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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-12-08 17:22:45.515998 | 2025-12-08 17:27:40.083468 | 636740 | NOT_INITIATED | 4208637 | N/A | N/A | PRIMARY | 17 Visits | N/A | N/A | N/A | N/A | 2026-01-21 08:00:00 | 2025-09-24 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 12837918 | True | N/A | N/A | PRE_CERT | N/A | 17 | 17 | N/A | VISITS |
| 2025-12-08 16:45:43.457246 | 2025-12-30 19:56:16.037009 | 636543 | NOT_INITIATED | 12124199 | N/A | N/A | PRIMARY | 20251205P0100963 | N/A | N/A | N/A | N/A | 2026-03-05 08:00:00 | 2025-12-05 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 13974038 | True | N/A | N/A | PRE_CERT | N/A | 1 | 1 | N/A | VISITS |
| 2025-12-08 16:41:57.548257 | 2026-01-20 18:27:49.705004 | 636538 | NOT_INITIATED | 4219523 | N/A | N/A | PRIMARY | 20251021P0105329 | N/A | N/A | N/A | N/A | 2026-01-19 08:00:00 | 2025-10-21 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5550314 | True | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2025-12-08 16:34:38.657411 | 2025-12-15 21:56:48.786724 | 636530 | NOT_INITIATED | 12123246 | N/A | N/A | PRIMARY | N/A | N/A | N/A | N/A | N/A | 2026-11-25 08:00:00 | 2025-11-25 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 | 243723 | 10 | 10 | N/A | VISITS |
| 2025-12-08 16:15:10.608552 | 2025-12-10 22:47:45.851603 | 636478 | NOT_INITIATED | 12121994 | N/A | N/A | PRIMARY | N/A | N/A | N/A | N/A | N/A | 2026-02-08 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 | 243659 | 10 | 10 | N/A | VISITS |
| 2025-12-06 00:50:29.701643 | 2025-12-06 00:50:29.701647 | 631231 | NOT_INITIATED | 4208370 | N/A | N/A | PRIMARY | 20251205P0106760 | N/A | N/A | N/A | N/A | 2026-03-05 08:00:00 | 2025-12-05 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5535446 | N/A | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2025-12-06 00:12:29.585797 | 2025-12-06 00:12:29.585801 | 631153 | NOT_INITIATED | 4219166 | N/A | N/A | PRIMARY | 20251205P0104703 | N/A | N/A | N/A | N/A | 2026-03-05 08:00:00 | 2025-12-05 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 13436400 | N/A | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2025-12-05 23:46:55.559303 | 2025-12-05 23:46:55.559313 | 631083 | NOT_INITIATED | 4212442 | N/A | N/A | PRIMARY | 20251205P0105999 | N/A | N/A | N/A | N/A | 2026-03-05 08:00:00 | 2025-12-05 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5540259 | N/A | N/A | N/A | PRE_CERT | N/A | 20 | 20 | N/A | VISITS |
| 2025-12-05 23:39:24.527905 | 2025-12-05 23:39:24.527915 | 631082 | NOT_INITIATED | 12027353 | N/A | N/A | PRIMARY | 20251203P0104340 | N/A | N/A | N/A | N/A | 2026-03-03 08:00:00 | 2025-12-03 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 13879811 | N/A | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2025-12-05 22:58:17.535448 | 2025-12-05 22:58:17.535460 | 630899 | NOT_INITIATED | 4212504 | N/A | N/A | PRIMARY | 20251205L0101413 | N/A | N/A | N/A | N/A | 2026-03-05 08:00:00 | 2025-12-05 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5540331 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2025-12-05 22:54:37.672717 | 2025-12-05 22:54:37.672724 | 630898 | NOT_INITIATED | 6793895 | N/A | N/A | PRIMARY | 20251205P0105318 | N/A | N/A | N/A | N/A | 2026-03-05 08:00:00 | 2025-12-05 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 7982486 | N/A | N/A | N/A | PRE_CERT | N/A | 10 | 10 | N/A | VISITS |
| 2025-12-05 22:39:59.357423 | 2026-03-02 23:15:19.191394 | 630839 | NOT_INITIATED | 7927787 | N/A | N/A | PRIMARY | 20251205P0105093 | N/A | N/A | R26.81 - UNSTEADINESS ON FEET | N/A | 2026-03-05 08:00:00 | 2025-12-05 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 9477069 | N/A | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2025-12-05 22:27:18.491221 | 2025-12-05 22:27:18.491230 | 630832 | NOT_INITIATED | 12000360 | N/A | N/A | PRIMARY | VA0053061697 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 13852801 | N/A | N/A | N/A | PRE_CERT | N/A | 15 | 15 | N/A | VISITS |
