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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2026-04-13 22:36:31.520070 | 2026-04-13 22:36:31.822399 | 980769 | NOT_INITIATED | 17479822 | N/A | N/A | PRIMARY | 20260413P0102917 | N/A | N/A | N/A | N/A | 2026-07-12 07:00:00 | 2026-04-13 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 19764804 | N/A | N/A | N/A | PRE_CERT | N/A | N/A | 1 | N/A | UNITS |
| 2026-04-13 22:35:49.468688 | 2026-04-13 22:35:49.468696 | 980761 | NOT_INITIATED | 17484310 | N/A | N/A | PRIMARY | 20260326721033204959 | N/A | N/A | M51.369 OTHER INTERVERTEBRAL DISC DEGENERATION, LUM M54.50 LOW BACK PAIN, UNSPECIFIED G89.29 OTHER CHRONIC PAIN | N/A | 2026-09-22 07:00:00 | 2026-03-26 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 19769372 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2026-04-13 22:04:49.448626 | 2026-04-13 22:04:56.363607 | 980725 | NOT_INITIATED | 4212176 | N/A | N/A | PRIMARY | 20260413L0101763 | N/A | N/A | M25.552 - PAIN IN LEFT HIP | N/A | 2026-07-12 07:00:00 | 2026-04-13 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5550102 | N/A | N/A | N/A | PRE_CERT | N/A | 6 | 6 | N/A | VISITS |
| 2026-04-13 22:03:13.874162 | 2026-04-13 22:03:13.874173 | 980721 | NOT_INITIATED | 17057081 | N/A | N/A | PRIMARY | N/A | N/A | N/A | N/A | N/A | 2027-02-06 08:00:00 | 2026-02-06 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 | 224987 | 24 | 24 | N/A | VISITS |
| 2026-04-13 21:59:52.074235 | 2026-04-13 21:59:52.074242 | 980720 | NOT_INITIATED | 4212176 | N/A | N/A | PRIMARY | 20260401L0101978 | N/A | N/A | 1) S39.011S - STRAIN MUSC FASCIA TENDON ABD SEQ | N/A | 2026-07-02 07:00:00 | 2026-04-01 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5550102 | N/A | N/A | N/A | PRE_CERT | N/A | 7 | 7 | N/A | VISITS |
| 2026-04-13 21:57:31.873291 | 2026-04-13 21:57:31.873304 | 980719 | NOT_INITIATED | 4215139 | N/A | N/A | PRIMARY | 20260413P0106300 | N/A | N/A | 1) M25.50 - PAIN IN UNSPECIFIED JOINT | N/A | 2026-07-12 07:00:00 | 2026-04-13 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5543335 | N/A | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2026-04-13 21:55:05.036954 | 2026-04-13 21:55:05.036962 | 980718 | NOT_INITIATED | 13546654 | N/A | N/A | PRIMARY | 20260413P0106213 | N/A | N/A | 1) M66.361 - SPONT RUPTURE FLEXOR TEND RT LW LEG | N/A | 2026-07-12 07:00:00 | 2026-04-13 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 15459527 | N/A | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2026-04-13 21:50:22.909156 | 2026-04-13 21:50:22.909164 | 980712 | NOT_INITIATED | 16750601 | N/A | N/A | PRIMARY | 20260413P0106157 | N/A | N/A | M25.561 - PAIN IN RIGHT KNEE | N/A | 2026-07-12 07:00:00 | 2026-04-13 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 18777299 | N/A | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2026-04-13 20:45:44.803069 | 2026-04-13 20:45:44.803075 | 979757 | NOT_INITIATED | 17461855 | 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 | 122405 | 12 | 12 | N/A | VISITS |
| 2026-04-13 19:35:43.076467 | 2026-04-13 19:35:43.076476 | 979628 | NOT_INITIATED | 17207912 | N/A | N/A | PRIMARY | N/A | N/A | N/A | RIGHT WRIST | N/A | 2027-04-06 07:00:00 | 2026-04-06 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 | 224463 | 10 | 10 | N/A | VISITS |
| 2026-04-13 19:26:18.410857 | 2026-04-22 18:33:42.074464 | 979614 | NOT_INITIATED | 17181967 | N/A | N/A | PRIMARY | 20260406L0100284 | N/A | N/A | LEFT KNEE | N/A | 2026-07-05 07:00:00 | 2026-04-06 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 19762312 | N/A | N/A | N/A | PRE_CERT | N/A | 17 | 17 | N/A | VISITS |
| 2026-04-13 18:57:20.005509 | 2026-04-13 18:57:23.354064 | 979467 | NOT_INITIATED | 17457428 | N/A | N/A | PRIMARY | 20260413L0100565 | N/A | N/A | N/A | N/A | 2026-07-12 07:00:00 | 2026-04-13 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 19743445 | N/A | N/A | N/A | PRE_CERT | N/A | N/A | 1 | N/A | UNITS |
