API Data Explorer (Athletic API)
Choose an endpoint and browse pulled records with export support.
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-12-18 17:28:02.571974 | 2025-12-18 17:28:02.571982 | 660829 | NOT_INITIATED | 4212408 | N/A | N/A | PRIMARY | 12840558 | N/A | N/A | N/A | N/A | N/A | 2025-12-24 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5540214 | N/A | N/A | N/A | PRE_CERT | N/A | 16 | 16 | N/A | VISITS |
| 2025-12-18 17:23:42.558960 | 2026-01-06 18:48:50.034100 | 660801 | NOT_INITIATED | 12549123 | N/A | N/A | PRIMARY | 20251215P0102258 | N/A | N/A | M47.816 - SPONDYLS W/O MYELO-/RADICULOP LUMB | 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 | 14413682 | N/A | N/A | N/A | PRE_CERT | N/A | 2 | 2 | N/A | VISITS |
| 2025-12-18 16:53:54.084425 | 2025-12-23 00:32:47.456671 | 660745 | NOT_INITIATED | 12547469 | N/A | N/A | PRIMARY | N/A | N/A | N/A | N/A | N/A | 2026-12-02 08:00:00 | 2025-12-02 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 | 481668 | 10 | 10 | N/A | VISITS |
| 2025-12-18 16:32:51.704352 | 2025-12-24 00:09:06.939669 | 660706 | NOT_INITIATED | 12546413 | N/A | N/A | PRIMARY | 20251216L0101502 | N/A | N/A | N/A | N/A | 2026-03-16 07:00:00 | 2025-12-16 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 14411082 | True | N/A | N/A | PRE_CERT | N/A | 1 | 1 | N/A | VISITS |
| 2025-12-18 16:32:06.085013 | 2025-12-18 16:32:06.085029 | 660704 | NOT_INITIATED | 12546356 | N/A | N/A | PRIMARY | 20251209P0106254 | N/A | N/A | N/A | N/A | 2026-03-18 07:00:00 | 2025-12-18 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 14411046 | N/A | N/A | N/A | PRE_CERT | N/A | 25 | 25 | N/A | VISITS |
| 2025-12-18 16:25:05.086053 | 2026-02-04 16:45:54.216316 | 660683 | NOT_INITIATED | 4211481 | N/A | N/A | PRIMARY | 20251217P0107409 | 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 | 15994551 | True | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2025-12-18 16:24:33.189597 | 2026-01-22 16:12:55.411693 | 660681 | NOT_INITIATED | 4213492 | N/A | N/A | PRIMARY | 20251022P0103593 | 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 | 5541480 | True | N/A | N/A | PRE_CERT | N/A | 25 | 25 | N/A | VISITS |
| 2025-12-18 16:22:02.294333 | 2026-02-12 16:09:54.133861 | 660678 | NOT_INITIATED | 4214856 | 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 | 169608 | 12 | 14 | N/A | VISITS |
| 2025-12-18 16:21:50.549383 | 2025-12-18 16:21:50.549392 | 660674 | NOT_INITIATED | 12545717 | N/A | N/A | PRIMARY | 20251208L0101901 | N/A | N/A | N/A | N/A | 2026-03-11 07:00:00 | 2025-12-08 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 14410470 | N/A | N/A | N/A | PRE_CERT | N/A | 7 | 7 | N/A | VISITS |
| 2025-12-18 16:16:17.196092 | 2025-12-18 16:16:17.196102 | 660645 | NOT_INITIATED | 4214858 | N/A | N/A | PRIMARY | 20251215P0106877 | 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 | 5543024 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2025-12-18 01:10:00.958226 | 2025-12-18 01:10:00.958234 | 659926 | NOT_INITIATED | 12525833 | N/A | N/A | PRIMARY | 20251117P0107990 | N/A | N/A | N/A | N/A | 2026-02-12 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 | 14391843 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2025-12-17 21:19:56.591538 | 2025-12-17 21:19:56.591546 | 659531 | NOT_INITIATED | 12519166 | N/A | N/A | PRIMARY | 20251217P0103101 | 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 | 14385717 | N/A | N/A | N/A | PRE_CERT | N/A | 1 | 1 | N/A | VISITS |
| 2025-12-17 21:14:13.692139 | 2025-12-17 21:14:13.692146 | 659527 | NOT_INITIATED | 5818009 | N/A | N/A | PRIMARY | 20251217L0101366 | 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 | 6786642 | N/A | N/A | N/A | PRE_CERT | N/A | 25 | 25 | N/A | VISITS |
| 2025-12-17 21:05:44.643873 | 2025-12-17 21:05:44.643883 | 659481 | NOT_INITIATED | 4212193 | N/A | N/A | PRIMARY | 20251027P0101909 | N/A | N/A | N/A | N/A | 2026-01-25 08:00:00 | 2025-10-27 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 14384454 | N/A | N/A | N/A | PRE_CERT | N/A | 25 | 25 | N/A | VISITS |
| 2025-12-17 19:15:14.305092 | 2025-12-17 19:15:14.305100 | 659316 | NOT_INITIATED | 4210749 | N/A | N/A | PRIMARY | 20251217L0100806 | 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 | 5538314 | N/A | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2025-12-17 18:55:22.295250 | 2025-12-17 18:55:22.295258 | 659291 | NOT_INITIATED | 4211138 | N/A | N/A | PRIMARY | 20251217P0102232 | 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 | 12893985 | N/A | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2025-12-17 18:52:45.941948 | 2025-12-17 18:52:45.941956 | 659286 | NOT_INITIATED | 4208829 | N/A | N/A | PRIMARY | 20251217P0102310 | N/A | N/A | ELBOW | 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 | 5536007 | N/A | N/A | N/A | PRE_CERT | N/A | 20 | 20 | N/A | VISITS |
| 2025-12-17 16:36:30.518818 | 2025-12-17 16:36:30.518824 | 658964 | NOT_INITIATED | 10314571 | N/A | N/A | PRIMARY | 20251217P0100522 | 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 | 14042644 | N/A | N/A | N/A | PRE_CERT | N/A | 20 | 20 | N/A | VISITS |
| 2025-12-17 00:55:14.757934 | 2025-12-17 00:55:14.757941 | 658093 | NOT_INITIATED | 4534565 | N/A | N/A | PRIMARY | 20251210L0102098 | N/A | N/A | M54.50 - LOW BACK PAIN, UNSPECIFIED | 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 | 14345284 | N/A | N/A | N/A | PRE_CERT | N/A | 2 | 2 | N/A | VISITS |
| 2025-12-17 00:49:04.199872 | 2025-12-17 00:49:04.199880 | 658089 | NOT_INITIATED | 4534565 | N/A | N/A | PRIMARY | 20251210L0102098 | N/A | N/A | M54.50 - LOW BACK PAIN, UNSPECIFIED | 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 | 5993931 | N/A | N/A | N/A | PRE_CERT | N/A | 2 | 2 | N/A | VISITS |
| 2025-12-17 00:28:48.712031 | 2025-12-17 00:28:48.712036 | 658075 | NOT_INITIATED | 6219145 | N/A | N/A | PRIMARY | 20251216L0102211 | N/A | N/A | 1) M54.17 - RADICULOPATHY LUMBOSACRAL REGION 2) M25.551 - PAIN IN RIGHT HIP | N/A | 2026-03-16 07:00:00 | 2025-12-16 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 7253095 | N/A | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2025-12-17 00:04:51.085282 | 2025-12-17 00:04:51.085293 | 658037 | NOT_INITIATED | 9377403 | N/A | N/A | PRIMARY | 20251205L0100650 | N/A | N/A | N/A | N/A | 2026-03-16 07:00:00 | 2025-12-16 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 11011920 | N/A | N/A | N/A | PRE_CERT | N/A | 25 | 25 | N/A | VISITS |
| 2025-12-16 23:56:11.439546 | 2025-12-16 23:56:11.439553 | 658032 | NOT_INITIATED | 4219460 | N/A | N/A | PRIMARY | 20251216L0102083 | N/A | N/A | 1) M54.2 - CERVICALGIA 2) G89.29 - OTHER CHRONIC PAIN | N/A | 2026-03-16 07:00:00 | 2025-12-16 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5550061 | N/A | N/A | N/A | PRE_CERT | N/A | 3 | 3 | N/A | VISITS |
| 2025-12-16 23:51:22.291788 | 2025-12-16 23:51:22.291795 | 658031 | NOT_INITIATED | 4209841 | N/A | N/A | PRIMARY | 20251216P0106863 | N/A | N/A | N/A | N/A | 2026-03-16 07:00:00 | 2025-12-16 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5537237 | N/A | N/A | N/A | PRE_CERT | N/A | 20 | 20 | N/A | VISITS |
| 2025-12-16 19:03:05.749462 | 2025-12-16 19:03:05.749470 | 657659 | NOT_INITIATED | 4209868 | N/A | N/A | PRIMARY | 20251216P0102742 | N/A | N/A | N/A | N/A | 2026-03-16 07:00:00 | 2025-12-16 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 6685251 | N/A | N/A | N/A | PRE_CERT | N/A | 20 | 20 | N/A | VISITS |
| 2025-12-16 17:51:42.483207 | 2025-12-16 17:51:42.483217 | 657434 | NOT_INITIATED | 12463308 | N/A | N/A | PRIMARY | 20251205P0100923 | N/A | N/A | N/A | N/A | 2026-03-11 07:00:00 | 2025-12-05 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 14324989 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2025-12-16 17:46:05.364275 | 2025-12-16 17:47:40.061719 | 657431 | NOT_INITIATED | 12463052 | N/A | N/A | PRIMARY | 20251202L0102442 | N/A | N/A | N/A | N/A | 2026-03-02 08:00:00 | 2025-12-02 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 14324732 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2025-12-16 16:57:51.358181 | 2025-12-23 00:15:00.984004 | 657351 | NOT_INITIATED | 12459915 | N/A | N/A | PRIMARY | 40044561601 | 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 | 14321571 | True | N/A | N/A | PRE_CERT | N/A | 1 | 1 | N/A | VISITS |
| 2025-12-16 16:52:22.771756 | 2025-12-22 20:31:33.076390 | 657346 | NOT_INITIATED | 12459587 | N/A | N/A | PRIMARY | N/A | N/A | N/A | N/A | N/A | 2026-09-26 07:00:00 | 2025-09-26 07:00:00 | 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 |
| 2025-12-16 16:44:55.755043 | 2025-12-16 16:44:55.755050 | 657338 | NOT_INITIATED | 12459118 | N/A | N/A | PRIMARY | 22680560440 | N/A | N/A | M25.512 (ICD-10-CM) - LEFT SHOULDER JOINT PAIN | N/A | 2026-06-03 07:00:00 | 2025-12-02 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 14320858 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2025-12-16 16:18:49.192912 | 2026-01-29 17:10:47.880845 | 657299 | NOT_INITIATED | 4213815 | N/A | N/A | PRIMARY | 20251029P0106570 | N/A | N/A | N/A | N/A | 2026-01-27 08:00:00 | 2025-10-29 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 14319509 | True | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2025-12-16 16:09:46.147807 | 2025-12-22 16:56:41.721021 | 657287 | NOT_INITIATED | 11792017 | N/A | N/A | PRIMARY | 20251205L0100853 | N/A | N/A | RIGHT SHOULDER | 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 | 13644272 | N/A | N/A | N/A | PRE_CERT | N/A | 11 | 11 | N/A | VISITS |
| 2025-12-16 00:50:05.289023 | 2025-12-16 00:50:05.289033 | 656755 | NOT_INITIATED | 12432234 | N/A | N/A | PRIMARY | 22680599407 | N/A | N/A | N/A | N/A | 2026-12-04 08:00:00 | 2025-12-10 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 14298287 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2025-12-16 00:33:01.999264 | 2025-12-16 00:33:01.999272 | 656418 | NOT_INITIATED | 12431457 | N/A | N/A | PRIMARY | 22680586052 | N/A | N/A | N/A | N/A | 2026-06-04 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 | 14297735 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2025-12-15 23:45:53.647329 | 2025-12-15 23:45:53.647338 | 656286 | NOT_INITIATED | 11005792 | N/A | N/A | PRIMARY | 20251215L0101997 | 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 | 12841694 | N/A | N/A | N/A | PRE_CERT | N/A | 20 | 20 | N/A | VISITS |
| 2025-12-15 21:16:03.380463 | 2025-12-15 21:16:03.380471 | 656157 | NOT_INITIATED | 12417830 | N/A | N/A | PRIMARY | 20251215L0100923 | 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 | 14283873 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2025-12-15 20:49:25.357581 | 2025-12-18 00:10:33.377186 | 656120 | NOT_INITIATED | 11591614 | N/A | N/A | PRIMARY | Auth 6 | N/A | N/A | N/A | N/A | 2026-11-17 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 | 14391642 | N/A | N/A | N/A | PRE_CERT | N/A | 6 | 6 | N/A | VISITS |
| 2025-12-15 19:37:32.150296 | 2026-01-08 17:41:21.380404 | 655973 | NOT_INITIATED | 12407946 | N/A | N/A | PRIMARY | AUTH 6 | N/A | N/A | N/A | N/A | 2026-12-12 08:00:00 | 2025-12-12 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 14274010 | N/A | N/A | N/A | PRE_CERT | N/A | 10 | 6 | N/A | VISITS |
| 2025-12-15 19:36:22.470370 | 2026-02-14 00:50:01.386704 | 655969 | NOT_INITIATED | 4210463 | N/A | N/A | PRIMARY | 20251204P0101902 | 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 | 5537969 | True | N/A | N/A | PRE_CERT | N/A | 21 | 21 | N/A | VISITS |
| 2025-12-15 18:32:19.559822 | 2025-12-15 18:32:19.559831 | 655811 | NOT_INITIATED | 4210933 | N/A | N/A | PRIMARY | 20251215P0101489 | 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 | 5538519 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2025-12-15 16:39:59.530515 | 2025-12-19 16:46:55.739237 | 655571 | NOT_INITIATED | 12399228 | N/A | N/A | PRIMARY | N/A | N/A | N/A | N/A | N/A | 2026-12-07 08:00:00 | 2025-12-07 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 |
| 2025-12-15 16:15:49.797074 | 2025-12-18 15:48:20.253766 | 655527 | NOT_INITIATED | 12397623 | N/A | N/A | PRIMARY | N/A | N/A | N/A | N/A | N/A | 2026-12-10 08:00:00 | 2025-12-10 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | N/A | N/A | N/A | N/A | REFERRAL | 224853 | 10 | 10 | N/A | VISITS |
| 2025-12-12 23:02:27.845133 | 2025-12-17 22:13:28.269329 | 654416 | NOT_INITIATED | 4215118 | N/A | N/A | PRIMARY | 20251114P0101917 | N/A | N/A | 1) M25.571 - PAIN IN RIGHT ANKLE 2) M25.572 - PAIN IN LEFT ANKLE 3) M25.531 - PAIN IN RIGHT WRIST 4) M25.532 - PAIN IN LEFT WRIST 5) M54.59 - OTHER LOW BACK PAIN 6) M79.651 - PAIN IN RIGHT THIGH 7) M79.652 - PAIN IN LEFT THIGH | N/A | 2026-02-12 08:00:00 | 2025-11-14 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5550793 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2025-12-12 22:29:16.719759 | 2025-12-18 15:50:04.244285 | 654407 | NOT_INITIATED | 12352146 | N/A | N/A | PRIMARY | N/A | N/A | N/A | N/A | N/A | 2026-12-12 08:00:00 | 2025-12-12 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | N/A | N/A | N/A | N/A | REFERRAL | 224853 | 10 | 10 | N/A | VISITS |
| 2025-12-12 22:22:23.261721 | 2025-12-17 16:00:32.155573 | 654404 | NOT_INITIATED | 4212647 | N/A | N/A | PRIMARY | N/A | N/A | N/A | N/A | N/A | 2026-12-03 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 | N/A | N/A | N/A | N/A | REFERRAL | 224853 | 10 | 10 | N/A | VISITS |
| 2025-12-12 18:42:09.811108 | 2026-01-27 19:28:51.186268 | 654184 | NOT_INITIATED | 4219630 | N/A | N/A | PRIMARY | 20251212P0102050 | N/A | N/A | N/A | N/A | 2026-03-12 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 | 5858742 | True | N/A | N/A | PRE_CERT | N/A | 6 | 6 | N/A | VISITS |
| 2025-12-12 18:42:00.585015 | 2025-12-12 18:42:00.585023 | 654183 | NOT_INITIATED | 9532194 | N/A | N/A | PRIMARY | N/A | N/A | N/A | N/A | N/A | N/A | 2025-12-11 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 | 243463 | 18 | 18 | N/A | VISITS |
| 2025-12-12 17:51:52.713776 | 2025-12-12 17:51:52.713783 | 654066 | NOT_INITIATED | 12339277 | N/A | N/A | PRIMARY | N/A | N/A | N/A | N/A | N/A | 2026-11-23 08:00:00 | 2025-11-24 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 | 169695 | 16 | 16 | N/A | VISITS |
| 2025-12-12 17:04:18.903093 | 2025-12-18 15:54:02.299177 | 654019 | NOT_INITIATED | 12337190 | N/A | N/A | PRIMARY | N/A | N/A | N/A | N/A | N/A | 2026-12-05 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 | 243723 | 10 | 10 | N/A | VISITS |
| 2025-12-12 16:50:54.873344 | 2025-12-17 15:45:19.499603 | 654000 | NOT_INITIATED | 12336889 | N/A | N/A | PRIMARY | N/A | N/A | N/A | N/A | N/A | 2026-12-07 08:00:00 | 2025-12-07 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 |