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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-11-20 18:02:50.765497 | 2025-11-20 18:02:50.765507 | 609769 | NOT_INITIATED | 10238684 | N/A | N/A | PRIMARY | 20251120P0101157 | N/A | N/A | N/A | N/A | 2026-02-18 08:00:00 | 2025-11-20 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 12016953 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2025-11-20 17:47:14.671753 | 2025-11-20 17:47:14.671762 | 609750 | NOT_INITIATED | 11276314 | N/A | N/A | PRIMARY | 20251120P0100537 | N/A | N/A | N/A | N/A | 2026-02-18 08:00:00 | 2025-11-20 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 13125236 | N/A | N/A | N/A | PRE_CERT | N/A | 9 | 9 | N/A | VISITS |
| 2025-11-20 17:02:03.473548 | 2026-02-13 05:02:32.870109 | 609571 | NOT_INITIATED | 4209616 | N/A | N/A | PRIMARY | 20251120L0100172 | N/A | N/A | N/A | N/A | 2026-02-18 08:00:00 | 2025-11-20 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5536963 | True | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2025-11-20 16:23:57.632530 | 2026-02-06 00:03:25.679341 | 609448 | NOT_INITIATED | 11271755 | N/A | N/A | PRIMARY | 20251106P0105183 | N/A | N/A | N/A | N/A | 2026-02-04 08:00:00 | 2025-11-06 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 13120856 | True | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2025-11-20 16:19:09.889733 | 2025-12-01 20:16:08.165278 | 609427 | NOT_INITIATED | 11271464 | N/A | N/A | PRIMARY | 20251006L0102279 | N/A | N/A | BILATERAL SHOULDERS | N/A | 2026-01-04 08:00:00 | 2025-10-06 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 13120596 | N/A | N/A | N/A | PRE_CERT | N/A | 3 | 3 | N/A | VISITS |
| 2025-11-20 00:37:47.863999 | 2025-11-20 00:37:47.864004 | 608174 | NOT_INITIATED | 11233619 | N/A | N/A | PRIMARY | 20251119L0102169 | 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 | 13079939 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2025-11-19 23:55:41.673209 | 2025-12-01 20:00:18.709905 | 608166 | NOT_INITIATED | 11230942 | N/A | N/A | PRIMARY | N/A | N/A | N/A | N/A | N/A | 2026-02-19 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 | N/A | N/A | N/A | N/A | REFERRAL | 243652 | 10 | 10 | N/A | VISITS |
| 2025-11-19 23:50:32.737587 | 2025-11-19 23:50:32.737596 | 608149 | NOT_INITIATED | 10704924 | N/A | N/A | PRIMARY | 22679769262 | N/A | N/A | M25.511 (ICD-10-CM) - RIGHT SHOULDER JOINT PAIN | N/A | 2026-04-29 07:00:00 | 2025-10-31 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 12533089 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2025-11-19 23:11:42.082093 | 2025-12-03 00:44:46.295645 | 608118 | NOT_INITIATED | 4210611 | N/A | N/A | PRIMARY | 20251119P0104679 | N/A | N/A | LEFT SHOULDER | 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 | 5538152 | N/A | N/A | N/A | PRE_CERT | N/A | 9 | 9 | N/A | VISITS |
| 2025-11-19 22:42:46.986371 | 2025-11-19 22:42:46.986376 | 608103 | NOT_INITIATED | 6709145 | N/A | N/A | PRIMARY | 2025070372103320378 | N/A | N/A | N/A | N/A | 2025-12-30 08:00:00 | 2025-07-03 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 9104487 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2025-11-19 22:30:36.327070 | 2025-11-19 22:30:36.327080 | 608083 | NOT_INITIATED | 4214822 | N/A | N/A | PRIMARY | 20251119L0101738 | 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 | 5542976 | N/A | N/A | N/A | PRE_CERT | N/A | 16 | 16 | N/A | VISITS |
| 2025-11-19 21:57:58.461107 | 2026-02-27 00:11:44.780975 | 608051 | NOT_INITIATED | 10741847 | N/A | N/A | PRIMARY | 20260226P0106376 | N/A | N/A | N/A | 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 | 14508581 | N/A | N/A | N/A | PRE_CERT | N/A | 20 | 15 | N/A | VISITS |
| 2025-11-19 21:46:24.875245 | 2025-11-20 18:38:50.936941 | 608037 | NOT_INITIATED | 10703215 | N/A | N/A | PRIMARY | N/A | N/A | N/A | N/A | N/A | 2026-02-19 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 | N/A | N/A | N/A | N/A | REFERRAL | 243674 | 10 | 10 | N/A | VISITS |
| 2025-11-19 21:38:36.021662 | 2025-11-19 21:38:36.021673 | 608025 | NOT_INITIATED | 10878724 | N/A | N/A | PRIMARY | 20251119P0104499 | 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 | 12715192 | N/A | N/A | N/A | PRE_CERT | N/A | 16 | 16 | N/A | VISITS |
| 2025-11-19 21:31:44.836940 | 2025-11-19 21:31:44.836951 | 608015 | NOT_INITIATED | 4215334 | N/A | N/A | PRIMARY | 20251119P0103476 | 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 | 5543556 | N/A | N/A | N/A | PRE_CERT | N/A | 4 | 4 | N/A | VISITS |
| 2025-11-19 21:22:51.211452 | 2025-11-19 21:22:51.211457 | 608009 | NOT_INITIATED | 4816753 | N/A | N/A | PRIMARY | 20251119L0101352 | 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 | 6176115 | N/A | N/A | N/A | PRE_CERT | N/A | 25 | 25 | N/A | VISITS |
| 2025-11-19 21:17:35.589345 | 2025-11-19 21:17:35.589351 | 607994 | NOT_INITIATED | 8178957 | N/A | N/A | PRIMARY | 20251119L0101410 | 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 | 9767878 | N/A | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2025-11-19 21:12:35.884755 | 2025-11-19 21:12:35.884763 | 607977 | NOT_INITIATED | 6797587 | N/A | N/A | PRIMARY | 20251119L0101389 | 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 | 7987754 | N/A | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2025-11-19 20:43:51.405665 | 2025-11-19 20:43:51.405673 | 607938 | NOT_INITIATED | 11208103 | N/A | N/A | PRIMARY | 22679987883 | N/A | N/A | N/A | N/A | 2026-05-12 07:00:00 | 2025-11-10 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 13050785 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2025-11-19 20:11:43.898730 | 2025-11-19 20:11:43.898737 | 607871 | NOT_INITIATED | 11203117 | N/A | N/A | PRIMARY | 22679666503 | N/A | N/A | M76.891 (ICD-10-CM) - TENDINITIS OF RIGHT HIP | N/A | 2026-04-29 07:00:00 | 2025-11-11 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 13045814 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2025-11-19 19:03:59.244686 | 2025-11-19 19:03:59.244692 | 607786 | NOT_INITIATED | 11202258 | N/A | N/A | PRIMARY | 20251020L0101246 | N/A | N/A | N/A | N/A | 2026-01-20 08:00:00 | 2025-10-20 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 13044933 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2025-11-19 18:27:43.317337 | 2025-11-19 18:27:43.317349 | 607747 | NOT_INITIATED | 11199149 | N/A | N/A | PRIMARY | 20251031721033205446 | N/A | N/A | M53.9 DORSOPATHY, UNSPECIFIED | N/A | 2026-04-29 07:00:00 | 2025-10-31 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 13041876 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2025-11-19 17:43:30.672377 | 2025-11-19 17:43:30.672385 | 607657 | NOT_INITIATED | 11198096 | N/A | N/A | PRIMARY | 20251013L0101390 | N/A | N/A | S46.001A - UNS INJ MSC TEND RC RT SHLDR INIT | N/A | 2026-01-11 08:00:00 | 2025-10-13 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 13040906 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2025-11-19 17:41:07.044947 | 2026-01-19 16:14:51.772026 | 607653 | NOT_INITIATED | 4208849 | N/A | N/A | PRIMARY | 20251007L0100461 | N/A | N/A | N/A | N/A | 2026-01-05 08:00:00 | 2025-10-07 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5549015 | True | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2025-11-19 17:23:30.324464 | 2025-11-19 17:23:30.324479 | 607625 | NOT_INITIATED | 5218074 | N/A | N/A | PRIMARY | 076925305669TWC | N/A | N/A | N/A | N/A | 2026-09-03 07:00:00 | 2025-09-03 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 6600335 | N/A | N/A | N/A | PRE_CERT | N/A | 6 | 6 | N/A | VISITS |
| 2025-11-19 16:43:44.526865 | 2025-11-19 16:43:44.526871 | 607545 | NOT_INITIATED | 11194723 | N/A | N/A | PRIMARY | 20251118L0101379 | N/A | N/A | N/A | N/A | 2026-02-16 08:00:00 | 2025-11-18 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 13037589 | N/A | N/A | N/A | PRE_CERT | N/A | 25 | 25 | N/A | VISITS |
| 2025-11-19 16:33:45.014760 | 2025-11-19 16:33:45.014770 | 607530 | NOT_INITIATED | 5983606 | N/A | N/A | PRIMARY | 20251118L0102172 | N/A | N/A | LOWER BACK | N/A | 2026-02-16 08:00:00 | 2025-11-18 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 6958289 | N/A | N/A | N/A | PRE_CERT | N/A | 11 | 11 | N/A | VISITS |
| 2025-11-19 16:30:50.488999 | 2025-11-19 16:30:50.489006 | 607524 | NOT_INITIATED | 4209596 | N/A | N/A | PRIMARY | 20251118L0102230 | N/A | N/A | N/A | N/A | 2026-02-16 08:00:00 | 2025-11-18 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5536934 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2025-11-19 15:51:37.709754 | 2025-11-19 15:51:37.709762 | 607441 | NOT_INITIATED | 4212166 | N/A | N/A | PRIMARY | 20251119P0100367 | 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 | 5539956 | N/A | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2025-11-19 00:41:58.927558 | 2025-12-01 23:08:54.348097 | 606626 | NOT_INITIATED | 11170944 | N/A | N/A | PRIMARY | N/A | N/A | N/A | N/A | N/A | 2026-02-18 08:00:00 | 2025-11-18 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 | 243723 | 10 | 10 | N/A | VISITS |
| 2025-11-19 00:33:10.975410 | 2025-11-19 00:33:10.975423 | 606619 | NOT_INITIATED | 4720748 | N/A | N/A | PRIMARY | 20251113P0107606 | N/A | N/A | N/A | N/A | 2026-02-12 08:00:00 | 2025-11-13 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 6077164 | N/A | N/A | N/A | PRE_CERT | N/A | 7 | 7 | N/A | VISITS |
| 2025-11-18 23:57:23.586206 | 2025-11-18 23:57:23.586214 | 606568 | NOT_INITIATED | 11169586 | N/A | N/A | PRIMARY | 22679847503 | N/A | N/A | M79.604, M79.605 (ICD-10-CM) - BILAT LEG PAIN | N/A | 2026-05-06 07:00:00 | 2025-11-04 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 13010938 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2025-11-18 22:13:26.973530 | 2025-11-18 22:13:26.973535 | 606481 | NOT_INITIATED | 11166074 | N/A | N/A | PRIMARY | 22680013099 | N/A | N/A | M25.561 (ICD-10-CM) - RIGHT KNEE JOINT PAIN M25.552 (ICD-10-CM) - LEFT HIP JOINT PAIN | N/A | 2026-05-12 07:00:00 | 2025-11-10 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 13007520 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2025-11-18 20:07:09.609843 | 2025-11-18 20:07:09.609851 | 606206 | NOT_INITIATED | 11158952 | N/A | N/A | PRIMARY | 22679951737 | N/A | N/A | M46.1 (ICD-10-CM) - RIGHT SACROILIITIS | N/A | 2026-05-06 07:00:00 | 2025-11-07 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 13000772 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2025-11-18 19:30:03.037688 | 2025-11-18 19:30:03.037694 | 606172 | NOT_INITIATED | 4213860 | N/A | N/A | PRIMARY | N/A | N/A | N/A | N/A | N/A | 2026-11-13 08:00:00 | 2025-11-13 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 |
| 2025-11-18 19:21:29.867685 | 2026-01-08 23:43:32.472818 | 606140 | NOT_INITIATED | 4208592 | N/A | N/A | PRIMARY | 4082918 | N/A | N/A | N/A | N/A | 2026-02-11 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 | 12998482 | N/A | N/A | N/A | PRE_CERT | N/A | 6 | 6 | N/A | VISITS |
| 2025-11-18 19:17:45.418430 | 2025-11-18 19:17:45.418438 | 606125 | NOT_INITIATED | 4209945 | N/A | N/A | PRIMARY | 20251118P0102828 | N/A | N/A | SHOULDERS | N/A | 2026-02-16 08:00:00 | 2025-11-18 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5537366 | N/A | N/A | N/A | PRE_CERT | N/A | 16 | 16 | N/A | VISITS |
| 2025-11-18 18:53:25.694703 | 2025-11-18 18:53:25.694713 | 606104 | NOT_INITIATED | 10955192 | N/A | N/A | PRIMARY | N/A | N/A | N/A | N/A | N/A | 2026-11-13 08:00:00 | 2025-11-13 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 |
| 2025-11-18 18:50:54.924042 | 2025-11-18 18:50:54.924060 | 606103 | NOT_INITIATED | 10956200 | N/A | N/A | PRIMARY | N/A | N/A | N/A | N/A | N/A | 2026-11-13 08:00:00 | 2025-11-13 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 | 172112 | 10 | 10 | N/A | VISITS |
| 2025-11-18 18:10:31.168346 | 2025-11-18 18:10:31.168358 | 605996 | NOT_INITIATED | 5228512 | N/A | N/A | PRIMARY | N/A | N/A | N/A | N/A | N/A | 2026-10-20 07:00:00 | 2025-10-20 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 | 225037 | 10 | 10 | N/A | VISITS |
| 2025-11-18 18:10:05.064713 | 2025-11-18 18:10:05.064720 | 605995 | NOT_INITIATED | 11152325 | N/A | N/A | PRIMARY | N/A | N/A | N/A | N/A | N/A | 2026-02-18 08:00:00 | 2025-11-18 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 | 243704 | 10 | 10 | N/A | VISITS |
| 2025-11-18 17:56:03.422967 | 2025-11-18 17:56:03.422980 | 605965 | NOT_INITIATED | 11151506 | N/A | N/A | PRIMARY | 20251110L0101220 | N/A | N/A | N/A | N/A | 2026-02-08 08:00:00 | 2025-11-10 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 12993504 | N/A | N/A | N/A | PRE_CERT | N/A | 25 | 25 | N/A | VISITS |
| 2025-11-18 17:50:25.907850 | 2025-11-18 17:50:25.907858 | 605955 | NOT_INITIATED | 4209676 | N/A | N/A | PRIMARY | 20251118P0101180 | N/A | N/A | N/A | N/A | 2026-02-16 08:00:00 | 2025-11-18 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5537039 | N/A | N/A | N/A | PRE_CERT | N/A | 25 | 25 | N/A | VISITS |
| 2025-11-18 17:33:02.229061 | 2025-11-18 17:33:02.229075 | 605931 | NOT_INITIATED | 11150071 | N/A | N/A | PRIMARY | 22679879919 | N/A | N/A | N/A | 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 | N/A | N/A | N/A | N/A | REFERRAL | 519353 | 13 | 13 | N/A | VISITS |
| 2025-11-18 17:22:34.206974 | 2025-11-18 17:22:34.207106 | 605889 | NOT_INITIATED | 11149757 | N/A | N/A | PRIMARY | 20251118L0100124 | N/A | N/A | N/A | N/A | 2026-02-16 08:00:00 | 2025-11-18 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 12991834 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2025-11-18 17:15:35.290749 | 2025-11-18 17:15:35.290757 | 605843 | NOT_INITIATED | 11149297 | N/A | N/A | PRIMARY | 20251107L0101603 | N/A | N/A | N/A | N/A | 2026-02-05 08:00:00 | 2025-11-07 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 12991308 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2025-11-18 17:13:22.198479 | 2025-12-05 23:46:42.395212 | 605838 | NOT_INITIATED | 4212442 | N/A | N/A | PRIMARY | 20251111P0104511 | N/A | N/A | N/A | N/A | 2026-02-15 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 | 5540259 | True | N/A | N/A | PRE_CERT | N/A | 2 | 2 | N/A | VISITS |
| 2025-11-18 17:09:25.219551 | 2026-01-08 16:39:08.491843 | 605830 | NOT_INITIATED | 11148207 | N/A | N/A | PRIMARY | 20250925L0101523 | N/A | N/A | N/A | N/A | 2025-12-24 08:00:00 | 2025-09-25 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 12990097 | True | N/A | N/A | PRE_CERT | N/A | 9 | 9 | N/A | VISITS |
| 2025-11-18 16:55:56.684255 | 2025-11-24 22:20:11.162810 | 605816 | NOT_INITIATED | 11147858 | N/A | N/A | PRIMARY | 20250930P0105916 | N/A | N/A | N/A | N/A | 2025-12-29 08:00:00 | 2025-09-30 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 12989755 | True | N/A | N/A | PRE_CERT | N/A | 1 | 1 | N/A | VISITS |
| 2025-11-18 16:44:39.188458 | 2025-11-18 16:44:39.188465 | 605808 | NOT_INITIATED | 4214178 | N/A | N/A | PRIMARY | 20251118L0100135 | N/A | N/A | N/A | N/A | 2026-02-16 08:00:00 | 2025-11-18 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5542233 | N/A | N/A | N/A | PRE_CERT | N/A | 20 | 20 | N/A | VISITS |