| 2026-04-13 18:11:33.450634 | 2026-04-13 18:11:33.450646 | 979385 | NOT_INITIATED | 17455445 | N/A | N/A | PRIMARY | 20260226721033205333 | N/A | N/A | M25.511-PAIN IN RIGHT SHOULDER | 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 | 19741403 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2026-04-13 17:48:15.153023 | 2026-04-13 17:48:15.153034 | 979330 | NOT_INITIATED | 17453024 | 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 | 122370 | 16 | 16 | N/A | VISITS |
| 2026-04-13 16:59:59.492317 | 2026-04-13 16:59:59.492331 | 979155 | NOT_INITIATED | 17451022 | N/A | N/A | PRIMARY | 20260406L0101100 | N/A | N/A | N/A | N/A | 2026-07-05 07:00:00 | 2026-04-06 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 19736704 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2026-04-10 23:17:53.040343 | 2026-04-10 23:17:53.040350 | 977456 | NOT_INITIATED | 12546413 | N/A | N/A | PRIMARY | 20260401L0101264 | N/A | N/A | N/A | N/A | 2026-07-06 07:00:00 | 2026-04-07 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 16195435 | N/A | N/A | N/A | PRE_CERT | N/A | 6 | 6 | N/A | VISITS |
| 2026-04-10 23:00:02.697516 | 2026-04-21 20:38:50.982350 | 977406 | NOT_INITIATED | 16747981 | N/A | N/A | PRIMARY | 22684590186 | N/A | N/A | CERVICAL | N/A | 2026-06-23 07:00:00 | 2026-03-25 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 18774452 | N/A | N/A | N/A | PRE_CERT | N/A | 7 | 6 | N/A | VISITS |
| 2026-04-10 21:05:06.113580 | 2026-04-20 17:05:26.119268 | 977146 | NOT_INITIATED | 17394794 | N/A | N/A | PRIMARY | 20260410P0104420 | N/A | N/A | N/A | N/A | 2026-07-09 07:00:00 | 2026-04-10 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 19661632 | N/A | N/A | N/A | PRE_CERT | N/A | 1 | 1 | N/A | VISITS |
| 2026-04-10 20:52:37.809427 | 2026-04-10 20:52:38.287680 | 977125 | NOT_INITIATED | 4642859 | N/A | N/A | PRIMARY | 20260410L0100985 | N/A | N/A | N/A | N/A | 2026-07-06 07:00:00 | 2026-04-10 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5993920 | N/A | N/A | N/A | PRE_CERT | N/A | N/A | 25 | N/A | UNITS |
| 2026-04-10 20:31:00.894248 | 2026-04-10 20:31:01.344771 | 977106 | NOT_INITIATED | 7906478 | N/A | N/A | PRIMARY | 20260410L0100951 | N/A | N/A | N/A | N/A | 2026-07-09 07:00:00 | 2026-04-01 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 9453081 | N/A | N/A | N/A | PRE_CERT | N/A | N/A | 25 | N/A | UNITS |
| 2026-04-10 20:24:23.876206 | 2026-04-10 20:24:23.876216 | 977100 | NOT_INITIATED | 17161610 | N/A | N/A | PRIMARY | N/A | N/A | N/A | N/A | N/A | 2027-04-03 07:00:00 | 2026-04-03 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 | 243719 | N/A | N/A | N/A | VISITS |
| 2026-04-10 20:16:07.451219 | 2026-04-10 20:16:07.451233 | 977079 | NOT_INITIATED | 17388680 | N/A | N/A | PRIMARY | 20260403P0106420 | N/A | N/A | N/A | N/A | 2026-07-02 07:00:00 | 2026-04-03 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 19655174 | N/A | N/A | N/A | PRE_CERT | N/A | 9 | 9 | N/A | VISITS |
| 2026-04-10 19:15:40.934234 | 2026-04-10 19:15:40.934243 | 976947 | NOT_INITIATED | 17386554 | N/A | N/A | PRIMARY | 22684584891 | N/A | N/A | M17.11 (ICD-10-CM) - OSTEOARTHRITIS OF RIGHT KNEE | N/A | 2026-08-22 07:00:00 | 2026-03-25 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 19653172 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2026-04-10 17:55:20.966720 | 2026-04-10 17:55:20.966729 | 976635 | NOT_INITIATED | 4210486 | N/A | N/A | PRIMARY | 20260410L0100732 | N/A | N/A | N/A | N/A | 2026-07-09 07:00:00 | 2026-04-10 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5537996 | N/A | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2026-04-10 17:47:21.890407 | 2026-04-10 17:47:21.890422 | 976614 | NOT_INITIATED | 10601861 | N/A | N/A | PRIMARY | 20260410P0102654 | N/A | N/A | N/A | N/A | 2026-07-09 07:00:00 | 2026-04-10 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 12421991 | N/A | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2026-04-10 17:16:26.087520 | 2026-04-10 17:16:27.098726 | 976467 | NOT_INITIATED | 17381626 | N/A | N/A | PRIMARY | 22685013148 | N/A | N/A | N/A | N/A | 2026-07-09 07:00:00 | 2026-04-10 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 | 224821 | N/A | 25 | N/A | UNITS |
| 2026-04-10 17:07:18.698369 | 2026-04-10 17:07:19.214652 | 975871 | NOT_INITIATED | 14597301 | N/A | N/A | PRIMARY | 20260409L0101501 | N/A | N/A | N/A | N/A | 2026-07-08 07:00:00 | 2026-04-09 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 16579154 | N/A | N/A | N/A | PRE_CERT | N/A | N/A | 13 | N/A | UNITS |
| 2026-04-10 15:42:43.151148 | 2026-04-10 15:42:43.151193 | 975306 | NOT_INITIATED | 17367714 | N/A | N/A | PRIMARY | 50041694108 | N/A | N/A | N/A | N/A | 2026-07-08 07:00:00 | 2026-04-08 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 | 79253 | 12 | 12 | N/A | VISITS |
| 2026-04-10 14:43:03.156600 | 2026-04-10 14:43:03.156607 | 975202 | NOT_INITIATED | 11842216 | N/A | N/A | PRIMARY | 20260410P0100413 | N/A | N/A | LEFT HIP POST-OP | N/A | 2026-07-09 07:00:00 | 2026-04-10 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 13691995 | N/A | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2026-04-09 23:49:41.899532 | 2026-04-09 23:49:41.899540 | 966161 | NOT_INITIATED | 4209387 | N/A | N/A | PRIMARY | 20260409L0102301 | N/A | N/A | LEFT SHOULDER | N/A | 2026-07-08 07:00:00 | 2026-04-09 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5536688 | N/A | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2026-04-09 21:49:45.608582 | 2026-04-09 21:49:45.608631 | 964674 | NOT_INITIATED | 17320461 | N/A | N/A | PRIMARY | 22684693248 | N/A | N/A | M54.32 (ICD-10-CM) - SCIATICA, LEFT SIDE | N/A | 2026-09-29 07:00:00 | 2026-03-30 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 19567718 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2026-04-09 21:39:47.726614 | 2026-04-09 21:39:47.726620 | 964658 | NOT_INITIATED | 17169451 | N/A | N/A | PRIMARY | 20260224P0108442 | N/A | N/A | CERVICAL/RIGHT SHOULDER | N/A | 2026-05-25 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 | 19350692 | N/A | N/A | N/A | PRE_CERT | N/A | 9 | 9 | N/A | VISITS |
| 2026-04-09 21:38:46.805312 | 2026-04-09 21:38:46.805319 | 964657 | NOT_INITIATED | 17320186 | N/A | N/A | PRIMARY | 22684784722 | N/A | N/A | M77.11 (ICD-10-CM) - RIGHT LATERAL EPICONDYLITIS | N/A | 2026-08-29 07:00:00 | 2026-04-01 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 19567462 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2026-04-09 21:06:03.975862 | 2026-04-09 21:06:03.975872 | 964602 | NOT_INITIATED | 14403242 | N/A | N/A | PRIMARY | 22683003962 | N/A | N/A | M75.101-Right Rotator Cuff Syndrome | N/A | 2027-01-29 08:00:00 | 2026-01-29 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 16357604 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2026-04-09 19:47:37.548306 | 2026-04-09 19:47:37.548316 | 964446 | NOT_INITIATED | 17308561 | N/A | N/A | PRIMARY | N/A | N/A | N/A | RIGHT ANKLE | N/A | 2027-04-02 07:00:00 | 2026-04-02 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 | 243559 | 10 | 10 | N/A | VISITS |
| 2026-04-09 18:26:56.937992 | 2026-04-09 18:26:56.938000 | 964261 | NOT_INITIATED | 17312075 | 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 | 82706 | 12 | 12 | N/A | VISITS |
| 2026-04-09 16:56:00.103506 | 2026-04-09 16:56:00.832288 | 963891 | NOT_INITIATED | 4212252 | N/A | N/A | PRIMARY | 20260408P0100904 | N/A | N/A | N/A | N/A | 2026-07-07 07:00:00 | 2026-04-08 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5540039 | N/A | N/A | N/A | PRE_CERT | N/A | N/A | 25 | N/A | UNITS |
| 2026-04-09 16:27:23.799560 | 2026-04-09 16:27:24.294452 | 963749 | NOT_INITIATED | 4214977 | N/A | N/A | PRIMARY | 20260403P0100984 | N/A | N/A | N/A | N/A | 2026-07-07 07:00:00 | 2026-04-03 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 19553176 | N/A | N/A | N/A | PRE_CERT | N/A | N/A | 25 | N/A | UNITS |
| 2026-04-09 00:00:36.801374 | 2026-04-09 00:00:36.801383 | 958097 | NOT_INITIATED | 13900510 | N/A | N/A | PRIMARY | 20260408L0102303 | N/A | N/A | LUMBAR | N/A | 2026-07-07 07:00:00 | 2026-04-08 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 15810989 | N/A | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2026-04-08 22:46:02.114201 | 2026-04-08 22:46:02.114210 | 957834 | NOT_INITIATED | 7545472 | N/A | N/A | PRIMARY | 293522888-UMO-6 | N/A | N/A | Pelvis | N/A | 2026-08-08 07:00:00 | 2026-04-08 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 9022838 | N/A | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2026-04-08 22:42:15.374547 | 2026-04-08 22:42:15.830258 | 957832 | NOT_INITIATED | 10026102 | N/A | N/A | PRIMARY | 20260408P0101988 | N/A | N/A | N/A | N/A | 2026-07-07 07:00:00 | 2026-04-08 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 11792119 | N/A | N/A | N/A | PRE_CERT | N/A | N/A | 17 | N/A | UNITS |
| 2026-04-08 22:41:33.195615 | 2026-04-08 22:41:33.195624 | 957830 | NOT_INITIATED | 17274837 | N/A | N/A | PRIMARY | 22684760051 | N/A | N/A | M25.552 (ICD-10-CM) - LEFT HIP JOINT PAIN | N/A | 2026-08-29 07:00:00 | 2026-04-01 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 19500783 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2026-04-08 22:34:36.908038 | 2026-04-08 22:34:36.908049 | 957770 | NOT_INITIATED | 17274629 | N/A | N/A | PRIMARY | N/A | N/A | N/A | N/A | N/A | N/A | 2026-04-21 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 | 124556 | 12 | 12 | N/A | VISITS |
| 2026-04-08 22:22:50.430292 | 2026-05-22 17:11:07.548809 | 957734 | NOT_INITIATED | 4211321 | N/A | N/A | PRIMARY | 20260408P0104729 | N/A | N/A | N/A | N/A | 2026-07-07 07:00:00 | 2026-04-08 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5538991 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2026-04-08 21:59:22.382576 | 2026-04-08 21:59:23.034269 | 957672 | NOT_INITIATED | 4212866 | N/A | N/A | PRIMARY | 20260408P0104867 | N/A | N/A | N/A | N/A | 2026-07-07 07:00:00 | 2026-04-08 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5540766 | N/A | N/A | N/A | PRE_CERT | N/A | N/A | 7 | N/A | UNITS |
| 2026-04-08 21:49:51.223575 | 2026-06-11 18:36:52.126418 | 957656 | NOT_INITIATED | 4218944 | N/A | N/A | PRIMARY | 20260408P0105286 | N/A | N/A | CERVICAL | N/A | 2026-07-07 00:00:00 | 2026-04-08 00:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 19871030 | N/A | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2026-04-08 21:44:10.003054 | 2026-04-08 21:44:10.003063 | 957649 | NOT_INITIATED | 4214824 | 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 | 172044 | 8 | 8 | N/A | VISITS |
| 2026-04-08 21:37:11.003000 | 2026-05-29 18:01:35.711991 | 957627 | NOT_INITIATED | 4211820 | N/A | N/A | PRIMARY | 20260407L0100151 | N/A | N/A | N/A | N/A | 2026-07-06 07:00:00 | 2026-04-07 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5539527 | N/A | N/A | N/A | PRE_CERT | N/A | N/A | 25 | N/A | UNITS |
| 2026-04-08 21:29:31.353464 | 2026-04-08 21:29:31.353472 | 957578 | NOT_INITIATED | 14780524 | N/A | N/A | PRIMARY | 20260408P0104822 | N/A | N/A | WEAKNESS/GAIT AND BALANCE INSTABILITY | N/A | 2026-07-07 07:00:00 | 2026-04-08 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 16769985 | N/A | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2026-04-08 21:10:00.240137 | 2026-06-02 21:59:26.629508 | 957529 | NOT_INITIATED | 17271609 | N/A | N/A | PRIMARY | 20260406L0101339 | N/A | N/A | N/A | N/A | 2026-07-05 07:00:00 | 2026-04-06 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 19497119 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |