API Data Explorer (Athletic API)
Choose an endpoint and browse pulled records with export support.
API Endpoints
Total rows: 3,667
| 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-09-11 23:47:05.433576 | 2025-09-26 20:37:42.434118 | 466717 | NOT_INITIATED | 7824702 | N/A | N/A | PRIMARY | 25245A0130 | N/A | N/A | N/A | N/A | 2026-09-02 21:00:00 | 2025-09-02 21:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 9326148 | N/A | N/A | N/A | PRE_CERT | N/A | 11 | 10 | N/A | VISITS |
| 2025-09-11 23:36:31.139079 | 2025-09-11 23:36:31.139084 | 466704 | NOT_INITIATED | 6223297 | N/A | N/A | PRIMARY | 20250911L0102262 | 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 | 7258119 | N/A | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2025-09-11 23:32:56.634580 | 2025-10-30 15:39:29.292511 | 466703 | NOT_INITIATED | 7824140 | N/A | N/A | PRIMARY | Y4W32170C | N/A | N/A | N/A | N/A | 2026-03-03 16:00:00 | 2025-09-04 14:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 9325297 | N/A | N/A | N/A | PRE_CERT | N/A | 6 | 12 | N/A | VISITS |
| 2025-09-11 23:00:19.309292 | 2025-09-11 23:00:19.309299 | 466674 | NOT_INITIATED | 7822860 | N/A | N/A | PRIMARY | 20250729P0101298 | N/A | N/A | N/A | N/A | 2025-10-27 07:00:00 | 2025-07-29 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 9323772 | N/A | N/A | N/A | PRE_CERT | N/A | 5 | 5 | N/A | VISITS |
| 2025-09-11 22:24:40.300644 | 2025-12-08 18:52:58.806198 | 466606 | NOT_INITIATED | 7712549 | N/A | N/A | PRIMARY | 20250829L0101267 | N/A | N/A | N/A | N/A | 2025-11-27 08:00:00 | 2025-08-29 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 9194927 | True | N/A | N/A | PRE_CERT | N/A | 25 | 25 | N/A | VISITS |
| 2025-09-11 21:49:18.078078 | 2025-10-30 23:28:41.931050 | 466534 | NOT_INITIATED | 7821358 | N/A | N/A | PRIMARY | 20250903P0104330 | N/A | N/A | N/A | N/A | 2025-12-05 08:00:00 | 2025-09-03 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 9321915 | True | N/A | N/A | PRE_CERT | N/A | 7 | 7 | N/A | VISITS |
| 2025-09-11 21:40:14.530555 | 2025-09-11 21:40:14.530559 | 466527 | NOT_INITIATED | 7658224 | N/A | N/A | PRIMARY | LAC0265988 | N/A | N/A | N/A | N/A | 2026-02-01 08:00:00 | 2025-08-01 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 9136655 | N/A | N/A | N/A | PRE_CERT | N/A | 11 | 11 | N/A | VISITS |
| 2025-09-11 21:32:48.157352 | 2025-09-11 21:32:48.157393 | 466524 | NOT_INITIATED | 7821295 | N/A | N/A | PRIMARY | 20250805L0100506 | N/A | N/A | N/A | N/A | 2025-11-03 08:00:00 | 2025-08-05 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 9321862 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2025-09-11 20:56:18.893658 | 2025-10-06 22:42:18.294153 | 466502 | NOT_INITIATED | 7820903 | N/A | N/A | PRIMARY | 20250910L0102682 | N/A | N/A | N/A | N/A | 2025-12-09 08:00:00 | 2025-09-10 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 9321575 | True | N/A | N/A | PRE_CERT | N/A | 2 | 2 | N/A | VISITS |
| 2025-09-11 20:09:18.987068 | 2025-09-11 20:09:18.987084 | 466451 | NOT_INITIATED | 7820217 | 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 |
| 2025-09-11 18:01:59.278740 | 2025-09-11 18:01:59.278745 | 466297 | NOT_INITIATED | 4213366 | N/A | N/A | PRIMARY | 20250911L0100812 | 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 | 5541334 | N/A | N/A | N/A | PRE_CERT | N/A | 10 | 10 | N/A | VISITS |
| 2025-09-11 17:15:51.941760 | 2025-09-11 17:16:34.694197 | 466191 | NOT_INITIATED | 4884170 | N/A | N/A | PRIMARY | 20250911P0101894 | N/A | N/A | N/A | N/A | 2025-12-10 16:00:00 | 2025-09-11 14:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 6236212 | N/A | N/A | N/A | PRE_CERT | N/A | 1 | 1 | N/A | VISITS |
