API Data Explorer (Athletic API)
Choose an endpoint and browse pulled records with export support.
API Endpoints
Total rows: 63,271
| created_at | updated_at | id | athelas_task_id | cmds_task_id | raw_request | raw_response_url | check_source | has_error | created_by | date_of_service | parsed_data_url | parsed_data | oon_parsed_data | suggested_copay_amt | is_deductible_met | is_in_network | plan_info | service_type_codes | is_proactive_visit | is_archived | failed_to_parse_response_reason | payer_plan_info | medicare_part | waystar_inquiry_id | created_by_user_id | appointment_id | patient_insurance_info_id | site_id | facility_id | eligibility_coverage_id | mapped_insurance_company_id | patient_id | eligibility_checks_updated_at | patients_updated_at |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-07-18 09:05:55.983944 | 2025-07-19 02:10:28.067853 | 9950374 | N/A | N/A | {'payer_id': 'REGAL', 'payer_name': 'Regal Medical Group', 'provider_npi': '1114042165', 'trace_number': '9950374', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1998-05-22', 'date_of_service': '2025-07-18', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'subscriber_last_name': 'HAFNER', 'subscriber_member_id': 'JQV598W06257', 'subscriber_first_name': 'DYLAN'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250718.115827385.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541976/check_9950374_370f1558-1693-4954-b867-d79a2695b0df.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'JQV598W06257', 'plan_type': None, 'group_name': None, 'payer_name': 'REGAL MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1998-05-22', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'HAFNER', 'plan_sponsor_name': None, 'patient_first_name': 'DYLAN', '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 | 8297355512 | N/A | N/A | 5541976 | 2222 | 4793 | 9719202 | N/A | 4213943 | 2025-07-19 02:10:28.067853 | 2025-05-13 04:29:37.228261 |
| 2025-07-18 09:05:55.782028 | 2025-07-19 02:10:29.322490 | 9950365 | N/A | N/A | {'payer_id': 'REGAL', 'payer_name': 'Regal Medical Group', 'provider_npi': '1114042165', 'trace_number': '9950365', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1947-02-01', 'date_of_service': '2025-07-18', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'YEE', 'subscriber_member_id': '412922301', 'subscriber_first_name': 'HARRY'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250718.115827385.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541972/check_9950365_6709be71-eb48-427e-a265-362f4cae3268.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '412922301', 'plan_type': None, 'group_name': None, 'payer_name': 'REGAL MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1947-02-01', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'YEE', 'plan_sponsor_name': None, 'patient_first_name': 'HARRY', '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 | 8297355511 | N/A | N/A | 5541972 | 2222 | 4793 | 9719243 | N/A | 4213941 | 2025-07-19 02:10:29.322490 | 2025-05-13 04:29:37.228259 |
| 2025-07-18 09:05:55.546573 | 2025-07-19 02:20:27.721337 | 9950352 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'ANTHEM BLUE CROSS', 'provider_npi': '1114042165', 'trace_number': '9950352', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1959-05-13', 'date_of_service': '2025-07-18', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'ADRIANZEN FERNAN', 'subscriber_member_id': 'MMA221W20054', 'subscriber_first_name': 'AURA'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250718.115827385.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541944/check_9950352_7f245a57-fe87-45cc-88e4-f9f040693958.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'MMA221W20054', 'plan_type': 'Medicare Primary', 'group_name': 'CA MEDICARE', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1959-05-13', 'plan_number': '040', 'group_number': 'CAMCRWP0', 'insurance_type': None, 'plan_type_code': 'MP', 'enrolled_in_qmb': False, 'patient_last_name': 'ADRIANZEN FERNANDEZ', 'plan_sponsor_name': None, 'patient_first_name': 'AURA', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2025-01-01', 'plan_coverage_description': 'CA H4161-007-000 ANTHEM PRIME (HMO-POS) RISK', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8297355510 | N/A | N/A | 5541944 | 2222 | 4801 | 9729969 | 4184 | 4213907 | 2025-07-19 02:20:27.721337 | 2025-05-13 04:29:37.228228 |
| 2025-07-18 09:05:55.373273 | 2025-07-19 02:20:36.427002 | 9950345 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9950345', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1940-08-31', 'date_of_service': '2025-07-18', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'subscriber_last_name': 'STEINBERG', 'subscriber_member_id': 'MBL875M98441', 'subscriber_first_name': 'HARRIS'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250718.115827385.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541917/check_9950345_efbf67a0-c209-4bab-8179-e902f5e50f09.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'MBL875M98441', 'plan_type': None, 'group_name': 'LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD)', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1940-08-31', 'plan_number': '040', 'group_number': 'CAEGR005', 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'STEINBERG', 'plan_sponsor_name': None, 'patient_first_name': 'HARRIS', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2021-01-01', 'plan_coverage_description': 'CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8297355509 | N/A | N/A | 5541917 | 2222 | 4793 | 9730050 | N/A | 4213891 | 2025-07-19 02:20:36.427002 | 2025-05-13 04:29:37.228207 |
| 2025-07-18 09:05:55.235859 | 2025-07-19 02:10:27.188255 | 9950337 | N/A | N/A | {'payer_id': 'REGAL', 'payer_name': 'Regal Medical Group', 'provider_npi': '1114042165', 'trace_number': '9950337', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1974-10-21', 'date_of_service': '2025-07-18', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'GARCIA', 'subscriber_member_id': 'NCF666A56083', 'subscriber_first_name': 'DAWN'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250718.115827385.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541664/check_9950337_94be9b9b-405a-4510-aad2-51380015aa32.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'NCF666A56083', 'plan_type': None, 'group_name': None, 'payer_name': 'REGAL MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1974-10-21', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'GARCIA', 'plan_sponsor_name': None, 'patient_first_name': 'DAWN', '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 | 8297355508 | N/A | N/A | 5541664 | 2222 | 4793 | 9719182 | N/A | 4213662 | 2025-07-19 02:10:27.188255 | 2025-05-13 04:29:37.227982 |
| 2025-07-18 09:05:55.028098 | 2025-07-19 02:21:47.085142 | 9950330 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': '1114042165', 'trace_number': '9950330', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1981-08-26', 'date_of_service': '2025-07-18', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'subscriber_last_name': 'TOHLCHINSKY', 'subscriber_member_id': 'XEA901508061', 'subscriber_first_name': 'MICHAEL'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250718.115827385.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541542/check_9950330_ceb5970a-aea5-4cd4-9221-4076d8b35206.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XEA901508061', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'TOHL ENTERPRISES INC', 'payer_name': 'BLUE SHIELD CALIFORNIA', 'payer_note': None, 'patient_dob': '1981-08-26', 'plan_number': '1000VX000102', 'group_number': 'W0006154', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'TOHLCHINSKY', 'plan_sponsor_name': None, 'patient_first_name': 'MICHAEL', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2016-12-01', 'plan_coverage_description': 'BLUE SHIELD OF CALIFORNIA CHILDREN S DENTAL', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8297355507 | N/A | N/A | 5541542 | 2222 | 4793 | 9730595 | N/A | 4213542 | 2025-07-19 02:21:47.085142 | 2025-06-03 22:12:38.498592 |
