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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2026-01-16 15:13:31.985651 | 2026-01-19 19:24:20.551747 | 697003 | NOT_INITIATED | 4219200 | N/A | N/A | PRIMARY | 20260112L0100272 | N/A | N/A | N/A | N/A | 2026-04-12 07:00:00 | 2026-01-12 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5549563 | True | N/A | N/A | PRE_CERT | N/A | 1 | 1 | N/A | VISITS |
| 2026-01-16 15:11:53.788423 | 2026-01-16 15:11:53.788431 | 696994 | NOT_INITIATED | 11234326 | N/A | N/A | PRIMARY | 20260116P0100246 | N/A | N/A | M54.2 - CERVICALGIAL M62.831 - MUSCLE SPASM OF CALF | N/A | 2026-04-16 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 | 13644533 | N/A | N/A | N/A | PRE_CERT | N/A | 4 | 4 | N/A | VISITS |
| 2026-01-16 15:10:38.532323 | 2026-03-11 16:54:40.859832 | 696990 | NOT_INITIATED | 13567673 | N/A | N/A | PRIMARY | 20260106P0105469 | N/A | N/A | N/A | N/A | 2026-04-06 07:00:00 | 2026-01-06 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 15481529 | True | N/A | N/A | PRE_CERT | N/A | 11 | 11 | N/A | VISITS |
| 2026-01-16 15:06:54.903751 | 2026-01-16 21:10:02.537023 | 696984 | NOT_INITIATED | 4208520 | 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 | 244384 | 10 | 10 | N/A | VISITS |
| 2026-01-15 23:03:11.636265 | 2026-01-15 23:03:11.636277 | 696211 | NOT_INITIATED | 4215008 | N/A | N/A | PRIMARY | 20260115L0101857 | N/A | N/A | N/A | N/A | 2026-04-15 07:00:00 | 2026-01-15 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5543181 | N/A | N/A | N/A | PRE_CERT | N/A | 20 | 20 | N/A | VISITS |
| 2026-01-15 21:30:15.465245 | 2026-01-27 20:35:06.692719 | 696076 | NOT_INITIATED | 13546654 | N/A | N/A | PRIMARY | 20260109P0104571 | N/A | N/A | M66.361 - SPONT RUPTURE FLEXOR TEND RT LW LEG | N/A | 2026-04-09 07:00:00 | 2026-01-09 08:00:00 | 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 | 2 | 2 | N/A | VISITS |
| 2026-01-15 17:49:36.716483 | 2026-01-20 22:31:11.709925 | 695098 | NOT_INITIATED | 4211841 | N/A | N/A | PRIMARY | 20260108P0103458 | N/A | N/A | RIGHT SHOULDER | N/A | 2026-04-08 07:00:00 | 2026-01-08 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5539556 | N/A | N/A | N/A | PRE_CERT | N/A | 9 | 9 | N/A | VISITS |
| 2026-01-15 01:29:35.312302 | 2026-01-15 01:29:35.312308 | 693586 | NOT_INITIATED | 6604326 | N/A | N/A | PRIMARY | 20260114L0102574 | N/A | N/A | N/A | N/A | 2026-03-14 07:00:00 | 2026-01-14 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 7965049 | N/A | N/A | N/A | PRE_CERT | N/A | 4 | 4 | N/A | VISITS |
| 2026-01-15 01:11:44.751436 | 2026-03-16 17:23:53.312563 | 693542 | NOT_INITIATED | 4755145 | N/A | N/A | PRIMARY | 20260114P0104798 | N/A | N/A | 1) M71.572 - OTHER BURSITIS NEC LT ANKLE & FOOT 2) M71.571 - OTHER BURSITIS NEC RT ANKLE & FOOT | N/A | 2026-03-14 07:00:00 | 2026-01-14 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 15196264 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2026-01-15 01:05:51.476924 | 2026-01-15 01:05:51.476935 | 693523 | NOT_INITIATED | 4214601 | N/A | N/A | PRIMARY | 20251218P0103400 | N/A | N/A | 1) G20.C - PARKINSONISM, UNSPECIFIED 2) R29.2 - ABNORMAL REFLEX 3) G44.209 - TENSION-TYP HEADACHE UNS NOT INTRCT 4) E23.6 - OTHER DISORDERS OF PITUITARY GLAND | N/A | 2026-03-08 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 | 5542728 | N/A | N/A | N/A | PRE_CERT | N/A | 1 | 1 | N/A | VISITS |
| 2026-01-15 01:03:28.398490 | 2026-01-15 01:03:28.398496 | 693475 | NOT_INITIATED | 8356571 | N/A | N/A | PRIMARY | 20260114P0108787 | N/A | N/A | N/A | N/A | 2026-04-14 07:00:00 | 2026-01-14 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 9985996 | N/A | N/A | N/A | PRE_CERT | N/A | 4 | 4 | N/A | VISITS |
| 2026-01-15 00:54:37.945089 | 2026-01-21 16:51:28.575599 | 693465 | NOT_INITIATED | 13510194 | N/A | N/A | PRIMARY | 22681423325 | N/A | N/A | G62.9 (ICD-10-CM) - NEUROPATHY | N/A | 2027-10-05 07:00:00 | 2026-01-12 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 15420139 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2026-01-15 00:21:50.298689 | 2026-05-02 00:09:46.878039 | 693183 | NOT_INITIATED | 13507066 | N/A | N/A | PRIMARY | 22681259887 | N/A | N/A | S76.111S (ICD-10-CM) - RIGHT QUADRICEPS STRAIN, SEQUELA M76.891 (ICD-10-CM) - TENDINITIS OF RIGHT QUADRICEPS TENDON | N/A | 2026-12-31 08:00:00 | 2025-12-31 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 15416889 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2026-01-14 23:13:57.079611 | 2026-01-14 23:13:57.079620 | 692756 | NOT_INITIATED | 13503642 | N/A | N/A | PRIMARY | HARD VISIT LIMIT | N/A | N/A | N/A | N/A | 2026-12-31 08:00:00 | 2026-01-01 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 15413271 | N/A | N/A | N/A | PRE_CERT | N/A | 25 | 25 | N/A | VISITS |
| 2026-01-14 22:15:22.136446 | 2026-01-14 22:19:44.140444 | 692665 | NOT_INITIATED | 9440359 | N/A | N/A | PRIMARY | 22678596178 | N/A | N/A | N/A | N/A | 2026-04-13 07:00:00 | 2025-10-09 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 11087501 | N/A | N/A | N/A | PRE_CERT | N/A | 18 | 12 | N/A | VISITS |
| 2026-01-14 21:09:39.675341 | 2026-01-14 21:09:39.675350 | 692570 | NOT_INITIATED | 13498109 | N/A | N/A | PRIMARY | 20260107L0101734 | N/A | N/A | N/A | N/A | 2026-04-14 07:00:00 | 2026-01-07 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 15406689 | N/A | N/A | N/A | PRE_CERT | N/A | 21 | 21 | N/A | VISITS |
| 2026-01-14 20:48:12.031810 | 2026-01-14 20:48:18.252907 | 692529 | NOT_INITIATED | 13497020 | N/A | N/A | PRIMARY | 22681262066 | N/A | N/A | N/A | N/A | 2026-12-31 08:00:00 | 2025-12-31 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 15405467 | N/A | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2026-01-14 19:20:25.846890 | 2026-01-14 19:20:25.846896 | 692363 | NOT_INITIATED | 6628802 | N/A | N/A | PRIMARY | 20260114P0102895 | N/A | N/A | N/A | N/A | 2026-04-14 07:00:00 | 2026-01-14 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 7783566 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2026-01-14 18:04:21.275616 | 2026-04-23 20:26:56.938297 | 692167 | NOT_INITIATED | 9150791 | N/A | N/A | PRIMARY | OP0034510137 | N/A | N/A | N/A | N/A | 2026-04-07 07:00:00 | 2026-01-07 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 10978400 | True | N/A | N/A | PRE_CERT | N/A | 10 | 10 | N/A | VISITS |
| 2026-01-14 17:55:51.812556 | 2026-01-14 17:55:51.812563 | 692157 | NOT_INITIATED | 6793895 | N/A | N/A | PRIMARY | 20260114P0101709 | N/A | N/A | N/A | N/A | 2026-04-14 07:00:00 | 2026-01-14 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 | 12 | 12 | N/A | VISITS |
| 2026-01-14 17:16:43.936877 | 2026-01-14 17:16:43.936887 | 692077 | NOT_INITIATED | 4209049 | N/A | N/A | PRIMARY | 20260114L0100301 | N/A | N/A | N/A | N/A | 2026-04-14 07:00:00 | 2026-01-14 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5536279 | N/A | N/A | N/A | PRE_CERT | N/A | 20 | 20 | N/A | VISITS |
| 2026-01-14 16:56:53.807527 | 2026-01-14 17:41:10.262038 | 692024 | NOT_INITIATED | 4213907 | N/A | N/A | PRIMARY | 20260107P0101616 | N/A | N/A | LUMBAR | N/A | 2026-04-07 07:00:00 | 2026-01-07 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5541944 | N/A | N/A | N/A | PRE_CERT | N/A | 11 | 11 | N/A | VISITS |
| 2026-01-14 16:07:11.570372 | 2026-01-14 16:07:11.570383 | 691913 | NOT_INITIATED | 13481361 | N/A | N/A | PRIMARY | 4081887 | N/A | N/A | N/A | N/A | N/A | 2026-01-09 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 15386846 | N/A | N/A | N/A | PRE_CERT | N/A | 9 | 9 | N/A | VISITS |
| 2026-01-14 15:41:33.619157 | 2026-03-16 22:27:27.412726 | 691863 | NOT_INITIATED | 4215211 | N/A | N/A | PRIMARY | 20260114P0100336 | N/A | N/A | CERVICAL | N/A | 2026-04-14 07:00:00 | 2026-01-14 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5543425 | True | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2026-01-14 00:47:32.726858 | 2026-04-14 14:44:48.487993 | 690882 | NOT_INITIATED | 4209460 | N/A | N/A | PRIMARY | 20260113P0108949 | N/A | N/A | N/A | N/A | 2026-04-13 07:00:00 | 2026-01-13 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5536777 | True | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2026-01-13 18:21:52.703419 | 2026-01-13 18:21:52.703429 | 690038 | NOT_INITIATED | 13442417 | N/A | N/A | PRIMARY | N/A | N/A | N/A | N/A | N/A | N/A | 2026-01-13 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 | 169608 | N/A | N/A | N/A | VISITS |
| 2026-01-13 17:57:24.363103 | 2026-01-13 17:57:24.363112 | 689960 | NOT_INITIATED | 13440868 | N/A | N/A | PRIMARY | 22003198D | N/A | N/A | Bilateral Hips | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 15342310 | N/A | N/A | N/A | PRE_CERT | N/A | 6 | 6 | N/A | VISITS |
| 2026-01-13 16:40:32.673533 | 2026-04-14 00:06:21.091089 | 689826 | NOT_INITIATED | 11589389 | N/A | N/A | PRIMARY | 20260113P0100789 | N/A | N/A | N/A | N/A | 2026-04-13 07:00:00 | 2026-01-13 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 13429096 | True | N/A | N/A | PRE_CERT | N/A | 20 | 20 | N/A | VISITS |
| 2026-01-13 16:11:54.867129 | 2026-01-13 16:11:54.867139 | 689723 | NOT_INITIATED | 12347849 | N/A | N/A | PRIMARY | 0009346701 | N/A | N/A | N/A | N/A | 2026-05-12 07:00:00 | 2026-01-12 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 | 456940 | 12 | 12 | N/A | VISITS |
| 2026-01-13 15:39:46.993841 | 2026-01-13 15:39:46.993852 | 689654 | NOT_INITIATED | 4210696 | N/A | N/A | PRIMARY | 20260113P0100425 | N/A | N/A | N/A | N/A | 2026-04-13 07:00:00 | 2026-01-13 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5538249 | N/A | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2026-01-13 15:36:10.206417 | 2026-01-13 15:36:10.206427 | 689652 | NOT_INITIATED | 4212984 | N/A | N/A | PRIMARY | 20260113L0100067 | N/A | N/A | N/A | N/A | 2026-04-13 07:00:00 | 2026-01-13 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 13355411 | N/A | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2026-01-13 15:29:23.888282 | 2026-03-10 14:28:03.951730 | 689643 | NOT_INITIATED | 4213924 | N/A | N/A | PRIMARY | 20260113P0100405 | N/A | N/A | N/A | N/A | 2026-04-13 07:00:00 | 2026-01-13 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 15215336 | True | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2026-01-13 00:44:04.596582 | 2026-01-13 00:44:04.596591 | 688890 | NOT_INITIATED | 11692158 | N/A | N/A | PRIMARY | 0009185237 | N/A | N/A | N/A | N/A | 2026-04-25 07:00:00 | 2025-12-26 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 13542497 | N/A | N/A | N/A | PRE_CERT | N/A | 9 | 9 | N/A | VISITS |
| 2026-01-13 00:02:39.552584 | 2026-01-13 00:02:39.552595 | 688817 | NOT_INITIATED | 13412392 | N/A | N/A | PRIMARY | 20260109P0100295 | N/A | N/A | N/A | N/A | 2026-04-09 07:00:00 | 2026-01-09 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 15313463 | N/A | N/A | N/A | PRE_CERT | N/A | 25 | 25 | N/A | VISITS |
| 2026-01-12 23:47:55.315180 | 2026-02-03 22:34:24.126138 | 688775 | NOT_INITIATED | 13411314 | N/A | N/A | PRIMARY | 20260112P0105624 | N/A | N/A | N/A | N/A | 2026-04-12 07:00:00 | 2026-01-12 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 16213353 | N/A | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2026-01-12 23:05:52.167243 | 2026-01-12 23:06:01.405418 | 688699 | NOT_INITIATED | 10617653 | N/A | N/A | PRIMARY | 22680399085 | N/A | N/A | M75.102 (ICD-10-CM) - LEFT ROTATOR CUFF SYNDROME M79.601 (ICD-10-CM) - RIGHT ARM PAIN M79.602 (ICD-10-CM) - LEFT ARM PAIN | N/A | 2026-05-26 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 | 12437386 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2026-01-12 22:36:13.430230 | 2026-02-17 16:06:11.260763 | 688661 | NOT_INITIATED | 9766947 | N/A | N/A | PRIMARY | 20260112P0106300 | N/A | N/A | N/A | N/A | 2026-04-12 07:00:00 | 2026-01-12 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 11526121 | True | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2026-01-12 19:29:22.014553 | 2026-01-12 19:29:22.014562 | 688259 | NOT_INITIATED | 13398376 | N/A | N/A | PRIMARY | 20260112L0100720 | N/A | N/A | N/A | N/A | 2026-04-12 07:00:00 | 2026-01-12 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 15298201 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2026-01-12 18:35:56.790227 | 2026-01-12 18:35:56.790235 | 688125 | NOT_INITIATED | 4214627 | N/A | N/A | PRIMARY | 20260112P0102571 | N/A | N/A | N/A | N/A | 2026-04-12 07:00:00 | 2026-01-12 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5542752 | N/A | N/A | N/A | PRE_CERT | N/A | 20 | 20 | N/A | VISITS |