| 2025-09-11 16:52:05.213003 | 2025-09-11 16:52:05.213012 | 466173 | NOT_INITIATED | 7815862 | N/A | N/A | PRIMARY | 20250814P0106699 | N/A | N/A | LT, HIP | N/A | 2025-11-12 08:00:00 | 2025-08-14 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 9317287 | N/A | N/A | N/A | PRE_CERT | N/A | 9 | 9 | N/A | VISITS |
| 2025-09-11 15:02:29.224955 | 2025-10-30 22:41:04.994256 | 466025 | NOT_INITIATED | 4212315 | N/A | N/A | PRIMARY | 20250911P0100377 | 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 | 5540113 | True | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2025-09-10 22:51:28.797870 | 2025-09-10 22:51:28.797876 | 463905 | NOT_INITIATED | 7793936 | N/A | N/A | PRIMARY | N/A | N/A | N/A | LUMBAR | N/A | 2026-01-01 08:00:00 | 2025-08-07 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 | 169605 | 8 | 8 | N/A | VISITS |
| 2025-09-10 20:53:13.632777 | 2025-09-10 20:53:13.632785 | 463787 | NOT_INITIATED | 4210079 | N/A | N/A | PRIMARY | 20250910L0101675 | N/A | N/A | N/A | N/A | 2025-12-09 08:00:00 | 2025-09-10 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5537533 | N/A | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2025-09-10 20:49:18.449523 | 2025-09-10 20:49:18.449534 | 463784 | NOT_INITIATED | 7791220 | N/A | N/A | PRIMARY | 20250711L0101142 | N/A | N/A | N/A | N/A | 2025-10-09 07:00:00 | 2025-07-11 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 9282582 | N/A | N/A | N/A | PRE_CERT | N/A | 25 | 25 | N/A | VISITS |
| 2025-09-10 20:44:03.032554 | 2026-01-07 21:05:04.433205 | 463780 | NOT_INITIATED | 4215193 | N/A | N/A | PRIMARY | 20250910P0104776 | N/A | N/A | N/A | N/A | 2025-12-09 08:00:00 | 2025-09-10 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 6210775 | True | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2025-09-10 18:50:45.855236 | 2025-12-04 21:28:51.093522 | 463647 | NOT_INITIATED | 7788651 | N/A | N/A | PRIMARY | 20250905P0104777 | N/A | N/A | N/A | N/A | 2025-12-04 08:00:00 | 2025-09-05 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 9280203 | True | N/A | N/A | PRE_CERT | N/A | 25 | 25 | N/A | VISITS |
| 2025-09-10 18:11:39.423695 | 2025-11-13 19:47:55.126603 | 463603 | NOT_INITIATED | 4212022 | N/A | N/A | PRIMARY | 32717199A | N/A | N/A | HIP, RT | N/A | 2025-10-17 07:00:00 | 2025-08-22 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5539761 | True | N/A | N/A | PRE_CERT | N/A | 16 | 16 | N/A | VISITS |
| 2025-09-10 16:25:08.730169 | 2025-09-10 16:25:08.730181 | 463405 | NOT_INITIATED | 6687849 | N/A | N/A | PRIMARY | N/A | N/A | N/A | N/A | N/A | 2026-08-05 07:00:00 | 2025-08-05 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 |
| 2025-09-10 16:10:51.651043 | 2026-01-06 00:37:47.190169 | 463360 | NOT_INITIATED | 4211589 | N/A | N/A | PRIMARY | 20250910P0100974 | N/A | N/A | N/A | N/A | 2025-12-09 08:00:00 | 2025-09-10 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 7545690 | True | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2025-09-10 15:38:47.844845 | 2025-09-10 15:38:47.844851 | 463327 | NOT_INITIATED | 7785679 | N/A | N/A | PRIMARY | N/A | 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 | N/A | N/A | N/A | N/A | REFERRAL | 243577 | 10 | 10 | N/A | VISITS |
| 2025-09-10 14:57:25.570965 | 2025-10-14 16:48:47.964811 | 463254 | NOT_INITIATED | 7784873 | N/A | N/A | PRIMARY | 2010450588001 | N/A | N/A | N/A | N/A | 2026-09-04 21:00:00 | 2025-09-04 21:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 9276927 | N/A | N/A | N/A | PRE_CERT | N/A | 8 | 16 | N/A | VISITS |
| 2025-09-10 14:56:17.383760 | 2025-09-10 14:57:32.163809 | 463251 | NOT_INITIATED | 7784873 | N/A | N/A | PRIMARY | 2010450588001 | N/A | N/A | N/A | N/A | 2025-09-04 07:00:00 | 2025-09-04 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 | 124468 | 8 | 8 | N/A | VISITS |
| 2025-09-10 00:00:49.682279 | 2025-09-10 00:00:49.682285 | 462645 | NOT_INITIATED | 6407557 | N/A | N/A | PRIMARY | 20250909P0107935 | N/A | N/A | N/A | N/A | 2025-12-08 08:00:00 | 2025-09-09 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 7458618 | N/A | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2025-09-09 23:04:48.408191 | 2025-09-09 23:04:48.408200 | 462618 | NOT_INITIATED | 4213256 | N/A | N/A | PRIMARY | 20250821P0106761 | N/A | N/A | N/A | N/A | 2025-11-19 08:00:00 | 2025-08-21 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 9258804 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2025-09-09 22:53:39.714029 | 2025-09-09 22:53:39.714036 | 462617 | NOT_INITIATED | 6399635 | N/A | N/A | PRIMARY | 20250909P0106949 | N/A | N/A | N/A | N/A | 2025-12-08 08:00:00 | 2025-09-09 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 7449843 | N/A | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2025-09-09 22:46:41.816515 | 2025-09-18 16:08:15.206829 | 462613 | NOT_INITIATED | 7768967 | N/A | N/A | PRIMARY | 20250828L0100840 | N/A | N/A | N/A | N/A | 2025-11-26 16:00:00 | 2025-08-28 14:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 9258711 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2025-09-09 21:48:59.173707 | 2025-09-09 21:48:59.173716 | 462545 | NOT_INITIATED | 7767834 | N/A | N/A | PRIMARY | 0007581300 | N/A | N/A | N/A | N/A | 2026-01-17 08:00:00 | 2025-08-20 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 9256904 | N/A | N/A | N/A | PRE_CERT | N/A | 25 | 25 | N/A | VISITS |
| 2025-09-09 18:54:08.847690 | 2025-11-04 23:58:07.524769 | 462357 | NOT_INITIATED | 6033556 | N/A | N/A | PRIMARY | 20250909P0103462 | N/A | N/A | N/A | N/A | 2025-12-08 08:00:00 | 2025-09-09 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 7018260 | True | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2025-09-09 18:46:32.541967 | 2025-09-09 18:46:32.541975 | 462351 | NOT_INITIATED | 7764979 | N/A | N/A | PRIMARY | 4A25085B4XY0001 | 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 | 9254229 | N/A | N/A | N/A | PRE_CERT | N/A | 6 | 6 | N/A | VISITS |
| 2025-09-09 18:08:24.529827 | 2025-11-05 18:40:40.479980 | 462312 | NOT_INITIATED | 7764252 | N/A | N/A | PRIMARY | 20250807P0107159 | N/A | N/A | LUMBAR AUTH | N/A | 2025-11-05 08:00:00 | 2025-08-07 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 9253541 | True | N/A | N/A | PRE_CERT | N/A | 17 | 17 | N/A | VISITS |
| 2025-09-09 15:37:07.594737 | 2025-11-17 16:37:56.012961 | 462109 | NOT_INITIATED | 4214141 | N/A | N/A | PRIMARY | 20250909L0100145 | N/A | N/A | N/A | N/A | 2025-12-08 08:00:00 | 2025-09-09 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 8193020 | True | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2025-09-09 15:10:49.640694 | 2025-09-09 15:10:49.640702 | 462080 | NOT_INITIATED | 4213712 | N/A | N/A | PRIMARY | 20250902P0106983 | 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 | 5541719 | N/A | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2025-09-09 00:13:00.057341 | 2025-09-09 00:13:00.057352 | 461275 | NOT_INITIATED | 4208370 | N/A | N/A | PRIMARY | 20250908P0107547 | 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 | 5535446 | N/A | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2025-09-08 23:23:21.439774 | 2025-09-08 23:23:21.439781 | 461246 | NOT_INITIATED | 7705720 | N/A | N/A | PRIMARY | 20250826L0101094 | N/A | N/A | N/A | N/A | 2025-11-24 08:00:00 | 2025-08-26 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 9187568 | N/A | N/A | N/A | PRE_CERT | N/A | 19 | 19 | N/A | VISITS |
| 2025-09-08 22:54:00.786851 | 2025-10-30 23:48:59.279579 | 461201 | NOT_INITIATED | 4343454 | N/A | N/A | PRIMARY | 20250908P0106353 | 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 | 5676399 | True | N/A | N/A | PRE_CERT | N/A | 10 | 10 | N/A | VISITS |
| 2025-09-08 22:01:45.099014 | 2025-09-08 22:01:45.099020 | 461151 | NOT_INITIATED | 4213446 | N/A | N/A | PRIMARY | N/A | N/A | N/A | N/A | N/A | 2026-06-16 07:00:00 | 2025-06-16 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 | 243723 | 10 | 10 | N/A | VISITS |
| 2025-09-08 21:19:19.419919 | 2025-09-08 21:19:19.419928 | 461114 | NOT_INITIATED | 6152454 | N/A | N/A | PRIMARY | 20250908P0105006 | 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 | 7315101 | N/A | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2025-09-08 21:15:01.168244 | 2025-09-08 21:15:01.168253 | 461112 | NOT_INITIATED | 4219732 | N/A | N/A | PRIMARY | 20250908P0104948 | 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 | 5550875 | N/A | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2025-09-08 21:10:36.180415 | 2025-09-08 21:10:36.180423 | 461106 | NOT_INITIATED | 4214871 | N/A | N/A | PRIMARY | 20250908P0104888 | 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 | 5543033 | N/A | N/A | N/A | PRE_CERT | N/A | 3 | 3 | N/A | VISITS |
| 2025-09-08 18:15:38.429525 | 2025-09-17 16:00:00.061342 | 460764 | NOT_INITIATED | 7655426 | N/A | N/A | PRIMARY | 20250822P0104032 | N/A | N/A | N/A | N/A | 2025-11-20 08:00:00 | 2025-08-22 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 9134245 | True | N/A | N/A | PRE_CERT | N/A | 1 | 1 | N/A | VISITS |
| 2025-09-08 17:53:48.345677 | 2025-09-08 17:53:48.345690 | 460728 | NOT_INITIATED | 7543577 | N/A | N/A | PRIMARY | 20250730721033201244 | N/A | N/A | N/A | N/A | 2026-01-27 08:00:00 | 2025-07-30 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 9020143 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2025-09-08 16:46:15.233603 | 2025-09-08 16:46:15.233612 | 460627 | NOT_INITIATED | 7652862 | N/A | N/A | PRIMARY | 20250829P0102986 | N/A | N/A | N/A | N/A | 2025-11-27 08:00:00 | 2025-08-29 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 9131826 | N/A | N/A | N/A | PRE_CERT | N/A | 9 | 9 | N/A | VISITS |
| 2025-09-08 15:51:54.689205 | 2025-10-31 20:12:15.600013 | 460533 | NOT_INITIATED | 7314370 | N/A | N/A | PRIMARY | 00 | N/A | N/A | N/A | N/A | 2027-01-10 12:00:00 | 2025-09-03 11:00:00 | 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 | 8 | 20 | N/A | VISITS |
| 2025-09-05 23:34:38.285395 | 2025-09-05 23:34:38.285404 | 459612 | NOT_INITIATED | 7625402 | N/A | N/A | PRIMARY | 20250902L0102028 | 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 | 9105461 | N/A | N/A | N/A | PRE_CERT | N/A | 21 | 21 | N/A | VISITS |
| 2025-09-05 23:24:01.652051 | 2025-09-05 23:24:01.652059 | 459611 | NOT_INITIATED | 4208854 | N/A | N/A | PRIMARY | N/A | N/A | N/A | N/A | N/A | 2026-08-05 07:00:00 | 2025-08-06 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 | 169663 | 10 | 10 | N/A | VISITS |
| 2025-09-05 23:23:24.287622 | 2025-09-05 23:24:36.412617 | 459610 | NOT_INITIATED | 4208854 | N/A | N/A | PRIMARY | N/A | N/A | N/A | N/A | N/A | 2026-08-05 07:00:00 | 2025-08-06 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 | 169663 | 10 | 10 | N/A | VISITS |
| 2025-09-05 23:22:54.001839 | 2025-09-05 23:24:35.325399 | 459609 | NOT_INITIATED | 4208854 | N/A | N/A | PRIMARY | N/A | N/A | N/A | N/A | N/A | 2026-08-05 07:00:00 | 2025-08-06 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 | 169663 | 10 | 10 | N/A | VISITS |