Athletic API Dashboard
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API Endpoints
Total rows: 3,632
| created_at | updated_at | id | prior_authorization_status | patient_id | appointment_id | insurance_company_id | insurance_priority | prior_authorization_number | mode_of_request | reason | notes | prior_authorization_result | expiration_date | effective_date | prior_auth_requested_id | icd_10_codes | cpt_codes | visits_total | visits_remaining | prior_auth_type | medical_records_attachment_url | urgency | encounter_id | patient_insurance_info_id | is_archived | total_billable_units | remaining_billable_units | prior_auth_category | referring_provider_id | encounter_visits_total | encounter_visits_remaining | referring_facility_id | prior_auth_tracking_type |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2026-01-02 22:49:58.547871 | 2026-01-02 22:49:58.547880 | 676720 | NOT_INITIATED | 4214757 | N/A | N/A | PRIMARY | 20251229P0100555 | N/A | N/A | N/A | N/A | 2026-03-29 07:00:00 | 2025-12-29 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5542894 | N/A | N/A | N/A | PRE_CERT | N/A | 25 | 25 | N/A | VISITS |
| 2026-01-02 22:33:17.996638 | 2026-01-02 22:33:17.996647 | 676709 | NOT_INITIATED | 4728540 | N/A | N/A | PRIMARY | OP0034043788 | N/A | N/A | N/A | N/A | 2026-03-19 07:00:00 | 2025-12-19 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 6085223 | N/A | N/A | N/A | PRE_CERT | N/A | 10 | 10 | N/A | VISITS |
| 2026-01-02 22:24:15.113653 | 2026-01-02 22:24:15.113661 | 676703 | NOT_INITIATED | 9770503 | N/A | N/A | PRIMARY | 20251223P0104433 | N/A | N/A | N/A | N/A | 2026-03-29 07:00:00 | 2025-12-23 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 11529617 | N/A | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2026-01-02 22:15:15.479730 | 2026-02-24 16:20:36.063554 | 676692 | NOT_INITIATED | 4219161 | N/A | N/A | PRIMARY | 20260102P0102800 | N/A | N/A | N/A | N/A | 2026-04-02 07:00:00 | 2026-01-02 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5549514 | True | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2026-01-02 21:38:20.929233 | 2026-01-02 21:38:20.929241 | 676671 | NOT_INITIATED | 7382334 | N/A | N/A | PRIMARY | OP0034109435 | N/A | N/A | N/A | N/A | 2026-03-09 07:00:00 | 2025-12-09 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 8767481 | N/A | N/A | N/A | PRE_CERT | N/A | 10 | 10 | N/A | VISITS |
| 2026-01-02 18:18:26.900607 | 2026-01-02 18:18:26.900617 | 676402 | NOT_INITIATED | 13044328 | N/A | N/A | PRIMARY | 20251217P0104756 | N/A | N/A | N/A | N/A | 2026-03-17 07:00:00 | 2025-12-17 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 14934206 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2026-01-02 18:14:36.199638 | 2026-01-08 16:02:56.289893 | 676400 | NOT_INITIATED | 13044181 | N/A | N/A | PRIMARY | N/A | N/A | N/A | N/A | N/A | 2026-12-29 08:00:00 | 2025-12-29 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | N/A | N/A | N/A | N/A | REFERRAL | 169693 | 10 | 10 | N/A | VISITS |
| 2026-01-02 17:59:40.470589 | 2026-01-22 16:16:56.873600 | 676380 | NOT_INITIATED | 13043206 | N/A | N/A | PRIMARY | 20251022P0103213 | N/A | N/A | N/A | N/A | 2026-01-20 08:00:00 | 2025-10-22 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 14932772 | True | N/A | N/A | PRE_CERT | N/A | 24 | 24 | N/A | VISITS |