| 2026-01-12 17:12:59.170104 | 2026-01-12 17:12:59.170113 | 687912 | NOT_INITIATED | 13389454 | N/A | N/A | PRIMARY | 20260112L0100176 | N/A | N/A | N/A | N/A | 2026-04-12 07:00:00 | 2026-01-12 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 15288533 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2026-01-12 16:44:41.207717 | 2026-01-26 16:14:25.037784 | 687851 | NOT_INITIATED | 13387979 | N/A | N/A | PRIMARY | 20260109L0101684 | N/A | N/A | N/A | N/A | 2026-04-09 07:00:00 | 2026-01-09 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 15287121 | True | N/A | N/A | PRE_CERT | N/A | 2 | 2 | N/A | VISITS |
| 2026-01-12 16:37:36.969634 | 2026-01-12 16:37:36.969640 | 687818 | NOT_INITIATED | 13387628 | N/A | N/A | PRIMARY | 20260109L0101795 | N/A | N/A | N/A | N/A | 2026-04-09 07:00:00 | 2026-01-09 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 15286762 | N/A | N/A | N/A | PRE_CERT | N/A | 1 | 1 | N/A | VISITS |
| 2026-01-10 00:16:18.346101 | 2026-01-10 00:16:18.346116 | 686417 | NOT_INITIATED | 13342245 | N/A | N/A | PRIMARY | 4077104 | N/A | N/A | N/A | N/A | N/A | 2026-01-09 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 15242370 | N/A | N/A | N/A | PRE_CERT | N/A | 24 | 24 | N/A | VISITS |
| 2026-01-09 23:37:05.586340 | 2026-01-09 23:37:05.586351 | 686344 | NOT_INITIATED | 13340834 | N/A | N/A | PRIMARY | 25th VISIT AUTH REQUEST | N/A | N/A | N/A | N/A | 2026-12-31 08:00:00 | N/A | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 15240878 | N/A | N/A | N/A | PRE_CERT | N/A | 25 | 25 | N/A | VISITS |
| 2026-01-09 19:20:21.585567 | 2026-01-14 00:32:02.367525 | 686025 | NOT_INITIATED | 13329509 | N/A | N/A | PRIMARY | N/A | N/A | N/A | N/A | N/A | 2027-01-07 08:00:00 | 2026-01-07 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 |
| 2026-01-09 18:11:12.811671 | 2026-01-09 18:11:12.811680 | 685791 | NOT_INITIATED | 12921307 | N/A | N/A | PRIMARY | 22679219753 | N/A | N/A | S42.252A (ICD-10-CM) - LEFT HUMERUS GREATER TUBEROSITY FX, DISPL INIT | N/A | 2026-10-10 07:00:00 | 2025-10-10 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 14790568 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2026-01-09 17:57:17.522307 | 2026-01-09 17:57:17.522319 | 685769 | NOT_INITIATED | 4215201 | N/A | N/A | PRIMARY | OP0034250317 | N/A | N/A | N/A | N/A | 2026-03-30 07:00:00 | 2025-12-30 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5543401 | N/A | N/A | N/A | PRE_CERT | N/A | 11 | 11 | N/A | VISITS |
| 2026-01-09 17:56:04.758129 | 2026-01-09 17:56:04.758137 | 685767 | NOT_INITIATED | 4215201 | N/A | N/A | PRIMARY | Direct referral | N/A | N/A | N/A | N/A | 2026-04-09 07:00:00 | 2026-01-09 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 |
| 2026-01-09 17:29:46.121866 | 2026-01-09 17:29:46.121875 | 685703 | NOT_INITIATED | 4214274 | N/A | N/A | PRIMARY | Direct referral | N/A | N/A | N/A | N/A | 2026-04-09 07:00:00 | 2026-01-09 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 | 243575 | 10 | 10 | N/A | VISITS |
| 2026-01-09 17:28:20.927563 | 2026-01-09 17:28:20.927575 | 685699 | NOT_INITIATED | 13324352 | N/A | N/A | PRIMARY | 22681210393 | N/A | N/A | H81.01 (ICD-10-CM) - RIGHT MENIERES DISEASE | N/A | 2026-12-30 08:00:00 | 2025-12-30 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 15223112 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |