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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-08-20 21:29:23.243942 | 2025-08-20 21:29:23.243950 | 444874 | NOT_INITIATED | 5046278 | N/A | N/A | PRIMARY | 20250820L0101747 | N/A | N/A | N/A | N/A | 2025-11-18 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 | 6398725 | N/A | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2025-08-20 20:31:56.514716 | 2026-01-28 23:27:36.266443 | 444738 | NOT_INITIATED | 6698213 | N/A | N/A | PRIMARY | 4039573 | N/A | N/A | WC AUTH WRIST BILAT | N/A | 2025-12-20 15:00:00 | 2025-08-06 14:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 7868634 | True | N/A | N/A | PRE_CERT | N/A | 6 | 12 | N/A | VISITS |
| 2025-08-20 20:29:53.476742 | 2025-10-06 21:16:39.783961 | 444736 | NOT_INITIATED | 6841390 | N/A | N/A | PRIMARY | 20250820L0101019 | N/A | N/A | N/A | N/A | 2025-11-18 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 | 8043676 | True | N/A | N/A | PRE_CERT | N/A | 5 | 5 | N/A | VISITS |
| 2025-08-20 18:39:09.195528 | 2025-08-20 18:39:09.195535 | 444575 | NOT_INITIATED | 4534562 | N/A | N/A | PRIMARY | 20250820P0103034 | N/A | N/A | N/A | N/A | 2025-11-08 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 | 5874433 | N/A | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2025-08-20 16:22:59.075543 | 2025-08-20 16:22:59.075553 | 444412 | NOT_INITIATED | 4208960 | N/A | N/A | PRIMARY | 20250820P0100929 | N/A | N/A | N/A | N/A | 2025-11-18 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 | 5536162 | N/A | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2025-08-20 16:09:17.683432 | 2025-08-20 16:09:17.683440 | 444394 | NOT_INITIATED | 6977378 | N/A | N/A | PRIMARY | N/A | N/A | N/A | N/A | N/A | N/A | 2025-07-24 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 | 8 | 8 | N/A | VISITS |
| 2025-08-19 23:48:08.110158 | 2025-08-19 23:48:08.110168 | 443813 | NOT_INITIATED | 6445493 | N/A | N/A | PRIMARY | 20250819L0102372 | N/A | N/A | N/A | N/A | 2025-11-17 08:00:00 | 2025-08-19 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 7503022 | N/A | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2025-08-19 23:38:41.404069 | 2025-08-19 23:38:41.404078 | 443809 | NOT_INITIATED | 4219052 | 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 | 243703 | 10 | 10 | N/A | VISITS |
| 2025-08-19 23:06:23.457741 | 2025-08-19 23:06:23.457751 | 443771 | NOT_INITIATED | 6966514 | N/A | N/A | PRIMARY | 20250812P0105841 | N/A | N/A | N/A | N/A | 2025-11-10 08:00:00 | 2025-08-12 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 8204466 | N/A | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2025-08-19 21:47:54.517026 | 2025-08-19 21:47:54.517037 | 443727 | NOT_INITIATED | 6276620 | N/A | N/A | PRIMARY | 20250819L0101749 | N/A | N/A | N/A | N/A | 2025-11-17 08:00:00 | 2025-08-19 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 7320833 | N/A | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2025-08-19 21:40:45.238806 | 2025-08-19 21:40:45.238814 | 443726 | NOT_INITIATED | 6276620 | N/A | N/A | PRIMARY | 20250620L0101760 | N/A | N/A | N/A | N/A | 2025-09-18 07:00:00 | 2025-06-20 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 7320833 | N/A | N/A | N/A | PRE_CERT | N/A | 1 | 1 | N/A | VISITS |
| 2025-08-19 21:24:13.467766 | 2025-08-20 18:54:24.432270 | 443713 | NOT_INITIATED | 6823015 | N/A | N/A | PRIMARY | 2026319500 | N/A | N/A | N/A | N/A | 2025-12-31 16:00:00 | 2025-08-12 14:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 8020372 | N/A | N/A | N/A | PRE_CERT | N/A | 6 | 6 | N/A | VISITS |
| 2025-08-19 21:11:29.806533 | 2025-08-19 21:11:29.806541 | 443704 | NOT_INITIATED | 6964774 | N/A | N/A | PRIMARY | 20250731L0101567 | 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 | 8202027 | N/A | N/A | N/A | PRE_CERT | N/A | 9 | 9 | N/A | VISITS |
| 2025-08-19 21:09:57.325300 | 2025-11-19 00:32:31.092368 | 443700 | NOT_INITIATED | 4720748 | N/A | N/A | PRIMARY | 20250819P0105043 | N/A | N/A | N/A | N/A | 2025-11-17 08:00:00 | 2025-08-19 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 6077164 | True | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2025-08-19 21:06:24.191577 | 2025-11-17 21:20:10.924044 | 443699 | NOT_INITIATED | 4215273 | N/A | N/A | PRIMARY | 20250812P0101513 | N/A | N/A | N/A | N/A | 2025-11-10 08:00:00 | 2025-08-12 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5543493 | True | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2025-08-19 17:48:02.124875 | 2025-12-05 19:32:11.206958 | 443443 | NOT_INITIATED | 4211716 | N/A | N/A | PRIMARY | 20250815L0101191 | N/A | N/A | N/A | N/A | 2025-11-13 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 | 5539406 | True | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2025-08-19 17:22:53.625855 | 2025-08-19 17:22:53.625883 | 443407 | NOT_INITIATED | 6958499 | N/A | N/A | PRIMARY | N/A | N/A | N/A | N/A | N/A | 2025-12-30 08:00:00 | 2024-12-30 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 | 224310 | 10 | 10 | N/A | VISITS |
| 2025-08-19 16:53:21.698476 | 2025-08-19 16:53:21.698484 | 443391 | NOT_INITIATED | 4211585 | N/A | N/A | PRIMARY | 20250616L0101253 | N/A | N/A | N/A | N/A | 2025-09-14 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 | 5539261 | N/A | N/A | N/A | PRE_CERT | N/A | 25 | 25 | N/A | VISITS |
| 2025-08-18 23:54:04.582689 | 2025-08-18 23:54:04.582721 | 442483 | NOT_INITIATED | 6897749 | N/A | N/A | PRIMARY | 12681878 | N/A | N/A | N/A | N/A | N/A | 2025-08-15 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 8119832 | N/A | N/A | N/A | PRE_CERT | N/A | 11 | 11 | N/A | VISITS |
| 2025-08-18 23:44:39.840035 | 2025-11-17 22:21:46.818692 | 442482 | NOT_INITIATED | 6939518 | N/A | N/A | PRIMARY | 20250818P0103904 | N/A | N/A | N/A | N/A | 2025-11-16 08:00:00 | 2025-08-18 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 8173002 | True | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2025-08-18 23:07:44.419464 | 2025-09-17 18:11:16.994061 | 442429 | NOT_INITIATED | 6941976 | N/A | N/A | PRIMARY | 20250728P0103300 | N/A | N/A | N/A | N/A | 2025-10-26 21:00:00 | 2025-07-28 21:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 9478316 | N/A | N/A | N/A | PRE_CERT | N/A | 11 | 11 | N/A | VISITS |
| 2025-08-18 22:36:59.798038 | 2025-10-03 16:54:00.927858 | 442400 | NOT_INITIATED | 6482032 | N/A | N/A | PRIMARY | 20250724P0104750 | 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 | 7565179 | True | N/A | N/A | PRE_CERT | N/A | 5 | 5 | N/A | VISITS |
| 2025-08-18 17:49:22.235084 | 2025-11-05 16:22:06.864939 | 442104 | NOT_INITIATED | 4215086 | N/A | N/A | PRIMARY | 20250815L0101389 | N/A | N/A | N/A | N/A | 2025-11-14 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 | 5543270 | True | N/A | N/A | PRE_CERT | N/A | 2 | 2 | N/A | VISITS |
| 2025-08-18 17:48:13.809826 | 2025-08-18 17:48:13.809836 | 442101 | NOT_INITIATED | 6934616 | N/A | N/A | PRIMARY | N/A | N/A | N/A | N/A | N/A | 2026-08-15 07:00:00 | 2025-08-15 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | N/A | N/A | N/A | N/A | REFERRAL | 243674 | 10 | 10 | N/A | VISITS |
| 2025-08-18 17:35:11.007546 | 2025-08-18 17:35:11.007558 | 442093 | NOT_INITIATED | 4208856 | N/A | N/A | PRIMARY | 20250818L0100553 | N/A | N/A | 1) M25.511 - PAIN IN RIGHT SHOULDER 2) M25.512 - PAIN IN LEFT SHOULDER 3) M25.561 - PAIN IN RIGHT KNEE 4) M25.562 - PAIN IN LEFT KNEE | N/A | 2025-11-16 08:00:00 | 2025-08-18 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5536041 | N/A | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2025-08-18 17:26:57.821827 | 2025-10-22 17:48:53.606740 | 442085 | NOT_INITIATED | 6934748 | N/A | N/A | PRIMARY | 20250723L0100694 | N/A | N/A | N/A | N/A | 2025-10-21 07:00:00 | 2025-07-23 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 8168224 | True | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2025-08-18 15:56:33.927363 | 2025-08-18 15:56:33.927378 | 442012 | NOT_INITIATED | 4214994 | N/A | N/A | PRIMARY | 25217A0469 | N/A | N/A | RE-EVAL AT 7TH VISIT | N/A | 2026-02-05 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 | N/A | N/A | N/A | N/A | REFERRAL | 224392 | 10 | 10 | N/A | VISITS |
| 2025-08-16 00:11:36.988302 | 2025-10-17 23:16:38.284624 | 441231 | NOT_INITIATED | 5983606 | N/A | N/A | PRIMARY | 20250815L0102150 | 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 | 6958289 | True | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2025-08-15 22:41:53.101881 | 2025-11-11 16:17:35.584232 | 441160 | NOT_INITIATED | 6897630 | N/A | N/A | PRIMARY | 20250805P0107083 | 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 | 8119734 | True | N/A | N/A | PRE_CERT | N/A | 1 | 1 | N/A | VISITS |
| 2025-08-15 20:35:54.588338 | 2025-08-15 20:35:54.588345 | 441070 | NOT_INITIATED | 4219618 | N/A | N/A | PRIMARY | 20250721L0100112 | N/A | N/A | N/A | N/A | 2025-10-19 07:00:00 | 2025-07-21 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5550707 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2025-08-15 18:48:45.674655 | 2025-08-15 18:48:45.674661 | 441021 | NOT_INITIATED | 6844134 | N/A | N/A | PRIMARY | 20250815P0102595 | N/A | N/A | M25.561 - PAIN IN RIGHT KNEE | 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 | 8048052 | N/A | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2025-08-15 17:57:46.978556 | 2025-08-15 17:57:46.978565 | 440973 | NOT_INITIATED | 4219121 | N/A | N/A | PRIMARY | N/A | N/A | N/A | N/A | N/A | 2026-07-14 07:00:00 | 2025-07-15 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 |
| 2025-08-15 17:31:03.940765 | 2025-09-12 16:39:11.305066 | 440939 | NOT_INITIATED | 6889064 | N/A | N/A | PRIMARY | 20250808L0100384 | N/A | N/A | N/A | N/A | 2025-11-06 16:00:00 | 2025-08-08 14:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 9312786 | N/A | N/A | N/A | PRE_CERT | N/A | 9 | 9 | N/A | VISITS |
| 2025-08-15 16:21:44.349665 | 2025-08-15 16:21:44.349677 | 440902 | NOT_INITIATED | 4209480 | N/A | N/A | PRIMARY | 20250725L0100599 | N/A | N/A | 1) M54.16 - RADICULOPATHY LUMBAR REGION 2) M25.561 - PAIN IN RIGHT KNEE 3) M25.512 - PAIN IN LEFT SHOULDER 4) M25.511 - PAIN IN RIGHT SHOULDER | N/A | 2025-10-29 07:00:00 | 2025-07-25 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5568076 | N/A | N/A | N/A | PRE_CERT | N/A | 9 | 9 | N/A | VISITS |
| 2025-08-15 14:44:31.893259 | 2025-08-15 14:44:31.893266 | 440810 | NOT_INITIATED | 4209480 | N/A | N/A | PRIMARY | 20250718L0100749 | N/A | N/A | N/A | N/A | 2025-10-16 07:00:00 | 2025-07-18 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5568076 | N/A | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2025-08-14 22:17:33.209628 | 2025-10-30 15:36:43.253281 | 440266 | NOT_INITIATED | 6871702 | N/A | N/A | PRIMARY | 20250811L0101281 | N/A | N/A | N/A | N/A | 2025-11-09 08:00:00 | 2025-08-11 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 8088383 | True | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2025-08-14 21:30:13.706924 | 2025-08-14 21:30:13.706938 | 440190 | NOT_INITIATED | 4214542 | N/A | N/A | PRIMARY | 20250814P0104964 | N/A | N/A | N/A | 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 | 5542660 | N/A | N/A | N/A | PRE_CERT | N/A | 10 | 10 | N/A | VISITS |
| 2025-08-14 21:00:03.038618 | 2025-08-14 21:00:03.038627 | 440162 | NOT_INITIATED | 6871556 | N/A | N/A | PRIMARY | 22676538163 | N/A | N/A | LUMBAR AUTH | N/A | 2025-10-12 07:00:00 | 2025-07-14 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 8088218 | N/A | N/A | N/A | PRE_CERT | N/A | 9 | 9 | N/A | VISITS |
| 2025-08-14 18:29:54.791189 | 2025-08-14 18:29:54.791203 | 439990 | NOT_INITIATED | 6868326 | N/A | N/A | PRIMARY | 20250806L0102155 | N/A | N/A | N/A | N/A | 2025-11-04 08:00:00 | 2025-08-06 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 8085236 | N/A | N/A | N/A | PRE_CERT | N/A | 9 | 9 | N/A | VISITS |
| 2025-08-14 18:17:21.355099 | 2025-08-14 18:17:21.355108 | 439972 | NOT_INITIATED | 6868181 | N/A | N/A | PRIMARY | 20250813P0103033 | N/A | N/A | N/A | N/A | 2025-11-11 08:00:00 | 2025-08-13 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 8085143 | N/A | N/A | N/A | PRE_CERT | N/A | 11 | 11 | N/A | VISITS |
| 2025-08-14 15:24:08.456310 | 2025-08-14 15:24:08.456316 | 439859 | NOT_INITIATED | 6865806 | N/A | N/A | PRIMARY | 20250805P0101880 | 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 | 8082695 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2025-08-14 14:46:19.988882 | 2025-11-05 16:26:47.271616 | 439830 | NOT_INITIATED | 4211630 | N/A | N/A | PRIMARY | 20250814P0100259 | N/A | N/A | N/A | 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 | 5539306 | True | N/A | N/A | PRE_CERT | N/A | 10 | 10 | N/A | VISITS |
| 2025-08-14 00:06:27.994138 | 2025-08-14 00:06:27.994146 | 439337 | NOT_INITIATED | 6857575 | N/A | N/A | PRIMARY | 202508017U1589600001 | N/A | N/A | N/A | N/A | 2026-01-28 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 | 8072928 | N/A | N/A | N/A | PRE_CERT | N/A | 19 | 19 | N/A | VISITS |
| 2025-08-13 23:42:25.364592 | 2025-08-13 23:42:25.364600 | 439333 | NOT_INITIATED | 6471580 | N/A | N/A | PRIMARY | 20250523P0104409 | N/A | N/A | N/A | N/A | 2025-08-21 07:00:00 | 2025-05-23 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 7546527 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2025-08-13 23:10:56.356114 | 2025-08-13 23:10:56.356122 | 439311 | NOT_INITIATED | 4729138 | N/A | N/A | PRIMARY | 20250812p0107360 | N/A | N/A | N/A | N/A | 2025-11-10 08:00:00 | 2025-08-12 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 6085762 | N/A | N/A | N/A | PRE_CERT | N/A | 24 | 24 | N/A | VISITS |
| 2025-08-13 23:07:39.613460 | 2025-08-13 23:07:39.613476 | 439310 | NOT_INITIATED | 6853648 | N/A | N/A | PRIMARY | 20250813P0102210 | N/A | N/A | N/A | N/A | 2025-11-11 08:00:00 | 2025-08-13 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 8063803 | N/A | N/A | N/A | PRE_CERT | N/A | 11 | 11 | N/A | VISITS |
| 2025-08-13 22:52:58.349420 | 2025-08-13 22:52:58.349429 | 439307 | NOT_INITIATED | 4213376 | N/A | N/A | PRIMARY | 25211A0482 | N/A | N/A | N/A | N/A | 2026-01-30 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 | 5541349 | N/A | N/A | N/A | PRE_CERT | N/A | 10 | 10 | N/A | VISITS |
| 2025-08-13 22:48:34.485641 | 2025-08-13 22:48:34.485648 | 439305 | NOT_INITIATED | 4211005 | N/A | N/A | PRIMARY | 20250811L0100652 | N/A | N/A | N/A | N/A | 2025-11-09 08:00:00 | 2025-08-11 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5538607 | N/A | N/A | N/A | PRE_CERT | N/A | 10 | 10 | N/A | VISITS |
| 2025-08-13 22:17:21.362927 | 2025-08-13 22:17:21.362940 | 439274 | NOT_INITIATED | 4211528 | N/A | N/A | PRIMARY | 20250813P0105732 | N/A | N/A | N/A | N/A | 2025-11-11 08:00:00 | 2025-08-13 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5539195 | N/A | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2025-08-13 22:08:01.922682 | 2025-10-16 17:15:02.095001 | 439257 | NOT_INITIATED | 4209945 | N/A | N/A | PRIMARY | 20250813P0103057 | N/A | N/A | SHOULDER, BILAT AUTH | N/A | 2025-11-11 16:00:00 | 2025-08-13 14:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5537366 | True | N/A | N/A | PRE_CERT | N/A | 9 | 9 | N/A | VISITS |