API Data Explorer (Athletic)
Choose an endpoint and browse pulled athletic records with export support.
API Endpoints
Total rows: 4,911
| 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2026-03-09 23:22:30.854944 | 2026-03-09 23:22:30.854959 | 807796 | NOT_INITIATED | 4534552 | N/A | N/A | PRIMARY | 20260128P0106254 | N/A | N/A | 1) M16.12 - UNI PRIM OSTEOARTHRITIS LT HIP 2) M16.11 - UNI PRIM OSTEOARTHRITIS RT HIP | N/A | 2026-04-28 07:00:00 | 2026-01-28 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5874423 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2026-03-09 23:04:55.381415 | 2026-03-09 23:04:55.381426 | 807710 | NOT_INITIATED | 15883071 | N/A | N/A | PRIMARY | 20260304L0100977 | N/A | N/A | 1) R25.2 - CRAMP AND SPASM 2) M79.605 - PAIN IN LEFT LEG | N/A | 2026-06-02 07:00:00 | 2026-03-04 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 17838545 | N/A | N/A | N/A | PRE_CERT | N/A | 1 | 1 | N/A | VISITS |
| 2026-03-09 22:43:41.345185 | 2026-03-09 22:43:41.345194 | 807671 | NOT_INITIATED | 15633309 | N/A | N/A | PRIMARY | 20260309P0107513 Status: Approved | N/A | N/A | 1) S83.92XA - SPRAIN UNS SITE LT KNEE INITIAL | N/A | 2026-06-07 07:00:00 | 2026-03-09 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 17585914 | N/A | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2026-03-09 22:26:31.197682 | 2026-03-09 22:52:54.100224 | 807635 | NOT_INITIATED | 15881768 | N/A | N/A | PRIMARY | N/A | 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 | N/A | N/A | N/A | N/A | REFERRAL | 482427 | 13 | 13 | N/A | VISITS |
| 2026-03-09 20:47:05.804934 | 2026-03-09 20:47:06.164776 | 807437 | NOT_INITIATED | 8252801 | N/A | N/A | PRIMARY | 20260309P0102134 | N/A | N/A | N/A | N/A | 2026-06-07 07:00:00 | 2026-03-09 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 15849937 | N/A | N/A | N/A | PRE_CERT | N/A | N/A | 13 | N/A | UNITS |
| 2026-03-09 20:40:40.040592 | 2026-03-09 20:40:41.271636 | 807424 | NOT_INITIATED | 8493219 | N/A | N/A | PRIMARY | OP0036563982 | N/A | N/A | N/A | N/A | 2026-06-02 07:00:00 | 2026-03-02 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 10197640 | N/A | N/A | N/A | PRE_CERT | N/A | N/A | 33 | N/A | UNITS |
| 2026-03-09 20:30:29.438079 | 2026-03-09 20:30:29.781778 | 807404 | NOT_INITIATED | 4212105 | N/A | N/A | PRIMARY | 20260309P0102199 | N/A | N/A | N/A | N/A | 2026-06-07 07:00:00 | 2026-03-09 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5539863 | N/A | N/A | N/A | PRE_CERT | N/A | N/A | 1 | N/A | UNITS |
| 2026-03-09 19:56:00.426267 | 2026-05-21 22:32:21.149152 | 807298 | NOT_INITIATED | 15648909 | N/A | N/A | PRIMARY | 26006903A | N/A | N/A | LUMBAR, RIGHT KNEE, RIGHT SHOULDER 3/4/26: 6 VISITS 3/17/26: 6 VISITS 4/15/26: 6 VISITS 5/04/2026: 6 VISITS | N/A | N/A | 2026-03-04 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 17601567 | N/A | N/A | N/A | PRE_CERT | N/A | 6 | 24 | N/A | VISITS |
| 2026-03-09 19:37:23.096788 | 2026-03-11 19:57:54.667225 | 807269 | NOT_INITIATED | 6841390 | N/A | N/A | PRIMARY | 20260225L0100651 | N/A | N/A | LEFT KNEE | N/A | 2026-05-26 07:00:00 | 2026-02-25 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 16060541 | True | N/A | N/A | PRE_CERT | N/A | 1 | 1 | N/A | VISITS |
| 2026-03-09 19:29:48.206354 | 2026-03-09 19:29:48.206364 | 807258 | NOT_INITIATED | 15509440 | N/A | N/A | PRIMARY | 20260227P0103683 | N/A | N/A | RIGHT ELBOW | N/A | 2026-05-28 07:00:00 | 2026-02-27 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 17494208 | N/A | N/A | N/A | PRE_CERT | N/A | 9 | 9 | N/A | VISITS |
| 2026-03-09 19:24:19.364143 | 2026-04-08 14:56:39.285320 | 807244 | NOT_INITIATED | 15585907 | N/A | N/A | PRIMARY | 20260225P0106782 | N/A | N/A | LEFT SHOULDER | N/A | 2026-05-26 07:00:00 | 2026-02-25 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 17540931 | True | N/A | N/A | PRE_CERT | N/A | 7 | 7 | N/A | VISITS |
| 2026-03-09 19:06:09.513848 | 2026-03-13 15:12:28.654681 | 807205 | NOT_INITIATED | 4214558 | N/A | N/A | PRIMARY | 20260204L0100651 | N/A | N/A | 1) M76.822 - POSTERIOR TIBIAL TENDINITIS LT LEG 2) R26.2 - DIFFICULTY IN WALKING NEC | N/A | 2026-05-05 07:00:00 | 2026-02-04 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 17939188 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2026-03-09 18:44:34.405895 | 2026-03-09 18:44:34.405903 | 807169 | NOT_INITIATED | 15647079 | N/A | N/A | PRIMARY | 20260304P0103061 | N/A | N/A | LUMBAR | N/A | 2026-06-02 07:00:00 | 2026-03-04 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 17600158 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2026-03-09 18:32:52.119637 | 2026-03-09 18:32:52.119647 | 807129 | NOT_INITIATED | 4213942 | N/A | N/A | PRIMARY | 20260309P0103444 | N/A | N/A | BILATERAL FEET | N/A | 2026-06-07 07:00:00 | 2026-03-09 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5541975 | N/A | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2026-03-09 18:29:07.222847 | 2026-03-09 18:29:07.222855 | 807125 | NOT_INITIATED | 8437251 | N/A | N/A | PRIMARY | 20260309L0100987 | N/A | N/A | 1) M17.10 - UNI PRIM OSTEOARTHRITIS UNS KNEE | N/A | 2026-06-07 07:00:00 | 2026-03-09 07:00:00 | 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 | 6 | 6 | N/A | VISITS |
| 2026-03-09 18:14:03.896621 | 2026-03-09 18:14:03.896633 | 807094 | NOT_INITIATED | 12549123 | N/A | N/A | PRIMARY | 20260309P0103105 | N/A | N/A | M47.816 - SPONDYLS W/O MYELO-/RADICULOP LUMB | N/A | 2026-06-07 07:00:00 | 2026-01-16 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 14413682 | N/A | N/A | N/A | PRE_CERT | N/A | 15 | 15 | N/A | VISITS |
| 2026-03-09 17:59:41.170731 | 2026-03-09 18:07:30.160181 | 806956 | NOT_INITIATED | 15865943 | N/A | N/A | PRIMARY | 20260306P0105847 | N/A | N/A | Referred by SARAH SHIRAZI MD | N/A | 2026-06-04 07:00:00 | 2026-03-06 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 17821217 | N/A | N/A | N/A | PRE_CERT | N/A | N/A | 1 | N/A | UNITS |
| 2026-03-09 16:14:47.933243 | 2026-03-09 16:14:47.933253 | 806686 | NOT_INITIATED | 15860207 | N/A | N/A | PRIMARY | 22683348236 | N/A | N/A | M25.562 (ICD-10-CM) - LEFT KNEE JOINT PAIN | N/A | 2026-07-10 07:00:00 | 2026-02-10 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 17815376 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2026-03-09 14:57:25.766321 | 2026-03-09 14:57:25.766329 | 806531 | NOT_INITIATED | 4214996 | N/A | N/A | PRIMARY | N/A | N/A | N/A | RIGHT SHOULDER | N/A | 2027-02-26 08:00:00 | 2026-02-26 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 | 553606 | 10 | 10 | N/A | VISITS |
| 2026-03-07 00:13:36.358006 | 2026-05-15 22:48:22.830694 | 803484 | NOT_INITIATED | 15798656 | N/A | N/A | PRIMARY | 20260224721033206987 | N/A | N/A | M76.52-PATELLAR TENDINITIS, LEFT KNEE | N/A | 2026-08-25 07:00:00 | 2026-02-26 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 17749411 | True | N/A | N/A | PRE_CERT | N/A | 3 | 3 | N/A | VISITS |
| 2026-03-06 23:25:58.197006 | 2026-03-11 17:56:24.233968 | 803356 | NOT_INITIATED | 14598766 | N/A | N/A | PRIMARY | 20260306P0106669 | N/A | N/A | M54.50- Low Back Pain, Unspecified | N/A | 2026-06-04 07:00:00 | 2026-03-06 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 16580690 | N/A | N/A | N/A | PRE_CERT | N/A | 6 | 6 | N/A | VISITS |
| 2026-03-06 23:21:40.573999 | 2026-03-06 23:21:40.574009 | 803349 | NOT_INITIATED | 15393771 | N/A | N/A | PRIMARY | N/A | 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 | N/A | N/A | N/A | N/A | REFERRAL | 224348 | N/A | N/A | N/A | VISITS |
| 2026-03-06 22:35:49.101754 | 2026-03-06 22:46:15.343774 | 803303 | NOT_INITIATED | 4213934 | N/A | N/A | PRIMARY | 20260130P0103169 | N/A | N/A | N/A | N/A | 2026-04-30 07:00:00 | 2026-01-30 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 16963779 | True | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2026-03-06 21:45:12.034341 | 2026-03-06 21:45:12.034353 | 802881 | NOT_INITIATED | 15402433 | N/A | N/A | PRIMARY | 4A2410WHTT6-0001 | N/A | N/A | LEFT SHOULDER | N/A | 2026-04-21 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 | 17390724 | N/A | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2026-03-06 21:26:26.428720 | 2026-04-16 16:59:29.267613 | 802819 | NOT_INITIATED | 15634463 | N/A | N/A | PRIMARY | N/A | N/A | N/A | RIGHT KNEE | N/A | 2027-03-03 08:00:00 | 2026-03-03 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 | 553606 | 10 | 10 | N/A | VISITS |
| 2026-03-06 21:21:18.645364 | 2026-04-24 15:33:52.125049 | 802796 | NOT_INITIATED | 17041626 | N/A | N/A | PRIMARY | 20260306L0100647 | N/A | N/A | N/A | N/A | 2026-06-04 07:00:00 | 2026-03-06 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 20488163 | N/A | N/A | N/A | PRE_CERT | N/A | N/A | 13 | N/A | UNITS |
| 2026-03-06 21:19:48.046016 | 2026-05-27 20:10:28.009927 | 802769 | NOT_INITIATED | 14698980 | N/A | N/A | PRIMARY | 20260306P0104876 | N/A | N/A | 1) M62.81 - MUSCLE WEAKNESS GENERALIZED 2) M25.552 - PAIN IN LEFT HIP 3) M25.562 - PAIN IN LEFT KNEE | N/A | 2026-06-04 07:00:00 | 2026-03-06 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 17446858 | True | N/A | N/A | PRE_CERT | N/A | 10 | 10 | N/A | VISITS |
| 2026-03-06 21:09:18.780577 | 2026-03-06 21:09:18.780587 | 802750 | NOT_INITIATED | 12249693 | N/A | N/A | PRIMARY | 0009914802 | N/A | N/A | TriWest Reference Number: 0009914802 Valid Date Range: 02/24/2026- 06/24/2026 MTF Order Number: 000000589077630 | N/A | 2026-06-24 07:00:00 | 2026-02-24 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 14110854 | N/A | N/A | N/A | PRE_CERT | N/A | 25 | 25 | N/A | VISITS |
| 2026-03-06 20:18:35.809390 | 2026-03-06 20:18:35.809400 | 802539 | NOT_INITIATED | 4213492 | N/A | N/A | PRIMARY | 20260306P0104231 | N/A | N/A | M25.551 - PAIN IN RIGHT HIP | N/A | 2026-06-04 07:00:00 | 2026-03-06 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5541480 | N/A | N/A | N/A | PRE_CERT | N/A | 10 | 10 | N/A | VISITS |
| 2026-03-06 19:24:24.720463 | 2026-03-06 19:24:24.720471 | 802402 | NOT_INITIATED | 4212321 | N/A | N/A | PRIMARY | N/A | 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 | N/A | N/A | N/A | N/A | REFERRAL | 80522 | N/A | N/A | N/A | VISITS |
| 2026-03-06 19:11:42.247572 | 2026-03-06 19:11:42.247582 | 802369 | NOT_INITIATED | 11732070 | N/A | N/A | PRIMARY | 22683781636 | N/A | N/A | S82.831A (ICD-10-CM) - RIGHT DISTAL FIBULA OTHER TYPE FX INIT | N/A | 2026-07-26 07:00:00 | 2026-02-26 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 13582387 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2026-03-06 18:54:02.139470 | 2026-03-06 18:54:02.139477 | 802337 | NOT_INITIATED | 9376481 | N/A | N/A | PRIMARY | 20260306L0100896 | N/A | N/A | M25.551 - PAIN IN RIGHT HIP | N/A | 2026-06-04 07:00:00 | 2026-03-06 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 11011103 | N/A | N/A | N/A | PRE_CERT | N/A | 10 | 10 | N/A | VISITS |
| 2026-03-06 18:42:13.371055 | 2026-03-06 18:42:13.371069 | 802327 | NOT_INITIATED | 15764652 | N/A | N/A | PRIMARY | 22683882220 | N/A | N/A | M75.101 (ICD-10-CM) - TENDINITIS OF RIGHT ROTATOR CUFF | N/A | 2026-09-01 07:00:00 | 2026-03-06 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 17718829 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2026-03-06 18:28:15.133352 | 2026-03-06 18:28:15.133367 | 802222 | NOT_INITIATED | 4642897 | N/A | N/A | PRIMARY | OP0035204238 | N/A | N/A | N/A | N/A | 2026-04-25 07:00:00 | 2026-01-26 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5993965 | N/A | N/A | N/A | PRE_CERT | N/A | 10 | 10 | N/A | VISITS |
| 2026-03-06 18:19:54.836233 | 2026-03-06 18:20:14.268446 | 802204 | NOT_INITIATED | 4214542 | N/A | N/A | PRIMARY | 20260306P0102082 | N/A | N/A | M54.2 - CERVICALGIA | N/A | 2026-06-04 07:00:00 | 2026-03-06 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5542660 | N/A | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2026-03-06 16:05:00.342234 | 2026-03-06 16:05:00.342242 | 801919 | NOT_INITIATED | 4210310 | N/A | N/A | PRIMARY | OP0036468456 | N/A | N/A | CERVICAL | N/A | 2026-05-27 07:00:00 | 2026-02-26 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5537796 | N/A | N/A | N/A | PRE_CERT | N/A | 10 | 10 | N/A | VISITS |
| 2026-03-06 15:44:22.053928 | 2026-03-06 15:44:22.053936 | 801900 | NOT_INITIATED | 11147858 | N/A | N/A | PRIMARY | 20260306P0100324 | N/A | N/A | CERVICAL | N/A | 2026-06-04 07:00:00 | 2026-03-06 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 12989755 | N/A | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2026-03-06 15:40:11.085276 | 2026-03-06 15:40:11.085286 | 801896 | NOT_INITIATED | 4213001 | N/A | N/A | PRIMARY | 20260306L0100067 | N/A | N/A | WEAKNESS/ GAIT AND BALANCE INSTABILITY | N/A | 2026-06-04 07:00:00 | 2026-03-06 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5540918 | N/A | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2026-03-06 00:16:52.477657 | 2026-03-06 00:16:52.477666 | 800324 | NOT_INITIATED | 4213530 | N/A | N/A | PRIMARY | 20260305L0102653 | N/A | N/A | S83.511D - SPRAIN ACL RIGHT KNEE SUBSEQUENT M25.561 - PAIN IN RIGHT KNEE | N/A | 2026-06-03 07:00:00 | 2026-03-05 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5541519 | N/A | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2026-03-05 23:59:33.485581 | 2026-03-05 23:59:33.485590 | 800274 | NOT_INITIATED | 4214450 | N/A | N/A | PRIMARY | 20260213P0105318 | N/A | N/A | M79.604 - PAIN IN RIGHT LEG M79.605 - PAIN IN LEFT LEG | N/A | 2026-05-14 07:00:00 | 2026-02-13 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5542557 | N/A | N/A | N/A | PRE_CERT | N/A | 1 | 1 | N/A | VISITS |
| 2026-03-05 23:08:38.121455 | 2026-04-14 21:17:08.987801 | 800201 | NOT_INITIATED | 15513934 | N/A | N/A | PRIMARY | 20260305P0106338 | N/A | N/A | RIGHT HIP | N/A | 2026-06-03 07:00:00 | 2026-03-05 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 17498631 | N/A | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2026-03-05 22:48:50.633139 | 2026-03-05 22:48:50.633149 | 800192 | NOT_INITIATED | 13219118 | N/A | N/A | PRIMARY | 22683604873 | N/A | N/A | M17.11 (ICD-10-CM) - OSTEOARTHRITIS OF RIGHT KNEE M16.11 (ICD-10-CM) - OSTEOARTHRITIS OF RIGHT HIP | N/A | 2026-07-19 07:00:00 | 2026-02-19 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 15110825 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2026-03-05 21:57:16.787840 | 2026-05-20 17:05:26.040029 | 800139 | NOT_INITIATED | 15646270 | N/A | N/A | PRIMARY | 3927146-1 | N/A | N/A | Physical Therapy Two times a week for six weeks, Lumbar Spine Quantity : 12 UR Determination: Certified Certification Dates: 02/18/26-05/18/26 5/8/26: 12 more visits total of 24 visits. | N/A | 2026-09-08 07:00:00 | 2026-02-18 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 17599331 | N/A | N/A | N/A | PRE_CERT | N/A | 12 | 24 | N/A | VISITS |
| 2026-03-05 21:36:26.026140 | 2026-03-05 21:36:26.026149 | 800107 | NOT_INITIATED | 4866412 | N/A | N/A | PRIMARY | 22683198783 | N/A | N/A | N/A | N/A | 2026-06-04 07:00:00 | 2026-03-04 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 6222264 | N/A | N/A | N/A | PRE_CERT | N/A | 24 | 24 | N/A | VISITS |
| 2026-03-05 21:32:27.262405 | 2026-03-05 21:32:27.262415 | 800100 | NOT_INITIATED | 4213662 | N/A | N/A | PRIMARY | 20260305P0101691 | N/A | N/A | N/A | N/A | 2026-06-03 07:00:00 | 2026-03-05 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5541664 | N/A | N/A | N/A | PRE_CERT | N/A | 16 | 16 | N/A | VISITS |
| 2026-03-05 21:04:18.613125 | 2026-04-14 21:15:59.898271 | 800024 | NOT_INITIATED | 15513934 | N/A | N/A | PRIMARY | 20260227P0103236 | N/A | N/A | RIGHT HIP | N/A | 2026-05-28 07:00:00 | 2026-02-27 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 17498631 | True | N/A | N/A | PRE_CERT | N/A | 1 | 1 | N/A | VISITS |
| 2026-03-05 19:36:26.559998 | 2026-03-05 19:36:26.560010 | 799774 | NOT_INITIATED | 15692762 | N/A | N/A | PRIMARY | N/A | N/A | N/A | lumbar | N/A | 2027-03-05 08:00:00 | 2026-03-05 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 | 224853 | 10 | 10 | N/A | VISITS |
| 2026-03-05 19:16:23.674098 | 2026-03-05 19:16:23.674106 | 799736 | NOT_INITIATED | 13596403 | N/A | N/A | PRIMARY | 22683782643 | N/A | N/A | M54.9 (ICD-10-CM) - BACK PAIN | N/A | 2026-05-27 07:00:00 | 2026-02-26 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 15509616 | N/A | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2026-03-05 19:05:20.221737 | 2026-03-05 19:05:20.221744 | 799714 | NOT_INITIATED | 15312432 | N/A | N/A | PRIMARY | 50040936698 | 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 | N/A | N/A | N/A | N/A | REFERRAL | 716530 | 3 | 3 | N/A | VISITS |
| 2026-03-05 16:55:30.769668 | 2026-03-05 16:55:30.769679 | 799410 | NOT_INITIATED | 7492332 | N/A | N/A | PRIMARY | 20260305P0100763 | N/A | N/A | N/A | N/A | 2026-06-03 07:00:00 | 2026-03-05 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 8978036 | N/A | N/A | N/A | PRE_CERT | N/A | 20 | 20 | N/A | VISITS |