API Data Explorer (Athletic API)
Choose an endpoint and browse pulled records with export support.
API Endpoints
Total rows: 3,648
| 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-10-13 16:49:05.906485 | 2025-11-19 15:51:18.555186 | 520713 | NOT_INITIATED | 4212166 | N/A | N/A | PRIMARY | 20251008P0101055 | N/A | N/A | N/A | N/A | 2026-01-06 08:00:00 | 2025-10-08 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5539956 | True | N/A | N/A | PRE_CERT | N/A | 5 | 5 | N/A | VISITS |
| 2025-10-13 16:30:05.092099 | 2025-10-13 16:30:05.092108 | 520698 | NOT_INITIATED | 5985329 | N/A | N/A | PRIMARY | 20250717P0106714 | N/A | N/A | N/A | N/A | 2025-10-15 07:00:00 | 2025-07-17 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 6960617 | N/A | N/A | N/A | PRE_CERT | N/A | 17 | 17 | N/A | VISITS |
| 2025-10-13 16:06:04.215199 | 2025-10-13 16:06:04.215205 | 520658 | NOT_INITIATED | 8610502 | N/A | N/A | PRIMARY | N/A | N/A | N/A | N/A | N/A | 2026-10-01 07:00:00 | 2025-10-01 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 | 243681 | 10 | 10 | N/A | VISITS |
| 2025-10-13 15:24:51.030491 | 2025-10-13 15:24:51.030500 | 520609 | NOT_INITIATED | 4214402 | N/A | N/A | PRIMARY | 20250930P0106330 | N/A | N/A | N/A | N/A | 2025-12-30 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 | 5542527 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2025-10-10 23:30:16.282037 | 2025-10-10 23:30:16.282044 | 518500 | NOT_INITIATED | 4209547 | N/A | N/A | PRIMARY | 20251010P0106557 | N/A | N/A | N/A | N/A | 2026-01-08 08:00:00 | 2025-10-10 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5536875 | N/A | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2025-10-10 23:26:28.187824 | 2025-10-10 23:26:28.187836 | 518498 | NOT_INITIATED | 8473558 | N/A | N/A | PRIMARY | 20251010P0106483 | N/A | N/A | N/A | N/A | 2026-01-08 08:00:00 | 2025-10-10 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 10172287 | N/A | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2025-10-10 23:20:00.793473 | 2026-01-02 22:14:52.698938 | 518495 | NOT_INITIATED | 4219161 | N/A | N/A | PRIMARY | 20251006P0106967 | N/A | N/A | N/A | 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 | 5549514 | True | N/A | N/A | PRE_CERT | N/A | 25 | 25 | N/A | VISITS |
| 2025-10-10 22:55:30.298813 | 2026-01-14 17:41:06.327340 | 517790 | NOT_INITIATED | 4213907 | N/A | N/A | PRIMARY | 20251010P0106057 | N/A | N/A | LUMBAR | N/A | 2026-01-08 08:00:00 | 2025-10-10 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5541944 | True | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2025-10-10 22:49:00.418826 | 2026-01-14 17:41:01.018656 | 517784 | NOT_INITIATED | 4213907 | N/A | N/A | PRIMARY | 20251010P0105969 | N/A | N/A | RIGHT SHOULDER | N/A | 2026-01-08 16:00:00 | 2025-10-10 14:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5541944 | True | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2025-10-10 21:33:37.952671 | 2025-10-10 21:33:37.952685 | 517752 | NOT_INITIATED | 8578468 | N/A | N/A | PRIMARY | N/A | N/A | N/A | N/A | N/A | 2026-01-01 08:00:00 | 2025-10-01 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 | 491417 | 10 | 10 | N/A | VISITS |
| 2025-10-10 21:14:42.248670 | 2025-10-10 21:14:42.248679 | 517737 | NOT_INITIATED | 8578332 | N/A | N/A | PRIMARY | N/A | N/A | N/A | N/A | N/A | 2026-09-27 07:00:00 | 2025-09-27 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 |
| 2025-10-10 21:01:13.028614 | 2025-10-10 21:01:13.028622 | 517729 | NOT_INITIATED | 8578078 | 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 |
| 2025-10-10 20:17:50.277443 | 2025-10-10 20:17:50.277451 | 517694 | NOT_INITIATED | 8577701 | N/A | N/A | PRIMARY | 20251009L0101745 | N/A | N/A | N/A | N/A | 2026-01-07 08:00:00 | 2025-10-09 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 10308328 | N/A | N/A | N/A | PRE_CERT | N/A | 9 | 9 | N/A | VISITS |
| 2025-10-10 20:04:34.096436 | 2025-10-10 20:04:34.096445 | 517666 | NOT_INITIATED | 8574538 | N/A | N/A | PRIMARY | 20251007P0103772 | 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 | 10305419 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2025-10-10 18:50:41.214940 | 2025-12-23 22:32:29.896042 | 517606 | NOT_INITIATED | 8574477 | N/A | N/A | PRIMARY | 20251007L0102526 | 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 | 10305383 | True | N/A | N/A | PRE_CERT | N/A | 17 | 17 | N/A | VISITS |
| 2025-10-10 17:45:58.266243 | 2025-11-24 17:47:06.262701 | 517384 | NOT_INITIATED | 8573142 | N/A | N/A | PRIMARY | 092025023697TWC | N/A | N/A | N/A | N/A | 2026-11-14 08:00:00 | 2025-10-02 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 10303626 | N/A | N/A | N/A | PRE_CERT | N/A | 8 | 16 | N/A | VISITS |
| 2025-10-10 17:17:15.793553 | 2025-11-24 22:14:54.443680 | 517219 | NOT_INITIATED | 8429919 | N/A | N/A | PRIMARY | 20251006p0107134 | 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 | 10091887 | True | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2025-10-10 17:07:26.116764 | 2025-10-10 17:07:26.116771 | 517189 | NOT_INITIATED | 8571876 | N/A | N/A | PRIMARY | N/A | N/A | N/A | N/A | N/A | 2026-09-29 07:00:00 | 2025-09-29 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 |
| 2025-10-10 17:02:43.875014 | 2025-10-10 17:02:43.875022 | 517174 | NOT_INITIATED | 8473558 | N/A | N/A | PRIMARY | 20250911P0105011 | N/A | N/A | N/A | N/A | 2025-12-10 08:00:00 | 2025-09-11 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 10172287 | N/A | N/A | N/A | PRE_CERT | N/A | 1 | 1 | N/A | VISITS |
| 2025-10-10 16:42:28.241674 | 2025-10-10 16:42:28.241686 | 517158 | NOT_INITIATED | 4210310 | N/A | N/A | PRIMARY | N/A | N/A | N/A | N/A | N/A | 2026-09-29 07:00:00 | 2025-09-29 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 | 243461 | 10 | 10 | N/A | VISITS |
| 2025-10-10 16:39:37.747171 | 2026-02-03 00:30:45.041113 | 517155 | NOT_INITIATED | 8571670 | N/A | N/A | PRIMARY | 20251009P0106908 | N/A | N/A | N/A | N/A | 2026-01-07 08:00:00 | 2025-10-09 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 10301619 | True | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2025-10-09 23:39:09.520605 | 2025-10-09 23:39:09.520612 | 515889 | NOT_INITIATED | 4213530 | N/A | N/A | PRIMARY | 20251009L0102309 | N/A | N/A | N/A | N/A | 2026-01-07 08:00:00 | 2025-10-09 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5541519 | N/A | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2025-10-09 22:57:43.582620 | 2025-10-09 22:57:43.582626 | 515847 | NOT_INITIATED | 4215197 | N/A | N/A | PRIMARY | 20251009L0102107 | N/A | N/A | N/A | N/A | 2026-01-07 08:00:00 | 2025-10-09 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5550853 | N/A | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2025-10-09 21:53:19.981149 | 2025-10-09 21:53:19.981156 | 515730 | NOT_INITIATED | 4213320 | N/A | N/A | PRIMARY | WCFAI0272504-001 | N/A | N/A | N/A | N/A | N/A | 2025-09-12 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 10265654 | N/A | N/A | N/A | PRE_CERT | N/A | 6 | 6 | N/A | VISITS |
| 2025-10-09 20:35:03.309076 | 2025-10-09 20:35:03.309085 | 515683 | NOT_INITIATED | 4213476 | N/A | N/A | PRIMARY | 25W65M708072 | N/A | N/A | N/A | N/A | N/A | 2025-10-09 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 10247251 | N/A | N/A | N/A | PRE_CERT | N/A | 6 | 6 | N/A | VISITS |