| 2025-12-05 22:14:01.812875 | 2025-12-05 22:14:01.812884 | 630716 | NOT_INITIATED | 11234326 | N/A | N/A | PRIMARY | 20251016P0102245 | N/A | N/A | N/A | N/A | 2026-01-14 08:00:00 | 2025-10-16 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 13644533 | N/A | N/A | N/A | PRE_CERT | N/A | 7 | 7 | N/A | VISITS |
| 2025-12-05 22:04:06.551367 | 2025-12-05 22:04:06.551371 | 630668 | NOT_INITIATED | 11005691 | N/A | N/A | PRIMARY | 22679899070 | N/A | N/A | M54.50 (ICD-10-CM) - ACUTE LOW BACK PAIN < 1 MONTH | N/A | 2026-05-07 07:00:00 | 2025-11-05 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 12841515 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2025-12-05 21:41:36.146978 | 2025-12-12 15:55:10.304282 | 630581 | NOT_INITIATED | 4212481 | N/A | N/A | PRIMARY | N/A | N/A | N/A | N/A | N/A | 2026-03-05 08:00:00 | 2025-12-05 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 |
| 2025-12-05 21:40:58.292693 | 2026-02-25 15:53:30.464554 | 630580 | NOT_INITIATED | 10484794 | N/A | N/A | PRIMARY | 20251205P0104307 | N/A | N/A | N/A | N/A | 2026-03-05 08:00:00 | 2025-12-05 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 12298760 | True | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2025-12-05 21:28:09.649238 | 2026-03-02 22:55:07.839355 | 630454 | NOT_INITIATED | 7954244 | N/A | N/A | PRIMARY | 20251205P0104143 | N/A | N/A | N/A | N/A | 2026-03-05 08:00:00 | 2025-12-05 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 9511696 | True | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2025-12-05 21:09:31.986542 | 2025-12-05 21:09:31.986548 | 630319 | NOT_INITIATED | 9844523 | N/A | N/A | PRIMARY | Direct referral | N/A | N/A | PATIENT HAS ALREADY BEEN SEEN WITH DR FOR OTHER BODY PART FOR 4 VISITS. | N/A | 2026-02-05 08:00:00 | 2025-12-05 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 | 243652 | 6 | 6 | N/A | VISITS |
| 2025-12-05 19:32:25.407118 | 2025-12-05 19:32:25.407124 | 629426 | NOT_INITIATED | 4211716 | N/A | N/A | PRIMARY | 20251205L0100809 | N/A | N/A | N/A | N/A | 2026-03-05 08:00:00 | 2025-12-05 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5539406 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2025-12-05 19:29:43.216085 | 2025-12-05 19:29:43.216091 | 629406 | NOT_INITIATED | 11887763 | N/A | N/A | PRIMARY | 20251203P0102616 | N/A | N/A | N/A | N/A | 2026-03-03 08:00:00 | 2025-12-03 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 13736409 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2025-12-05 18:56:36.066339 | 2025-12-05 18:56:36.066350 | 629308 | NOT_INITIATED | 4214983 | N/A | N/A | PRIMARY | 20251203P0107435 | N/A | N/A | N/A | N/A | 2026-03-03 08:00:00 | 2025-12-03 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5543151 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2025-12-05 18:45:13.433646 | 2025-12-05 18:45:13.433653 | 629236 | NOT_INITIATED | 6033556 | N/A | N/A | PRIMARY | 20251205P0102062 | N/A | N/A | N/A | N/A | 2026-03-05 08:00:00 | 2025-12-05 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 7018260 | N/A | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2025-12-05 18:19:10.329466 | 2025-12-05 18:19:10.329475 | 629195 | NOT_INITIATED | 9461873 | N/A | N/A | PRIMARY | 20251204P0105753 | N/A | N/A | N/A | N/A | 2026-03-04 08:00:00 | 2025-12-04 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 11111720 | N/A | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2025-12-05 17:21:16.877732 | 2025-12-05 17:21:16.877741 | 628948 | NOT_INITIATED | 4214001 | N/A | N/A | PRIMARY | 20251103P0104058 | N/A | N/A | N/A | N/A | 2026-02-01 08:00:00 | 2025-11-03 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5542046 | N/A | N/A | N/A | PRE_CERT | N/A | 9 | 9 | N/A | VISITS |
| 2025-12-05 17:19:54.914392 | 2026-02-13 16:10:34.498100 | 628946 | NOT_INITIATED | 6606171 | N/A | N/A | PRIMARY | 20251205P0100830 | N/A | N/A | N/A | N/A | 2026-03-05 08:00:00 | 2025-12-05 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 7755198 | True | N/A | N/A | PRE_CERT | N/A | 20 | 20 | N/A | VISITS |
| 2025-12-05 16:48:54.035223 | 2026-01-26 16:22:09.608383 | 628689 | NOT_INITIATED | 4212098 | N/A | N/A | PRIMARY | 20251205P0100509 | N/A | N/A | N/A | N/A | 2026-03-05 08:00:00 | 2025-12-05 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5539853 | True | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2025-12-05 16:28:01.921615 | 2025-12-05 16:28:01.921620 | 628661 | NOT_INITIATED | 11878746 | N/A | N/A | PRIMARY | 22680421301 | N/A | N/A | N/A | N/A | 2026-05-27 07:00:00 | 2025-11-25 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 13727884 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2025-12-05 00:57:31.700201 | 2025-12-05 00:57:31.700217 | 627884 | NOT_INITIATED | 11688214 | N/A | N/A | PRIMARY | 22679646704 | N/A | N/A | M19.011, M19.012 (ICD-10-CM) - OSTEOARTHRITIS OF BILAT SHOULDERS G89.4 (ICD-10-CM) - CHRONIC PAIN SYNDROME | N/A | 2026-04-26 07:00:00 | 2025-10-28 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 13538250 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2025-12-04 20:34:09.300290 | 2025-12-04 20:34:09.300302 | 627531 | NOT_INITIATED | 11843222 | N/A | N/A | PRIMARY | 26004318 | N/A | N/A | N/A | N/A | N/A | 2025-12-03 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 13693083 | N/A | N/A | N/A | PRE_CERT | N/A | 6 | 6 | N/A | VISITS |
| 2025-12-04 20:21:38.421616 | 2025-12-04 20:21:38.421623 | 627505 | NOT_INITIATED | 11842675 | N/A | N/A | PRIMARY | 20251117P0105762 | N/A | N/A | N/A | N/A | 2026-02-15 08:00:00 | 2025-11-17 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 13692528 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2025-12-04 20:14:39.383182 | 2025-12-04 20:14:39.383195 | 627485 | NOT_INITIATED | 4214187 | N/A | N/A | PRIMARY | 20251119P0101336 | N/A | N/A | N/A | N/A | 2026-02-17 08:00:00 | 2025-11-19 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5542240 | N/A | N/A | N/A | PRE_CERT | N/A | 25 | 25 | N/A | VISITS |
| 2025-12-04 20:11:11.781252 | 2026-01-20 18:07:08.410680 | 627478 | NOT_INITIATED | 11842216 | N/A | N/A | PRIMARY | 20251021P0103000 | N/A | N/A | N/A | N/A | 2026-01-19 08:00:00 | 2025-10-21 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 13691995 | True | N/A | N/A | PRE_CERT | N/A | 25 | 25 | N/A | VISITS |
| 2025-12-04 20:05:20.764611 | 2025-12-04 20:05:20.764621 | 627459 | NOT_INITIATED | 11841810 | N/A | N/A | PRIMARY | 20251014721033201561 | N/A | N/A | M25.579 PAIN IN UNSPECIFIED ANKLE AND JOINTS OF UNSPEС | N/A | 2026-04-13 07:00:00 | 2025-09-01 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 13691499 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2025-12-04 20:03:27.648885 | 2025-12-04 20:03:27.648894 | 627454 | NOT_INITIATED | 11841684 | N/A | N/A | PRIMARY | 13017728 | N/A | N/A | N/A | N/A | N/A | 2025-12-03 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 13691391 | N/A | N/A | N/A | PRE_CERT | N/A | 6 | 6 | N/A | VISITS |
| 2025-12-04 19:47:53.083636 | 2025-12-11 16:35:34.468421 | 627439 | NOT_INITIATED | 4214483 | N/A | N/A | PRIMARY | 20251201P0105357 | N/A | N/A | RIGHT HIP | N/A | 2026-03-01 08:00:00 | 2025-12-01 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5542593 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 12 | N/A | VISITS |
| 2025-12-04 19:02:32.494745 | 2026-01-27 21:34:29.692156 | 627369 | NOT_INITIATED | 4212404 | N/A | N/A | PRIMARY | 4072308 | N/A | N/A | N/A | N/A | 2026-03-21 07:00:00 | 2025-03-21 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5540212 | N/A | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2025-12-04 18:14:15.027925 | 2025-12-04 18:18:29.382264 | 627289 | NOT_INITIATED | 11836506 | N/A | N/A | PRIMARY | N/A | N/A | N/A | N/A | N/A | 2026-02-01 08:00:00 | 2025-12-01 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 |
| 2025-12-04 17:32:25.933693 | 2026-02-13 15:43:29.108478 | 627104 | NOT_INITIATED | 9630212 | N/A | N/A | PRIMARY | 20251111L0101165 | N/A | N/A | N/A | N/A | 2026-02-09 08:00:00 | 2025-11-11 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 11359237 | True | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2025-12-04 17:24:22.591680 | 2025-12-04 17:24:22.591685 | 627072 | NOT_INITIATED | 11833947 | N/A | N/A | PRIMARY | 20251104L0100718 | 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 | 13683788 | N/A | N/A | N/A | PRE_CERT | N/A | 5 | 5 | N/A | VISITS |
| 2025-12-04 17:16:36.867478 | 2025-12-11 00:59:36.734820 | 627056 | NOT_INITIATED | 11833771 | N/A | N/A | PRIMARY | 20251117P0107376 | N/A | N/A | N/A | N/A | 2026-02-15 08:00:00 | 2025-11-17 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 13683615 | True | N/A | N/A | PRE_CERT | N/A | 1 | 1 | N/A | VISITS |
| 2025-12-04 17:12:24.614676 | 2026-01-23 23:54:29.281762 | 627034 | NOT_INITIATED | 11833622 | N/A | N/A | PRIMARY | 20251121P0106510 | N/A | N/A | N/A | N/A | 2026-02-19 08:00:00 | 2025-11-21 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 13683476 | N/A | N/A | N/A | PRE_CERT | N/A | 25 | 25 | N/A | VISITS |
| 2025-12-04 16:49:11.719143 | 2025-12-04 16:49:11.719153 | 627007 | NOT_INITIATED | 11832349 | N/A | N/A | PRIMARY | 20251009L0102036 | N/A | N/A | N/A | N/A | 2026-01-07 08:00:00 | 2025-10-09 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 13682215 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2025-12-04 16:22:05.689093 | 2025-12-04 16:22:05.689102 | 626965 | NOT_INITIATED | 11830581 | N/A | N/A | PRIMARY | 25026764 | N/A | N/A | N/A | N/A | N/A | 2025-12-04 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 13680653 | N/A | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2025-12-04 15:58:22.768263 | 2025-12-04 15:58:22.768270 | 626920 | NOT_INITIATED | 4212802 | N/A | N/A | PRIMARY | 20251204P0100293 | N/A | N/A | N/A | N/A | 2026-03-04 08:00:00 | 2025-12-04 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5540683 | N/A | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2025-12-04 00:53:27.958182 | 2026-01-26 16:25:59.816143 | 626287 | NOT_INITIATED | 4781417 | N/A | N/A | PRIMARY | 20251024L0102140 | N/A | N/A | N/A | N/A | 2026-01-22 08:00:00 | 2025-10-24 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 6140436 | True | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2025-12-03 20:39:13.727003 | 2025-12-03 20:39:13.727010 | 625862 | NOT_INITIATED | 11795301 | N/A | N/A | PRIMARY | 22679540968 | N/A | N/A | N/A | N/A | 2026-04-24 07:00:00 | 2025-10-23 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 13647562 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2025-12-03 20:08:24.676880 | 2025-12-03 20:08:24.676891 | 625800 | NOT_INITIATED | 8437251 | N/A | N/A | PRIMARY | 20251203L0101174 | N/A | N/A | N/A | N/A | 2026-03-03 08:00:00 | 2025-12-03 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 10103203 | N/A | N/A | N/A | PRE_CERT | N/A | 10 | 10 | N/A | VISITS |
| 2025-12-03 19:49:28.045443 | 2025-12-03 19:49:28.045447 | 625767 | NOT_INITIATED | 4212248 | N/A | N/A | PRIMARY | 20251203P0103298 | N/A | N/A | N/A | N/A | 2026-03-03 08:00:00 | 2025-12-03 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5540033 | N/A | N/A | N/A | PRE_CERT | N/A | 10 | 10 | N/A | VISITS |
| 2025-12-03 19:29:24.193647 | 2026-02-10 15:47:42.110559 | 625745 | NOT_INITIATED | 11792017 | N/A | N/A | PRIMARY | 20251112L0102129 | N/A | N/A | LUMBAR | N/A | 2026-02-10 08:00:00 | 2025-11-12 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 13644272 | True | N/A | N/A | PRE_CERT | N/A | 11 | 11 | N/A | VISITS |