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 00:14:13.272552 | 2025-07-09 00:14:14.853682 | 9642542 | 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_9642542_736473c6-5605-41b6-855e-196bbb8460a1.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': '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 | N/A | N/A | 4212656 | 2025-07-09 00:14:14.853682 | 2025-08-12 21:09:57.607033 |
| 2025-07-09 00:13:27.744112 | 2025-07-09 00:13:29.419124 | 9642539 | 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_9642539_42af2f6e-e893-4bb2-9d75-d08e1245af3d.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5568081/check_9642539_7c3bff2c-41bf-47f2-81ca-f2eb20161f89.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 | 9361244 | N/A | 4212656 | 2025-07-09 00:13:29.419124 | 2025-08-12 21:09:57.607033 |
| 2025-07-09 00:13:25.091896 | 2025-07-09 00:13:27.742752 | 9642538 | 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_9642538_e0b10c33-7f94-4b9a-80a6-824284e1a7ea.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 00:13:27.742752 | 2025-08-12 21:09:57.607033 |
| 2025-07-09 00:13:13.601057 | 2025-07-09 00:13:15.329989 | 9642537 | 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_9642537_f130264f-214e-4494-be6a-2fccad44de01.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5568081/check_9642537_cc19c242-0c4a-4fae-9d6b-00888f242b62.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 | 9361242 | N/A | 4212656 | 2025-07-09 00:13:15.329989 | 2025-08-12 21:09:57.607033 |
| 2025-07-09 00:13:12.040133 | 2025-07-09 00:13:13.599303 | 9642536 | 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_9642536_50a8f78c-ad3e-4a87-b9e7-6d66967afa57.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': '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 | N/A | N/A | 4212656 | 2025-07-09 00:13:13.599303 | 2025-08-12 21:09:57.607033 |
| 2025-07-09 00:12:38.809403 | 2025-07-09 00:12:40.673043 | 9642535 | 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': '27593277', 'subscriber_first_name': 'HAROLD'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/5568081/check_9642535_4036bd18-9717-4350-bec4-87c840aac396.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5568081/check_9642535_76a9b8a9-d4f9-4113-80d5-1d63686640d2.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '27593277', '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 | 9361240 | N/A | 4212656 | 2025-07-09 00:12:40.673043 | 2025-08-12 21:09:57.607033 |
| 2025-07-09 00:12:35.999007 | 2025-07-09 00:12:38.806288 | 9642534 | 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': '27593277', 'subscriber_first_name': 'HAROLD'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/5568081/check_9642534_0879a715-aac9-4591-aa4f-e04f54fdd050.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-08 | N/A | N/A | N/A | N/A | N/A | N/A | {'member_id': '27593277', '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 | N/A | N/A | 4212656 | 2025-07-09 00:12:38.806288 | 2025-08-12 21:09:57.607033 |
| 2025-07-09 00:11:57.004857 | 2025-07-09 00:11:59.794063 | 9642533 | 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': '1973-07-11', 'date_of_service': '2025-07-08', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 4625, 'subscriber_last_name': 'HERMAN', 'subscriber_member_id': '95836743G', 'subscriber_first_name': 'BRETT'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/5540113/check_9642533_cdf10086-7c0f-4183-90a8-e90e25febe26.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540113/check_9642533_48ce405d-8791-439c-bc1b-8876f0d75466.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '95836743G', 'plan_type': None, 'group_name': None, 'payer_name': 'HEALTH NET, LLC', 'payer_note': None, 'patient_dob': '1973-07-11', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'HERMAN', 'plan_sponsor_name': None, 'patient_first_name': 'BRETT', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'KCW MCALSTD', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8204357392 | 7927 | N/A | 5540113 | 2222 | N/A | 9361238 | N/A | 4212315 | 2025-07-09 00:11:59.794063 | 2025-12-29 21:20:15.158611 |
| 2025-07-09 00:11:52.126883 | 2025-07-09 00:11:53.904472 | 9642532 | 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': '1981-07-22', 'date_of_service': '2025-07-11', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 4709, 'subscriber_last_name': 'DELAZAD', 'subscriber_member_id': 'A01217025', 'subscriber_first_name': 'LEILA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6567634/check_9642532_c7a9d82d-7b7a-451e-9f44-21b0077b23fe.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6567634/check_9642532_97b48ff6-bc7c-4e86-a30c-768cf15c8e0e.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'A01217025', 'plan_type': None, 'group_name': None, 'payer_name': 'CENTENE CORPORATION', 'payer_note': None, 'patient_dob': '1981-07-22', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'DELAZAD', 'plan_sponsor_name': None, 'patient_first_name': 'LEILA', '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 | 5831 | N/A | 6567634 | 2222 | N/A | 9361237 | N/A | 5189726 | 2025-07-09 00:11:53.904472 | 2025-07-08 23:50:39.999275 |
| 2025-07-09 00:11:50.280919 | 2025-07-09 00:11:52.124319 | 9642531 | 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': '1981-07-22', 'date_of_service': '2025-07-11', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 4709, 'subscriber_last_name': 'DELAZAD', 'subscriber_member_id': 'A01217025', 'subscriber_first_name': 'LEILA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6567634/check_9642531_7148a186-88ab-4a33-ac93-a58e54e779cb.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-11 | N/A | N/A | N/A | N/A | N/A | N/A | {'member_id': 'A01217025', 'plan_type': None, 'group_name': None, 'payer_name': 'CENTENE CORPORATION', 'payer_note': None, 'patient_dob': '1981-07-22', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'DELAZAD', 'plan_sponsor_name': None, 'patient_first_name': 'LEILA', '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 | 5831 | N/A | 6567634 | 2222 | N/A | N/A | N/A | 5189726 | 2025-07-09 00:11:52.124319 | 2025-07-08 23:50:39.999275 |
| 2025-07-09 00:08:31.682239 | 2025-07-09 00:08:35.423728 | 9642530 | 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': '2011-09-28', 'date_of_service': '2025-07-08', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'insurance_company_id': 4184, 'subscriber_last_name': 'RANGEL', 'subscriber_member_id': 'XEH906212052', 'subscriber_first_name': 'MAKENA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6673106/check_9642530_6b60fc53-8390-43cc-a04b-1ffdd3cb19c4.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6673106/check_9642530_1467356b-6386-4444-bba6-0464c3ebfed2.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XEH906212052', 'plan_type': 'Health Maintenance Organization (HMO)', 'group_name': 'VENTURA COUNTY PROFESSIONAL FIREFIGHTERS', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '2011-09-28', 'plan_number': '1000HMOX0002', 'group_number': 'W0065470', 'insurance_type': None, 'plan_type_code': 'HM', 'enrolled_in_qmb': False, 'patient_last_name': 'RANGEL', 'plan_sponsor_name': None, 'patient_first_name': 'JAMES', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'VENTURA COUNTY PROFESSIONAL FIREFIGHTERS ACCESS H', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8204350904 | 7927 | N/A | 6673106 | 2222 | N/A | 9361235 | N/A | 5285724 | 2025-07-09 00:08:35.423728 | 2025-07-06 14:44:13.621956 |
| 2025-07-09 00:08:16.909882 | 2025-07-09 00:08:18.794560 | 9642528 | 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': '1981-07-22', 'date_of_service': '2025-07-01', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 4709, 'subscriber_last_name': 'DELAZAD', 'subscriber_member_id': 'A01217025', 'subscriber_first_name': 'LEILA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6567634/check_9642528_12b6337b-756e-4d00-a809-084ee3fe27d2.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6567634/check_9642528_bb52585f-e09b-47ef-8d0b-c32f7d9d8c9f.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'A01217025', 'plan_type': None, 'group_name': None, 'payer_name': 'CENTENE CORPORATION', 'payer_note': None, 'patient_dob': '1981-07-22', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'DELAZAD', 'plan_sponsor_name': None, 'patient_first_name': 'LEILA', '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 | 2182 | N/A | 6567634 | 2222 | N/A | 9361233 | N/A | 5189726 | 2025-07-09 00:08:18.794560 | 2025-07-08 23:50:39.999275 |
| 2025-07-09 00:08:15.324303 | 2025-07-09 00:08:16.905574 | 9642527 | 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': '1981-07-22', 'date_of_service': '2025-07-01', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 4709, 'subscriber_last_name': 'DELAZAD', 'subscriber_member_id': 'A01217025', 'subscriber_first_name': 'LEILA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6567634/check_9642527_2011a5aa-030d-4d27-9ae3-2d0efb2b997b.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-01 | N/A | N/A | N/A | N/A | N/A | N/A | {'member_id': 'A01217025', 'plan_type': None, 'group_name': None, 'payer_name': 'CENTENE CORPORATION', 'payer_note': None, 'patient_dob': '1981-07-22', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'DELAZAD', 'plan_sponsor_name': None, 'patient_first_name': 'LEILA', '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 | 2182 | N/A | 6567634 | 2222 | N/A | N/A | N/A | 5189726 | 2025-07-09 00:08:16.905574 | 2025-07-08 23:50:39.999275 |
| 2025-07-09 00:08:05.333845 | 2025-07-09 00:08:08.152141 | 9642526 | 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': '2011-09-28', 'date_of_service': '2025-07-08', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'insurance_company_id': 4184, 'subscriber_last_name': 'RANGEL', 'subscriber_member_id': '906212052-003', 'subscriber_first_name': 'MAKENA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6673106/check_9642526_21db1faa-a5a2-4786-97d5-1ef30ab79f90.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6673106/check_9642526_2c63efa7-5c45-4151-b886-1dd103dd454b.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '906212052-003', 'plan_type': None, 'group_name': None, 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '2011-09-28', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'RANGEL', 'plan_sponsor_name': None, 'patient_first_name': 'MAKENA', '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 | 7927 | N/A | 6673106 | 2222 | N/A | 9361231 | N/A | 5285724 | 2025-07-09 00:08:08.152141 | 2025-07-06 14:44:13.621956 |
| 2025-07-09 00:08:03.713813 | 2025-07-09 00:08:05.332157 | 9642525 | 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': '2011-09-28', 'date_of_service': '2025-07-08', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'insurance_company_id': 4184, 'subscriber_last_name': 'RANGEL', 'subscriber_member_id': '906212052-003', 'subscriber_first_name': 'MAKENA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6673106/check_9642525_8d811979-5048-4dc7-815c-d06bc90f1b9e.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-08 | N/A | N/A | N/A | N/A | N/A | N/A | {'member_id': '906212052-003', 'plan_type': None, 'group_name': None, 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '2011-09-28', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'RANGEL', 'plan_sponsor_name': None, 'patient_first_name': 'MAKENA', '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 | 7927 | N/A | 6673106 | 2222 | N/A | N/A | N/A | 5285724 | 2025-07-09 00:08:05.332157 | 2025-07-06 14:44:13.621956 |
| 2025-07-09 00:07:50.328765 | 2025-07-09 00:07:52.097609 | 9642524 | 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': '2011-09-28', 'date_of_service': '2025-07-08', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'insurance_company_id': 4184, 'subscriber_last_name': 'RANGEL', 'subscriber_member_id': '906212052-003', 'subscriber_first_name': 'MAKENA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6673106/check_9642524_c10a908b-267f-4ff3-8222-9553433b9488.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6673106/check_9642524_683fec7b-f72a-4cdb-8e8b-6b650263a157.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '906212052-003', 'plan_type': None, 'group_name': None, 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '2011-09-28', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'RANGEL', 'plan_sponsor_name': None, 'patient_first_name': 'MAKENA', '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 | 7927 | N/A | 6673106 | 2222 | N/A | 9361229 | N/A | 5285724 | 2025-07-09 00:07:52.097609 | 2025-07-06 14:44:13.621956 |
| 2025-07-09 00:07:48.583547 | 2025-07-09 00:07:50.326396 | 9642523 | 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': '2011-09-28', 'date_of_service': '2025-07-08', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'insurance_company_id': 4184, 'subscriber_last_name': 'RANGEL', 'subscriber_member_id': '906212052-003', 'subscriber_first_name': 'MAKENA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6673106/check_9642523_4a1ebe00-3173-4b32-b275-3921bdb86ecb.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-08 | N/A | N/A | N/A | N/A | N/A | N/A | {'member_id': '906212052-003', 'plan_type': None, 'group_name': None, 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '2011-09-28', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'RANGEL', 'plan_sponsor_name': None, 'patient_first_name': 'MAKENA', '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 | 7927 | N/A | 6673106 | 2222 | N/A | N/A | N/A | 5285724 | 2025-07-09 00:07:50.326396 | 2025-07-06 14:44:13.621956 |
| 2025-07-09 00:07:30.938893 | 2025-07-09 00:07:32.816796 | 9642522 | 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': '1981-07-22', 'date_of_service': '2025-07-01', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 4625, 'subscriber_last_name': 'DELAZAD', 'subscriber_member_id': 'A01217025', 'subscriber_first_name': 'LEILA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6567634/check_9642522_415c7c0d-5910-470f-940b-43954870f968.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6567634/check_9642522_bab3e715-4713-4626-87e8-74b62b80067d.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'A01217025', 'plan_type': None, 'group_name': None, 'payer_name': 'CENTENE CORPORATION', 'payer_note': None, 'patient_dob': '1981-07-22', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'DELAZAD', 'plan_sponsor_name': None, 'patient_first_name': 'LEILA', '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 | 2182 | N/A | 6567634 | 2222 | N/A | 9361227 | N/A | 5189726 | 2025-07-09 00:07:32.816796 | 2025-07-08 23:50:39.999275 |
| 2025-07-09 00:07:23.048737 | 2025-07-09 00:07:30.936858 | 9642521 | 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': '1981-07-22', 'date_of_service': '2025-07-01', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 4625, 'subscriber_last_name': 'DELAZAD', 'subscriber_member_id': 'A01217025', 'subscriber_first_name': 'LEILA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6567634/check_9642521_d596fcb0-b86a-4e79-8310-6875c71f702d.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-01 | N/A | N/A | N/A | N/A | N/A | N/A | {'member_id': 'A01217025', 'plan_type': None, 'group_name': None, 'payer_name': 'CENTENE CORPORATION', 'payer_note': None, 'patient_dob': '1981-07-22', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'DELAZAD', 'plan_sponsor_name': None, 'patient_first_name': 'LEILA', '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 | 2182 | N/A | 6567634 | 2222 | N/A | N/A | N/A | 5189726 | 2025-07-09 00:07:30.936858 | 2025-07-08 23:50:39.999275 |
| 2025-07-09 00:06:52.478242 | 2025-07-09 00:06:58.332574 | 9642520 | 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': '1981-07-22', 'date_of_service': '2025-07-07', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6411, 'subscriber_last_name': 'DELAZAD', 'subscriber_member_id': '009868358', 'subscriber_first_name': 'LEILA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6567634/check_9642520_26d1b103-7ded-44d1-beed-29b30808c30b.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6567634/check_9642520_4a3e36aa-f1c1-4df5-a089-71cec9a66d17.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '009868358', 'plan_type': None, 'group_name': None, 'payer_name': 'UNITEDHEALTHCARE', 'payer_note': None, 'patient_dob': '1981-07-22', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': '', 'plan_sponsor_name': None, 'patient_first_name': '', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8204347620 | 2182 | N/A | 6567634 | 2222 | N/A | 9361225 | N/A | 5189726 | 2025-07-09 00:06:58.332574 | 2025-07-08 23:50:39.999275 |
| 2025-07-09 00:01:52.064253 | 2025-07-09 00:01:53.844735 | 9642505 | 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': '1951-10-15', 'date_of_service': '2025-07-08', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 4497, 'subscriber_last_name': 'WHITAKER', 'subscriber_member_id': '7UC5YV6EK98', 'subscriber_first_name': 'GAYLE'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6885266/check_9642505_26055b4a-c751-4693-aebb-e9d162a2a46c.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6885266/check_9642505_47fef960-2171-41c5-81d0-10fb78fa2568.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '7UC5YV6EK98', 'plan_type': 'Medicare Part A', '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': 'MA', '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 | 8204336711 | 5831 | N/A | 6885266 | 2222 | N/A | 9361207 | N/A | 4219644 | 2025-07-09 00:01:53.844735 | 2025-05-13 04:29:37.230686 |
| 2025-07-08 23:53:09.077922 | 2025-07-08 23:53:10.795547 | 9642454 | 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': '1967-03-31', 'date_of_service': '2025-07-07', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'insurance_company_id': 4191, 'subscriber_last_name': 'BARRERA', 'subscriber_member_id': '903839121-000', 'subscriber_first_name': 'LOLA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6611912/check_9642454_2ce3c8d7-c314-4a41-86e4-3b894c0bdeea.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6611912/check_9642454_fae5ad53-dcf8-450d-ab61-05aeca4ea80e.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XEH903839121', 'plan_type': 'Health Maintenance Organization (HMO)', 'group_name': 'CVT MOORPARK USD', 'payer_name': 'BLUE SHIELD CALIFORNIA', 'payer_note': None, 'patient_dob': '1967-03-31', 'plan_number': '1000HMOX0005', 'group_number': 'W0052266', 'insurance_type': None, 'plan_type_code': 'HM', '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': 'CALIFORNIA S VALUED TRUST CUSTOM HMO 10 0', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8204320248 | 7927 | N/A | 6611912 | 2222 | N/A | 9361109 | N/A | 5230345 | 2025-07-08 23:53:10.795547 | 2025-07-11 20:32:03.183345 |
| 2025-07-08 23:52:58.353524 | 2025-07-08 23:53:00.094429 | 9642453 | 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': '1967-03-31', 'date_of_service': '2025-07-07', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'insurance_company_id': 23306, 'subscriber_last_name': 'BARRERA', 'subscriber_member_id': '903839121-000', 'subscriber_first_name': 'LOLA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6611912/check_9642453_725d84f5-77d2-49db-bb26-cc9c33b464d6.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6611912/check_9642453_5bc66149-8752-4d15-848d-a983012a9bbe.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '903839121-000', 'plan_type': None, 'group_name': None, 'payer_name': 'REGAL MEDICAL GROUP', '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 | N/A | 7927 | N/A | 6611912 | 2222 | N/A | 9361108 | N/A | 5230345 | 2025-07-08 23:53:00.094429 | 2025-07-11 20:32:03.183345 |
| 2025-07-08 23:52:56.735590 | 2025-07-08 23:52:58.350274 | 9642452 | 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': '1967-03-31', 'date_of_service': '2025-07-07', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'insurance_company_id': 23306, 'subscriber_last_name': 'BARRERA', 'subscriber_member_id': '903839121-000', 'subscriber_first_name': 'LOLA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6611912/check_9642452_68e1ee84-42a1-4682-8680-41cfeaeac813.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-07 | N/A | N/A | N/A | N/A | N/A | N/A | {'member_id': '903839121-000', 'plan_type': None, 'group_name': None, 'payer_name': 'REGAL MEDICAL GROUP', '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 | N/A | 7927 | N/A | 6611912 | 2222 | N/A | N/A | N/A | 5230345 | 2025-07-08 23:52:58.350274 | 2025-07-11 20:32:03.183345 |
| 2025-07-08 23:52:14.430551 | 2025-07-08 23:52:16.190361 | 9642447 | 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': '1967-03-31', 'date_of_service': '2025-07-07', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'insurance_company_id': 4191, 'subscriber_last_name': 'BARRERA', 'subscriber_member_id': 'XEH903389121', 'subscriber_first_name': 'LOLA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6611912/check_9642447_3cbba4e8-fd8f-40f0-a305-7a17b0de2e0f.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6611912/check_9642447_56ac5d56-1462-4f74-9816-67b4bf846412.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XEH903389121', 'plan_type': None, 'group_name': None, 'payer_name': 'BLUE SHIELD CALIFORNIA', '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 | N/A | 7927 | N/A | 6611912 | 2222 | N/A | 9361096 | N/A | 5230345 | 2025-07-08 23:52:16.190361 | 2025-07-11 20:32:03.183345 |
| 2025-07-08 23:52:12.716657 | 2025-07-08 23:52:14.427967 | 9642446 | 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': '1967-03-31', 'date_of_service': '2025-07-07', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'insurance_company_id': 4191, 'subscriber_last_name': 'BARRERA', 'subscriber_member_id': 'XEH903389121', 'subscriber_first_name': 'LOLA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6611912/check_9642446_eb95f501-c6ba-4dc5-88d8-4d96ebf90f72.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-07 | N/A | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XEH903389121', 'plan_type': None, 'group_name': None, 'payer_name': 'BLUE SHIELD CALIFORNIA', '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 | N/A | 7927 | N/A | 6611912 | 2222 | N/A | N/A | N/A | 5230345 | 2025-07-08 23:52:14.427967 | 2025-07-11 20:32:03.183345 |
| 2025-07-08 23:51:52.916832 | 2025-07-08 23:52:01.776273 | 9642445 | 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': '1967-03-31', 'date_of_service': '2025-07-07', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'insurance_company_id': 23306, 'subscriber_last_name': 'BARRERA', 'subscriber_member_id': 'XEH903389121', 'subscriber_first_name': 'LOLA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6611912/check_9642445_fc19e8b9-054e-4799-b356-3fe1cc1fab63.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6611912/check_9642445_f8bed31b-f50a-4030-a101-2c22d7307f47.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XEH903389121', 'plan_type': None, 'group_name': None, 'payer_name': 'REGAL MEDICAL GROUP', '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 | N/A | 7927 | N/A | 6611912 | 2222 | N/A | 9361094 | N/A | 5230345 | 2025-07-08 23:52:01.776273 | 2025-07-11 20:32:03.183345 |
| 2025-07-08 23:51:51.338268 | 2025-07-08 23:51:52.911193 | 9642444 | 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': '1967-03-31', 'date_of_service': '2025-07-07', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'insurance_company_id': 23306, 'subscriber_last_name': 'BARRERA', 'subscriber_member_id': 'XEH903389121', 'subscriber_first_name': 'LOLA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6611912/check_9642444_b7500d9e-581a-40d5-943e-0c210e875acc.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-07 | N/A | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XEH903389121', 'plan_type': None, 'group_name': None, 'payer_name': 'REGAL MEDICAL GROUP', '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 | N/A | 7927 | N/A | 6611912 | 2222 | N/A | N/A | N/A | 5230345 | 2025-07-08 23:51:52.911193 | 2025-07-11 20:32:03.183345 |
| 2025-07-08 23:51:16.699783 | 2025-07-08 23:51:18.492386 | 9642443 | 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': '1967-03-31', 'date_of_service': '2025-07-07', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'insurance_company_id': 4191, 'subscriber_last_name': 'BARRERA', 'subscriber_member_id': 'XEH903389121', 'subscriber_first_name': 'LOLA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6611912/check_9642443_d8f183d5-ff47-4aee-8c2a-42b24c4b42f9.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6611912/check_9642443_a7d79a9b-9a31-4b09-bb54-69ecb5a549c6.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XEH903389121', 'plan_type': None, 'group_name': None, 'payer_name': 'BLUE SHIELD CALIFORNIA', '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 | N/A | 7927 | N/A | 6611912 | 2222 | N/A | 9361089 | N/A | 5230345 | 2025-07-08 23:51:18.492386 | 2025-07-11 20:32:03.183345 |
| 2025-07-08 23:51:14.890828 | 2025-07-08 23:51:16.696443 | 9642442 | 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': '1967-03-31', 'date_of_service': '2025-07-07', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'insurance_company_id': 4191, 'subscriber_last_name': 'BARRERA', 'subscriber_member_id': 'XEH903389121', 'subscriber_first_name': 'LOLA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6611912/check_9642442_d9d66078-73fb-45ab-8172-0b17cf278c72.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-07 | N/A | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XEH903389121', 'plan_type': None, 'group_name': None, 'payer_name': 'BLUE SHIELD CALIFORNIA', '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 | N/A | 7927 | N/A | 6611912 | 2222 | N/A | N/A | N/A | 5230345 | 2025-07-08 23:51:16.696443 | 2025-07-11 20:32:03.183345 |
| 2025-07-08 23:37:50.720996 | 2025-07-08 23:37:52.494767 | 9642400 | 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': '1967-03-31', 'date_of_service': '2025-07-07', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'insurance_company_id': 23277, 'subscriber_last_name': 'BARRERA', 'subscriber_member_id': 'XEH903389121', 'subscriber_first_name': 'LOLA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6611912/check_9642400_1318e2d0-cc1c-411f-8814-93949252312b.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6611912/check_9642400_95759bb7-8cd1-4d01-be10-f006030fda83.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XEH903389121', 'plan_type': None, 'group_name': None, 'payer_name': 'REGAL MEDICAL GROUP', '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 | N/A | 7927 | N/A | 6611912 | 2222 | N/A | 9361013 | N/A | 5230345 | 2025-07-08 23:37:52.494767 | 2025-07-11 20:32:03.183345 |
| 2025-07-08 23:37:48.969120 | 2025-07-08 23:37:50.717975 | 9642399 | 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': '1967-03-31', 'date_of_service': '2025-07-07', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'insurance_company_id': 23277, 'subscriber_last_name': 'BARRERA', 'subscriber_member_id': 'XEH903389121', 'subscriber_first_name': 'LOLA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6611912/check_9642399_302ee456-b3f2-41e1-abc6-a63623c5087b.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-07 | N/A | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XEH903389121', 'plan_type': None, 'group_name': None, 'payer_name': 'REGAL MEDICAL GROUP', '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 | N/A | 7927 | N/A | 6611912 | 2222 | N/A | N/A | N/A | 5230345 | 2025-07-08 23:37:50.717975 | 2025-07-11 20:32:03.183345 |
| 2025-07-08 23:37:25.621306 | 2025-07-08 23:37:27.353518 | 9642398 | 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': '1967-03-31', 'date_of_service': '2025-07-07', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'insurance_company_id': 4185, 'subscriber_last_name': 'BARRERA', 'subscriber_member_id': 'XEH903389121', 'subscriber_first_name': 'LOLA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6611912/check_9642398_77389577-d103-4556-b0b7-18fd63f99148.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6611912/check_9642398_4d99cc18-8773-4c59-b5e0-1d4397359cfd.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 | N/A | 7927 | N/A | 6611912 | 2222 | N/A | 9361010 | N/A | 5230345 | 2025-07-08 23:37:27.353518 | 2025-07-11 20:32:03.183345 |
| 2025-07-08 23:37:24.014760 | 2025-07-08 23:37:25.618954 | 9642397 | 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': '1967-03-31', 'date_of_service': '2025-07-07', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'insurance_company_id': 4185, 'subscriber_last_name': 'BARRERA', 'subscriber_member_id': 'XEH903389121', 'subscriber_first_name': 'LOLA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6611912/check_9642397_c241d87c-70f7-4240-87dd-ed0adb14b49c.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-07 | N/A | 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 | N/A | 7927 | N/A | 6611912 | 2222 | N/A | N/A | N/A | 5230345 | 2025-07-08 23:37:25.618954 | 2025-07-11 20:32:03.183345 |
| 2025-07-08 23:36:50.960154 | 2025-07-08 23:36:52.663751 | 9642395 | 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': '2006-11-16', 'date_of_service': '2025-07-09', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'insurance_company_id': 4191, 'subscriber_last_name': 'ANDERSON', 'subscriber_member_id': 'PNE9139322192', 'subscriber_first_name': 'SEAN'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6713863/check_9642395_2859b9d2-f098-4fc3-a8df-7a3adbebb51d.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6713863/check_9642395_fd99ff19-3d30-4b5e-9462-93e106f00b5d.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'PNE9139322192', 'plan_type': None, 'group_name': None, 'payer_name': 'BLUE SHIELD CALIFORNIA', 'payer_note': None, 'patient_dob': '2006-11-16', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'ANDERSON', 'plan_sponsor_name': None, 'patient_first_name': 'SEAN', '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 | 6713863 | 2222 | N/A | 9361007 | N/A | 5315237 | 2025-07-08 23:36:52.663751 | 2025-07-09 22:23:37.046417 |
| 2025-07-08 23:36:48.422256 | 2025-07-08 23:36:50.957264 | 9642394 | 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': '2006-11-16', 'date_of_service': '2025-07-09', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'insurance_company_id': 4191, 'subscriber_last_name': 'ANDERSON', 'subscriber_member_id': 'PNE9139322192', 'subscriber_first_name': 'SEAN'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6713863/check_9642394_8ffdc452-4ed0-4d1a-885f-c5df6ca89a63.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-09 | N/A | N/A | N/A | N/A | N/A | N/A | {'member_id': 'PNE9139322192', 'plan_type': None, 'group_name': None, 'payer_name': 'BLUE SHIELD CALIFORNIA', 'payer_note': None, 'patient_dob': '2006-11-16', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'ANDERSON', 'plan_sponsor_name': None, 'patient_first_name': 'SEAN', '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 | 6713863 | 2222 | N/A | N/A | N/A | 5315237 | 2025-07-08 23:36:50.957264 | 2025-07-09 22:23:37.046417 |
| 2025-07-08 23:35:47.702977 | 2025-07-08 23:35:49.581683 | 9642393 | 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': '1967-03-31', 'date_of_service': '2025-07-07', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'insurance_company_id': 4185, 'subscriber_last_name': 'BARRERA', 'subscriber_member_id': 'XEH903389121', 'subscriber_first_name': 'LOLA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6611912/check_9642393_861f64c0-e76f-41c7-8010-5940787ed77e.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-07 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6611912/check_9642393_1010c13a-446b-4d98-ad4e-eef875cf81f1.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 | N/A | 7927 | N/A | 6611912 | 2222 | N/A | 9361003 | N/A | 5230345 | 2025-07-08 23:35:49.581683 | 2025-07-11 20:32:03.183345 |
| 2025-07-08 23:35:43.967473 | 2025-07-08 23:35:47.701620 | 9642390 | 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': '1967-03-31', 'date_of_service': '2025-07-07', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'insurance_company_id': 4185, 'subscriber_last_name': 'BARRERA', 'subscriber_member_id': 'XEH903389121', 'subscriber_first_name': 'LOLA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6611912/check_9642390_5eebb067-9c01-410d-83ac-049e823d1b1d.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-07 | N/A | 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 | N/A | 7927 | N/A | 6611912 | 2222 | N/A | N/A | N/A | 5230345 | 2025-07-08 23:35:47.701620 | 2025-07-11 20:32:03.183345 |
| 2025-07-08 23:33:44.690091 | 2025-07-08 23:33:46.474061 | 9642385 | 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': '1981-07-22', 'date_of_service': '2025-07-11', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 4709, 'subscriber_last_name': 'DELAZAD', 'subscriber_member_id': '009868358', 'subscriber_first_name': 'LEILA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6567634/check_9642385_1880ea62-2e26-4591-a7d8-253f36f3052e.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-11 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6567634/check_9642385_2aac3915-5e74-4974-ba01-01109e0e94cc.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '009868358', 'plan_type': None, 'group_name': None, 'payer_name': 'CENTENE CORPORATION', 'payer_note': None, 'patient_dob': '1981-07-22', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'DELAZAD', 'plan_sponsor_name': None, 'patient_first_name': 'LEILA', '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 | 5831 | N/A | 6567634 | 2222 | N/A | 9360990 | N/A | 5189726 | 2025-07-08 23:33:46.474061 | 2025-07-08 23:50:39.999275 |
| 2025-07-08 23:33:39.961910 | 2025-07-08 23:33:44.685846 | 9642384 | 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': '1981-07-22', 'date_of_service': '2025-07-11', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 4709, 'subscriber_last_name': 'DELAZAD', 'subscriber_member_id': '009868358', 'subscriber_first_name': 'LEILA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6567634/check_9642384_c774d8e0-6a19-44c9-b000-5e2ba6089012.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-11 | N/A | N/A | N/A | N/A | N/A | N/A | {'member_id': '009868358', 'plan_type': None, 'group_name': None, 'payer_name': 'CENTENE CORPORATION', 'payer_note': None, 'patient_dob': '1981-07-22', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'DELAZAD', 'plan_sponsor_name': None, 'patient_first_name': 'LEILA', '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 | 5831 | N/A | 6567634 | 2222 | N/A | N/A | N/A | 5189726 | 2025-07-08 23:33:44.685846 | 2025-07-08 23:50:39.999275 |
| 2025-07-08 23:28:10.481504 | 2025-07-08 23:28:14.240470 | 9642364 | 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': '1981-07-22', 'date_of_service': '2025-07-01', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6411, 'subscriber_last_name': 'DELAZAD', 'subscriber_member_id': 'A01217025', 'subscriber_first_name': 'LEILA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6567634/check_9642364_8fc25532-5592-4e51-b400-24472b42a1d2.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6567634/check_9642364_33acf09e-3b6d-410a-b9d6-651b7232d74c.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '009868358', 'plan_type': None, 'group_name': None, 'payer_name': 'UNITEDHEALTHCARE', 'payer_note': None, 'patient_dob': '1981-07-22', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': '', 'plan_sponsor_name': None, 'patient_first_name': '', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8204260606 | 7927 | N/A | 6567634 | 2222 | N/A | 9360951 | N/A | 5189726 | 2025-07-08 23:28:14.240470 | 2025-07-08 23:50:39.999275 |
| 2025-07-08 23:22:51.769626 | 2025-07-08 23:22:55.483260 | 9642339 | N/A | N/A | {'payer_id': '87726', 'payer_name': 'United Healthcare', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1948-06-01', 'date_of_service': '2025-07-09', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6411, 'subscriber_last_name': 'MOWERY', 'subscriber_member_id': '988372709', 'subscriber_first_name': 'LYNN'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6611792/check_9642339_7e8aca08-68a3-4b8e-8cfa-2ef77b9299df.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6611792/check_9642339_2a3019d7-c883-4209-87bc-9e9a62bc57cd.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '988372709', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': None, 'payer_name': 'UNITEDHEALTHCARE', 'payer_note': 'A PRIOR AUTHORIZATION OR NOTIFICATION INQUIRY REQUEST MAY BE SUBMITTED', 'patient_dob': '1948-06-01', 'plan_number': None, 'group_number': '15743', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'MOWERY', 'plan_sponsor_name': None, 'patient_first_name': 'LYNN', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'LPPO-UNITEDHEALTHCARE GROUP MEDICARE ADVANTAGE (PP', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8204239390 | 2182 | N/A | 6611792 | 2222 | N/A | 9360918 | N/A | 5230196 | 2025-07-08 23:22:55.483260 | 2025-07-08 23:21:57.866357 |
| 2025-07-08 23:22:19.974201 | 2025-07-08 23:22:22.746979 | 9642338 | 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': '1972-01-12', 'date_of_service': '2025-07-22', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'insurance_company_id': 4184, 'subscriber_last_name': 'MAGEN', 'subscriber_member_id': 'B6YE01199897', 'subscriber_first_name': 'OFIR'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6917703/check_9642338_99833f58-4a49-4d44-b26b-c61e5715afa4.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-22 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6917703/check_9642338_dd80b001-1802-4edb-841a-e21e33517b2a.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'B6YE01199897', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'CHARTERLIFE-2015 HIGH EPO', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1972-01-12', 'plan_number': '040', 'group_number': 'L06598M023', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'MAGEN', 'plan_sponsor_name': None, 'patient_first_name': 'LIMOR', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2025-01-01', 'plan_coverage_description': 'PPO PRUDENT BUYER INCENTIVE', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8204237895 | 9482 | N/A | 6917703 | 2222 | N/A | 9360916 | N/A | 5949095 | 2025-07-08 23:22:22.746979 | 2025-07-28 22:15:30.266976 |
| 2025-07-08 23:22:04.475348 | 2025-07-08 23:22:06.409175 | 9642337 | N/A | N/A | {'payer_id': '87726', 'payer_name': 'United Healthcare', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1948-06-01', 'date_of_service': '2025-07-14', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6411, 'subscriber_last_name': 'MOWERY', 'subscriber_member_id': '9118772604', 'subscriber_first_name': 'LYNN'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6611792/check_9642337_1724effd-fbfe-42d0-983e-236c503713b9.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6611792/check_9642337_95e7276f-52b5-4a6b-98d4-61236ee0b362.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '988372709', 'plan_type': None, 'group_name': None, 'payer_name': 'UNITEDHEALTHCARE', 'payer_note': None, 'patient_dob': '1948-06-01', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': '', 'plan_sponsor_name': None, 'patient_first_name': '', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8204237293 | 5831 | N/A | 6611792 | 2222 | N/A | 9360915 | N/A | 5230196 | 2025-07-08 23:22:06.409175 | 2025-07-08 23:21:57.866357 |
| 2025-07-08 23:19:59.895946 | 2025-07-08 23:20:03.657516 | 9642331 | 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': '1942-07-28', 'date_of_service': '2025-07-08', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 4497, 'subscriber_last_name': 'SIMMONS', 'subscriber_member_id': '4R12DK6FV16', 'subscriber_first_name': 'JC'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6685251/check_9642331_5ac058e0-bb74-4ac8-80ff-f095c3915448.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6685251/check_9642331_913e3ece-9b7a-48de-bd4b-32385ef7b66b.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '4R12DK6FV16', 'plan_type': 'Medicare Part A', 'group_name': None, 'payer_name': 'SCAN HEALTH PLAN', 'payer_note': '0-BENEFICIARY INSURED DUE TO AGE OASI', 'patient_dob': '1942-07-28', 'plan_number': 'H5425', 'group_number': None, 'insurance_type': None, 'plan_type_code': 'MA', 'enrolled_in_qmb': False, 'patient_last_name': 'SIMMONS', 'plan_sponsor_name': None, 'patient_first_name': 'J', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8204229323 | 7927 | N/A | 6685251 | 2222 | N/A | 9360900 | N/A | 4209868 | 2025-07-08 23:20:03.657516 | 2025-08-15 22:13:56.514261 |
| 2025-07-08 23:19:58.394373 | 2025-07-08 23:20:00.155972 | 9642330 | N/A | N/A | {'payer_id': '87726', 'payer_name': 'United Healthcare', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1948-06-01', 'date_of_service': '2025-07-09', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6411, 'subscriber_last_name': 'MOWERY', 'subscriber_member_id': '9118772604', 'subscriber_first_name': 'LYNN'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6611792/check_9642330_a975a463-6a0e-4039-88bd-92bc9acb4cda.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6611792/check_9642330_2432b4ca-8e75-41a6-8df4-9c290c33dc4a.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '988372709', 'plan_type': None, 'group_name': None, 'payer_name': 'UNITEDHEALTHCARE', 'payer_note': None, 'patient_dob': '1948-06-01', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': '', 'plan_sponsor_name': None, 'patient_first_name': '', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8204229214 | 2182 | N/A | 6611792 | 2222 | N/A | 9360898 | N/A | 5230196 | 2025-07-08 23:20:00.155972 | 2025-07-08 23:21:57.866357 |
| 2025-07-08 23:19:24.455311 | 2025-07-08 23:19:28.278436 | 9642327 | N/A | N/A | {'payer_id': '87726', 'payer_name': 'United Healthcare', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1948-06-01', 'date_of_service': '2025-07-09', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6411, 'subscriber_last_name': 'MOWERY', 'subscriber_member_id': '9118772604', 'subscriber_first_name': 'LYNN'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6611792/check_9642327_b09dd2ff-8e01-429a-a3ca-be1330030afc.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-09 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6611792/check_9642327_46a8bdcf-4223-4c1b-aaf7-049a2267c1cc.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '988372709', 'plan_type': None, 'group_name': None, 'payer_name': 'UNITEDHEALTHCARE', 'payer_note': None, 'patient_dob': '1948-06-01', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': '', 'plan_sponsor_name': None, 'patient_first_name': '', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8204226289 | 2182 | N/A | 6611792 | 2222 | N/A | 9360893 | N/A | 5230196 | 2025-07-08 23:19:28.278436 | 2025-07-08 23:21:57.866357 |
| 2025-07-08 23:19:09.078673 | 2025-07-08 23:19:21.937512 | 9642324 | N/A | N/A | {'payer_id': '87726', 'payer_name': 'United Healthcare', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1948-06-01', 'date_of_service': '2025-07-14', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6411, 'subscriber_last_name': 'MOWERY', 'subscriber_member_id': '9118772604', 'subscriber_first_name': 'LYNN'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6611792/check_9642324_c1a831c4-c892-4136-ae12-67c62452118d.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-14 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6611792/check_9642324_ef1ce52f-f187-46e0-96e8-365c22305ed8.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '988372709', 'plan_type': None, 'group_name': None, 'payer_name': 'UNITEDHEALTHCARE', 'payer_note': None, 'patient_dob': '1948-06-01', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': '', 'plan_sponsor_name': None, 'patient_first_name': '', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8204225050 | 5831 | N/A | 6611792 | 2222 | N/A | 9360892 | N/A | 5230196 | 2025-07-08 23:19:21.937512 | 2025-07-08 23:21:57.866357 |
| 2025-07-08 23:19:01.085078 | 2025-07-08 23:19:02.831095 | 9642320 | 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': '1942-07-28', 'date_of_service': '2025-07-08', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 23307, 'subscriber_last_name': 'SIMMONS', 'subscriber_member_id': '400557228-01', 'subscriber_first_name': 'J'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6685251/check_9642320_0a4a2440-c6a5-4748-b284-fb5cf1bfc8ef.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6685251/check_9642320_12c235e2-6f7e-421f-88d2-efe18d2fd80d.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '400557228-01', 'plan_type': None, 'group_name': None, 'payer_name': 'REGAL MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1942-07-28', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'SIMMONS', 'plan_sponsor_name': None, 'patient_first_name': 'J', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 6685251 | 2222 | N/A | 9360885 | N/A | 4209868 | 2025-07-08 23:19:02.831095 | 2025-08-15 22:13:56.514261 |
| 2025-07-08 23:18:48.328002 | 2025-07-08 23:19:01.081493 | 9642316 | 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': '1942-07-28', 'date_of_service': '2025-07-08', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 23307, 'subscriber_last_name': 'SIMMONS', 'subscriber_member_id': '400557228-01', 'subscriber_first_name': 'J'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6685251/check_9642316_7df8078e-c3a8-42cf-8e92-e10c4738deb6.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-08 | N/A | N/A | N/A | N/A | N/A | N/A | {'member_id': '400557228-01', 'plan_type': None, 'group_name': None, 'payer_name': 'REGAL MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1942-07-28', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'SIMMONS', 'plan_sponsor_name': None, 'patient_first_name': 'J', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 6685251 | 2222 | N/A | N/A | N/A | 4209868 | 2025-07-08 23:19:01.081493 | 2025-08-15 22:13:56.514261 |