910-c05a-4eb0-971f-b888a6a76a96.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6398770/check_9656815_2185f66b-3235-4db7-b56b-04ea12c3cde4.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '993298216', 'plan_type': 'Commercial', 'group_name': 'SIXT RENT A CAR, LLC', 'payer_name': 'UNITEDHEALTHCARE', 'payer_note': 'FUNDING TYPE = FULLY INSURED - LARGE GROUP A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED', 'patient_dob': '1995-05-25', 'plan_number': '0003 0003', 'group_number': '933301', 'insurance_type': None, 'plan_type_code': 'C1', 'enrolled_in_qmb': False, 'patient_last_name': 'DEMEKE', 'plan_sponsor_name': None, 'patient_first_name': 'BETHELHEM', '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 | 8207917311 | N/A | N/A | 6398770 | 2222 | N/A | 9383561 | N/A | 5046323 | 2025-07-09 09:29:47.640577 | 2025-07-01 16:52:05.392727 |
| 2025-07-09 09:27:30.004161 | 2025-07-09 09:27:33.752148 | 9656492 | 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': '1995-05-25', 'date_of_service': '2025-07-09', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6411, 'subscriber_last_name': 'DEMEKE', 'subscriber_member_id': '993298216', 'subscriber_first_name': 'BETHELHEM'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6398770/check_9656492_e5744b8c-7942-4e82-a8d5-bc565a23edc5.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6398770/check_9656492_24641215-7df3-41a5-bc5b-58d09ae545cf.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '993298216', 'plan_type': 'Commercial', 'group_name': 'SIXT RENT A CAR, LLC', 'payer_name': 'UNITEDHEALTHCARE', 'payer_note': 'FUNDING TYPE = FULLY INSURED - LARGE GROUP A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED', 'patient_dob': '1995-05-25', 'plan_number': '0003 0003', 'group_number': '933301', 'insurance_type': None, 'plan_type_code': 'C1', 'enrolled_in_qmb': False, 'patient_last_name': 'DEMEKE', 'plan_sponsor_name': None, 'patient_first_name': 'BETHELHEM', '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 | 8207898135 | N/A | N/A | 6398770 | 2222 | N/A | 9383241 | N/A | 5046323 | 2025-07-09 09:27:33.752148 | 2025-07-01 16:52:05.392727 |
| 2025-07-09 09:16:32.565713 | 2025-07-09 09:17:10.649626 | 9655918 | 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_9655918_aaf71d29-8166-4833-879b-2489d7053147.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 | 2025-07-09 09:17:10.649626 | 2025-05-13 04:29:37.229495 |
| 2025-07-09 09:13:35.127397 | 2025-07-10 02:08:52.256589 | 9655430 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': '1114042165', 'trace_number': '9655430', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1949-06-20', 'date_of_service': '2025-07-09', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'MORALES', 'subscriber_member_id': 'XEM904136832', 'subscriber_first_name': 'ANA'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250709.120332600.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6074748/check_9655430_ad6b3819-a845-47c7-a860-7e399a8efe81.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XEM904136832', 'plan_type': 'Other', 'group_name': 'MEDICARE SUPPLEMENT', 'payer_name': 'MEDICARE PART A AND B', 'payer_note': None, 'patient_dob': '1949-06-20', 'plan_number': '2002SD000004', 'group_number': 'X0001002', 'insurance_type': None, 'plan_type_code': 'OT', 'enrolled_in_qmb': False, 'patient_last_name': 'MORALES', 'plan_sponsor_name': None, 'patient_first_name': 'ANA', '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 | 8207764689 | N/A | N/A | 6074748 | 2222 | 4793 | 9398585 | N/A | 4718913 | 2025-07-10 02:08:52.256589 | 2025-05-29 22:23:40.462913 |
| 2025-07-09 09:12:48.147166 | 2025-07-10 02:01:54.627491 | 9655101 | N/A | N/A | {'payer_id': 'REGAL', 'payer_name': 'Regal Medical Group', 'provider_npi': '1114042165', 'trace_number': '9655101', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1958-03-25', 'date_of_service': '2025-07-09', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'RABASA', 'subscriber_member_id': 'H9002483100', 'subscriber_first_name': 'PATRICIA'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250709.120244518.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6667925/check_9655101_2190c5fd-dc1d-49fc-bcff-0b06d5fa3e5b.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'H9002483100', 'plan_type': None, 'group_name': None, 'payer_name': 'REGAL MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1958-03-25', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'RABASA', 'plan_sponsor_name': None, 'patient_first_name': 'PATRICIA', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8207748825 | N/A | N/A | 6667925 | 2222 | 4793 | 9395488 | N/A | 5281834 | 2025-07-10 02:01:54.627491 | 2025-09-11 16:48:19.720660 |
| 2025-07-09 09:12:23.780772 | 2025-07-10 02:12:48.771162 | 9654850 | N/A | N/A | {'payer_id': 'Z1073', 'payer_name': 'Medicare B California Southern', 'provider_npi': '1114042165', 'trace_number': '9654850', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1952-10-25', 'date_of_service': '2025-07-09', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'JOHNSTON', 'subscriber_member_id': '7KA0H51YU14', 'subscriber_first_name': 'DEBORAH'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250709.120244518.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6638066/check_9654850_116b86cd-19fa-437c-a542-c1d55f430e31.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '7KA0H51YU14', 'plan_type': 'Medicare Part A', 'group_name': None, 'payer_name': 'MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY', 'payer_note': '0-BENEFICIARY INSURED DUE TO AGE OASI', 'patient_dob': '1952-10-25', 'plan_number': 'S5617', 'group_number': None, 'insurance_type': None, 'plan_type_code': 'MA', 'enrolled_in_qmb': False, 'patient_last_name': 'JOHNSTON', 'plan_sponsor_name': None, 'patient_first_name': 'DEBORAH', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8207747628 | N/A | N/A | 6638066 | 2222 | 4793 | 9400305 | N/A | 5247837 | 2025-07-10 02:12:48.771162 | 2026-02-24 20:36:49.807283 |
| 2025-07-09 09:12:13.040924 | 2025-07-10 02:06:58.496611 | 9654723 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9654723', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1967-03-31', 'date_of_service': '2025-07-09', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'BARRERA', 'subscriber_member_id': 'XEH903389121', 'subscriber_first_name': 'LOLA'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250709.120244518.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6611912/check_9654723_c8b0e13f-c48e-422d-8ef4-129d7bd137e8.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XEH903389121', 'plan_type': None, 'group_name': None, 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1967-03-31', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'BARRERA', 'plan_sponsor_name': None, 'patient_first_name': 'LOLA', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8207749369 | N/A | N/A | 6611912 | 2222 | 4793 | 9397792 | N/A | 5230345 | 2025-07-10 02:06:58.496611 | 2025-07-11 20:32:03.183345 |
| 2025-07-09 09:11:17.869655 | 2025-07-10 02:07:18.968578 | 9654127 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': '1114042165', 'trace_number': '9654127', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1995-01-31', 'date_of_service': '2025-07-09', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'MAJD', 'subscriber_member_id': 'XED911263594', 'subscriber_first_name': 'SYDNEY'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250709.120244518.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6555034/check_9654127_2f00b5f7-82c3-4b08-a02e-dfb137b6fe21.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XED911263594', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'IFP ON EXCHANGE', 'payer_name': 'BLUE SHIELD CALIFORNIA', 'payer_note': None, 'patient_dob': '1995-01-31', 'plan_number': '2001ZK002185', 'group_number': 'X0001004', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'MAJD', 'plan_sponsor_name': None, 'patient_first_name': 'SYDNEY', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2022-03-01', 'plan_coverage_description': 'IFP EMB PED VISION', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8207748677 | N/A | N/A | 6555034 | 2222 | 4793 | 9397929 | N/A | 5178259 | 2025-07-10 02:07:18.968578 | 2025-07-08 22:15:02.277880 |
| 2025-07-09 09:11:16.543487 | 2025-07-10 02:07:25.459556 | 9654117 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': '1114042165', 'trace_number': '9654117', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '2002-02-06', 'date_of_service': '2025-07-09', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'MANALO LAMANNA', 'subscriber_member_id': 'GSC134174111001', 'subscriber_first_name': 'ISADORE'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250709.120244518.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6554790/check_9654117_633bd8aa-5252-4921-87d4-ec865604b840.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '01765049801', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': None, 'payer_name': 'BLUE SHIELD OF CALIFORNIA', 'payer_note': 'FUNDING TYPE = SELF INSURED', 'patient_dob': '2002-02-06', 'plan_number': '363', 'group_number': '022039304', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'MANALOLAMANNA', 'plan_sponsor_name': None, 'patient_first_name': 'ISADORE', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2022-01-01', 'plan_coverage_description': 'BLUE CARD PPO', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8207748674 | N/A | N/A | 6554790 | 2222 | 4793 | 9397966 | N/A | 5177947 | 2025-07-10 02:07:25.459556 | 2025-07-01 19:04:04.764299 |
| 2025-07-09 09:08:27.388883 | 2025-07-09 09:08:32.749797 | 9652468 | 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': '2002-02-06', 'date_of_service': '2025-07-09', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'insurance_company_id': 4191, 'subscriber_last_name': 'MANALO LAMANNA', 'subscriber_member_id': 'GSC134174111001', 'subscriber_first_name': 'ISADORE'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6554790/check_9652468_3ee99fd9-c5f3-4295-830d-42095c8ab1ae.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6554790/check_9652468_aa9b3823-018d-4535-acab-92a4039e854a.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '01765049801', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': None, 'payer_name': 'BLUE SHIELD OF CALIFORNIA', 'payer_note': 'FUNDING TYPE = SELF INSURED', 'patient_dob': '2002-02-06', 'plan_number': '363', 'group_number': '022039304', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'MANALOLAMANNA', 'plan_sponsor_name': None, 'patient_first_name': 'ISADORE', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2022-01-01', 'plan_coverage_description': 'BLUE CARD PPO', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8207683144 | N/A | N/A | 6554790 | 2222 | N/A | 9381518 | N/A | 5177947 | 2025-07-09 09:08:32.749797 | 2025-07-01 19:04:04.764299 |
| 2025-07-09 09:07:18.296474 | 2025-07-10 02:12:48.260911 | 9651740 | N/A | N/A | {'payer_id': 'Z1073', 'payer_name': 'Medicare B California Southern', 'provider_npi': '1114042165', 'trace_number': '9651740', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1951-11-18', 'date_of_service': '2025-07-09', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'JACOBY', 'subscriber_member_id': '5VX4HE8NC98', 'subscriber_first_name': 'LEAH'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250709.120244518.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6145941/check_9651740_9b08dfa5-e259-4977-a0d5-ea39c610e4ce.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '5VX4HE8NC98', 'plan_type': 'Medicare Part B', 'group_name': None, 'payer_name': 'UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY', 'payer_note': '0-BENEFICIARY INSURED DUE TO AGE OASI', 'patient_dob': '1951-11-18', 'plan_number': 'S5921', 'group_number': None, 'insurance_type': None, 'plan_type_code': 'MB', 'enrolled_in_qmb': False, 'patient_last_name': 'JACOBY', 'plan_sponsor_name': None, 'patient_first_name': 'LEAH', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8207745302 | N/A | N/A | 6145941 | 2222 | 4802 | 9400303 | N/A | 4786785 | 2025-07-10 02:12:48.260911 | 2025-06-13 00:55:48.629734 |
| 2025-07-09 09:07:00.165422 | 2025-07-10 02:01:55.319756 | 9651509 | N/A | N/A | {'payer_id': 'REGAL', 'payer_name': 'Regal Medical Group', 'provider_npi': '1114042165', 'trace_number': '9651509', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1945-07-04', 'date_of_service': '2025-07-09', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'subscriber_last_name': 'Seminario', 'subscriber_member_id': '442W1081810', 'subscriber_first_name': 'Gustavo'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250709.120244518.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6124845/check_9651509_9df2de26-aec8-4048-ba70-de06dba4fff6.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '442W1081810', 'plan_type': None, 'group_name': None, 'payer_name': 'REGAL MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1945-07-04', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'SEMINARIO', 'plan_sponsor_name': None, 'patient_first_name': 'GUSTAVO', '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 | 8207745220 | N/A | N/A | 6124845 | 2222 | 4793 | 9395492 | N/A | 4767293 | 2025-07-10 02:01:55.319756 | 2025-06-06 15:11:48.015692 |
| 2025-07-09 09:06:59.074972 | 2025-07-10 02:07:24.604739 | 9651494 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': '1114042165', 'trace_number': '9651494', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1969-07-12', 'date_of_service': '2025-07-09', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'Davis', 'subscriber_member_id': 'GMB811453374', 'subscriber_first_name': 'Colleen'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250709.120244518.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6124061/check_9651494_e55ffc3a-01ad-4f85-b9e3-dbf33aef871c.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'GMB811453374', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'ARTHUR J GALLAGHER (ILLINOIS), LLC', 'payer_name': 'BLUE SHIELD OF CALIFORNIA', 'payer_note': None, 'patient_dob': '1969-07-12', 'plan_number': None, 'group_number': '169148', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'DAVIS', 'plan_sponsor_name': None, 'patient_first_name': 'COLLEEN', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2024-08-26', 'plan_coverage_description': 'PREFERRED PROVIDER OPTION PLUS MEDICAL', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8207745212 | N/A | N/A | 6124061 | 2222 | 4793 | 9397962 | N/A | 4766777 | 2025-07-10 02:07:24.604739 | 2025-06-19 23:01:11.277116 |
| 2025-07-09 09:06:28.520369 | 2025-07-10 02:12:49.170461 | 9651096 | N/A | N/A | {'payer_id': 'Z1073', 'payer_name': 'Medicare B California Southern', 'provider_npi': '1114042165', 'trace_number': '9651096', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1949-06-20', 'date_of_service': '2025-07-09', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'MORALES', 'subscriber_member_id': '7XX8HG0UK25', 'subscriber_first_name': 'ANA'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250709.120244518.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6076917/check_9651096_e59f0ae7-9b81-491b-bdc0-b23d32eaff3a.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '7XX8HG0UK25', 'plan_type': 'Medicare Part B', 'group_name': None, 'payer_name': 'CMS', 'payer_note': '0-BENEFICIARY INSURED DUE TO AGE OASI', 'patient_dob': '1949-06-20', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': 'MB', 'enrolled_in_qmb': False, 'patient_last_name': 'MORALES', 'plan_sponsor_name': None, 'patient_first_name': 'ANA', '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 | 8207747911 | N/A | N/A | 6076917 | 2222 | 4793 | 9400309 | N/A | 4718913 | 2025-07-10 02:12:49.170461 | 2025-05-29 22:23:40.462913 |
| 2025-07-09 09:06:22.942720 | 2025-07-10 02:08:57.923021 | 9651019 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': '1114042165', 'trace_number': '9651019', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1998-04-21', 'date_of_service': '2025-07-09', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'Safi', 'subscriber_member_id': 'R61624866', 'subscriber_first_name': 'Nina'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250709.120332600.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6904255/check_9651019_5f34b2c0-72e4-4ffd-a10e-34829916ba8b.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'R61624866', 'plan_type': 'Consolidated Omnibus Budget Reconciliation Act (COBRA)', 'group_name': None, 'payer_name': 'BLUE SHIELD OF CALIFORNIA', 'payer_note': None, 'patient_dob': '1998-04-21', 'plan_number': None, 'group_number': '111', 'insurance_type': None, 'plan_type_code': 'CO', 'enrolled_in_qmb': False, 'patient_last_name': 'SAFI', 'plan_sponsor_name': None, 'patient_first_name': 'NINA', 'patient_middle_name': None, 'date_time_period_end': '2026-12-03', 'date_time_period_start': '2025-06-05', 'plan_coverage_description': 'BASIC', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8207763428 | N/A | N/A | 6904255 | 2222 | 4802 | 9398628 | N/A | 5936793 | 2025-07-10 02:08:57.923021 | 2025-07-08 20:49:54.397195 |
| 2025-07-09 09:05:58.624884 | 2025-07-10 02:12:50.537033 | 9650728 | N/A | N/A | {'payer_id': 'Z1073', 'payer_name': 'Medicare B California Southern', 'provider_npi': '1114042165', 'trace_number': '9650728', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1951-10-15', 'date_of_service': '2025-07-09', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'WHITAKER', 'subscriber_member_id': '7UC5YV6EK98', 'subscriber_first_name': 'GAYLE'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250709.120332600.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6885266/check_9650728_04b18893-1d82-4dd4-a15e-2736684a61af.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '7UC5YV6EK98', 'plan_type': 'Medicare Part B', 'group_name': None, 'payer_name': 'SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.', 'payer_note': '0-BENEFICIARY INSURED DUE TO AGE OASI', 'patient_dob': '1951-10-15', 'plan_number': 'H2001', 'group_number': None, 'insurance_type': None, 'plan_type_code': 'MB', 'enrolled_in_qmb': False, 'patient_last_name': 'WHITAKER', 'plan_sponsor_name': None, 'patient_first_name': 'GAYLE', '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 | 8207764434 | N/A | N/A | 6885266 | 2222 | 4801 | 9400318 | N/A | 4219644 | 2025-07-10 02:12:50.537033 | 2025-05-13 04:29:37.230686 |
| 2025-07-09 09:05:45.436326 | 2025-07-10 02:01:10.376487 | 9650577 | N/A | N/A | {'payer_id': 'LMG01', 'payer_name': 'Lakeside Medical Group', 'provider_npi': '1114042165', 'trace_number': '9650577', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1966-02-12', 'date_of_service': '2025-07-09', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'ALFARO', 'subscriber_member_id': '913610118', 'subscriber_first_name': 'MARIA'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250709.120332600.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6877656/check_9650577_36c334f4-f9f3-442c-b264-3b34ac16758f.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '913610118', 'plan_type': None, 'group_name': None, 'payer_name': 'LAKESIDE MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1966-02-12', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'ALFARO', 'plan_sponsor_name': None, 'patient_first_name': 'MARIA', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8207762409 | N/A | N/A | 6877656 | 2222 | 4802 | 9395363 | N/A | 5912923 | 2025-07-10 02:01:10.376487 | 2025-07-08 17:13:03.175162 |
| 2025-07-09 09:03:47.267485 | 2025-07-10 02:05:38.836435 | 9648948 | N/A | N/A | {'payer_id': '62308', 'payer_name': 'Cigna Health Plans', 'provider_npi': '1114042165', 'trace_number': '9648948', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1980-01-01', 'date_of_service': '2025-07-09', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'BAKER', 'subscriber_member_id': '856047151', 'subscriber_first_name': 'JOHN'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250709.120244518.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676404/check_9648948_e861ecd8-cb95-41d8-876e-de94314d6beb.json | 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 | 8207747824 | N/A | N/A | 5676404 | 2222 | 4802 | 9397248 | N/A | 4343463 | 2025-07-10 02:05:38.836435 | 2025-05-13 04:29:37.230940 |
| 2025-07-09 09:03:46.997439 | 2025-07-10 02:06:53.036697 | 9648943 | N/A | N/A | {'payer_id': 'CCHPC', 'payer_name': 'ALIGNMENT HEALTH CARE', 'provider_npi': '1114042165', 'trace_number': '9648943', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1952-06-26', 'date_of_service': '2025-07-09', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'MATTHEWS', 'subscriber_member_id': '00000283273', 'subscriber_first_name': 'DAVID'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250709.120244518.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5676399/check_9648943_88e412a5-62ed-457f-b190-6338643a38c1.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '00000283273', 'plan_type': 'Health Maintenance Organization (HMO)', 'group_name': None, 'payer_name': 'MEDICARE', 'payer_note': 'OVERALL DEDUCTIBLE', 'patient_dob': '1952-06-26', 'plan_number': 'H3815028', 'group_number': None, 'insurance_type': None, 'plan_type_code': 'HM', 'enrolled_in_qmb': False, 'patient_last_name': 'MATTHEWS', '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': 'ALIGNMENT HEALTH MY CHOICE (HMO)', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8207747823 | N/A | N/A | 5676399 | 2222 | 4793 | 9397747 | 2630 | 4343454 | 2025-07-10 02:06:53.036697 | 2025-05-13 04:29:37.230932 |
| 2025-07-09 09:03:31.667751 | 2025-07-10 02:03:38.933745 | 9648738 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9648738', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1951-10-16', 'date_of_service': '2025-07-09', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'GARRETT', 'subscriber_member_id': 'JQE702W20596', 'subscriber_first_name': 'KATHLEEN'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250709.115437489.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6714934/check_9648738_e42b2eec-3f81-4f75-b60b-611fda410f41.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'JQE702W20596', 'plan_type': None, 'group_name': 'CA MED-SUPP', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1951-10-16', 'plan_number': '040', 'group_number': 'CASUPWP0', 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'GARRETT', 'plan_sponsor_name': None, 'patient_first_name': 'KATHLEEN', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2024-07-01', 'plan_coverage_description': 'CA PLAN F INNOVATIVE', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8207655078 | N/A | N/A | 6714934 | 2222 | 4793 | 9396056 | N/A | 5316176 | 2025-07-10 02:03:38.933745 | 2025-07-01 18:44:12.927482 |
| 2025-07-09 09:02:56.290459 | 2025-07-10 02:06:52.721269 | 9648338 | N/A | N/A | {'payer_id': 'CCHPC', 'payer_name': 'ALIGNMENT HEALTH CARE', 'provider_npi': '1114042165', 'trace_number': '9648338', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1954-03-04', 'date_of_service': '2025-07-09', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'ARUJO', 'subscriber_member_id': '00000223568', 'subscriber_first_name': 'RAMON'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250709.120244518.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550751/check_9648338_c8be7e80-5b4f-4abc-ae34-8103dd716d79.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '00000223568', 'plan_type': 'Health Maintenance Organization (HMO)', 'group_name': None, 'payer_name': 'MEDICARE', 'payer_note': 'OVERALL DEDUCTIBLE', 'patient_dob': '1954-03-04', 'plan_number': 'H3815028', 'group_number': None, 'insurance_type': None, 'plan_type_code': 'HM', 'enrolled_in_qmb': False, 'patient_last_name': 'ARUJO', 'plan_sponsor_name': None, 'patient_first_name': 'RAMON', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'ALIGNMENT HEALTH MY CHOICE (HMO)', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8207746546 | N/A | N/A | 5550751 | 2222 | 4801 | 9397744 | 2630 | 4219640 | 2025-07-10 02:06:52.721269 | 2025-05-13 04:29:37.230682 |
| 2025-07-09 09:02:54.577244 | 2025-07-10 02:06:58.046340 | 9648318 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'ANTHEM BLUE CROSS', 'provider_npi': '1114042165', 'trace_number': '9648318', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '2007-05-15', 'date_of_service': '2025-07-09', '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/272741.20250709.120244518.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542883/check_9648318_1cbbbad1-e56a-45b9-929c-01ebf3d58113.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 | 8207746539 | N/A | N/A | 5542883 | 2222 | 4793 | 9397789 | 4184 | 4214747 | 2025-07-10 02:06:58.046340 | 2025-05-13 04:29:37.229066 |
| 2025-07-09 09:02:54.191872 | 2025-07-10 02:07:18.522514 | 9648313 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': '1114042165', 'trace_number': '9648313', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1980-03-25', 'date_of_service': '2025-07-09', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'HILLIGER', 'subscriber_member_id': 'XEA902904791', 'subscriber_first_name': 'JENNIE'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250709.120244518.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541730/check_9648313_c17685b9-e124-4809-8c6e-00bdaec90de8.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XEA902904791', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'HILLIGER INC', 'payer_name': 'BLUE SHIELD CALIFORNIA', 'payer_note': None, 'patient_dob': '1980-03-25', 'plan_number': '1000VX000102', 'group_number': 'W0060472', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'HILLIGER', 'plan_sponsor_name': None, 'patient_first_name': 'JENNIFER', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2019-06-01', 'plan_coverage_description': 'SG EMB PED VISION PPO FOR PPO HSA DMHC OFFEX', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8207746536 | N/A | N/A | 5541730 | 2222 | 4793 | 9397926 | N/A | 4213725 | 2025-07-10 02:07:18.522514 | 2025-05-13 04:29:37.228045 |
| 2025-07-09 09:02:53.544272 | 2025-07-10 02:06:58.908198 | 9648309 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9648309', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1963-05-25', 'date_of_service': '2025-07-09', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'GINSBERG', 'subscriber_member_id': 'JQU469A62630', 'subscriber_first_name': 'LISA'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250709.120244518.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539612/check_9648309_62aa877a-1575-45d0-8793-cd61ade99e98.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'JQU469A62630', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'CAL CHOICE JANUARY 1.00', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1963-05-25', 'plan_number': '040', 'group_number': '476522', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'GINSBERG', 'plan_sponsor_name': None, 'patient_first_name': 'LISA', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2025-01-01', 'plan_coverage_description': 'ANTHEM SILVER PPO HSA/H 2000/3300/4000 35% PREVRX', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8207746532 | N/A | N/A | 5539612 | 2222 | 4793 | 9397795 | N/A | 4211892 | 2025-07-10 02:06:58.908198 | 2025-11-02 22:03:21.557202 |
| 2025-07-09 09:02:52.962623 | 2025-07-10 02:06:53.338173 | 9648303 | N/A | N/A | {'payer_id': 'CCHPC', 'payer_name': 'ALIGNMENT HEALTH CARE', 'provider_npi': '1114042165', 'trace_number': '9648303', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1956-11-11', 'date_of_service': '2025-07-09', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'SULLIVAN', 'subscriber_member_id': '00000375700', 'subscriber_first_name': 'STEVEN'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250709.120244518.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539569/check_9648303_6ab73579-cc8c-4a05-98c7-fba583249520.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '00000375700', 'plan_type': 'Health Maintenance Organization (HMO)', 'group_name': None, 'payer_name': 'MEDICARE', 'payer_note': 'OVERALL DEDUCTIBLE', 'patient_dob': '1956-11-11', 'plan_number': 'H3815028', 'group_number': None, 'insurance_type': None, 'plan_type_code': 'HM', 'enrolled_in_qmb': False, 'patient_last_name': 'SULLIVAN', 'plan_sponsor_name': None, 'patient_first_name': 'STEVEN', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'ALIGNMENT HEALTH MY CHOICE (HMO)', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8207746530 | N/A | N/A | 5539569 | 2222 | 4801 | 9397749 | 2630 | 4211851 | 2025-07-10 02:06:53.338173 | 2025-06-25 18:38:39.189571 |
| 2025-07-09 09:02:41.375570 | 2025-07-10 02:02:15.027277 | 9648181 | N/A | N/A | {'payer_id': '47027', 'payer_name': 'Physicians Mutual Insurance Company', 'provider_npi': '1114042165', 'trace_number': '9648181', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1952-10-25', 'date_of_service': '2025-07-09', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'JOHNSTON', 'subscriber_member_id': 'H750053601', 'subscriber_first_name': 'DEBORAH'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250709.115437489.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6638391/check_9648181_88316f7e-e9c2-4e76-a291-2b72e6a7dcb1.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'H750053601', 'plan_type': None, 'group_name': None, 'payer_name': 'PHYSICIANS MUTUAL', 'payer_note': 'PAYMENT NOT GUARANTEED; BENEFITS SUBJECT TO CLAIM APPROVAL', 'patient_dob': '1952-10-25', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'JOHNSTON', 'plan_sponsor_name': None, 'patient_first_name': 'DEBORAH', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'MEDICARE SUPPLEMENT 2023 PLAN G', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8207655309 | N/A | N/A | 6638391 | 2222 | 4793 | 9395589 | N/A | 5247837 | 2025-07-10 02:02:15.027277 | 2026-02-24 20:36:49.807283 |
| 2025-07-09 09:02:41.126717 | 2025-07-10 02:12:50.114128 | 9648176 | N/A | N/A | {'payer_id': 'Z1073', 'payer_name': 'Medicare B California Southern', 'provider_npi': '1114042165', 'trace_number': '9648176', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1951-10-16', 'date_of_service': '2025-07-09', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'GARRETT', 'subscriber_member_id': '3EJ1R73ND18', 'subscriber_first_name': 'KATHLEEN'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250709.120332600.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6714932/check_9648176_415d5a08-551b-4c84-a44a-32f596c47bfd.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '3EJ1R73ND18', 'plan_type': 'Medicare Part B', 'group_name': None, 'payer_name': 'SILVERSCRIPT INSURANCE COMPANY', 'payer_note': '0-BENEFICIARY INSURED DUE TO AGE OASI', 'patient_dob': '1951-10-16', 'plan_number': 'S5601', 'group_number': None, 'insurance_type': None, 'plan_type_code': 'MB', 'enrolled_in_qmb': False, 'patient_last_name': 'GARRETT', 'plan_sponsor_name': None, 'patient_first_name': 'KATHLEEN', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8207763320 | N/A | N/A | 6714932 | 2222 | 4793 | 9400316 | N/A | 5316176 | 2025-07-10 02:12:50.114128 | 2025-07-01 18:44:12.927482 |
| 2025-07-09 00:49:05.867855 | 2025-07-09 00:49:08.861132 | 9642604 | 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': '1944-11-13', 'date_of_service': '2025-03-31', 'subscriber_gender': 'M', 'service_type_codes': ['PT', 'AE'], 'insurance_company_id': 2630, 'subscriber_last_name': 'HACKBARTH MR', 'subscriber_member_id': '00000294758', 'subscriber_first_name': 'HAROLD'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/5568081/check_9642604_fad22d6e-8569-4160-90dd-c6d5124453d6.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-03-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5568081/check_9642604_2a431e57-b8cd-4bc5-b209-33c6f7cc60df.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '00000294758', 'plan_type': 'Health Maintenance Organization (HMO)', 'group_name': None, 'payer_name': 'MEDICARE', 'payer_note': 'OVERALL DEDUCTIBLE', 'patient_dob': '1944-11-13', 'plan_number': 'H3815028', 'group_number': None, 'insurance_type': None, 'plan_type_code': 'HM', 'enrolled_in_qmb': False, 'patient_last_name': 'HACKBARTH MR', 'plan_sponsor_name': None, 'patient_first_name': 'HAROLD', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'ALIGNMENT HEALTH MY CHOICE (HMO)', 'relationship_to_subscriber': None} | ['PT', 'AE'] | N/A | N/A | N/A | N/A | N/A | 8204425899 | 2182 | N/A | 5568081 | 2222 | N/A | 9361309 | N/A | 4212656 | 2025-07-09 00:49:08.861132 | 2025-08-12 21:09:57.607033 |
| 2025-07-09 00:48:48.814939 | 2025-07-09 00:48:50.621884 | 9642602 | N/A | N/A | {'payer_id': 'REGAL', 'payer_name': 'Regal Medical Group', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1944-11-13', 'date_of_service': '2025-03-31', 'subscriber_gender': 'M', 'service_type_codes': ['PT', 'AE'], 'insurance_company_id': 23299, 'subscriber_last_name': 'HACKBARTH MR', 'subscriber_member_id': '00000294758', 'subscriber_first_name': 'HAROLD'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/5568081/check_9642602_f22c6a54-7759-4316-bad9-628ee5319401.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-03-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5568081/check_9642602_ea68ae94-4f0d-47ea-aac0-e7b03c8fd4ad.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '00000294758', 'plan_type': None, 'group_name': None, 'payer_name': 'REGAL MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1944-11-13', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'HACKBARTH MR', 'plan_sponsor_name': None, 'patient_first_name': 'HAROLD', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['PT', 'AE'] | N/A | N/A | N/A | N/A | N/A | N/A | 2182 | N/A | 5568081 | 2222 | N/A | 9361307 | N/A | 4212656 | 2025-07-09 00:48:50.621884 | 2025-08-12 21:09:57.607033 |
| 2025-07-09 00:48:47.224412 | 2025-07-09 00:48:48.811069 | 9642600 | N/A | N/A | {'payer_id': 'REGAL', 'payer_name': 'Regal Medical Group', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1944-11-13', 'date_of_service': '2025-03-31', 'subscriber_gender': 'M', 'service_type_codes': ['PT', 'AE'], 'insurance_company_id': 23299, 'subscriber_last_name': 'HACKBARTH MR', 'subscriber_member_id': '00000294758', 'subscriber_first_name': 'HAROLD'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/5568081/check_9642600_c3f86caf-3aa1-460d-91a2-348c02c5111c.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-03-31 | N/A | N/A | N/A | N/A | N/A | N/A | {'member_id': '00000294758', 'plan_type': None, 'group_name': None, 'payer_name': 'REGAL MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1944-11-13', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'HACKBARTH MR', 'plan_sponsor_name': None, 'patient_first_name': 'HAROLD', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['PT', 'AE'] | N/A | N/A | N/A | N/A | N/A | N/A | 2182 | N/A | 5568081 | 2222 | N/A | N/A | N/A | 4212656 | 2025-07-09 00:48:48.811069 | 2025-08-12 21:09:57.607033 |
| 2025-07-09 00:47:14.353301 | 2025-07-09 00:47:21.139311 | 9642597 | N/A | N/A | {'payer_id': 'REGAL', 'payer_name': 'Regal Medical Group', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1944-11-13', 'date_of_service': '2025-03-31', 'subscriber_gender': 'M', 'service_type_codes': ['PT', 'AE'], 'insurance_company_id': 23299, 'subscriber_last_name': 'HACKBARTH', 'subscriber_member_id': '00000294758', 'subscriber_first_name': 'HAROLD'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/5568081/check_9642597_80157ce7-095d-4cbb-b6d5-3cf550ab935d.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-03-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5568081/check_9642597_04d23707-179d-4bf8-bd8a-1ce820816a6f.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '00000294758', 'plan_type': None, 'group_name': None, 'payer_name': 'REGAL MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1944-11-13', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'HACKBARTH', 'plan_sponsor_name': None, 'patient_first_name': 'HAROLD', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['PT', 'AE'] | N/A | N/A | N/A | N/A | N/A | N/A | 2182 | N/A | 5568081 | 2222 | N/A | 9361302 | N/A | 4212656 | 2025-07-09 00:47:21.139311 | 2025-08-12 21:09:57.607033 |
| 2025-07-09 00:47:12.772310 | 2025-07-09 00:47:14.351287 | 9642596 | N/A | N/A | {'payer_id': 'REGAL', 'payer_name': 'Regal Medical Group', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1944-11-13', 'date_of_service': '2025-03-31', 'subscriber_gender': 'M', 'service_type_codes': ['PT', 'AE'], 'insurance_company_id': 23299, 'subscriber_last_name': 'HACKBARTH', 'subscriber_member_id': '00000294758', 'subscriber_first_name': 'HAROLD'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/5568081/check_9642596_db850cde-d737-4ed3-8f34-756943678023.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-03-31 | N/A | N/A | N/A | N/A | N/A | N/A | {'member_id': '00000294758', 'plan_type': None, 'group_name': None, 'payer_name': 'REGAL MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1944-11-13', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'HACKBARTH', 'plan_sponsor_name': None, 'patient_first_name': 'HAROLD', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['PT', 'AE'] | N/A | N/A | N/A | N/A | N/A | N/A | 2182 | N/A | 5568081 | 2222 | N/A | N/A | N/A | 4212656 | 2025-07-09 00:47:14.351287 | 2025-08-12 21:09:57.607033 |
| 2025-07-09 00:23:33.282797 | 2025-07-09 00:23:35.123996 | 9642565 | 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': '1944-11-13', 'date_of_service': '2025-03-31', 'subscriber_gender': 'M', 'service_type_codes': ['PT', 'AE'], 'insurance_company_id': 2630, 'subscriber_last_name': 'HACKBARTH', 'subscriber_member_id': '00000294758', 'subscriber_first_name': 'HAROLD'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/5568081/check_9642565_a22adb2c-8279-4972-89c4-e36f1d44f965.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-03-31 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5568081/check_9642565_0395e2ff-17ee-439b-9ad8-5f07eda6b339.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '00000294758', 'plan_type': None, 'group_name': None, 'payer_name': 'ALIGNMENT HEALTH', 'payer_note': None, 'patient_dob': '1944-11-13', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'HACKBARTH', 'plan_sponsor_name': None, 'patient_first_name': 'HAROLD', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['PT', 'AE'] | N/A | N/A | N/A | N/A | N/A | N/A | 2182 | N/A | 5568081 | 2222 | N/A | 9361270 | N/A | 4212656 | 2025-07-09 00:23:35.123996 | 2025-08-12 21:09:57.607033 |
| 2025-07-09 00:23:30.392763 | 2025-07-09 00:23:33.278790 | 9642564 | 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': '1944-11-13', 'date_of_service': '2025-03-31', 'subscriber_gender': 'M', 'service_type_codes': ['PT', 'AE'], 'insurance_company_id': 2630, 'subscriber_last_name': 'HACKBARTH', 'subscriber_member_id': '00000294758', 'subscriber_first_name': 'HAROLD'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/5568081/check_9642564_41f91a5c-42ff-45d4-bc87-db389ba91d14.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-03-31 | N/A | N/A | N/A | N/A | N/A | N/A | {'member_id': '00000294758', 'plan_type': None, 'group_name': None, 'payer_name': 'ALIGNMENT HEALTH', 'payer_note': None, 'patient_dob': '1944-11-13', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'HACKBARTH', 'plan_sponsor_name': None, 'patient_first_name': 'HAROLD', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['PT', 'AE'] | N/A | N/A | N/A | N/A | N/A | N/A | 2182 | N/A | 5568081 | 2222 | N/A | N/A | N/A | 4212656 | 2025-07-09 00:23:33.278790 | 2025-08-12 21:09:57.607033 |
| 2025-07-09 00:14:28.845886 | 2025-07-09 00:14:30.598046 | 9642545 | N/A | N/A | {'payer_id': 'REGAL', 'payer_name': 'Regal Medical Group', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1944-11-13', 'date_of_service': '2025-07-08', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 23299, 'subscriber_last_name': 'HACKBARTH', 'subscriber_member_id': '00000294758', 'subscriber_first_name': 'HAROLD'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/5568081/check_9642545_5508a787-f0eb-4f74-8309-b8572800fae1.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5568081/check_9642545_a67e7b0a-bf82-43aa-b751-c4bc8bd11cd8.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '00000294758', 'plan_type': None, 'group_name': None, 'payer_name': 'REGAL MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1944-11-13', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'HACKBARTH', 'plan_sponsor_name': None, 'patient_first_name': 'HAROLD', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 5568081 | 2222 | N/A | 9361250 | N/A | 4212656 | 2025-07-09 00:14:30.598046 | 2025-08-12 21:09:57.607033 |
| 2025-07-09 00:14:26.301444 | 2025-07-09 00:14:28.843059 | 9642544 | N/A | N/A | {'payer_id': 'REGAL', 'payer_name': 'Regal Medical Group', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1944-11-13', 'date_of_service': '2025-07-08', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 23299, 'subscriber_last_name': 'HACKBARTH', 'subscriber_member_id': '00000294758', 'subscriber_first_name': 'HAROLD'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/5568081/check_9642544_20e7e2e3-fc36-4aaa-b5ad-8dc795a0df29.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-08 | N/A | N/A | N/A | N/A | N/A | N/A | {'member_id': '00000294758', 'plan_type': None, 'group_name': None, 'payer_name': 'REGAL MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1944-11-13', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'HACKBARTH', 'plan_sponsor_name': None, 'patient_first_name': 'HAROLD', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 5568081 | 2222 | N/A | N/A | N/A | 4212656 | 2025-07-09 00:14:28.843059 | 2025-08-12 21:09:57.607033 |
| 2025-07-09 00:14:14.855577 | 2025-07-09 00:14:16.609717 | 9642543 | 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': '1944-11-13', 'date_of_service': '2025-07-08', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 2630, 'subscriber_last_name': 'HACKBARTH', 'subscriber_member_id': '00000294758', 'subscriber_first_name': 'HAROLD'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/5568081/check_9642543_46487ae6-8ab1-4d49-8516-11543b243ae4.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5568081/check_9642543_1030351d-b7af-4771-b142-2afd47134d53.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '00000294758', 'plan_type': None, 'group_name': None, 'payer_name': 'ALIGNMENT HEALTH', 'payer_note': None, 'patient_dob': '1944-11-13', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'HACKBARTH', 'plan_sponsor_name': None, 'patient_first_name': 'HAROLD', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 5568081 | 2222 | N/A | 9361248 | N/A | 4212656 | 2025-07-09 00:14:16.609717 | 2025-08-12 21:09:57.607033 |