| 2026-01-02 17:45:00.631272 | 2026-01-05 21:07:07.463769 | 676372 | NOT_INITIATED | 13042670 | N/A | N/A | PRIMARY | N/A | N/A | N/A | N/A | N/A | 2026-12-19 08:00:00 | 2025-12-19 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | N/A | N/A | N/A | N/A | REFERRAL | 172095 | 10 | 10 | N/A | VISITS |
| 2026-01-02 17:04:41.529559 | 2026-01-02 17:04:41.529566 | 676333 | NOT_INITIATED | 4213481 | N/A | N/A | PRIMARY | CNB4WH | N/A | N/A | N/A | N/A | 2026-03-23 07:00:00 | 2025-12-29 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5541465 | N/A | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2026-01-02 16:55:16.138266 | 2026-02-04 18:15:14.349162 | 676326 | NOT_INITIATED | 9659468 | N/A | N/A | PRIMARY | 20260102P0100462 | N/A | N/A | N/A | N/A | 2026-04-02 07:00:00 | 2026-01-02 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 11399834 | True | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2025-12-31 19:40:56.593625 | 2025-12-31 19:40:56.593632 | 675023 | NOT_INITIATED | 4215136 | N/A | N/A | PRIMARY | 20251231L0100649 | N/A | N/A | N/A | N/A | 2026-03-31 07:00:00 | 2025-12-31 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5543328 | N/A | N/A | N/A | PRE_CERT | N/A | 10 | 10 | N/A | VISITS |
| 2025-12-31 16:39:43.595097 | 2025-12-31 16:39:55.593586 | 674804 | NOT_INITIATED | 4219772 | N/A | N/A | PRIMARY | 20251223P0105987 | N/A | N/A | UNSPECIFIED TMD JOINT D/O UNS SIDE | N/A | 2026-03-30 07:00:00 | 2025-12-30 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5550925 | N/A | N/A | N/A | PRE_CERT | N/A | 25 | 25 | N/A | VISITS |
| 2025-12-31 16:36:41.904651 | 2025-12-31 16:36:41.904660 | 674801 | NOT_INITIATED | 12989706 | N/A | N/A | PRIMARY | 20251224P0100429 | N/A | N/A | N/A | N/A | 2026-03-29 07:00:00 | 2025-12-24 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 14878049 | N/A | N/A | N/A | PRE_CERT | N/A | 25 | 25 | N/A | VISITS |
| 2025-12-31 16:32:36.019238 | 2025-12-31 16:32:36.019246 | 674799 | NOT_INITIATED | 12989405 | N/A | N/A | PRIMARY | 20251224L0100358 | N/A | N/A | N/A | N/A | 2026-03-29 07:00:00 | 2025-12-24 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 14877736 | N/A | N/A | N/A | PRE_CERT | N/A | 21 | 21 | N/A | VISITS |
| 2025-12-31 16:24:03.089966 | 2025-12-31 16:24:03.089973 | 674788 | NOT_INITIATED | 7712549 | N/A | N/A | PRIMARY | 20251231L0100076 | N/A | N/A | N/A | N/A | 2026-03-31 07:00:00 | 2025-12-31 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 9194927 | N/A | N/A | N/A | PRE_CERT | N/A | 20 | 20 | N/A | VISITS |
| 2025-12-31 16:00:44.643775 | 2025-12-31 16:00:44.643780 | 674751 | NOT_INITIATED | 4215080 | N/A | N/A | PRIMARY | 20251230L0101707 | N/A | N/A | N/A | N/A | 2026-03-30 07:00:00 | 2025-12-30 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5543264 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2025-12-30 23:06:51.517904 | 2025-12-30 23:21:58.079543 | 673948 | NOT_INITIATED | 12968899 | N/A | N/A | PRIMARY | 20251230P0101271 | N/A | N/A | S99.911D - UNSPECIFIED INJURY RT ANKLE SUBSQT | N/A | 2026-03-30 07:00:00 | 2025-12-30 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 14856447 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2025-12-30 22:20:18.036936 | 2025-12-30 22:20:18.036947 | 673926 | NOT_INITIATED | 4534565 | N/A | N/A | PRIMARY | 20251230L0101416 | N/A | N/A | M54.50 - LOW BACK PAIN, UNSPECIFIED | N/A | 2026-03-30 07:00:00 | 2025-12-30 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 14345284 | N/A | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2025-12-30 22:13:46.178690 | 2025-12-30 22:13:46.178703 | 673918 | NOT_INITIATED | 4215197 | N/A | N/A | PRIMARY | 20251230L0101383 | N/A | N/A | M54.51 - VERTEBROGENIC LOW BACK PAIN G46.4 - CEREBELLAR STROKE SYNDROME | N/A | 2026-03-30 07:00:00 | 2025-12-30 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5550853 | N/A | N/A | N/A | PRE_CERT | N/A | 10 | 10 | N/A | VISITS |
| 2025-12-30 21:59:38.196819 | 2025-12-30 21:59:38.196830 | 673897 | NOT_INITIATED | 4209480 | N/A | N/A | PRIMARY | 20251230L0101334 | N/A | N/A | M54.16 - RADICULOPATHY LUMBAR REGION M25.561 - PAIN IN RIGHT KNEE M25.512 - PAIN IN LEFT SHOULDER M25.511 - PAIN IN RIGHT SHOULDER | N/A | 2026-03-30 07:00:00 | 2025-12-30 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5568076 | N/A | N/A | N/A | PRE_CERT | N/A | 7 | 7 | N/A | VISITS |
| 2025-12-30 21:18:35.715542 | 2026-02-03 20:13:50.314311 | 673856 | NOT_INITIATED | 4213897 | N/A | N/A | PRIMARY | 20251215P0104976 | N/A | N/A | N/A | N/A | 2026-03-15 07:00:00 | 2025-12-15 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5541926 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2025-12-30 19:57:00.716339 | 2025-12-30 19:57:00.716348 | 673522 | NOT_INITIATED | 12124199 | N/A | N/A | PRIMARY | 20251230P0103076 | N/A | N/A | N/A | N/A | 2026-03-30 07:00:00 | 2025-12-30 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 14697078 | N/A | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2025-12-30 19:14:20.230356 | 2025-12-30 19:14:20.230368 | 673463 | NOT_INITIATED | 12949657 | N/A | N/A | PRIMARY | 20251224P0101919 | N/A | N/A | N/A | N/A | 2026-03-24 07:00:00 | 2025-12-24 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 14819361 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2025-12-30 18:56:53.134804 | 2026-01-06 20:29:18.105782 | 673435 | NOT_INITIATED | 12948721 | N/A | N/A | PRIMARY | N/A | N/A | N/A | N/A | N/A | 2026-12-19 08:00:00 | 2025-12-19 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | N/A | N/A | N/A | N/A | REFERRAL | 243681 | 10 | 10 | N/A | VISITS |
| 2025-12-30 17:19:15.355076 | 2026-01-06 21:02:22.753526 | 673243 | NOT_INITIATED | 4214761 | N/A | N/A | PRIMARY | 20251219P0104025 | N/A | N/A | N/A | N/A | 2026-03-26 07:00:00 | 2025-12-19 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5542902 | N/A | N/A | N/A | PRE_CERT | N/A | 12 | 13 | N/A | VISITS |
| 2025-12-30 17:13:09.343246 | 2026-01-05 21:30:35.274267 | 673236 | NOT_INITIATED | 4214838 | N/A | N/A | PRIMARY | Direct referral | N/A | N/A | N/A | N/A | 2026-04-01 07:00:00 | 2026-01-01 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | N/A | True | N/A | N/A | REFERRAL | 224853 | 10 | 10 | N/A | VISITS |
| 2025-12-30 16:58:11.308980 | 2025-12-30 16:58:11.308993 | 673217 | NOT_INITIATED | 12709990 | N/A | N/A | PRIMARY | 22680745478 | N/A | N/A | M17.11 (ICD-10-CM) - OSTEOARTHRITIS OF RIGHT KNEE M23.303 (ICD-10-CM) - DERANGEMENT OF MEDIAL MENISCUS OF RIGHT KNEE | N/A | 2026-06-10 07:00:00 | 2025-12-09 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 14578630 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2025-12-30 16:51:37.811629 | 2026-01-05 21:30:54.203030 | 673212 | NOT_INITIATED | 4214838 | N/A | N/A | PRIMARY | N/A | N/A | N/A | N/A | N/A | 2026-12-08 08:00:00 | 2025-12-08 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | N/A | N/A | N/A | N/A | REFERRAL | 224853 | 10 | 10 | N/A | VISITS |
| 2025-12-30 16:48:51.199571 | 2026-01-08 16:13:46.579582 | 673207 | NOT_INITIATED | 4713011 | N/A | N/A | PRIMARY | N/A | N/A | N/A | N/A | N/A | 2026-12-19 08:00:00 | 2025-12-19 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | N/A | N/A | N/A | N/A | REFERRAL | 224853 | 10 | 10 | N/A | VISITS |
| 2025-12-30 16:44:35.188761 | 2025-12-30 16:44:35.188769 | 673202 | NOT_INITIATED | 4214106 | N/A | N/A | PRIMARY | 20251104P0104201 | N/A | N/A | N/A | N/A | 2026-02-02 08:00:00 | 2025-11-04 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5542165 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2025-12-30 00:53:53.074612 | 2026-02-18 22:24:34.836990 | 672553 | NOT_INITIATED | 6725117 | N/A | N/A | PRIMARY | 20251212721033200262 | N/A | N/A | N/A | N/A | 2026-06-10 07:00:00 | 2025-12-12 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 7899162 | True | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2025-12-30 00:47:35.431775 | 2025-12-30 00:47:35.431782 | 672550 | NOT_INITIATED | 12922959 | N/A | N/A | PRIMARY | 22681091295 | N/A | N/A | N/A | N/A | 2026-12-23 08:00:00 | 2025-12-23 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 14792524 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2025-12-29 23:38:19.382973 | 2025-12-29 23:38:19.382984 | 672473 | NOT_INITIATED | 12246494 | N/A | N/A | PRIMARY | 20251229P0105513 | N/A | N/A | N/A | N/A | 2026-03-29 07:00:00 | 2025-12-29 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 14107674 | N/A | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2025-12-29 22:43:06.979043 | 2026-02-19 21:32:47.143669 | 672448 | NOT_INITIATED | 5228512 | N/A | N/A | PRIMARY | OP0033761154 | N/A | N/A | CERVICAL | N/A | 2026-03-10 07:00:00 | 2025-12-10 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 6610090 | True | N/A | N/A | PRE_CERT | N/A | 10 | 20 | N/A | VISITS |
| 2025-12-29 22:12:04.685513 | 2025-12-30 15:58:15.343516 | 672423 | NOT_INITIATED | 12917563 | N/A | N/A | PRIMARY | 9001-1984-004592 | N/A | N/A | N/A | N/A | N/A | 2025-12-29 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 14786617 | N/A | N/A | N/A | PRE_CERT | N/A | 11 | 12 | N/A | VISITS |
| 2025-12-29 21:34:45.722833 | 2025-12-29 21:34:45.722844 | 672388 | NOT_INITIATED | 9754522 | N/A | N/A | PRIMARY | 20251223P0104770 | N/A | N/A | N/A | N/A | 2026-03-02 08:00:00 | 2025-12-23 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 11513735 | N/A | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2025-12-29 21:24:24.700348 | 2025-12-29 21:24:24.700355 | 672372 | NOT_INITIATED | 9328845 | N/A | N/A | PRIMARY | OP0033762512 | N/A | N/A | N/A | N/A | 2026-03-10 07:00:00 | 2025-12-10 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 11005104 | N/A | N/A | N/A | PRE_CERT | N/A | 10 | 10 | N/A | VISITS |
| 2025-12-29 21:20:50.841368 | 2025-12-30 15:49:22.055538 | 672370 | NOT_INITIATED | 12915504 | N/A | N/A | PRIMARY | N/A | N/A | N/A | N/A | N/A | 2026-12-18 08:00:00 | 2025-12-18 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | N/A | N/A | N/A | N/A | REFERRAL | 243681 | 10 | 10 | N/A | VISITS |
| 2025-12-29 21:14:32.768467 | 2025-12-29 21:14:32.768478 | 672352 | NOT_INITIATED | 5085675 | N/A | N/A | PRIMARY | 20251229P0103692 | N/A | N/A | N/A | N/A | 2026-03-29 07:00:00 | 2025-12-29 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 6445982 | N/A | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2025-12-29 20:00:13.502619 | 2025-12-29 20:00:13.502628 | 672209 | NOT_INITIATED | 12837261 | N/A | N/A | PRIMARY | VA0052543622 | N/A | N/A | N/A | N/A | N/A | 2025-12-29 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 14708284 | N/A | N/A | N/A | PRE_CERT | N/A | 15 | 15 | N/A | VISITS |
| 2025-12-29 19:21:11.009140 | 2025-12-29 19:21:11.009148 | 672178 | NOT_INITIATED | 12908843 | N/A | N/A | PRIMARY | 22680960687 | N/A | N/A | N/A | N/A | 2026-06-23 07:00:00 | 2025-12-22 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 14778386 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2025-12-29 19:02:10.654378 | 2025-12-29 19:02:10.654389 | 672142 | NOT_INITIATED | 12907836 | N/A | N/A | PRIMARY | 22681007006 | N/A | N/A | N/A | N/A | 2026-05-17 07:00:00 | 2025-12-23 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 14777117 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2025-12-29 18:25:13.713393 | 2026-01-09 16:25:19.753254 | 672090 | NOT_INITIATED | 12906017 | N/A | N/A | PRIMARY | 22681090624 | N/A | N/A | N/A | N/A | 2026-12-23 08:00:00 | 2025-12-23 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 14775523 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2025-12-29 17:59:54.703404 | 2025-12-29 17:59:54.703411 | 672021 | NOT_INITIATED | 4215273 | N/A | N/A | PRIMARY | 20251229P0101244 | N/A | N/A | N/A | N/A | 2026-03-29 07:00:00 | 2025-12-29 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5543493 | N/A | N/A | N/A | PRE_CERT | N/A | 20 | 20 | N/A | VISITS |
| 2025-12-29 16:31:12.729500 | 2025-12-29 16:31:12.729515 | 671847 | NOT_INITIATED | 4208356 | N/A | N/A | PRIMARY | 20251226P0102244 | N/A | N/A | N/A | N/A | 2026-03-26 07:00:00 | 2025-12-26 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5535434 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2025-12-29 16:27:54.908960 | 2025-12-30 15:47:33.523422 | 671834 | NOT_INITIATED | 12898514 | N/A | N/A | PRIMARY | N/A | N/A | N/A | N/A | N/A | 2026-12-19 08:00:00 | 2025-12-19 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | N/A | N/A | N/A | N/A | REFERRAL | 244384 | 10 | 10 | N/A | VISITS |
| 2025-12-29 15:10:29.706089 | 2025-12-29 15:10:29.706102 | 671733 | NOT_INITIATED | 12500529 | N/A | N/A | PRIMARY | 000000556082858 | N/A | N/A | M25,552 - Pain in left hip | N/A | 2026-04-11 07:00:00 | 2025-12-12 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 14362980 | N/A | N/A | N/A | PRE_CERT | N/A | 25 | 25 | N/A | VISITS |
| 2025-12-26 22:52:34.242903 | 2025-12-26 22:52:34.242908 | 670325 | NOT_INITIATED | 12848031 | N/A | N/A | PRIMARY | Direct referral | N/A | N/A | N/A | N/A | 2026-04-26 07:00:00 | 2025-12-26 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | N/A | N/A | N/A | N/A | REFERRAL | 243461 | 10 | 10 | N/A | VISITS |
| 2025-12-26 21:40:41.430220 | 2025-12-26 21:40:41.430229 | 670291 | NOT_INITIATED | 4219606 | N/A | N/A | PRIMARY | OP0034071960 | N/A | N/A | N/A | N/A | 2026-03-22 07:00:00 | 2025-12-22 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5550682 | N/A | N/A | N/A | PRE_CERT | N/A | 23 | 23 | N/A | VISITS |