| 2025-07-18 09:05:54.853815 | 2025-07-19 02:10:20.719648 | 9950319 | N/A | N/A | {'payer_id': 'LMG01', 'payer_name': 'Lakeside Medical Group', 'provider_npi': '1114042165', 'trace_number': '9950319', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1968-03-30', 'date_of_service': '2025-07-18', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'FARAHMAND', 'subscriber_member_id': '91957675E', 'subscriber_first_name': 'ALEX'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250718.115827385.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541163/check_9950319_234b902e-bb60-4c16-a291-af6ff6746ea4.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '91957675E', 'plan_type': None, 'group_name': None, 'payer_name': 'LAKESIDE MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1968-03-30', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'FARAHMAND', 'plan_sponsor_name': None, 'patient_first_name': 'ALEX', '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 | 8297355505 | N/A | N/A | 5541163 | 2222 | 4802 | 9718998 | N/A | 4213207 | 2025-07-19 02:10:20.719648 | 2025-05-13 04:29:37.227536 |
| 2025-07-18 09:05:54.491937 | 2025-07-19 02:13:06.708614 | 9950304 | N/A | N/A | {'payer_id': '60054', 'payer_name': 'Aetna', 'provider_npi': '1114042165', 'trace_number': '9950304', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1959-03-07', 'date_of_service': '2025-07-18', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'AFSHAR', 'subscriber_member_id': 'W225594564', 'subscriber_first_name': 'NAZFAR'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250718.115827385.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5541142/check_9950304_9e3b5a51-43e6-470c-85c8-81311f9ae347.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'W225594564', 'plan_type': None, 'group_name': None, 'payer_name': 'AETNA', 'payer_note': None, 'patient_dob': '1959-03-07', 'plan_number': '0803677', 'group_number': '080367701200001', 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'AFSHAR', 'plan_sponsor_name': None, 'patient_first_name': 'NAZFAR', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'OPEN ACCESS MC', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8297355504 | N/A | N/A | 5541142 | 2222 | 4802 | 9723118 | N/A | 4213197 | 2025-07-19 02:13:06.708614 | 2025-06-03 05:25:30.972895 |
| 2025-07-18 09:05:54.224338 | 2025-07-19 02:10:17.771179 | 9950294 | N/A | N/A | {'payer_id': 'LMG01', 'payer_name': 'Lakeside Medical Group', 'provider_npi': '1114042165', 'trace_number': '9950294', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '2008-09-18', 'date_of_service': '2025-07-18', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'BENDAVID', 'subscriber_member_id': '95318118F', 'subscriber_first_name': 'TALIA'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250718.115827385.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540893/check_9950294_bce31543-38a8-4177-8e64-fc7922f289e2.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '95318118F', 'plan_type': None, 'group_name': None, 'payer_name': 'LAKESIDE MEDICAL GROUP', 'payer_note': None, 'patient_dob': '2008-09-18', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'BENDAVID', 'plan_sponsor_name': None, 'patient_first_name': 'TALIA', '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 | 8297355503 | N/A | N/A | 5540893 | 2222 | 4793 | 9718937 | N/A | 4212979 | 2025-07-19 02:10:17.771179 | 2025-06-04 21:11:15.590634 |
| 2025-07-18 09:05:54.060085 | 2025-07-19 02:27:56.427977 | 9950287 | N/A | N/A | {'payer_id': 'Z1073', 'payer_name': 'Medicare B California Southern', 'provider_npi': '1114042165', 'trace_number': '9950287', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1957-08-09', 'date_of_service': '2025-07-18', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'DASILVA', 'subscriber_member_id': '4KY4HX3NJ05', 'subscriber_first_name': 'BOB'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250718.115827385.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540840/check_9950287_dfcc8471-6d9f-49cf-b19f-f2bc4147223f.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '4KY4HX3NJ05', 'plan_type': 'Medicare Part A', 'group_name': None, 'payer_name': 'CMS', 'payer_note': '0-BENEFICIARY INSURED DUE TO AGE OASI', 'patient_dob': '1957-08-09', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': 'MA', 'enrolled_in_qmb': False, 'patient_last_name': 'DASILVA', 'plan_sponsor_name': None, 'patient_first_name': 'BOB', '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 | 8297355502 | N/A | N/A | 5540840 | 2222 | 4793 | 9733601 | N/A | 4212930 | 2025-07-19 02:27:56.427977 | 2025-05-13 04:29:37.227258 |
| 2025-07-18 09:05:53.809189 | 2025-07-19 02:20:32.758881 | 9950275 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9950275', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1967-09-15', 'date_of_service': '2025-07-18', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'subscriber_last_name': 'HELLER', 'subscriber_member_id': 'XDL463A68495', 'subscriber_first_name': 'MATT'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250718.115827385.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540316/check_9950275_47906883-0b08-447c-a6f4-64d0fcadc89f.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XDL463A68495', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': None, 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1967-09-15', 'plan_number': '040', 'group_number': 'Z13100', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'HELLER', 'plan_sponsor_name': None, 'patient_first_name': 'MATTHEW', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2009-08-01', 'plan_coverage_description': 'LUMENOS HSA', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8297355501 | N/A | N/A | 5540316 | 2222 | 4793 | 9730015 | N/A | 4212462 | 2025-07-19 02:20:32.758881 | 2025-06-24 20:27:22.939881 |
| 2025-07-18 09:05:53.593603 | 2025-07-19 02:20:28.255909 | 9950264 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9950264', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1936-06-28', 'date_of_service': '2025-07-18', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'BOYLAN', 'subscriber_member_id': 'MBL857M98403', 'subscriber_first_name': 'JOAN'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250718.115827385.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540074/check_9950264_a6288f14-4c3f-49a0-a8f5-17fa5f1a6ded.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'MBL857M98403', 'plan_type': None, 'group_name': 'LOS ANGELES UNIFIED SCHOOL DISTRICT (LAUSD)', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1936-06-28', 'plan_number': '040', 'group_number': 'CAEGR005', 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'BOYLAN', 'plan_sponsor_name': None, 'patient_first_name': 'JOAN', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2021-01-01', 'plan_coverage_description': 'CA GRS LAUSD H4036-802 ANTHEM MEDICARE PREFERRED M', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8297355500 | N/A | N/A | 5540074 | 2222 | 4802 | 9729975 | N/A | 4212282 | 2025-07-19 02:20:28.255909 | 2025-05-13 04:29:37.226623 |
| 2025-07-18 09:05:53.383765 | 2025-07-19 02:20:38.569080 | 9950252 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9950252', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1968-12-03', 'date_of_service': '2025-07-18', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'YANG', 'subscriber_member_id': 'FJB27468841M', 'subscriber_first_name': 'JINING'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250718.115827385.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539727/check_9950252_f3a1a484-2d42-4b37-994f-8eb47c9b4fa5.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'FJB27468841M', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'ALL', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1968-12-03', 'plan_number': '101', 'group_number': '174549M311', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'YANG', 'plan_sponsor_name': None, 'patient_first_name': 'JINING', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2021-01-01', 'plan_coverage_description': 'BLUECARD PPO', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8297355499 | N/A | N/A | 5539727 | 2222 | 4793 | 9730068 | N/A | 4211988 | 2025-07-19 02:20:38.569080 | 2025-07-02 16:33:22.389736 |
| 2025-07-18 09:05:53.195445 | 2025-07-19 02:10:22.943651 | 9950238 | N/A | N/A | {'payer_id': 'LMG01', 'payer_name': 'Lakeside Medical Group', 'provider_npi': '1114042165', 'trace_number': '9950238', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1951-02-23', 'date_of_service': '2025-07-18', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'WENSEL', 'subscriber_member_id': '40065419401', 'subscriber_first_name': 'KAREN'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250718.115827385.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539718/check_9950238_f0d67824-28a5-4441-a493-4d784d3bd9f9.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '40065419401', 'plan_type': None, 'group_name': None, 'payer_name': 'LAKESIDE MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1951-02-23', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'WENSEL', 'plan_sponsor_name': None, 'patient_first_name': 'KAREN', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8297355498 | N/A | N/A | 5539718 | 2222 | 4793 | 9719067 | N/A | 4211977 | 2025-07-19 02:10:22.943651 | 2025-05-13 04:29:37.226299 |
| 2025-07-18 09:05:53.009094 | 2025-07-19 02:18:20.418320 | 9950230 | N/A | N/A | {'payer_id': '72261', 'payer_name': 'Scan Health Plan - California', 'provider_npi': '1114042165', 'trace_number': '9950230', 'provider_name': '', 'subscriber_dob': '1958-02-11', 'date_of_service': '2025-07-18', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'LEVESQUE', 'subscriber_member_id': '097A2439020', 'subscriber_first_name': 'JACQUELINE'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250718.115827385.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539382/check_9950230_ab4c9837-f949-46b7-ba46-a5f80dd0f32b.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '097A2439020', 'plan_type': None, 'group_name': None, 'payer_name': 'SCAN HEALTH PLAN - CALIFORNIA', 'payer_note': None, 'patient_dob': '1958-02-11', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'LEVESQUE', 'plan_sponsor_name': None, 'patient_first_name': 'JACQUELINE', '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 | 8297355497 | N/A | N/A | 5539382 | 2222 | 4793 | 9728784 | N/A | 4211704 | 2025-07-19 02:18:20.418320 | 2025-06-06 23:08:42.876895 |
| 2025-07-18 09:05:52.855110 | 2025-07-19 02:16:22.684467 | 9950221 | N/A | N/A | {'payer_id': '62308', 'payer_name': 'American Specialty Health', 'provider_npi': '1114042165', 'trace_number': '9950221', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1974-11-02', 'date_of_service': '2025-07-18', 'subscriber_gender': 'F', 'service_type_codes': ['AD'], 'subscriber_last_name': 'CHUNG', 'subscriber_member_id': 'U8197480201', 'subscriber_first_name': 'KRISTINA'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250718.115827385.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5539237/check_9950221_29f24d62-0fe2-477a-8c78-fd72def67206.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'U8197480201', 'plan_type': None, 'group_name': 'KONAMI DIGITAL ENTERTAINMENT, INC.', 'payer_name': 'CHLIC', 'payer_note': 'PROVIDER IS IN NETWORK BASED ON NPI ID PROVIDED IN REQUEST NEW BUSINESS RATES APPLIED PERSONAL HEALTH SOLUTIONS PLUS', 'patient_dob': '1974-11-02', 'plan_number': None, 'group_number': '3344762', 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'CHUNG', 'plan_sponsor_name': None, 'patient_first_name': 'KRISTINA', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'OPEN ACCESS PLUS', 'relationship_to_subscriber': None} | ['AD'] | N/A | N/A | N/A | N/A | N/A | 8297355496 | N/A | N/A | 5539237 | 2222 | 4802 | 9727360 | N/A | 4211568 | 2025-07-19 02:16:22.684467 | 2025-05-13 04:29:37.225900 |
| 2025-07-18 09:05:52.384298 | 2025-07-19 02:20:30.852290 | 9950193 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9950193', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1960-08-08', 'date_of_service': '2025-07-18', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'subscriber_last_name': 'GINSBERG', 'subscriber_member_id': 'JQU469A62630', 'subscriber_first_name': 'STEVEN'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250718.115827385.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538693/check_9950193_a4201e79-0955-4a2f-8319-4a57f264d3c9.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'JQU469A62630', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'CAL CHOICE JANUARY 1.00', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1960-08-08', 'plan_number': '040', 'group_number': '476522', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'GINSBERG', 'plan_sponsor_name': None, 'patient_first_name': 'LISA', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2025-01-01', 'plan_coverage_description': 'ANTHEM SILVER PPO HSA/H 2000/3300/4000 35% PREVRX', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8297355494 | N/A | N/A | 5538693 | 2222 | 4793 | 9729999 | N/A | 4211081 | 2025-07-19 02:20:30.852290 | 2025-05-13 04:29:37.225492 |
| 2025-07-18 09:05:52.244260 | 2025-07-19 02:21:48.865786 | 9950187 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': '1114042165', 'trace_number': '9950187', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1993-09-10', 'date_of_service': '2025-07-18', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'subscriber_last_name': 'WARD', 'subscriber_member_id': 'XED913389013', 'subscriber_first_name': 'WILLIAM'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250718.115827385.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5538129/check_9950187_9ff86dbf-308e-414a-aad8-326ff0b576a4.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XED913389013', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'IFP ON EXCHANGE', 'payer_name': 'BLUE SHIELD CALIFORNIA', 'payer_note': None, 'patient_dob': '1993-09-10', 'plan_number': '2001ZK002169', 'group_number': 'X0001004', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'WARD', 'plan_sponsor_name': None, 'patient_first_name': 'WILLIAM', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2024-08-01', 'plan_coverage_description': 'IFP EMB PED VISION', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8297355493 | N/A | N/A | 5538129 | 2222 | 4802 | 9730607 | N/A | 4210590 | 2025-07-19 02:21:48.865786 | 2025-05-13 04:29:37.225004 |
| 2025-07-18 09:05:52.083694 | 2025-07-19 02:22:10.292529 | 9950178 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': '1114042165', 'trace_number': '9950178', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1979-06-20', 'date_of_service': '2025-07-18', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'subscriber_last_name': 'RITENOUR', 'subscriber_member_id': 'NCF553A20679', 'subscriber_first_name': 'TIM'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250718.115827385.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5537911/check_9950178_a6acf582-7dee-400a-b4f2-c7b2186c4089.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'NCF553A20679', 'plan_type': 'Health Maintenance Organization (HMO)', 'group_name': 'LAUSD', 'payer_name': 'BLUE SHIELD OF CALIFORNIA', 'payer_note': None, 'patient_dob': '1979-06-20', 'plan_number': '040', 'group_number': '57AJCA', 'insurance_type': None, 'plan_type_code': 'HM', 'enrolled_in_qmb': False, 'patient_last_name': 'RITENOUR', 'plan_sponsor_name': None, 'patient_first_name': 'TIM', '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 | 8297355492 | N/A | N/A | 5537911 | 2222 | 4793 | 9730771 | N/A | 4210415 | 2025-07-19 02:22:10.292529 | 2025-06-11 20:40:26.862752 |
| 2025-07-18 09:05:51.803681 | 2025-07-19 02:22:10.893307 | 9950165 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': '1114042165', 'trace_number': '9950165', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1966-11-30', 'date_of_service': '2025-07-18', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'SONDREAAL', 'subscriber_member_id': 'WMC125993776001', 'subscriber_first_name': 'DIANE'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250718.115827385.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536323/check_9950165_cb993606-33d1-49fb-a469-ce4e01cd9582.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'WMC125993776001', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'WUNDERLICH-MALEC ENGINEERING, INC. CORE GROUP (PLAN 1) ACTIVES', 'payer_name': 'BLUE SHIELD OF CALIFORNIA', 'payer_note': 'FUNDING TYPE = SELF INSURED', 'patient_dob': '1966-11-30', 'plan_number': '725', 'group_number': '10272720', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'SONDREAAL', 'plan_sponsor_name': None, 'patient_first_name': 'PAUL', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2023-05-01', 'plan_coverage_description': 'MED/SURG - PPO', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8297355491 | N/A | N/A | 5536323 | 2222 | 4793 | 9730776 | N/A | 4209086 | 2025-07-19 02:22:10.893307 | 2025-05-13 04:29:37.223507 |
| 2025-07-18 09:05:51.482339 | 2025-07-19 02:27:57.397961 | 9950146 | N/A | N/A | {'payer_id': 'Z1073', 'payer_name': 'Medicare B California Southern', 'provider_npi': '1114042165', 'trace_number': '9950146', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1947-09-13', 'date_of_service': '2025-07-18', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'ELDRIDGE', 'subscriber_member_id': '2XD1AM4AP01', 'subscriber_first_name': 'MARGARET'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250718.115827385.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536109/check_9950146_763e86a6-f619-45b5-b39a-40eb2750e0a6.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '2XD1AM4AP01', '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': '1947-09-13', 'plan_number': 'S5921', 'group_number': None, 'insurance_type': None, 'plan_type_code': 'MA', 'enrolled_in_qmb': False, 'patient_last_name': 'ELDRIDGE', 'plan_sponsor_name': None, 'patient_first_name': 'MARGARET', '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 | 8297355490 | N/A | N/A | 5536109 | 2222 | 4793 | 9733612 | N/A | 4208915 | 2025-07-19 02:27:57.397961 | 2025-07-25 17:30:46.084330 |
| 2025-07-18 09:05:51.260070 | 2025-07-19 02:20:02.417320 | 9950129 | N/A | N/A | {'payer_id': 'CCHPC', 'payer_name': 'Alignment Health Care (Fee For Service)', 'provider_npi': '1114042165', 'trace_number': '9950129', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1952-10-14', 'date_of_service': '2025-07-18', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'CHISARI', 'subscriber_member_id': '00000386684', 'subscriber_first_name': 'THOMAS'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250718.115827385.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536007/check_9950129_84baa96f-4c85-4cd4-a0d1-bf15774994b8.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '00000386684', 'plan_type': 'Health Maintenance Organization (HMO)', 'group_name': None, 'payer_name': 'MEDICARE', 'payer_note': 'OVERALL DEDUCTIBLE', 'patient_dob': '1952-10-14', 'plan_number': 'H3815028', 'group_number': None, 'insurance_type': None, 'plan_type_code': 'HM', 'enrolled_in_qmb': False, 'patient_last_name': 'CHISARI', 'plan_sponsor_name': None, 'patient_first_name': 'THOMAS', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'ALIGNMENT HEALTH MY CHOICE (HMO)', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8297355489 | N/A | N/A | 5536007 | 2222 | 4793 | 9729753 | N/A | 4208829 | 2025-07-19 02:20:02.417320 | 2025-06-03 01:05:45.663969 |
| 2025-07-18 09:05:50.934160 | 2025-07-19 02:02:51.916869 | 9950117 | N/A | N/A | {'payer_id': '36273', 'payer_name': 'AARP Medicare Supplement by UnitedHealthcare', 'provider_npi': '1114042165', 'trace_number': '9950117', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1960-02-12', 'date_of_service': '2025-07-18', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'MAJEED', 'subscriber_member_id': '94883653800', 'subscriber_first_name': 'MARY'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250718.055722957.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6613631/check_9950117_cd7c71b7-1b5a-420a-a433-ad6ccb63cb19.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '94883653800', 'plan_type': None, 'group_name': None, 'payer_name': 'AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE', 'payer_note': None, 'patient_dob': '1960-02-12', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'MAJEED', 'plan_sponsor_name': None, 'patient_first_name': 'MARY', '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 | 8297333530 | N/A | N/A | 6613631 | 2222 | 4793 | 9710888 | N/A | 5232379 | 2025-07-19 02:02:51.916869 | 2025-07-03 16:30:13.139077 |
| 2025-07-18 09:05:50.918361 | 2025-07-19 02:10:22.269951 | 9950115 | N/A | N/A | {'payer_id': 'LMG01', 'payer_name': 'Lakeside Medical Group', 'provider_npi': '1114042165', 'trace_number': '9950115', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1941-04-16', 'date_of_service': '2025-07-18', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'RYAN', 'subscriber_member_id': '31026142401', 'subscriber_first_name': 'CAROL'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250718.115827385.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5535455/check_9950115_95ff1cf1-3a7a-4ded-938b-d83200045d56.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '31026142401', 'plan_type': None, 'group_name': None, 'payer_name': 'LAKESIDE MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1941-04-16', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'RYAN', 'plan_sponsor_name': None, 'patient_first_name': 'CAROL', '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 | 8297355488 | N/A | N/A | 5535455 | 2222 | 4793 | 9719049 | N/A | 4208375 | 2025-07-19 02:10:22.269951 | 2025-08-08 21:08:12.459471 |
| 2025-07-18 09:05:46.269178 | 2025-07-19 02:08:45.880089 | 9949911 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9949911', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1967-03-31', 'date_of_service': '2025-07-18', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'BARRERA', 'subscriber_member_id': 'XEH903389121', 'subscriber_first_name': 'LOLA'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250718.055722957.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6611912/check_9949911_f49ae7c0-5022-4661-8ef8-484b9ec9447a.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 | 8297333511 | N/A | N/A | 6611912 | 2222 | 4793 | 9716678 | N/A | 5230345 | 2025-07-19 02:08:45.880089 | 2025-07-11 20:32:03.183345 |
| 2025-07-18 09:05:19.808002 | 2025-07-19 02:10:39.592226 | 9948734 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': '1114042165', 'trace_number': '9948734', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1962-07-13', 'date_of_service': '2025-07-18', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'ZOU', 'subscriber_member_id': 'XEK906107672', 'subscriber_first_name': 'RONG'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250718.120523026.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6960966/check_9948734_707a000c-edab-4b57-9785-198010981112.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XEK906107672', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'IFP OFF EXCHANGE', 'payer_name': 'BLUE SHIELD CALIFORNIA', 'payer_note': None, 'patient_dob': '1962-07-13', 'plan_number': '2001ZJ002648', 'group_number': 'X0001000', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'ZOU', 'plan_sponsor_name': None, 'patient_first_name': 'RONG', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2018-01-01', 'plan_coverage_description': 'IFP EMB PED DPPO JAN15', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8297440190 | N/A | N/A | 6960966 | 2222 | 4793 | 9719544 | N/A | 5985701 | 2025-07-19 02:10:39.592226 | 2025-07-10 23:55:25.921381 |
| 2025-07-18 09:05:09.270394 | 2025-07-19 02:03:52.707881 | 9948252 | N/A | N/A | {'payer_id': '36273', 'payer_name': 'AARP Medicare Supplement by UnitedHealthcare', 'provider_npi': '1114042165', 'trace_number': '9948252', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1946-11-18', 'date_of_service': '2025-07-18', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'STECHER', 'subscriber_member_id': '34232537512', 'subscriber_first_name': 'BRIAN'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250718.120515531.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5543053/check_9948252_ade8e89c-a4e6-453c-a320-6144fd3f105f.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '34232537512', 'plan_type': 'Supplemental Policy', 'group_name': None, 'payer_name': 'AARP SUPPLEMENTAL HEALTH PLANS FROM UNITEDHEALTHCARE', 'payer_note': "THE ELIGIBILITY AND BENEFIT INFORMATION PROVIDED IS NOT A GUARANTEE OR PROMISE OF PAYMENT. PAYMENT DETERMINATION ONLY OCCURS AFTER THE CLAIM IS PROCESSED BY MEDICARE AND BY THE SUPPLEMENTAL PLAN ACCORDING TO THE MEMBER'S BENEFITS.", 'patient_dob': '1946-11-18', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': 'SP', 'enrolled_in_qmb': False, 'patient_last_name': 'STECHER', 'plan_sponsor_name': None, 'patient_first_name': 'BRIAN', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'AARP MEDICARE SUPPLEMENT PLAN G', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8297439790 | N/A | N/A | 5543053 | 2222 | 4802 | 9711419 | N/A | 4214891 | 2025-07-19 02:03:52.707881 | 2025-05-13 04:29:37.229214 |
| 2025-07-18 09:05:08.818684 | 2025-07-19 02:07:31.229789 | 9948235 | N/A | N/A | {'payer_id': '62308', 'payer_name': 'Cigna Health Plans', 'provider_npi': '1114042165', 'trace_number': '9948235', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1940-11-11', 'date_of_service': '2025-07-18', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'GOLDBERG', 'subscriber_member_id': 'U5126496602', 'subscriber_first_name': 'Michael'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250718.120515531.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542973/check_9948235_39dbfe70-0bcd-4092-a897-61976bec2124.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'U5126496602', 'plan_type': 'Indemnity', 'group_name': 'MONTGOMERY COUNTY PUBLIC SCHOOLS', 'payer_name': 'CHLIC', 'payer_note': None, 'patient_dob': '1940-11-11', 'plan_number': None, 'group_number': '2501729', 'insurance_type': None, 'plan_type_code': 'IN', 'enrolled_in_qmb': False, 'patient_last_name': 'GOLDBERG', 'plan_sponsor_name': None, 'patient_first_name': 'MICHAEL', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'INDEMNITY', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8297439788 | N/A | N/A | 5542973 | 2222 | 4802 | 9714961 | N/A | 4214820 | 2025-07-19 02:07:31.229789 | 2025-06-30 02:56:23.324592 |
| 2025-07-18 09:05:08.294213 | 2025-07-19 02:07:30.901267 | 9948219 | N/A | N/A | {'payer_id': '62308', 'payer_name': 'Cigna Health Plans', 'provider_npi': '1114042165', 'trace_number': '9948219', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1944-10-29', 'date_of_service': '2025-07-18', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'GOLDBERG', 'subscriber_member_id': 'U51264966', 'subscriber_first_name': 'LINDA'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250718.120515531.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5542937/check_9948219_362ac8a6-be5f-420b-8de6-31d9b2b14129.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'U5126496601', 'plan_type': 'Indemnity', 'group_name': 'MONTGOMERY COUNTY PUBLIC SCHOOLS', 'payer_name': 'CHLIC', 'payer_note': None, 'patient_dob': '1944-10-29', 'plan_number': None, 'group_number': '2501729', 'insurance_type': None, 'plan_type_code': 'IN', 'enrolled_in_qmb': False, 'patient_last_name': 'GOLDBERG', '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': 'INDEMNITY', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8297439787 | N/A | N/A | 5542937 | 2222 | 4802 | 9714954 | N/A | 4214789 | 2025-07-19 02:07:30.901267 | 2025-12-11 23:30:31.319246 |
| 2025-07-18 09:05:07.949632 | 2025-07-19 02:10:01.902690 | 9948206 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': '1114042165', 'trace_number': '9948206', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1957-08-09', 'date_of_service': '2025-07-18', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'DASILVA', 'subscriber_member_id': 'XEM911406068', 'subscriber_first_name': 'BOB'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250718.120515531.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5540845/check_9948206_8b2b79fc-6156-4735-a870-98e777c2086e.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XEM911406068', 'plan_type': 'Other', 'group_name': 'MEDICARE SUPPLEMENT', 'payer_name': 'MEDICARE PART A AND B', 'payer_note': None, 'patient_dob': '1957-08-09', 'plan_number': '2002SF000028', 'group_number': 'X0001002', 'insurance_type': None, 'plan_type_code': 'OT', 'enrolled_in_qmb': False, 'patient_last_name': 'DASILVA', 'plan_sponsor_name': None, 'patient_first_name': 'BOB', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'MEDICARE SUPPLEMENT PLAN G', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8297439786 | N/A | N/A | 5540845 | 2222 | 4793 | 9718600 | N/A | 4212930 | 2025-07-19 02:10:01.902690 | 2025-05-13 04:29:37.227258 |
| 2025-07-18 09:05:07.158734 | 2025-07-19 02:09:23.047385 | 9948175 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9948175', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1947-09-13', 'date_of_service': '2025-07-18', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'ELDRIDGE', 'subscriber_member_id': 'JQE441W06248', 'subscriber_first_name': 'MARGARET'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250718.120515531.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536112/check_9948175_d7feccb2-d135-47ce-8e49-64d9b1c9f966.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'JQE441W06248', 'plan_type': None, 'group_name': None, 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1947-09-13', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'ELDRIDGE', 'plan_sponsor_name': None, 'patient_first_name': 'MARGARET', '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 | 8297439784 | N/A | N/A | 5536112 | 2222 | 4793 | 9717612 | N/A | 4208915 | 2025-07-19 02:09:23.047385 | 2025-07-25 17:30:46.084330 |
| 2025-07-18 09:04:42.160824 | 2025-07-19 02:16:08.344838 | 9947113 | N/A | N/A | {'payer_id': '94134', 'payer_name': 'Kaiser Foundation Health Plan of Southern CA Region', 'provider_npi': '1114042165', 'trace_number': '9947113', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '2008-04-21', 'date_of_service': '2025-07-18', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'BERMUDEZ', 'subscriber_member_id': '000019836525', 'subscriber_first_name': 'RAFAEL'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250718.080029716.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6721942/check_9947113_8f0d2268-84d2-4678-9572-8de9f8ae4653.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '000019836525', 'plan_type': None, 'group_name': None, 'payer_name': 'KFHP 1003', 'payer_note': 'MDC - MEDICAID', 'patient_dob': '2008-04-21', 'plan_number': '4327748', 'group_number': '226977', 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'BERMUDEZ', 'plan_sponsor_name': None, 'patient_first_name': 'RAFAEL', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'STATE OF CA- MRMIB - HEALTHY FAMILIES HF, AGES 2-1', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8297389869 | N/A | N/A | 6721942 | 2222 | 4793 | 9727108 | N/A | 5322280 | 2025-07-19 02:16:08.344838 | 2025-07-01 21:45:15.878047 |
| 2025-07-18 09:04:26.550171 | 2025-07-19 02:16:16.626994 | 9946457 | N/A | N/A | {'payer_id': 'CCHPC', 'payer_name': 'Alignment Health Care (Fee For Service)', 'provider_npi': '1114042165', 'trace_number': '9946457', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1954-02-25', 'date_of_service': '2025-07-18', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'ROBERTS', 'subscriber_member_id': '00000402630', 'subscriber_first_name': 'DEBRA'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250718.115822428.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6085762/check_9946457_03be2295-13d1-497d-bce7-8e0708f4b8c7.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '00000402630', 'plan_type': 'Health Maintenance Organization (HMO)', 'group_name': None, 'payer_name': 'MEDICARE', 'payer_note': 'OVERALL DEDUCTIBLE', 'patient_dob': '1954-02-25', 'plan_number': 'H3815028', 'group_number': None, 'insurance_type': None, 'plan_type_code': 'HM', 'enrolled_in_qmb': False, 'patient_last_name': 'ROBERTS', 'plan_sponsor_name': None, 'patient_first_name': 'DEBRA', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'ALIGNMENT HEALTH MY CHOICE (HMO)', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8297351397 | N/A | N/A | 6085762 | 2222 | 4793 | 9727253 | N/A | 4729138 | 2025-07-19 02:16:16.626994 | 2025-05-31 14:20:56.156252 |
| 2025-07-18 09:04:18.082673 | 2025-07-19 02:10:39.228744 | 9946180 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': '1114042165', 'trace_number': '9946180', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1989-10-21', 'date_of_service': '2025-07-18', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'Greif', 'subscriber_member_id': 'XED913506733', 'subscriber_first_name': 'Sarah'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250718.120523026.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6958051/check_9946180_6681e8bd-5081-4b76-9894-ea572acc6767.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XED913506733', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'IFP ON EXCHANGE', 'payer_name': 'BLUE SHIELD CALIFORNIA', 'payer_note': None, 'patient_dob': '1989-10-21', 'plan_number': '2001ZK002166', 'group_number': 'X0001004', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'GREIF', 'plan_sponsor_name': None, 'patient_first_name': 'SARAH', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2025-01-01', 'plan_coverage_description': 'IFP EMB PED DPPO JAN15', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8297439050 | N/A | N/A | 6958051 | 2222 | 4802 | 9719534 | N/A | 5983453 | 2025-07-19 02:10:39.228744 | 2025-07-10 21:00:26.641701 |
| 2025-07-18 09:04:13.445251 | 2025-07-19 02:14:41.224821 | 9945993 | N/A | N/A | {'payer_id': 'Z1073', 'payer_name': 'Medicare B California Southern', 'provider_npi': '1114042165', 'trace_number': '9945993', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1934-12-03', 'date_of_service': '2025-07-18', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'Dayzadeh', 'subscriber_member_id': '9A94PK6GA08', 'subscriber_first_name': 'Nasser'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250718.055722957.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6583825/check_9945993_eba6a96f-ffb8-4382-8522-1f8d104491ef.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '9A94PK6GA08', 'plan_type': 'Medicare Part A', 'group_name': None, 'payer_name': "CALIFORNIA PHYSICIANS' SERVICE", 'payer_note': '0-BENEFICIARY INSURED DUE TO AGE OASI', 'patient_dob': '1934-12-03', 'plan_number': 'S2468', 'group_number': None, 'insurance_type': None, 'plan_type_code': 'MA', 'enrolled_in_qmb': False, 'patient_last_name': 'DAYZADEH', 'plan_sponsor_name': None, 'patient_first_name': 'NASSER', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8297334224 | N/A | N/A | 6583825 | 2222 | 4802 | 9725353 | N/A | 5202586 | 2025-07-19 02:14:41.224821 | 2025-06-25 17:55:27.155518 |
| 2025-07-18 09:04:05.695165 | 2025-07-19 02:09:46.650395 | 9945601 | N/A | N/A | {'payer_id': '60054', 'payer_name': 'Aetna', 'provider_npi': '1114042165', 'trace_number': '9945601', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1999-04-14', 'date_of_service': '2025-07-18', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'FAGAN', 'subscriber_member_id': 'W275345811', 'subscriber_first_name': 'ARIEH'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250718.115822428.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6078250/check_9945601_7819e035-6a35-4138-9232-84b9c0f04fb2.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'W275345811', 'plan_type': 'Point of Service (POS)', 'group_name': 'ARUP US, INC.', 'payer_name': 'AETNA', 'payer_note': None, 'patient_dob': '1999-04-14', 'plan_number': '0847223', 'group_number': '084722301300002', 'insurance_type': None, 'plan_type_code': 'PS', 'enrolled_in_qmb': False, 'patient_last_name': 'FAGAN', 'plan_sponsor_name': None, 'patient_first_name': 'ARIEH', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'HSA AETNA CHOICE POS II', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8297351991 | N/A | N/A | 6078250 | 2222 | 4802 | 9718219 | N/A | 4722504 | 2025-07-19 02:09:46.650395 | 2025-06-19 03:19:24.165458 |
| 2025-07-18 09:04:05.165614 | 2025-07-19 02:07:53.627548 | 9945561 | N/A | N/A | {'payer_id': 'REGAL', 'payer_name': 'Regal Medical Group', 'provider_npi': '1114042165', 'trace_number': '9945561', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1972-03-17', 'date_of_service': '2025-07-18', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'subscriber_last_name': 'BARNETT', 'subscriber_member_id': 'JMV357W05874', 'subscriber_first_name': 'MARK'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250718.115822428.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6078082/check_9945561_79eff7d0-0e33-4d10-851d-74fe8e96457f.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'JMV357W05874', 'plan_type': None, 'group_name': None, 'payer_name': 'REGAL MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1972-03-17', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'BARNETT', 'plan_sponsor_name': None, 'patient_first_name': 'MARK', '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 | 8297351987 | N/A | N/A | 6078082 | 2222 | 4793 | 9715464 | N/A | 4722340 | 2025-07-19 02:07:53.627548 | 2025-06-06 20:33:59.683125 |
| 2025-07-18 09:04:00.930350 | 2025-07-19 02:16:52.324133 | 9945312 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9945312', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '2005-11-11', 'date_of_service': '2025-07-18', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'subscriber_last_name': 'GORMLEY', 'subscriber_member_id': 'SIF727A55596', 'subscriber_first_name': 'VINCENT'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250718.115822428.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6074031/check_9945312_96976647-51c2-49da-bd16-6890ebad17f3.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 | 8297351732 | N/A | N/A | 6074031 | 2222 | 4802 | 9727874 | N/A | 4718585 | 2025-07-19 02:16:52.324133 | 2025-05-29 22:33:31.881575 |
| 2025-07-18 09:03:55.431266 | 2025-07-19 02:08:15.852008 | 9945014 | N/A | N/A | {'payer_id': '94134', 'payer_name': 'Kaiser Foundation Health Plan of Southern CA Region', 'provider_npi': '1114042165', 'trace_number': '9945014', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '2009-01-23', 'date_of_service': '2025-07-18', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'GUERRERO', 'subscriber_member_id': '000019020622', 'subscriber_first_name': 'JOAQUIN'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250718.055722957.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6577033/check_9945014_51191198-c74f-454d-ae0f-caa76be0810d.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '000019020622', 'plan_type': None, 'group_name': None, 'payer_name': 'KFHP 1001', 'payer_note': 'HMO - HMO COMMERCIAL', 'patient_dob': '2009-01-23', 'plan_number': '4178930', 'group_number': '104303', 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'GUERRERO', 'plan_sponsor_name': None, 'patient_first_name': 'JOAQUIN', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'CITY OF SAN DIEGO CITY OF SAN DIEGO HMO', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8297333730 | N/A | N/A | 6577033 | 2222 | 4793 | 9715979 | N/A | 5197238 | 2025-07-19 02:08:15.852008 | 2025-07-14 23:23:31.502595 |
| 2025-07-18 09:03:47.758858 | 2025-07-19 02:07:54.172008 | 9944613 | N/A | N/A | {'payer_id': 'REGAL', 'payer_name': 'Regal Medical Group', 'provider_npi': '1114042165', 'trace_number': '9944613', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1993-12-11', 'date_of_service': '2025-07-18', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'FREEMAN', 'subscriber_member_id': 'XDM000900795', 'subscriber_first_name': 'NICOLE'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250718.115822428.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6068071/check_9944613_9d3a7bef-3079-4804-a0cd-e17bb243db60.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XDM000900795', 'plan_type': None, 'group_name': None, 'payer_name': 'REGAL MEDICAL GROUP', 'payer_note': None, 'patient_dob': '1993-12-11', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'FREEMAN', 'plan_sponsor_name': None, 'patient_first_name': 'NICOLE', '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 | 8297351613 | N/A | N/A | 6068071 | 2222 | 4801 | 9715477 | N/A | 4713009 | 2025-07-19 02:07:54.172008 | 2025-05-30 17:56:41.585988 |
| 2025-07-18 09:03:45.370249 | 2025-07-19 02:08:17.426214 | 9944507 | N/A | N/A | {'payer_id': '95567', 'payer_name': 'Health Net of California and Oregon', 'provider_npi': '1114042165', 'trace_number': '9944507', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '2009-08-12', 'date_of_service': '2025-07-18', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'Aldana', 'subscriber_member_id': '95423949E', 'subscriber_first_name': 'George'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250718.055722957.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6568645/check_9944507_61e27d83-9fcb-4f4a-9d5c-11b8d6835541.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '95423949E', 'plan_type': None, 'group_name': None, 'payer_name': 'HEALTH NET, LLC', 'payer_note': None, 'patient_dob': '2009-08-12', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'ALDANA', 'plan_sponsor_name': None, 'patient_first_name': 'GEORGE', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': 'KCW MCALSTD', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8297332870 | N/A | N/A | 6568645 | 2222 | 4802 | 9716018 | N/A | 5190481 | 2025-07-19 02:08:17.426214 | 2025-06-24 17:29:30.756528 |
| 2025-07-18 09:03:40.962443 | 2025-07-19 02:10:24.789067 | 9944339 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': '1114042165', 'trace_number': '9944339', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1986-12-12', 'date_of_service': '2025-07-18', 'subscriber_gender': 'M', 'service_type_codes': ['PT'], 'subscriber_last_name': 'Nagourney', 'subscriber_member_id': 'Q3N579W10549', 'subscriber_first_name': 'Sam'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250718.055722957.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6567077/check_9944339_bd575dca-d88d-4e1c-b66b-de0b324a59bf.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'Q3N579W10549', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'PPO 1000', 'payer_name': 'BLUE SHIELD OF CALIFORNIA', 'payer_note': None, 'patient_dob': '1986-12-12', 'plan_number': '243', 'group_number': '721352N14M', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'NAGOURNEY', 'plan_sponsor_name': None, 'patient_first_name': 'SAM', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2025-07-01', 'plan_coverage_description': 'PPO NY', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8297332850 | N/A | N/A | 6567077 | 2222 | 4802 | 9719115 | N/A | 5189425 | 2025-07-19 02:10:24.789067 | 2025-06-24 16:19:19.180675 |
| 2025-07-18 09:03:14.821746 | 2025-07-19 02:10:24.090799 | 9943195 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': '1114042165', 'trace_number': '9943195', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '2002-02-06', 'date_of_service': '2025-07-18', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'MANALO LAMANNA', 'subscriber_member_id': 'GSC134174111001', 'subscriber_first_name': 'ISADORE'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250718.055722957.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6554790/check_9943195_68c2ea79-370e-4d2b-a88a-160f6dbeb1d1.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '01765049801', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': None, 'payer_name': 'BLUE SHIELD OF CALIFORNIA', 'payer_note': 'FUNDING TYPE = SELF INSURED', 'patient_dob': '2002-02-06', 'plan_number': '363', 'group_number': '022039304', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'MANALOLAMANNA', 'plan_sponsor_name': None, 'patient_first_name': 'ISADORE', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2022-01-01', 'plan_coverage_description': 'BLUE CARD PPO', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8297334160 | N/A | N/A | 6554790 | 2222 | 4793 | 9719101 | N/A | 5177947 | 2025-07-19 02:10:24.090799 | 2025-07-01 19:04:04.764299 |
| 2025-07-18 09:03:10.596614 | 2025-07-19 02:10:38.862707 | 9943024 | N/A | N/A | {'payer_id': 'SB542', 'payer_name': 'Blue Shield California', 'provider_npi': '1114042165', 'trace_number': '9943024', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1990-01-12', 'date_of_service': '2025-07-18', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'Ahdoot', 'subscriber_member_id': 'XED913946463', 'subscriber_first_name': 'Jennifer'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250718.120523026.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6947892/check_9943024_df65429c-7a04-45c6-a94e-cd9d090848a2.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'XED913946463', 'plan_type': 'Preferred Provider Organization (PPO)', 'group_name': 'IFP ON EXCHANGE', 'payer_name': 'BLUE SHIELD CALIFORNIA', 'payer_note': None, 'patient_dob': '1990-01-12', 'plan_number': '2001ZK002184', 'group_number': 'X0001004', 'insurance_type': None, 'plan_type_code': 'PR', 'enrolled_in_qmb': False, 'patient_last_name': 'AHDOOT', 'plan_sponsor_name': None, 'patient_first_name': 'JENNIFER', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2025-03-01', 'plan_coverage_description': 'IFP EMB PED DPPO JAN15', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8297437755 | N/A | N/A | 6947892 | 2222 | 4802 | 9719522 | N/A | 5975888 | 2025-07-19 02:10:38.862707 | 2025-07-10 15:36:45.280553 |
| 2025-07-18 09:02:58.645807 | 2025-07-19 02:00:39.649550 | 9942546 | N/A | N/A | {'payer_id': '95567', 'payer_name': 'Health Net of California and Oregon', 'provider_npi': '1114042165', 'trace_number': '9942546', 'provider_name': '', 'subscriber_dob': '1959-07-25', 'date_of_service': '2025-07-18', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'CARRANZA', 'subscriber_member_id': '94113505C', 'subscriber_first_name': 'KISELL'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250718.050923740.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/7019842/check_9942546_f6040a3d-2d2a-418f-97fc-111c499c25b6.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '94113505C', 'plan_type': None, 'group_name': None, 'payer_name': 'HEALTH NET OF CALIFORNIA AND OREGON', 'payer_note': None, 'patient_dob': '1959-07-25', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'CARRANZA', 'plan_sponsor_name': None, 'patient_first_name': 'KISELL', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8297297336 | N/A | N/A | 7019842 | 2222 | 4802 | 9710426 | N/A | 4214064 | 2025-07-19 02:00:39.649550 | 2025-07-15 17:36:25.711810 |
| 2025-07-18 09:02:51.933402 | 2025-07-19 02:00:42.769495 | 9942249 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9942249', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1947-09-13', 'date_of_service': '2025-07-18', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'ELDRIDGE', 'subscriber_member_id': 'JQE441W06428', 'subscriber_first_name': 'MARGARET'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250718.050923740.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/5536115/check_9942249_735f9a01-21a8-4ce9-afca-8c6f6c02861e.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'JQE441W06428', 'plan_type': None, 'group_name': 'CA MED-SUPP', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1947-09-13', 'plan_number': '040', 'group_number': 'CASUPWP0', 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'ELDRIDGE', 'plan_sponsor_name': None, 'patient_first_name': 'MARGARET', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2021-01-01', 'plan_coverage_description': 'CA MODERNIZED PLAN G', 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8297297298 | N/A | N/A | 5536115 | 2222 | 4793 | 9710431 | N/A | 4208915 | 2025-07-19 02:00:42.769495 | 2025-07-25 17:30:46.084330 |
| 2025-07-18 09:02:49.037417 | 2025-07-19 02:14:42.079764 | 9942122 | N/A | N/A | {'payer_id': 'Z1073', 'payer_name': 'Medicare B California Southern', 'provider_npi': '1114042165', 'trace_number': '9942122', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1947-08-18', 'date_of_service': '2025-07-18', 'subscriber_gender': 'F', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'FABER', 'subscriber_member_id': '4X26K21EE83', 'subscriber_first_name': 'LINDA'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250718.055722957.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6522947/check_9942122_f171deed-8479-48d0-aa50-af1695db52db.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '4X26K21EE83', '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': '1947-08-18', 'plan_number': 'S5617', 'group_number': None, 'insurance_type': None, 'plan_type_code': 'MA', '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 | 8297333372 | N/A | N/A | 6522947 | 2222 | 4802 | 9725368 | N/A | 5146127 | 2025-07-19 02:14:42.079764 | 2025-06-20 17:58:23.371130 |
| 2025-07-18 09:02:17.520408 | 2025-07-19 02:14:42.756315 | 9940727 | N/A | N/A | {'payer_id': 'Z1073', 'payer_name': 'Medicare B California Southern', 'provider_npi': '1114042165', 'trace_number': '9940727', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1952-08-27', 'date_of_service': '2025-07-18', 'subscriber_gender': 'M', 'service_type_codes': ['AE', 'PT'], 'subscriber_last_name': 'STEINBERG', 'subscriber_member_id': '7P65WE5DJ62', 'subscriber_first_name': 'PETER'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250718.055722957.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6473154/check_9940727_b682ae9c-0665-4dbb-bb4b-0a2c1d1a168e.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '7P65WE5DJ62', 'plan_type': 'Medicare Part A', 'group_name': None, 'payer_name': 'SILVERSCRIPT INSURANCE COMPANY', 'payer_note': '0-BENEFICIARY INSURED DUE TO AGE OASI', 'patient_dob': '1952-08-27', 'plan_number': 'S5601', 'group_number': None, 'insurance_type': None, 'plan_type_code': 'MA', 'enrolled_in_qmb': False, 'patient_last_name': 'STEINBERG', 'plan_sponsor_name': None, 'patient_first_name': 'PETER', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['AE', 'PT'] | N/A | N/A | N/A | N/A | N/A | 8297332326 | N/A | N/A | 6473154 | 2222 | 4802 | 9725386 | N/A | 5106188 | 2025-07-19 02:14:42.756315 | 2025-06-18 23:17:37.195231 |
| 2025-07-18 09:02:16.248321 | 2025-07-19 02:08:46.736967 | 9940681 | N/A | N/A | {'payer_id': 'SB040', 'payer_name': 'Blue Cross California', 'provider_npi': '1114042165', 'trace_number': '9940681', 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1966-04-28', 'date_of_service': '2025-07-18', 'subscriber_gender': 'F', 'service_type_codes': ['PT'], 'subscriber_last_name': 'HAZARD', 'subscriber_member_id': 'NCF794W22253', 'subscriber_first_name': 'PAULA'} | https://storage.googleapis.com/normandy-eligibility-checks/batches/272741.20250718.055722957.ELG.271.edi.txt | WAYSTAR | N/A | BATCH | 2025-07-21 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6472283/check_9940681_9399528c-3a3d-4353-a220-c32eec3c0560.json | N/A | N/A | N/A | N/A | N/A | {'member_id': 'NCF794W22253', 'plan_type': 'Health Maintenance Organization (HMO)', 'group_name': 'LAUSD', 'payer_name': 'ANTHEM BLUE CROSS', 'payer_note': None, 'patient_dob': '1966-04-28', 'plan_number': '040', 'group_number': '57AJCA', 'insurance_type': None, 'plan_type_code': 'HM', 'enrolled_in_qmb': False, 'patient_last_name': 'HAZARD', 'plan_sponsor_name': None, 'patient_first_name': 'PAULA', 'patient_middle_name': None, 'date_time_period_end': '9999-12-31', 'date_time_period_start': '2025-01-01', 'plan_coverage_description': 'POWER SELECT HMO NETWORK 126+', 'relationship_to_subscriber': None} | ['PT'] | N/A | N/A | N/A | N/A | N/A | 8297332313 | N/A | N/A | 6472283 | 2222 | 4801 | 9716693 | N/A | 5105323 | 2025-07-19 02:08:46.736967 | 2025-07-02 18:01:41.077949 |
| 2025-07-18 07:01:03.489282 | 2025-07-18 07:01:06.343171 | 9939328 | N/A | N/A | {'payer_id': '52192', 'payer_name': 'Bravo Health', 'provider_npi': 1114042165, 'trace_number': None, 'provider_name': 'Athletic Physical Therapy Inc', 'subscriber_dob': '1940-03-15', 'date_of_service': '2025-03-03', 'subscriber_gender': 'M', 'service_type_codes': ['PT', 'AE'], 'insurance_company_id': 5323, 'subscriber_last_name': 'Nishimoto', 'subscriber_member_id': '8NK7-JC7-CQ39', 'subscriber_first_name': 'Richard'} | https://storage.googleapis.com/normandy-eligibility-checks/2222/6104726/check_9939328_c3ce34f9-f8ca-4d88-bf7c-8efb4e6988d4.edi.txt | WAYSTAR | N/A | INSIGHTS | 2025-03-03 | https://storage.googleapis.com/normandy-eligibility-checks-jsons/2222/6104726/check_9939328_17c1c861-e270-40ae-8e21-d27594910cdf.json | N/A | N/A | N/A | N/A | N/A | {'member_id': '8NK7-JC7-CQ39', 'plan_type': None, 'group_name': None, 'payer_name': 'BRAVO HEALTH', 'payer_note': None, 'patient_dob': '1940-03-15', 'plan_number': None, 'group_number': None, 'insurance_type': None, 'plan_type_code': None, 'enrolled_in_qmb': False, 'patient_last_name': 'NISHIMOTO', 'plan_sponsor_name': None, 'patient_first_name': 'RICHARD', 'patient_middle_name': None, 'date_time_period_end': None, 'date_time_period_start': None, 'plan_coverage_description': None, 'relationship_to_subscriber': None} | ['PT', 'AE'] | N/A | N/A | N/A | N/A | N/A | N/A | 3843 | N/A | 6104726 | 2222 | N/A | 9681100 | N/A | 4749110 | 2025-07-18 07:01:06.343171 | 2025-06-02 15:44:17.236968 |