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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-09-09 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 |
| 2025-09-05 22:51:50.513543 | 2025-10-16 20:36:59.407478 | 459598 | NOT_INITIATED | 4208829 | N/A | N/A | PRIMARY | 20250905P0106043 | 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 | 5536007 | True | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2025-09-05 22:46:33.907586 | 2025-09-05 22:46:33.907596 | 459597 | NOT_INITIATED | 7625107 | N/A | N/A | PRIMARY | N/A | N/A | N/A | N/A | N/A | 2026-09-04 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 | N/A | N/A | N/A | REFERRAL | 224800 | 10 | 10 | N/A | VISITS |
| 2025-09-05 22:30:37.876525 | 2025-09-05 22:30:37.876529 | 459576 | NOT_INITIATED | 7625045 | N/A | N/A | PRIMARY | 20250822L0102167 | 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 | 9105203 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2025-09-05 18:41:02.779644 | 2025-10-09 18:15:03.706636 | 459445 | NOT_INITIATED | 7545472 | N/A | N/A | PRIMARY | 293522888-UMO-1 | N/A | N/A | N/A | N/A | 2025-12-15 16:00:00 | 2025-08-15 14:00:00 | 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 | 6 | 12 | N/A | VISITS |
| 2025-09-05 18:01:49.706329 | 2025-09-05 18:01:49.706347 | 459419 | NOT_INITIATED | 4212687 | N/A | N/A | PRIMARY | 20250826P0102566 | 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 | 7992096 | N/A | N/A | N/A | PRE_CERT | N/A | 25 | 25 | N/A | VISITS |
| 2025-09-05 17:36:07.565022 | 2025-11-05 00:08:29.572289 | 459404 | NOT_INITIATED | 7621062 | N/A | N/A | PRIMARY | 20250826P0101242 | 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 | 9102655 | True | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2025-09-05 15:50:47.562260 | 2025-09-05 15:50:47.562267 | 459288 | NOT_INITIATED | 4214871 | N/A | N/A | PRIMARY | 20250905P0100677 | 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 | 5543033 | N/A | N/A | N/A | PRE_CERT | N/A | 6 | 6 | N/A | VISITS |
| 2025-09-05 15:49:31.703732 | 2026-03-24 14:51:45.134487 | 459284 | NOT_INITIATED | 4214212 | N/A | N/A | PRIMARY | 20250905P0100673 | 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 | 5542274 | True | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2025-09-05 15:48:03.951219 | 2025-09-05 15:48:18.664233 | 459283 | NOT_INITIATED | 7579259 | N/A | N/A | PRIMARY | 20250905L0100169 | N/A | N/A | CERVICAL AUTH | N/A | 2025-12-04 16:00:00 | 2025-09-05 14:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 9063890 | N/A | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2025-09-05 15:02:25.215989 | 2025-12-05 16:48:43.803242 | 459237 | NOT_INITIATED | 4212098 | N/A | N/A | PRIMARY | 20250828P0103601 | 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 | 5539853 | True | N/A | N/A | PRE_CERT | N/A | 24 | 24 | N/A | VISITS |
| 2025-09-05 14:52:37.112354 | 2025-12-04 15:58:33.694119 | 459228 | NOT_INITIATED | 4212802 | N/A | N/A | PRIMARY | 20250905P0100314 | N/A | N/A | BILATERAL KNEE | N/A | 2025-12-04 16:00:00 | 2025-09-05 14:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5540683 | True | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2025-09-05 14:48:38.601210 | 2025-11-19 00:32:32.365759 | 459222 | NOT_INITIATED | 4720748 | N/A | N/A | PRIMARY | 20250905P0100298 | 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 | 6077164 | True | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2025-09-04 23:28:15.575691 | 2025-11-11 16:17:37.531384 | 458550 | NOT_INITIATED | 6897630 | N/A | N/A | PRIMARY | 20250904P0107244 | N/A | N/A | N/A | N/A | 2025-12-03 08:00:00 | 2025-09-04 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 8119734 | True | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2025-09-04 22:33:35.026101 | 2025-09-04 22:33:35.026117 | 458487 | NOT_INITIATED | 5857041 | N/A | N/A | PRIMARY | 20250904P0106403 | N/A | N/A | N/A | N/A | 2025-12-03 08:00:00 | 2025-09-04 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 6814715 | N/A | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2025-09-04 21:38:53.486960 | 2025-09-04 21:38:53.486973 | 458451 | NOT_INITIATED | 7604142 | N/A | N/A | PRIMARY | 20250724L0101940 | N/A | N/A | N/A | N/A | 2025-10-22 07:00:00 | 2025-07-24 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 9086067 | N/A | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2025-09-04 20:27:37.210935 | 2025-09-04 20:27:37.210943 | 458416 | NOT_INITIATED | 4214617 | N/A | N/A | PRIMARY | 20250904P0104492 | N/A | N/A | N/A | N/A | 2025-12-03 08:00:00 | 2025-09-04 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5542746 | N/A | N/A | N/A | PRE_CERT | N/A | 4 | 4 | N/A | VISITS |
| 2025-09-04 18:33:52.868469 | 2025-09-04 18:33:52.868477 | 458297 | NOT_INITIATED | 7600708 | N/A | N/A | PRIMARY | N/A | N/A | N/A | N/A | N/A | 2026-08-13 07:00:00 | 2025-08-13 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 | 243519 | 10 | 10 | N/A | VISITS |
| 2025-09-04 18:30:00.729201 | 2025-09-04 18:30:00.729210 | 458293 | NOT_INITIATED | 4215158 | N/A | N/A | PRIMARY | 17174336 | N/A | N/A | ASH AUTH (10) | N/A | 2025-10-08 07:00:00 | 2025-08-26 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5543355 | N/A | N/A | N/A | PRE_CERT | N/A | 10 | 10 | N/A | VISITS |
| 2025-09-04 17:22:02.615563 | 2025-09-04 17:22:02.615573 | 458219 | NOT_INITIATED | 4852857 | N/A | N/A | PRIMARY | 20250904P0101770 | N/A | N/A | N/A | N/A | 2025-12-03 08:00:00 | 2025-09-04 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 6210099 | N/A | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2025-09-04 17:19:56.140212 | 2025-09-04 17:19:56.140222 | 458214 | NOT_INITIATED | 7599019 | N/A | N/A | PRIMARY | 20250814721033201052 | N/A | N/A | N/A | N/A | 2026-02-10 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 | 9082373 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2025-09-04 16:56:58.771482 | 2025-09-04 16:56:58.771489 | 458188 | NOT_INITIATED | 4214888 | N/A | N/A | PRIMARY | N/A | N/A | N/A | N/A | N/A | 2026-08-08 07:00:00 | 2025-08-08 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | N/A | N/A | N/A | N/A | REFERRAL | 225037 | 8 | 8 | N/A | VISITS |
| 2025-09-04 15:57:28.390758 | 2025-09-04 15:57:28.390767 | 458097 | NOT_INITIATED | 4767293 | N/A | N/A | PRIMARY | 20250904L0100241 | N/A | N/A | N/A | N/A | 2025-12-03 08:00:00 | 2025-09-04 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 6124845 | N/A | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2025-09-04 15:49:31.882924 | 2025-11-19 01:06:12.396371 | 458090 | NOT_INITIATED | 7597485 | N/A | N/A | PRIMARY | 20250903P0107581 | N/A | N/A | N/A | N/A | 2025-12-02 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 | 9081026 | True | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2025-09-04 15:18:38.978692 | 2025-09-04 15:18:38.978699 | 458043 | NOT_INITIATED | 4766544 | N/A | N/A | PRIMARY | 20250904L0100137 | N/A | N/A | N/A | N/A | 2025-12-03 08:00:00 | 2025-09-04 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 6123813 | N/A | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2025-09-03 23:04:42.781221 | 2025-09-03 23:04:42.781235 | 457424 | NOT_INITIATED | 7579259 | N/A | N/A | PRIMARY | 20250903L0101003 | N/A | N/A | CERVICAL AUTH | N/A | 2025-12-02 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 | 9063890 | N/A | N/A | N/A | PRE_CERT | N/A | 1 | 1 | N/A | VISITS |
| 2025-09-03 22:04:31.951359 | 2025-11-10 22:25:25.340490 | 457335 | NOT_INITIATED | 4219033 | N/A | N/A | PRIMARY | 20250731P0102424 | N/A | N/A | N/A | N/A | 2025-10-29 07:00:00 | 2025-07-31 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 6231314 | True | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2025-09-03 21:22:33.970052 | 2026-01-29 17:56:53.654522 | 457283 | NOT_INITIATED | 4214047 | N/A | N/A | PRIMARY | OP0029562867 | N/A | N/A | N/A | N/A | 2025-10-31 07:00:00 | 2025-07-31 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5542093 | True | N/A | N/A | PRE_CERT | N/A | 10 | 10 | N/A | VISITS |
| 2025-09-03 19:50:54.406012 | 2026-03-06 17:29:01.458524 | 457132 | NOT_INITIATED | 7485064 | N/A | N/A | PRIMARY | 50038009417 | N/A | N/A | N/A | N/A | 2026-08-13 14:00:00 | 2025-08-13 14:00:00 | 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 | 122444 | 12 | 20 | N/A | VISITS |
| 2025-09-03 18:37:31.141785 | 2025-09-03 18:37:31.141792 | 457006 | NOT_INITIATED | 7578901 | N/A | N/A | PRIMARY | 25245A0352 | N/A | N/A | N/A | N/A | 2026-03-02 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 | 9063707 | N/A | N/A | N/A | PRE_CERT | N/A | 11 | 11 | N/A | VISITS |
| 2025-09-03 18:04:34.604997 | 2025-09-24 16:24:00.068922 | 456944 | NOT_INITIATED | 7578220 | N/A | N/A | PRIMARY | 20250822L0100377 | N/A | N/A | N/A | N/A | 2025-11-26 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 | 9063334 | True | N/A | N/A | PRE_CERT | N/A | 2 | 2 | N/A | VISITS |