| 2025-10-09 20:26:00.602189 | 2026-03-05 21:38:40.373466 | 515671 | NOT_INITIATED | 7545472 | N/A | N/A | PRIMARY | 293522888-UMO-2 | N/A | N/A | ONLY HAS 9 VISITS STARTING 3/3/2026 | N/A | N/A | 2025-09-18 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 | 21 | N/A | VISITS |
| 2025-10-09 17:58:40.314187 | 2025-10-09 17:58:40.314192 | 515434 | NOT_INITIATED | 4215075 | N/A | N/A | PRIMARY | 20251009L0100734 | N/A | N/A | N/A | N/A | 2026-01-07 08:00:00 | 2025-10-09 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5543259 | N/A | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2025-10-09 17:28:17.796266 | 2025-10-09 17:28:17.796276 | 515396 | NOT_INITIATED | 8525474 | N/A | N/A | PRIMARY | N/A | N/A | N/A | N/A | N/A | 2026-10-06 07:00:00 | 2025-10-06 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | N/A | N/A | N/A | N/A | REFERRAL | 243681 | 10 | 10 | N/A | VISITS |
| 2025-10-09 16:52:23.192534 | 2025-10-09 16:52:23.192539 | 515306 | NOT_INITIATED | 5237560 | N/A | N/A | PRIMARY | 2024300452-508793 | N/A | N/A | N/A | N/A | N/A | 2025-10-06 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 10235198 | N/A | N/A | N/A | PRE_CERT | N/A | 9 | 9 | N/A | VISITS |
| 2025-10-09 16:25:32.165481 | 2025-10-09 16:26:50.425768 | 515283 | NOT_INITIATED | 8523381 | N/A | N/A | PRIMARY | N/A | N/A | N/A | N/A | N/A | 2026-10-01 07:00:00 | 2025-10-01 07:00:00 | 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 | 224853 | 10 | 10 | N/A | VISITS |
| 2025-10-09 16:24:57.556760 | 2026-02-04 22:30:55.051639 | 515281 | NOT_INITIATED | 8523381 | N/A | N/A | PRIMARY | N/A | N/A | N/A | N/A | N/A | 2026-10-01 07:00:00 | 2025-10-01 07:00:00 | 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 | 224853 | 10 | 10 | N/A | VISITS |
| 2025-10-08 22:09:58.420389 | 2025-11-07 18:53:01.663549 | 514384 | NOT_INITIATED | 8493219 | N/A | N/A | PRIMARY | OP0030610068 | N/A | N/A | N/A | N/A | 2025-11-27 16:00:00 | 2025-08-29 14:00:00 | 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 | 17 | 17 | N/A | VISITS |
| 2025-10-08 21:15:22.374831 | 2025-10-08 21:15:22.374845 | 514325 | NOT_INITIATED | 4219791 | N/A | N/A | PRIMARY | N/A | N/A | N/A | N/A | N/A | 2026-09-03 07:00:00 | 2025-09-30 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | N/A | N/A | N/A | N/A | REFERRAL | 172112 | 10 | 10 | N/A | VISITS |
| 2025-10-08 18:33:41.137832 | 2025-10-08 18:33:41.137842 | 513334 | NOT_INITIATED | 4210781 | N/A | N/A | PRIMARY | 20251003L0101763 | N/A | N/A | N/A | N/A | 2026-01-01 08:00:00 | 2025-10-03 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5538353 | N/A | N/A | N/A | PRE_CERT | N/A | 9 | 9 | N/A | VISITS |
| 2025-10-08 17:46:13.297332 | 2025-10-08 17:46:13.297339 | 513248 | NOT_INITIATED | 8476067 | N/A | N/A | PRIMARY | N/A | N/A | N/A | N/A | N/A | 2026-08-19 07:00:00 | 2025-08-19 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 |
| 2025-10-08 17:14:22.909278 | 2025-10-08 17:25:30.663682 | 513202 | NOT_INITIATED | 4211784 | N/A | N/A | PRIMARY | 20250910P0106377 | N/A | N/A | N/A | N/A | 2025-12-09 16:00:00 | 2025-09-10 14:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5539486 | N/A | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2025-10-08 16:17:16.801332 | 2025-10-08 16:17:16.801344 | 513099 | NOT_INITIATED | 5693167 | N/A | N/A | PRIMARY | OP0031657716 | N/A | N/A | N/A | N/A | 2025-12-03 08:00:00 | 2025-10-03 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 6768106 | N/A | N/A | N/A | PRE_CERT | N/A | 10 | 10 | N/A | VISITS |
| 2025-10-07 22:48:14.918308 | 2025-10-07 22:48:14.918319 | 511604 | NOT_INITIATED | 8456475 | N/A | N/A | PRIMARY | N/A | N/A | N/A | N/A | N/A | 2026-10-01 07:00:00 | 2025-10-01 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 |
| 2025-10-07 22:33:18.979392 | 2026-01-19 16:22:30.837257 | 511579 | NOT_INITIATED | 4211521 | N/A | N/A | PRIMARY | 20250902P0106143 | N/A | N/A | N/A | N/A | 2025-12-01 08:00:00 | 2025-09-02 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5539188 | True | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2025-10-07 22:15:13.396860 | 2025-10-22 22:16:36.125448 | 511216 | NOT_INITIATED | 4208901 | N/A | N/A | PRIMARY | 20251002P0101039 | N/A | N/A | N/A | N/A | 2025-12-31 08:00:00 | 2025-10-02 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5536091 | True | N/A | N/A | PRE_CERT | N/A | 1 | 1 | N/A | VISITS |
| 2025-10-07 21:55:25.929584 | 2025-10-07 21:55:25.929594 | 511197 | NOT_INITIATED | 6499607 | N/A | N/A | PRIMARY | OP0031226150 | N/A | N/A | N/A | N/A | 2025-12-22 08:00:00 | 2025-09-22 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 7591533 | N/A | N/A | N/A | PRE_CERT | N/A | 10 | 10 | N/A | VISITS |
| 2025-10-07 21:51:25.070587 | 2025-10-07 21:51:25.070595 | 511193 | NOT_INITIATED | 6499607 | N/A | N/A | PRIMARY | OP0030834653 | N/A | N/A | N/A | N/A | 2025-12-07 08:00:00 | 2025-09-08 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 7591533 | N/A | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2025-10-07 21:22:54.147640 | 2025-10-07 21:22:54.147647 | 511147 | NOT_INITIATED | 8452475 | N/A | N/A | PRIMARY | 20250930P0103463 | 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 | 10128259 | N/A | N/A | N/A | PRE_CERT | N/A | 25 | 25 | N/A | VISITS |
| 2025-10-07 20:22:36.137567 | 2025-11-19 21:12:22.526968 | 507826 | NOT_INITIATED | 6797587 | N/A | N/A | PRIMARY | 20251007L0101459 | 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 | 7987754 | True | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2025-10-07 18:53:23.049500 | 2025-10-07 18:53:23.049511 | 507666 | NOT_INITIATED | 8437251 | N/A | N/A | PRIMARY | 20251002L0100906 | N/A | N/A | N/A | N/A | 2025-12-31 08:00:00 | 2025-10-02 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 | 11 | 11 | N/A | VISITS |
| 2025-10-07 17:47:10.179943 | 2025-10-07 17:47:10.179953 | 507481 | NOT_INITIATED | 4210863 | N/A | N/A | PRIMARY | 20251007L0100705 | 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 | 5538459 | N/A | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2025-10-07 17:41:40.694327 | 2025-10-14 18:59:50.622662 | 507475 | NOT_INITIATED | 6399635 | N/A | N/A | PRIMARY | 20250930P0104026 | 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 | 7449843 | True | N/A | N/A | PRE_CERT | N/A | 10 | 10 | N/A | VISITS |
| 2025-10-07 17:03:32.792697 | 2025-10-07 17:03:32.792705 | 507408 | NOT_INITIATED | 8427208 | N/A | N/A | PRIMARY | N/A | N/A | N/A | N/A | N/A | 2026-10-06 07:00:00 | 2025-10-06 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | N/A | N/A | N/A | N/A | REFERRAL | 243681 | 10 | 10 | N/A | VISITS |
| 2025-10-07 15:44:19.021911 | 2025-10-07 15:44:19.021924 | 507342 | NOT_INITIATED | 8423756 | N/A | N/A | PRIMARY | WC608H89267 | N/A | N/A | N/A | N/A | N/A | 2025-10-01 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 10081412 | N/A | N/A | N/A | PRE_CERT | N/A | 6 | 6 | N/A | VISITS |
| 2025-10-07 15:25:42.097958 | 2026-01-08 00:20:58.489652 | 507321 | NOT_INITIATED | 7624210 | N/A | N/A | PRIMARY | 17258414 | N/A | N/A | N/A | N/A | 2025-10-27 07:00:00 | 2025-09-15 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 9104367 | True | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |