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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-07-08 23:18:13.937301 | 2025-07-08 23:18:15.649607 | 9642312 | 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': '40055722801', 'subscriber_first_name': 'JC'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6685251/check_9642312_1b5766b8-a6d5-49e0-acd0-4c590c9b36ec.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6685251/check_9642312_11e9bfb3-d268-4b02-a570-040ea11cf872.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '40055722801', 'plan_type': None, 'group_name': None, 'payer_name': 'MEDICARE A B ELIGIBILITY ALL STATES', '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': 'JC', '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 | 9360875 | N/A | 4209868 | 2025-07-08 23:18:15.649607 | 2025-08-15 22:13:56.514261 |
| 2025-07-08 23:18:01.090047 | 2025-07-08 23:18:13.934515 | 9642311 | 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': '40055722801', 'subscriber_first_name': 'JC'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6685251/check_9642311_a385457f-c532-46d0-9be1-44f6f0ce6594.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-08 | N/A | N/A | N/A | N/A | N/A | N/A | {'member_id': '40055722801', 'plan_type': None, 'group_name': None, 'payer_name': 'MEDICARE A B ELIGIBILITY ALL STATES', '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': 'JC', '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 23:18:13.934515 | 2025-08-15 22:13:56.514261 |
| 2025-07-08 23:13:58.908882 | 2025-07-08 23:14:00.692295 | 9642299 | N/A | N/A | {'payer_id': '14163', 'payer_name': 'Wellcare Health Plans', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1948-06-01', 'date_of_service': '2025-07-02', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6798, 'subscriber_last_name': 'MOWERY', 'subscriber_member_id': '911-87726-04', 'subscriber_first_name': 'LYNN'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6611792/check_9642299_ac85d404-18bc-45a1-9bb8-313ce26d45ed.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6611792/check_9642299_69236d25-fd8a-47ff-a54f-40df4142b97f.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '911-87726-04', 'plan_type': None, 'group_name': None, 'payer_name': 'WELLCARE HEALTH PLANS', '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': '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': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 6611792 | 2222 | N/A | 9360847 | N/A | 5230196 | 2025-07-08 23:14:00.692295 | 2025-07-08 23:21:57.866357 |
| 2025-07-08 23:13:54.088975 | 2025-07-08 23:13:58.905368 | 9642297 | N/A | N/A | {'payer_id': '14163', 'payer_name': 'Wellcare Health Plans', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1948-06-01', 'date_of_service': '2025-07-02', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6798, 'subscriber_last_name': 'MOWERY', 'subscriber_member_id': '911-87726-04', 'subscriber_first_name': 'LYNN'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6611792/check_9642297_45ad5935-7dc2-41cb-9823-c8d1a11a7a7a.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-02 | N/A | N/A | N/A | N/A | N/A | N/A | {'member_id': '911-87726-04', 'plan_type': None, 'group_name': None, 'payer_name': 'WELLCARE HEALTH PLANS', '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': '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': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | N/A | 7927 | N/A | 6611792 | 2222 | N/A | N/A | N/A | 5230196 | 2025-07-08 23:13:58.905368 | 2025-07-08 23:21:57.866357 |
| 2025-07-08 23:13:27.863501 | 2025-07-08 23:13:33.704680 | 9642295 | 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': '2025-07-02', '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_9642295_b24ddb3d-2c09-447a-a0a5-c08970c65093.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6611792/check_9642295_029eee3b-0237-44e0-80a6-a84df1a50ff6.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 | 8204202033 | 7927 | N/A | 6611792 | 2222 | N/A | 9360841 | N/A | 5230196 | 2025-07-08 23:13:33.704680 | 2025-07-08 23:21:57.866357 |
| 2025-07-08 23:12:24.649243 | 2025-07-08 23:12:28.395630 | 9642291 | 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': '2025-07-02', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 6411, 'subscriber_last_name': 'MOWERY', 'subscriber_member_id': '911-87726-04', 'subscriber_first_name': 'LYNN'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6611792/check_9642291_1b689e6b-fb59-4c33-80e3-2d79642de7bd.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-02 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6611792/check_9642291_3f43afa9-6d42-46cd-ba17-447402bb6f63.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 | 8204196440 | 7927 | N/A | 6611792 | 2222 | N/A | 9360835 | N/A | 5230196 | 2025-07-08 23:12:28.395630 | 2025-07-08 23:21:57.866357 |
| 2025-07-08 20:56:38.000593 | 2025-07-08 20:56:39.741649 | 9641708 | 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': '1964-05-26', 'date_of_service': '2025-08-01', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 4497, 'subscriber_last_name': 'FERNANDEZ', 'subscriber_member_id': '7XX5TU4CF61', 'subscriber_first_name': 'LISA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/5538194/check_9641708_7301569c-3feb-4d41-a478-08b89b0f7069.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-08-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538194/check_9641708_b30417bb-6585-4b0d-9826-f0b4c6d4897f.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '7XX5TU4CF61', 'plan_type': 'Medicare Part B', 'group_name': None, 'payer_name': 'MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY', 'payer_note': '1-BENEFICIARY INSURED DUE TO DISABILITY', 'patient_dob': '1964-05-26', 'plan_number': 'S5617', 'group_number': None, 'insurance_type': None, 'plan_type_code': 'MB', 'enrolled_in_qmb': False, 'patient_last_name': 'FERNANDEZ', 'plan_sponsor_name': None, 'patient_first_name': 'LISA', '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 | 8203512152 | N/A | N/A | 5538194 | 2222 | N/A | 9359980 | N/A | 4210649 | 2025-07-08 20:56:39.741649 | 2025-06-19 18:43:58.008751 |
| 2025-07-08 20:56:31.546135 | 2025-07-08 20:56:33.314583 | 9641707 | 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': '1964-05-26', 'date_of_service': '2025-08-01', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 4497, 'subscriber_last_name': 'FERNANDEZ', 'subscriber_member_id': '7XX5TU4CF61', 'subscriber_first_name': 'LISA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/5538194/check_9641707_9e03050c-39ec-4fe0-a8af-c69587e10bc9.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-08-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538194/check_9641707_b5e54571-982d-4314-983f-671b5ee60fc0.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '7XX5TU4CF61', 'plan_type': 'Medicare Part A', 'group_name': None, 'payer_name': 'MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY', 'payer_note': '1-BENEFICIARY INSURED DUE TO DISABILITY', 'patient_dob': '1964-05-26', 'plan_number': 'S5617', 'group_number': None, 'insurance_type': None, 'plan_type_code': 'MA', 'enrolled_in_qmb': False, 'patient_last_name': 'FERNANDEZ', 'plan_sponsor_name': None, 'patient_first_name': 'LISA', '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 | 8203510933 | N/A | N/A | 5538194 | 2222 | N/A | 9359978 | N/A | 4210649 | 2025-07-08 20:56:33.314583 | 2025-06-19 18:43:58.008751 |
| 2025-07-08 20:56:23.557537 | 2025-07-08 20:56:25.357498 | 9641705 | 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': '1964-05-26', 'date_of_service': '2025-08-01', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 4497, 'subscriber_last_name': 'FERNANDEZ', 'subscriber_member_id': '7XX5TU4CF61', 'subscriber_first_name': 'LISA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/5538194/check_9641705_c57b7793-f73f-4624-b56d-0f3e10d94837.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-08-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538194/check_9641705_1c342117-4dc6-4d09-bc46-e0dd3e48b136.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '7XX5TU4CF61', 'plan_type': 'Medicare Part B', 'group_name': None, 'payer_name': 'MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY', 'payer_note': '1-BENEFICIARY INSURED DUE TO DISABILITY', 'patient_dob': '1964-05-26', 'plan_number': 'S5617', 'group_number': None, 'insurance_type': None, 'plan_type_code': 'MB', 'enrolled_in_qmb': False, 'patient_last_name': 'FERNANDEZ', 'plan_sponsor_name': None, 'patient_first_name': 'LISA', '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 | 8203509382 | N/A | N/A | 5538194 | 2222 | N/A | 9359977 | N/A | 4210649 | 2025-07-08 20:56:25.357498 | 2025-06-19 18:43:58.008751 |
| 2025-07-08 20:54:11.379717 | 2025-07-08 20:54:13.108251 | 9641691 | 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': '1964-05-26', 'date_of_service': '2025-08-01', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 4497, 'subscriber_last_name': 'FERNANDEZ', 'subscriber_member_id': '7XX5TU4CF61', 'subscriber_first_name': 'LISA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/5538194/check_9641691_8450139a-e843-4dcf-8626-8793d51f00b6.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-08-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538194/check_9641691_4ffdf752-c358-4e5d-ab66-fb3fb3729120.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '7XX5TU4CF61', 'plan_type': 'Medicare Part B', 'group_name': None, 'payer_name': 'MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY', 'payer_note': '1-BENEFICIARY INSURED DUE TO DISABILITY', 'patient_dob': '1964-05-26', 'plan_number': 'S5617', 'group_number': None, 'insurance_type': None, 'plan_type_code': 'MB', 'enrolled_in_qmb': False, 'patient_last_name': 'FERNANDEZ', 'plan_sponsor_name': None, 'patient_first_name': 'LISA', '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 | 8203482255 | N/A | N/A | 5538194 | 2222 | N/A | 9359962 | N/A | 4210649 | 2025-07-08 20:54:13.108251 | 2025-06-19 18:43:58.008751 |
| 2025-07-08 20:53:46.597847 | 2025-07-08 20:53:50.407124 | 9641689 | 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': '1964-05-26', 'date_of_service': '2025-08-01', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 4497, 'subscriber_last_name': 'FERNANDEZ', 'subscriber_member_id': '7XX5TU4CF61', 'subscriber_first_name': 'LISA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/5538194/check_9641689_80c00ad0-3bf2-49a6-9e3c-865372f04d51.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-08-01 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538194/check_9641689_0e0c8d68-bc72-4807-8d7c-b69746161dd7.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '7XX5TU4CF61', 'plan_type': 'Medicare Part A', 'group_name': None, 'payer_name': 'MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY', 'payer_note': '1-BENEFICIARY INSURED DUE TO DISABILITY', 'patient_dob': '1964-05-26', 'plan_number': 'S5617', 'group_number': None, 'insurance_type': None, 'plan_type_code': 'MA', 'enrolled_in_qmb': False, 'patient_last_name': 'FERNANDEZ', 'plan_sponsor_name': None, 'patient_first_name': 'LISA', '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 | 8203477403 | N/A | N/A | 5538194 | 2222 | N/A | 9359959 | N/A | 4210649 | 2025-07-08 20:53:50.407124 | 2025-06-19 18:43:58.008751 |
| 2025-07-08 20:30:40.030879 | 2025-07-08 20:30:41.763943 | 9641608 | 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': '1943-06-25', 'date_of_service': '2025-07-21', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 2630, 'subscriber_last_name': 'TORREY', 'subscriber_member_id': '00000374205', 'subscriber_first_name': 'JOYCE'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6768717/check_9641608_fe7337c4-08f4-4bf5-9d06-714ab88425a2.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6768717/check_9641608_8847a6e6-1040-4628-8038-f16f3d80ad31.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '00000374205', 'plan_type': None, 'group_name': None, 'payer_name': 'ALIGNMENT HEALTH', 'payer_note': None, 'patient_dob': '1943-06-25', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'TORREY', 'plan_sponsor_name': None, 'patient_first_name': 'JOYCE', '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 | 6768717 | 2222 | N/A | 9359838 | N/A | 5725966 | 2025-07-08 20:30:41.763943 | 2025-07-08 20:19:24.946360 |
| 2025-07-08 20:30:37.443116 | 2025-07-08 20:30:40.027750 | 9641607 | 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': '1943-06-25', 'date_of_service': '2025-07-21', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 2630, 'subscriber_last_name': 'TORREY', 'subscriber_member_id': '00000374205', 'subscriber_first_name': 'JOYCE'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6768717/check_9641607_155a3ba7-8c2a-4b8f-b380-063753470135.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-21 | N/A | N/A | N/A | N/A | N/A | N/A | {'member_id': '00000374205', 'plan_type': None, 'group_name': None, 'payer_name': 'ALIGNMENT HEALTH', 'payer_note': None, 'patient_dob': '1943-06-25', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'TORREY', 'plan_sponsor_name': None, 'patient_first_name': 'JOYCE', '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 | 6768717 | 2222 | N/A | N/A | N/A | 5725966 | 2025-07-08 20:30:40.027750 | 2025-07-08 20:19:24.946360 |
| 2025-07-08 20:19:43.533805 | 2025-07-08 20:19:46.333244 | 9641551 | 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': '1973-01-07', 'date_of_service': '2025-07-08', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'insurance_company_id': 4184, 'subscriber_last_name': 'RUPPERT', 'subscriber_member_id': 'NCF897A20266', 'subscriber_first_name': 'JENNIFER'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6527988/check_9641551_2ecf15e2-a1d3-42ad-9830-56d48258737d.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6527988/check_9641551_d1ad3b8f-8d3d-4e73-855b-94fb66993869.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'NCF897A20266', 'plan_type': 'Health Maintenance Organization (HMO)', 'group_name': 'LAUSD', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1973-01-07', 'plan_number': '040', 'group_number': '57AJCA', 'insurance_type': None, 'plan_type_code': 'HM', 'enrolled_in_qmb': False, 'patient_last_name': 'RUPPERT', 'plan_sponsor_name': None, 'patient_first_name': 'GUY', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2010-01-01', 'plan_coverage_description': 'POWER SELECT HMO NETWORK 126+', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8203059207 | N/A | N/A | 6527988 | 2222 | N/A | 9359765 | N/A | 4212267 | 2025-07-08 20:19:46.333244 | 2025-07-08 19:37:32.376992 |
| 2025-07-08 19:49:36.629420 | 2025-07-08 19:49:39.432259 | 9640490 | 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': '1995-01-31', 'date_of_service': '2025-07-08', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'insurance_company_id': 4191, 'subscriber_last_name': 'MAJD', 'subscriber_member_id': 'XED911263594', 'subscriber_first_name': 'SYDNEY'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6555034/check_9640490_16b56e72-aca6-4856-b507-24c424558cdd.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6555034/check_9640490_9a8ff42b-a44f-48d0-bad3-e117c02720b3.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 | 8202828073 | N/A | N/A | 6555034 | 2222 | N/A | 9358624 | N/A | 5178259 | 2025-07-08 19:49:39.432259 | 2025-07-08 22:15:02.277880 |
| 2025-07-08 19:43:46.325930 | 2025-07-08 19:43:48.037288 | 9640465 | 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': '1948-08-08', 'date_of_service': '2025-07-16', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 4497, 'subscriber_last_name': 'KUTAY', 'subscriber_member_id': '5U44FP5KP64', 'subscriber_first_name': 'JALE'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6896314/check_9640465_d35f6414-6346-4e0a-beff-cdb2ee303f5b.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6896314/check_9640465_acf99536-2db5-4e67-8c22-8cd729a01a60.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '5U44FP5KP64', 'plan_type': 'Medicare Part A', 'group_name': None, 'payer_name': 'UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY', 'payer_note': '0-BENEFICIARY INSURED DUE TO AGE OASI', 'patient_dob': '1948-08-08', 'plan_number': 'S5921', 'group_number': None, 'insurance_type': None, 'plan_type_code': 'MA', 'enrolled_in_qmb': False, 'patient_last_name': 'KUTAY', 'plan_sponsor_name': None, 'patient_first_name': 'JALE', '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 | 8202728435 | N/A | N/A | 6896314 | 2222 | N/A | 9358590 | N/A | 5929817 | 2025-07-08 19:43:48.037288 | 2025-07-08 18:57:12.551440 |
| 2025-07-08 19:43:25.610939 | 2025-07-08 19:43:28.387900 | 9640462 | 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': '1948-08-08', 'date_of_service': '2025-07-16', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 4497, 'subscriber_last_name': 'KUTAY', 'subscriber_member_id': '5U44FP5KP64', 'subscriber_first_name': 'JALE'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6896314/check_9640462_bb7c0757-359d-4fb9-b6a2-a2fa5e6696e0.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-16 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6896314/check_9640462_a1b4c9e1-681a-41c3-af92-6d41ffafc7a5.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '5U44FP5KP64', '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': '1948-08-08', 'plan_number': 'S5921', 'group_number': None, 'insurance_type': None, 'plan_type_code': 'MB', 'enrolled_in_qmb': False, 'patient_last_name': 'KUTAY', 'plan_sponsor_name': None, 'patient_first_name': 'JALE', '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 | 8202725896 | N/A | N/A | 6896314 | 2222 | N/A | 9358586 | N/A | 5929817 | 2025-07-08 19:43:28.387900 | 2025-07-08 18:57:12.551440 |
| 2025-07-08 19:42:17.862623 | 2025-07-08 19:42:22.877576 | 9640456 | 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': '1992-04-21', 'date_of_service': '2025-07-08', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'insurance_company_id': 4191, 'subscriber_last_name': 'Safi', 'subscriber_member_id': 'R61624866', 'subscriber_first_name': 'Nina'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6904255/check_9640456_ea3368eb-e6b6-4c8a-aea7-e002660cdccd.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6904255/check_9640456_8ddee5cd-a80a-405e-b93c-d0956e9bf6bc.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 | 8202717656 | 9344 | N/A | 6904255 | 2222 | N/A | 9358577 | N/A | 5936793 | 2025-07-08 19:42:22.877576 | 2025-07-08 20:49:54.397195 |
| 2025-07-08 19:20:31.215665 | 2025-07-08 19:20:33.079479 | 9640291 | 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': '1952-10-25', 'date_of_service': '2025-07-08', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 4497, 'subscriber_last_name': 'JOHNSTON', 'subscriber_member_id': '7KA0H51YU14', 'subscriber_first_name': 'DEBORAH'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6638066/check_9640291_63d16c42-a34e-4e33-891d-e0c2c602c1ee.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6638066/check_9640291_c3f1d9b8-dbb1-461f-bff8-53a4fbdf9077.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '7KA0H51YU14', 'plan_type': 'Medicare Part B', 'group_name': None, 'payer_name': 'MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY', 'payer_note': '0-BENEFICIARY INSURED DUE TO AGE OASI', 'patient_dob': '1952-10-25', 'plan_number': 'S5617', 'group_number': None, 'insurance_type': None, 'plan_type_code': 'MB', '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 | 8202524256 | N/A | N/A | 6638066 | 2222 | N/A | 9358377 | N/A | 5247837 | 2025-07-08 19:20:33.079479 | 2026-02-24 20:36:49.807283 |
| 2025-07-08 19:20:16.925547 | 2025-07-08 19:20:18.683946 | 9640290 | 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': '1952-10-25', 'date_of_service': '2025-07-08', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 4497, 'subscriber_last_name': 'JOHNSTON', 'subscriber_member_id': '7KA0H51YU14', 'subscriber_first_name': 'DEBORAH'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6638066/check_9640290_14a89449-824f-4a01-bdec-93aea3a9ebaf.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6638066/check_9640290_1428581a-1855-4088-b0f5-87fa35d0e3e4.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '7KA0H51YU14', 'plan_type': 'Medicare Part B', 'group_name': None, 'payer_name': 'MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY', 'payer_note': '0-BENEFICIARY INSURED DUE TO AGE OASI', 'patient_dob': '1952-10-25', 'plan_number': 'S5617', 'group_number': None, 'insurance_type': None, 'plan_type_code': 'MB', '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 | 8202521798 | N/A | N/A | 6638066 | 2222 | N/A | 9358375 | N/A | 5247837 | 2025-07-08 19:20:18.683946 | 2026-02-24 20:36:49.807283 |
| 2025-07-08 19:19:16.670378 | 2025-07-08 19:19:18.459113 | 9640284 | 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': '1952-10-25', 'date_of_service': '2025-07-08', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 4497, 'subscriber_last_name': 'JOHNSTON', 'subscriber_member_id': '7KA0H51YU14', 'subscriber_first_name': 'DEBORAH'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6638066/check_9640284_2ec28b98-4b6d-4ce8-83c1-bf99329fdd40.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6638066/check_9640284_828f9795-1040-4d28-bae6-85db955c1a85.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 | 8202511570 | N/A | N/A | 6638066 | 2222 | N/A | 9358368 | N/A | 5247837 | 2025-07-08 19:19:18.459113 | 2026-02-24 20:36:49.807283 |
| 2025-07-08 19:18:17.527028 | 2025-07-08 19:18:26.408417 | 9640273 | 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': '1952-10-25', 'date_of_service': '2025-07-08', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 4497, 'subscriber_last_name': 'JOHNSTON', 'subscriber_member_id': '7KA0H51YU14', 'subscriber_first_name': 'DEBORAH'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6638066/check_9640273_3ccacea0-1327-454a-bc38-b53f3315e3a4.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6638066/check_9640273_7c2c246f-61c2-4b7a-a53a-755ba82aa612.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '7KA0H51YU14', 'plan_type': 'Medicare Part B', 'group_name': None, 'payer_name': 'MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY', 'payer_note': '0-BENEFICIARY INSURED DUE TO AGE OASI', 'patient_dob': '1952-10-25', 'plan_number': 'S5617', 'group_number': None, 'insurance_type': None, 'plan_type_code': 'MB', '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 | 8202502992 | N/A | N/A | 6638066 | 2222 | N/A | 9358359 | N/A | 5247837 | 2025-07-08 19:18:26.408417 | 2026-02-24 20:36:49.807283 |
| 2025-07-08 17:17:31.368371 | 2025-07-08 17:17:34.149644 | 9639289 | 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': '1951-10-15', 'date_of_service': '2025-07-08', 'subscriber_gender': 'F', 'service_type_codes': ['PT', 'AE'], 'insurance_company_id': 6411, 'subscriber_last_name': 'WHITAKER', 'subscriber_member_id': '929479394-00', 'subscriber_first_name': 'GAYLE'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/5550740/check_9639289_4ec30bf2-3308-4ae5-b0da-b5c2acc955fb.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5550740/check_9639289_af42748f-73c0-4796-a8e1-0c76c1ae84cb.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '929479394', 'plan_type': None, 'group_name': None, 'payer_name': 'UNITEDHEALTHCARE', 'payer_note': None, 'patient_dob': '1951-10-15', '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} | ['PT', 'AE'] | N/A | N/A | N/A | N/A | N/A | 8201243655 | 9483 | N/A | 5550740 | 2222 | N/A | 9357231 | N/A | 4219644 | 2025-07-08 17:17:34.149644 | 2025-05-13 04:29:37.230686 |
| 2025-07-08 17:01:19.398680 | 2025-07-08 17:01:22.228439 | 9639051 | 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': '2005-11-11', 'date_of_service': '2025-07-21', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'insurance_company_id': 4184, 'subscriber_last_name': 'GORMLEY', 'subscriber_member_id': 'SIF727A55596', 'subscriber_first_name': 'VINCENT'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6074031/check_9639051_bfd2fa13-d083-4316-a26d-965d30fe194f.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6074031/check_9639051_f2678b63-cc58-42aa-b282-9355ad20dbd0.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'SIF727A55596', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'SISC - SANTA MONICA MALIBU UNIFIED SCHOOL DISTRICT', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '2005-11-11', 'plan_number': '040', 'group_number': '40963A', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'GORMLEY', 'plan_sponsor_name': None, 'patient_first_name': 'BRYNN', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2023-01-01', 'plan_coverage_description': 'PPO PRUDENT BUYER CLASSIC', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8201125887 | 160461 | N/A | 6074031 | 2222 | N/A | 9356967 | N/A | 4718585 | 2025-07-08 17:01:22.228439 | 2025-05-29 22:33:31.881575 |
| 2025-07-08 17:00:45.432998 | 2025-07-08 17:00:48.238820 | 9639046 | 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': '2005-11-11', 'date_of_service': '2025-07-17', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'insurance_company_id': 4184, 'subscriber_last_name': 'GORMLEY', 'subscriber_member_id': 'SIF727A55596', 'subscriber_first_name': 'VINCENT'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6074031/check_9639046_0142ea52-12cb-41e3-a1b3-fd72f829cb0b.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-17 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6074031/check_9639046_f44c0623-db8b-4551-94e2-e7fd48f66204.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'SIF727A55596', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'SISC - SANTA MONICA MALIBU UNIFIED SCHOOL DISTRICT', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '2005-11-11', 'plan_number': '040', 'group_number': '40963A', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'GORMLEY', 'plan_sponsor_name': None, 'patient_first_name': 'BRYNN', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2023-01-01', 'plan_coverage_description': 'PPO PRUDENT BUYER CLASSIC', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8201121092 | 160461 | N/A | 6074031 | 2222 | N/A | 9356961 | N/A | 4718585 | 2025-07-08 17:00:48.238820 | 2025-05-29 22:33:31.881575 |
| 2025-07-08 16:42:38.573486 | 2025-07-08 16:42:40.368585 | 9638927 | N/A | N/A | {'payer_id': '61101', 'payer_name': 'Humana (and subsidiaries) claims', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1958-03-25', 'date_of_service': '2025-07-08', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 5349, 'subscriber_last_name': 'RABASA', 'subscriber_member_id': 'H90024831', 'subscriber_first_name': 'PATRICIA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6667925/check_9638927_e5577b67-25ab-4226-bae0-c827f46cb78e.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6667925/check_9638927_b8eb6a6a-2799-464f-96bc-2815801850bc.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'H90024831', 'plan_type': 'Health Maintenance Organization (HMO) - Medicare Risk', 'group_name': 'ARCNDINN HENLTH PLNN, INC.', 'payer_name': 'HUMANA', 'payer_note': '076 695 GOLD+/EMP HMO - ALL OTHR WA THIS MEMBER MAY BE ELIGIBLE FOR A FREE FITNESS MEMBERSHIP THROUGH SILVERSNEAKERS OR SILVER&FIT. PLEASE ENCOURAGE HIM OR HER TO CALL SILVERSNEAKERS AT 1-888-423-4632 (FOR MOST STATES) OR SILVER&FIT AT 1-877-427-4788 (FOR ARIZONA AND PENNSYLVANIA) FOR ELIGIB', 'patient_dob': '1958-03-25', 'plan_number': None, 'group_number': '0B515001', 'insurance_type': None, 'plan_type_code': 'HN', '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': 'HUMANA GOLD PLUS', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8200966478 | 9482 | N/A | 6667925 | 2222 | N/A | 9356822 | N/A | 5281834 | 2025-07-08 16:42:40.368585 | 2025-09-11 16:48:19.720660 |
| 2025-07-08 16:42:03.143157 | 2025-07-08 16:42:04.894761 | 9638920 | 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': '1958-03-25', 'date_of_service': '2025-07-08', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 23309, 'subscriber_last_name': 'RABASA', 'subscriber_member_id': 'H90024831', 'subscriber_first_name': 'PATRICIA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6667925/check_9638920_eed63879-ff98-4119-aa10-0492dc55e5c3.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6667925/check_9638920_20378e24-7906-4593-ad7b-91654378ec13.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'H90024831', '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 | N/A | 9482 | N/A | 6667925 | 2222 | N/A | 9356815 | N/A | 5281834 | 2025-07-08 16:42:04.894761 | 2025-09-11 16:48:19.720660 |
| 2025-07-08 16:41:59.558972 | 2025-07-08 16:42:03.140300 | 9638919 | 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': '1958-03-25', 'date_of_service': '2025-07-08', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 23309, 'subscriber_last_name': 'RABASA', 'subscriber_member_id': 'H90024831', 'subscriber_first_name': 'PATRICIA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6667925/check_9638919_e9d59f05-cbe9-45a9-a6d5-7cbfb4e769f4.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-08 | N/A | N/A | N/A | N/A | N/A | N/A | {'member_id': 'H90024831', '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 | N/A | 9482 | N/A | 6667925 | 2222 | N/A | N/A | N/A | 5281834 | 2025-07-08 16:42:03.140300 | 2025-09-11 16:48:19.720660 |
| 2025-07-08 16:41:50.818901 | 2025-07-08 16:41:52.588853 | 9638916 | 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': '1958-03-25', 'date_of_service': '2025-07-08', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 23309, 'subscriber_last_name': 'RABASA', 'subscriber_member_id': 'H90024831', 'subscriber_first_name': 'PATRICIA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6667925/check_9638916_852fa678-92d0-4197-8adf-2fd012a58cdd.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6667925/check_9638916_c993bc59-4277-4bb3-a323-5442bd823267.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'H90024831', '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 | N/A | 9482 | N/A | 6667925 | 2222 | N/A | 9356809 | N/A | 5281834 | 2025-07-08 16:41:52.588853 | 2025-09-11 16:48:19.720660 |
| 2025-07-08 16:41:45.184306 | 2025-07-08 16:41:50.816839 | 9638913 | 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': '1958-03-25', 'date_of_service': '2025-07-08', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 23309, 'subscriber_last_name': 'RABASA', 'subscriber_member_id': 'H90024831', 'subscriber_first_name': 'PATRICIA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6667925/check_9638913_9d423a54-b227-44ee-8ef3-8a5b74f1878d.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-08 | N/A | N/A | N/A | N/A | N/A | N/A | {'member_id': 'H90024831', '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 | N/A | 9482 | N/A | 6667925 | 2222 | N/A | N/A | N/A | 5281834 | 2025-07-08 16:41:50.816839 | 2025-09-11 16:48:19.720660 |
| 2025-07-08 16:41:33.370504 | 2025-07-08 16:41:37.234528 | 9638910 | N/A | N/A | {'payer_id': '61101', 'payer_name': 'Humana (and subsidiaries) claims', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1958-03-25', 'date_of_service': '2025-07-08', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 5349, 'subscriber_last_name': 'RABASA', 'subscriber_member_id': 'H90024831', 'subscriber_first_name': 'PATRICIA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6667925/check_9638910_ef9b76fb-362a-4721-862b-6e68572659a0.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6667925/check_9638910_6a1b5c04-6e02-409b-b92f-18e184b6d576.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'H90024831', 'plan_type': 'Health Maintenance Organization (HMO) - Medicare Risk', 'group_name': 'ARCNDINN HENLTH PLNN, INC.', 'payer_name': 'HUMANA', 'payer_note': '076 695 GOLD+/EMP HMO - ALL OTHR WA THIS MEMBER MAY BE ELIGIBLE FOR A FREE FITNESS MEMBERSHIP THROUGH SILVERSNEAKERS OR SILVER&FIT. PLEASE ENCOURAGE HIM OR HER TO CALL SILVERSNEAKERS AT 1-888-423-4632 (FOR MOST STATES) OR SILVER&FIT AT 1-877-427-4788 (FOR ARIZONA AND PENNSYLVANIA) FOR ELIGIB', 'patient_dob': '1958-03-25', 'plan_number': None, 'group_number': '0B515001', 'insurance_type': None, 'plan_type_code': 'HN', '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': 'HUMANA GOLD PLUS', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8200956260 | 9482 | N/A | 6667925 | 2222 | N/A | 9356806 | N/A | 5281834 | 2025-07-08 16:41:37.234528 | 2025-09-11 16:48:19.720660 |
| 2025-07-08 16:41:17.210304 | 2025-07-08 16:41:19.016451 | 9638908 | 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': '1958-03-25', 'date_of_service': '2025-07-08', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 23309, 'subscriber_last_name': 'RABASA', 'subscriber_member_id': 'H90024831', 'subscriber_first_name': 'PATRICIA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6667925/check_9638908_5a37dc13-0ccf-4873-b6dc-e9596ec7f329.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6667925/check_9638908_61f4c2d3-a62b-4d3c-a898-5a0ee8daeb3d.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'H90024831', '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 | N/A | 9482 | N/A | 6667925 | 2222 | N/A | 9356803 | N/A | 5281834 | 2025-07-08 16:41:19.016451 | 2025-09-11 16:48:19.720660 |
| 2025-07-08 16:41:15.514326 | 2025-07-08 16:41:17.200091 | 9638906 | 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': '1958-03-25', 'date_of_service': '2025-07-08', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 23309, 'subscriber_last_name': 'RABASA', 'subscriber_member_id': 'H90024831', 'subscriber_first_name': 'PATRICIA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6667925/check_9638906_4465d819-bf6d-4aff-8d2f-285f9ffd2d86.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-08 | N/A | N/A | N/A | N/A | N/A | N/A | {'member_id': 'H90024831', '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 | N/A | 9482 | N/A | 6667925 | 2222 | N/A | N/A | N/A | 5281834 | 2025-07-08 16:41:17.200091 | 2025-09-11 16:48:19.720660 |
| 2025-07-08 16:40:44.419805 | 2025-07-08 16:40:49.308903 | 9638901 | 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': '1958-03-25', 'date_of_service': '2025-07-08', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 23309, 'subscriber_last_name': 'RABASA', 'subscriber_member_id': 'H90024831', 'subscriber_first_name': 'PATRICIA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6667925/check_9638901_7baf5d0b-9a1a-4b4c-87be-e000d9ee70e1.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6667925/check_9638901_d5dd35e5-f237-4201-bf77-6283367b9521.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'H90024831', '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 | N/A | 9482 | N/A | 6667925 | 2222 | N/A | 9356795 | N/A | 5281834 | 2025-07-08 16:40:49.308903 | 2025-09-11 16:48:19.720660 |
| 2025-07-08 16:40:42.613566 | 2025-07-08 16:40:44.415628 | 9638900 | 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': '1958-03-25', 'date_of_service': '2025-07-08', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 23309, 'subscriber_last_name': 'RABASA', 'subscriber_member_id': 'H90024831', 'subscriber_first_name': 'PATRICIA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6667925/check_9638900_7a7df440-50fd-4f51-bc04-8940e8431c4a.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-08 | N/A | N/A | N/A | N/A | N/A | N/A | {'member_id': 'H90024831', '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 | N/A | 9482 | N/A | 6667925 | 2222 | N/A | N/A | N/A | 5281834 | 2025-07-08 16:40:44.415628 | 2025-09-11 16:48:19.720660 |
| 2025-07-08 16:40:33.331594 | 2025-07-08 16:40:37.203901 | 9638898 | 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': '1958-03-25', 'date_of_service': '2025-07-08', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 23309, 'subscriber_last_name': 'RABASA', 'subscriber_member_id': 'H90024831', 'subscriber_first_name': 'PATRICIA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6667925/check_9638898_848f98c6-1326-4b18-a6f7-a11e8f2b5ea1.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6667925/check_9638898_22c21df5-8a62-469f-8742-875d67c3abb5.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'H90024831', '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 | N/A | 9482 | N/A | 6667925 | 2222 | N/A | 9356792 | N/A | 5281834 | 2025-07-08 16:40:37.203901 | 2025-09-11 16:48:19.720660 |
| 2025-07-08 16:40:31.705624 | 2025-07-08 16:40:33.326703 | 9638897 | 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': '1958-03-25', 'date_of_service': '2025-07-08', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 23309, 'subscriber_last_name': 'RABASA', 'subscriber_member_id': 'H90024831', 'subscriber_first_name': 'PATRICIA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6667925/check_9638897_203f9a8e-8a51-4586-b927-3155a697841a.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-08 | N/A | N/A | N/A | N/A | N/A | N/A | {'member_id': 'H90024831', '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 | N/A | 9482 | N/A | 6667925 | 2222 | N/A | N/A | N/A | 5281834 | 2025-07-08 16:40:33.326703 | 2025-09-11 16:48:19.720660 |
| 2025-07-08 16:40:19.113748 | 2025-07-08 16:40:20.999981 | 9638896 | 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': '1958-03-25', 'date_of_service': '2025-07-08', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 23309, 'subscriber_last_name': 'RABASA', 'subscriber_member_id': 'H90024831', 'subscriber_first_name': 'PATRICIA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6667925/check_9638896_84733a56-984c-4faf-a87f-f7538db8efaf.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6667925/check_9638896_9fbdb655-972e-404e-9746-e77a03e71ea9.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'H90024831', '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 | N/A | 9482 | N/A | 6667925 | 2222 | N/A | 9356790 | N/A | 5281834 | 2025-07-08 16:40:20.999981 | 2025-09-11 16:48:19.720660 |
| 2025-07-08 16:40:16.473479 | 2025-07-08 16:40:19.109852 | 9638895 | 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': '1958-03-25', 'date_of_service': '2025-07-08', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 23309, 'subscriber_last_name': 'RABASA', 'subscriber_member_id': 'H90024831', 'subscriber_first_name': 'PATRICIA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6667925/check_9638895_f00fc700-3bdb-4a20-bb02-24e0d010e69c.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-08 | N/A | N/A | N/A | N/A | N/A | N/A | {'member_id': 'H90024831', '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 | N/A | 9482 | N/A | 6667925 | 2222 | N/A | N/A | N/A | 5281834 | 2025-07-08 16:40:19.109852 | 2025-09-11 16:48:19.720660 |
| 2025-07-08 16:40:10.523720 | 2025-07-08 16:40:12.299499 | 9638893 | 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': '1958-03-25', 'date_of_service': '2025-07-08', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 23309, 'subscriber_last_name': 'RABASA', 'subscriber_member_id': 'H90024831', 'subscriber_first_name': 'PATRICIA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6667925/check_9638893_65c4ce15-e5e2-4650-b1b7-3bc98483da5c.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6667925/check_9638893_474867ef-3b5e-41ba-9824-43e6225de647.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'H90024831', '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 | N/A | 9482 | N/A | 6667925 | 2222 | N/A | 9356786 | N/A | 5281834 | 2025-07-08 16:40:12.299499 | 2025-09-11 16:48:19.720660 |
| 2025-07-08 16:40:08.819185 | 2025-07-08 16:40:10.518536 | 9638892 | 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': '1958-03-25', 'date_of_service': '2025-07-08', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 23309, 'subscriber_last_name': 'RABASA', 'subscriber_member_id': 'H90024831', 'subscriber_first_name': 'PATRICIA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6667925/check_9638892_58748f7a-3584-4ae6-a50c-ee3c4442b6d1.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-08 | N/A | N/A | N/A | N/A | N/A | N/A | {'member_id': 'H90024831', '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 | N/A | 9482 | N/A | 6667925 | 2222 | N/A | N/A | N/A | 5281834 | 2025-07-08 16:40:10.518536 | 2025-09-11 16:48:19.720660 |
| 2025-07-08 16:40:01.929650 | 2025-07-08 16:40:03.850251 | 9638889 | N/A | N/A | {'payer_id': 'LMG01', 'payer_name': 'Lakeside Medical Group', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1958-03-25', 'date_of_service': '2025-07-08', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 23315, 'subscriber_last_name': 'RABASA', 'subscriber_member_id': 'H90024831', 'subscriber_first_name': 'PATRICIA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6667925/check_9638889_6a5abe34-4965-4ed2-b7b0-4fa18fe5afec.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6667925/check_9638889_cdd6f7f9-9458-4a53-b09c-7362279613df.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'H90024831', 'plan_type': None, 'group_name': None, 'payer_name': 'LAKESIDE 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 | N/A | 9482 | N/A | 6667925 | 2222 | N/A | 9356782 | N/A | 5281834 | 2025-07-08 16:40:03.850251 | 2025-09-11 16:48:19.720660 |
| 2025-07-08 16:39:59.295585 | 2025-07-08 16:40:01.927989 | 9638888 | N/A | N/A | {'payer_id': 'LMG01', 'payer_name': 'Lakeside Medical Group', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1958-03-25', 'date_of_service': '2025-07-08', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 23315, 'subscriber_last_name': 'RABASA', 'subscriber_member_id': 'H90024831', 'subscriber_first_name': 'PATRICIA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6667925/check_9638888_4cf08755-5368-436d-8a22-3bdff3c4ddc4.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-08 | N/A | N/A | N/A | N/A | N/A | N/A | {'member_id': 'H90024831', 'plan_type': None, 'group_name': None, 'payer_name': 'LAKESIDE 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 | N/A | 9482 | N/A | 6667925 | 2222 | N/A | N/A | N/A | 5281834 | 2025-07-08 16:40:01.927989 | 2025-09-11 16:48:19.720660 |
| 2025-07-08 16:39:31.840856 | 2025-07-08 16:39:44.653833 | 9638887 | 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': '1958-03-25', 'date_of_service': '2025-07-08', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 23309, 'subscriber_last_name': 'RABASA', 'subscriber_member_id': 'H90024831', 'subscriber_first_name': 'PATRICIA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6667925/check_9638887_6a62b5ec-f7bc-43cb-8249-55891af331aa.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6667925/check_9638887_73e2b95d-78f9-4c97-9a97-a1da41526009.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'H90024831', '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 | N/A | 9482 | N/A | 6667925 | 2222 | N/A | 9356778 | N/A | 5281834 | 2025-07-08 16:39:44.653833 | 2025-09-11 16:48:19.720660 |
| 2025-07-08 16:39:30.217652 | 2025-07-08 16:39:31.837977 | 9638886 | 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': '1958-03-25', 'date_of_service': '2025-07-08', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 23309, 'subscriber_last_name': 'RABASA', 'subscriber_member_id': 'H90024831', 'subscriber_first_name': 'PATRICIA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6667925/check_9638886_40d636e0-b742-4595-9056-6317e5a09a5f.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-08 | N/A | N/A | N/A | N/A | N/A | N/A | {'member_id': 'H90024831', '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 | N/A | 9482 | N/A | 6667925 | 2222 | N/A | N/A | N/A | 5281834 | 2025-07-08 16:39:31.837977 | 2025-09-11 16:48:19.720660 |
| 2025-07-08 16:39:15.055608 | 2025-07-08 16:39:18.835172 | 9638882 | 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': '1958-03-25', 'date_of_service': '2025-07-08', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 23309, 'subscriber_last_name': 'RABASA', 'subscriber_member_id': 'H90024831', 'subscriber_first_name': 'PATRICIA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6667925/check_9638882_6bf73f12-9fd0-4d0d-9268-738748a76b7e.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-08 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6667925/check_9638882_4d9c2d85-d761-4856-b161-ec20c4931551.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'H90024831', '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 | N/A | 9482 | N/A | 6667925 | 2222 | N/A | 9356772 | N/A | 5281834 | 2025-07-08 16:39:18.835172 | 2025-09-11 16:48:19.720660 |
| 2025-07-08 16:39:11.184652 | 2025-07-08 16:39:15.051008 | 9638881 | 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': '1958-03-25', 'date_of_service': '2025-07-08', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'insurance_company_id': 23309, 'subscriber_last_name': 'RABASA', 'subscriber_member_id': 'H90024831', 'subscriber_first_name': 'PATRICIA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6667925/check_9638881_65832831-ee05-4969-ba16-8b389d01fbb0.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-08 | N/A | N/A | N/A | N/A | N/A | N/A | {'member_id': 'H90024831', '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 | N/A | 9482 | N/A | 6667925 | 2222 | N/A | N/A | N/A | 5281834 | 2025-07-08 16:39:15.051008 | 2025-09-11 16:48:19.720660 |
| 2025-07-08 16:00:44.760954 | 2025-07-08 16:00:48.677179 | 9638607 | 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': '1963-09-21', 'date_of_service': '2025-07-10', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'insurance_company_id': 4184, 'subscriber_last_name': 'FRCEK', 'subscriber_member_id': 'XEK911607242', 'subscriber_first_name': 'LORENA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/5540910/check_9638607_ac5740b1-67fd-4168-b45e-6d1b1d7476f8.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540910/check_9638607_29dc8153-e207-448f-805d-5c498f62f52a.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XEK911607242', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'IFP OFF EXCHANGE', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1963-09-21', 'plan_number': '2001ZJ002648', 'group_number': 'X0001000', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'FRCEK', 'plan_sponsor_name': None, 'patient_first_name': 'LORENA', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2022-09-01', 'plan_coverage_description': 'IFP EMB PED VISION', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8200406910 | 160461 | N/A | 5540910 | 2222 | N/A | 9356453 | N/A | 4212992 | 2025-07-08 16:00:48.677179 | 2025-05-13 04:29:37.227320 |
| 2025-07-08 15:57:41.423920 | 2025-07-08 15:57:49.394446 | 9638571 | 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': '1963-09-21', 'date_of_service': '2025-07-10', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'insurance_company_id': 4184, 'subscriber_last_name': 'FRCEK', 'subscriber_member_id': 'XEK911607242', 'subscriber_first_name': 'LORENA'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/5540910/check_9638571_566b5f44-013a-4886-ad25-57a2d3ba0792.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-07-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540910/check_9638571_73c88320-ab28-485d-a540-e817916690ae.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XEK911607242', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'IFP OFF EXCHANGE', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1963-09-21', 'plan_number': '2001ZJ002648', 'group_number': 'X0001000', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'FRCEK', 'plan_sponsor_name': None, 'patient_first_name': 'LORENA', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2025-01-01', 'plan_coverage_description': 'SILVER 1750 PPO JAN25', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8200364906 | 160461 | N/A | 5540910 | 2222 | N/A | 9356415 | N/A | 4212992 | 2025-07-08 15:57:49.394446 | 2025-05-13 04:29:37.227320 |
| 2025-07-08 11:51:50.907245 | 2025-07-08 11:51:53.601073 | 9633465 | 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_9633465_b8dbc8ae-d6ab-4fd1-bc10-c966186d136f.edi.txt | WAYSTAR | N/A | GOOGLE_CLOUD | 2025-07-10 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6522947/check_9633465_1fa32f4d-8f40-495b-be7a-6f56b726fd1b.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 | 9351048 | N/A | 5146127 | 2025-07-08 11:51:53.601073 | 2025-06-20 17:58:23.371130 |