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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-09-16 16:14:10.314847 | 2025-09-16 16:14:10.314860 | 470587 | NOT_INITIATED | 7899425 | N/A | N/A | PRIMARY | 20250827L0101904 | N/A | N/A | N/A | N/A | 2025-11-25 08:00:00 | 2025-08-27 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 9443092 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2025-09-15 23:28:30.541587 | 2025-09-15 23:28:30.541619 | 469912 | NOT_INITIATED | 7884745 | N/A | N/A | PRIMARY | 20250814P0102384 | N/A | N/A | N/A | N/A | 2025-11-13 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 | 9415877 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2025-09-15 23:10:48.605276 | 2025-10-03 22:45:23.354275 | 469874 | NOT_INITIATED | 4219512 | N/A | N/A | PRIMARY | 2024003783 #2 | N/A | N/A | N/A | N/A | 2025-12-11 16:00:00 | 2025-07-31 14:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 9415443 | True | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2025-09-15 22:38:47.883634 | 2025-09-15 22:38:47.883641 | 469847 | NOT_INITIATED | 7884350 | N/A | N/A | PRIMARY | 20250910L0101840 | 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 | 9415234 | N/A | N/A | N/A | PRE_CERT | N/A | 25 | 25 | N/A | VISITS |
| 2025-09-15 22:26:34.718863 | 2025-09-15 22:26:34.718873 | 469829 | NOT_INITIATED | 4213243 | N/A | N/A | PRIMARY | 20250909P0107675 | 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 | 5541202 | N/A | N/A | N/A | PRE_CERT | N/A | 11 | 11 | N/A | VISITS |
| 2025-09-15 20:55:51.005783 | 2025-09-15 20:55:51.005791 | 469740 | NOT_INITIATED | 7882734 | N/A | N/A | PRIMARY | 20250815L0101022 | N/A | N/A | N/A | N/A | 2025-11-13 08:00:00 | 2025-08-15 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 9413338 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2025-09-15 20:31:39.227402 | 2025-12-18 16:21:03.710482 | 469722 | NOT_INITIATED | 4214856 | N/A | N/A | PRIMARY | N/A | N/A | N/A | N/A | N/A | 2026-01-01 08:00:00 | 2025-01-23 08:00:00 | 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 | 169608 | 8 | 8 | N/A | VISITS |
| 2025-09-15 18:54:51.112924 | 2025-09-15 18:54:51.112935 | 469584 | NOT_INITIATED | 4215136 | N/A | N/A | PRIMARY | 20250915L0101010 | N/A | N/A | N/A | N/A | 2025-12-14 08:00:00 | 2025-09-15 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5543328 | N/A | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2025-09-15 18:54:28.970803 | 2025-09-17 16:25:03.138232 | 469583 | NOT_INITIATED | 7073419 | N/A | N/A | PRIMARY | 17202770 | N/A | N/A | N/A | N/A | 2025-10-21 14:00:00 | 2025-08-22 14:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 8393876 | N/A | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2025-09-15 18:43:24.315884 | 2025-09-15 18:43:24.315893 | 469567 | NOT_INITIATED | 7841057 | N/A | N/A | PRIMARY | N/A | N/A | N/A | N/A | N/A | 2026-01-01 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 | N/A | N/A | N/A | N/A | REFERRAL | 225037 | 8 | 8 | N/A | VISITS |
| 2025-09-15 15:49:11.084750 | 2025-10-02 22:04:12.449547 | 468923 | NOT_INITIATED | 4343452 | N/A | N/A | PRIMARY | 4078555 | N/A | N/A | RIGHT KNEE | N/A | 2026-03-09 21:00:00 | 2025-09-10 21:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5993904 | N/A | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2025-09-12 22:06:45.958668 | 2025-09-12 22:06:45.958681 | 467829 | NOT_INITIATED | 7839929 | N/A | N/A | PRIMARY | N/A | N/A | N/A | N/A | N/A | 2026-09-02 07:00:00 | 2025-09-02 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | N/A | N/A | N/A | N/A | REFERRAL | 243703 | 10 | 10 | N/A | VISITS |
| 2025-09-12 20:46:49.768600 | 2025-10-22 16:12:23.096469 | 467795 | NOT_INITIATED | 4213941 | N/A | N/A | PRIMARY | 20250912P0104329 | N/A | N/A | N/A | N/A | 2025-12-11 08:00:00 | 2025-09-12 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5541972 | True | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2025-09-12 19:14:09.449343 | 2025-09-12 19:14:09.449353 | 467728 | NOT_INITIATED | 4210367 | N/A | N/A | PRIMARY | 20250808P0103126 | N/A | N/A | N/A | N/A | 2025-11-06 08:00:00 | 2025-08-08 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5537866 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2025-09-12 18:17:32.373421 | 2026-01-26 16:38:26.769778 | 467690 | NOT_INITIATED | 7836927 | N/A | N/A | PRIMARY | 009532002446WC01 | 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 | 9338119 | N/A | N/A | N/A | PRE_CERT | N/A | 6 | 12 | N/A | VISITS |
| 2025-09-12 16:34:31.477848 | 2025-09-12 16:34:31.477857 | 467451 | NOT_INITIATED | 7835313 | N/A | N/A | PRIMARY | 20250911P0106100 | N/A | N/A | M17.10 - UNI PRIM OSTEOARTHRITIS UNS KNEE | 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 | 9336573 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2025-09-12 15:41:02.967811 | 2025-10-17 16:31:40.582750 | 467397 | NOT_INITIATED | 4210430 | N/A | N/A | PRIMARY | 20250912P0100540 | N/A | N/A | N/A | N/A | 2025-12-11 08:00:00 | 2025-09-12 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 6711965 | True | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2025-09-12 15:29:13.462560 | 2025-11-21 00:11:25.910284 | 467386 | NOT_INITIATED | 4211039 | N/A | N/A | PRIMARY | 20250912P0100444 | N/A | N/A | N/A | N/A | 2025-12-11 08:00:00 | 2025-09-12 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5538674 | True | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2025-09-12 15:24:11.714065 | 2025-09-12 15:24:11.714073 | 467379 | NOT_INITIATED | 4213091 | N/A | N/A | PRIMARY | 20250912L0100130 | N/A | N/A | N/A | N/A | 2025-12-11 08:00:00 | 2025-09-12 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5541035 | N/A | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2025-09-12 15:12:21.438246 | 2025-10-21 15:21:48.429510 | 467364 | NOT_INITIATED | 4214674 | N/A | N/A | PRIMARY | 20250912L0100113 | N/A | N/A | RIGHT SHOULDER | N/A | 2025-12-11 16:00:00 | 2025-09-12 14:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5542808 | True | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 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 | 2026-03-12 20:22:37.685826 | 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 | 2026-05-14 15:32:47.896414 | 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 | True | 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 |