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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-08-13 21:59:48.290015 | 2025-08-13 21:59:48.290021 | 439254 | NOT_INITIATED | 4215139 | N/A | N/A | PRIMARY | 20250807P0105810 | N/A | N/A | M25.50 - PAIN IN UNSPECIFIED JOINT | 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 | 5543335 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2025-08-13 21:58:52.265298 | 2025-11-06 19:46:29.869101 | 439252 | NOT_INITIATED | 4215139 | N/A | N/A | PRIMARY | 20250807P0105796 | N/A | N/A | N/A | N/A | 2025-11-06 00:00:00 | 2025-08-07 21:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5543335 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 18 | N/A | VISITS |
| 2025-08-13 20:23:22.651254 | 2026-04-29 17:23:03.346511 | 439196 | NOT_INITIATED | 6394822 | N/A | N/A | PRIMARY | 20250813L0101362 | 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 | 7444072 | True | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2025-08-13 19:00:44.845984 | 2025-08-13 19:00:44.845992 | 439059 | NOT_INITIATED | 6845945 | N/A | N/A | PRIMARY | 20250907P0106035 | N/A | N/A | N/A | 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 | 8050658 | N/A | N/A | N/A | PRE_CERT | N/A | 1 | 1 | N/A | VISITS |
| 2025-08-13 18:30:22.553153 | 2025-09-02 16:51:07.650358 | 439011 | NOT_INITIATED | 4219408 | N/A | N/A | PRIMARY | 20250807P0100260 | N/A | N/A | N/A | N/A | 2025-11-05 16:00:00 | 2025-08-07 14:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 9020190 | N/A | N/A | N/A | PRE_CERT | N/A | 9 | 9 | N/A | VISITS |
| 2025-08-13 18:16:11.316027 | 2025-08-13 18:16:11.316032 | 438950 | NOT_INITIATED | 4219347 | N/A | N/A | PRIMARY | 20250807P0102072 | N/A | N/A | N/A | 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 | 5549748 | N/A | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2025-08-13 17:24:45.008821 | 2025-11-26 16:01:46.388568 | 438872 | NOT_INITIATED | 6844466 | N/A | N/A | PRIMARY | 20250813P0100855 | 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 | 8048674 | True | N/A | N/A | PRE_CERT | N/A | 25 | 25 | N/A | VISITS |
| 2025-08-13 17:16:09.385110 | 2025-08-15 18:45:47.409407 | 438858 | NOT_INITIATED | 6844134 | N/A | N/A | PRIMARY | 20250717P0104020 | N/A | N/A | M25.561 - PAIN IN RIGHT KNEE | N/A | 2025-10-15 14:00:00 | 2025-07-17 14:00:00 | 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 | 1 | 1 | N/A | VISITS |
| 2025-08-13 17:15:04.220994 | 2025-08-13 17:15:04.221003 | 438856 | NOT_INITIATED | 6844313 | N/A | N/A | PRIMARY | 20250812P0101755 | 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 | 8048303 | N/A | N/A | N/A | PRE_CERT | N/A | 1 | 1 | N/A | VISITS |
| 2025-08-13 16:12:11.341694 | 2025-09-10 23:15:02.008414 | 438811 | NOT_INITIATED | 6227714 | N/A | N/A | PRIMARY | 17119115 | N/A | N/A | N/A | N/A | 2025-10-17 14:00:00 | 2025-07-29 14:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 7262806 | N/A | N/A | N/A | PRE_CERT | N/A | 8 | 12 | N/A | VISITS |
| 2025-08-13 15:59:18.290485 | 2025-08-13 15:59:18.290494 | 438799 | NOT_INITIATED | 6271682 | N/A | N/A | PRIMARY | 17114093 | N/A | N/A | N/A | N/A | 2025-08-20 07:00:00 | 2025-08-07 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 7315221 | N/A | N/A | N/A | PRE_CERT | N/A | 4 | 4 | N/A | VISITS |
| 2025-08-13 15:27:01.501376 | 2025-08-20 20:28:15.185771 | 438769 | NOT_INITIATED | 6841390 | N/A | N/A | PRIMARY | 20250812L0100227 | 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 | 8043676 | True | N/A | N/A | PRE_CERT | N/A | 4 | 4 | N/A | VISITS |
| 2025-08-13 15:24:20.860294 | 2025-08-13 15:25:16.874366 | 438768 | NOT_INITIATED | 6397589 | N/A | N/A | PRIMARY | 20250813L0100100 | N/A | N/A | N/A | 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 | 7447541 | N/A | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2025-08-12 23:17:31.538077 | 2025-11-26 22:37:56.672532 | 438149 | NOT_INITIATED | 4213093 | N/A | N/A | PRIMARY | 20250812P0106863 | 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 | 5541023 | True | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2025-08-12 21:44:34.920461 | 2025-09-25 21:38:14.296423 | 438066 | NOT_INITIATED | 4214198 | N/A | N/A | PRIMARY | 20250618L0100426 | N/A | N/A | RIGHT HIP | N/A | 2025-09-16 14:00:00 | 2025-06-18 14:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5542260 | True | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2025-08-12 20:11:44.177473 | 2025-11-03 18:09:56.726012 | 438010 | NOT_INITIATED | 4214447 | N/A | N/A | PRIMARY | 20250812L0101293 | N/A | N/A | N/A | N/A | 2025-11-10 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 | 5542555 | True | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2025-08-12 19:13:35.177911 | 2025-10-22 16:12:15.447610 | 437972 | NOT_INITIATED | 4213941 | N/A | N/A | PRIMARY | 20250812P0103729 | 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 | 5541972 | True | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2025-08-12 19:06:45.964092 | 2025-11-04 19:50:54.152886 | 437960 | NOT_INITIATED | 4209091 | N/A | N/A | PRIMARY | 20250806P0107553 | N/A | N/A | LUMBAR AUTH | N/A | 2025-11-04 16:00:00 | 2025-08-06 14:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5536326 | True | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2025-08-12 18:24:44.335857 | 2025-12-17 21:13:56.660083 | 437928 | NOT_INITIATED | 5818009 | N/A | N/A | PRIMARY | 20250801L0100282 | N/A | N/A | N/A | N/A | 2025-10-30 07:00:00 | 2025-08-01 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 6786642 | True | N/A | N/A | PRE_CERT | N/A | 24 | 24 | N/A | VISITS |
| 2025-08-12 16:19:41.630068 | 2025-08-12 16:19:41.630076 | 437788 | NOT_INITIATED | 4218963 | N/A | N/A | PRIMARY | 20250812P0100607 | 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 | 5549258 | N/A | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2025-08-12 14:52:42.712816 | 2025-11-05 18:00:01.190652 | 437707 | NOT_INITIATED | 4210001 | N/A | N/A | PRIMARY | 20250812P0100327 | N/A | N/A | N/A | N/A | 2025-11-10 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 | 5537439 | True | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2025-08-11 23:34:49.981884 | 2025-09-24 23:18:36.142961 | 437176 | NOT_INITIATED | 4215131 | N/A | N/A | PRIMARY | 20250811L0102062 | 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 | 5543324 | True | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2025-08-11 23:25:04.878639 | 2025-08-11 23:25:04.878646 | 437167 | NOT_INITIATED | 4212687 | N/A | N/A | PRIMARY | 20250716P0102025 | N/A | N/A | N/A | N/A | 2025-10-14 07:00:00 | 2025-07-16 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 | 12 | 12 | N/A | VISITS |
| 2025-08-11 22:03:49.824674 | 2025-08-11 22:03:49.824688 | 437072 | NOT_INITIATED | 6793895 | N/A | N/A | PRIMARY | 20250807P0104211 | N/A | N/A | N/A | 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 | 7982486 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2025-08-11 21:57:28.983137 | 2025-08-11 21:57:28.983143 | 437068 | NOT_INITIATED | 4755145 | N/A | N/A | PRIMARY | 20250811P0105244 | 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 | 6112315 | N/A | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2025-08-11 21:45:56.923881 | 2025-11-19 21:12:20.695637 | 437063 | NOT_INITIATED | 6797587 | N/A | N/A | PRIMARY | 20250724L0100787 | 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 | 7987754 | True | N/A | N/A | PRE_CERT | N/A | 9 | 9 | N/A | VISITS |
| 2025-08-11 18:18:37.401721 | 2025-09-30 22:28:19.298601 | 436800 | NOT_INITIATED | 4219334 | N/A | N/A | PRIMARY | 20250811L0100808 | N/A | N/A | N/A | N/A | 2025-11-09 16:00:00 | 2025-08-11 14:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5549730 | True | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2025-08-11 18:03:29.112223 | 2025-08-11 18:03:29.112232 | 436795 | NOT_INITIATED | 4214998 | N/A | N/A | PRIMARY | 50037824910 | N/A | N/A | N/A | N/A | 2025-09-24 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 | 82541 | 18 | 18 | N/A | VISITS |
| 2025-08-11 16:45:59.173341 | 2025-08-11 16:55:28.954604 | 436708 | NOT_INITIATED | 6787192 | N/A | N/A | PRIMARY | 20250802L0100132 | N/A | N/A | N/A | 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 | 7972178 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2025-08-11 16:40:19.210378 | 2025-08-11 16:40:19.210389 | 436702 | NOT_INITIATED | 6787156 | N/A | N/A | PRIMARY | N/A | N/A | N/A | N/A | N/A | 2026-08-06 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 | 225046 | 10 | 10 | N/A | VISITS |
| 2025-08-08 23:13:43.172386 | 2025-08-08 23:13:43.172394 | 435714 | NOT_INITIATED | 6722460 | N/A | N/A | PRIMARY | 25218A0244 | N/A | N/A | N/A | N/A | 2026-02-06 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 | 7925413 | N/A | N/A | N/A | PRE_CERT | N/A | 11 | 11 | N/A | VISITS |
| 2025-08-08 22:46:24.786852 | 2025-08-08 22:46:24.786866 | 435693 | NOT_INITIATED | 6706066 | N/A | N/A | PRIMARY | 1800800C | N/A | N/A | LUMBAR AUTH | N/A | 2026-07-31 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 | 7877123 | N/A | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2025-08-08 22:17:50.908402 | 2025-08-08 22:17:50.908412 | 435672 | NOT_INITIATED | 6663392 | N/A | N/A | PRIMARY | 22677063410 | N/A | N/A | BILAT TOE | 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 | 7825428 | N/A | N/A | N/A | PRE_CERT | N/A | 9 | 9 | N/A | VISITS |
| 2025-08-08 22:14:14.386367 | 2025-09-23 20:38:42.355185 | 435661 | NOT_INITIATED | 6655655 | N/A | N/A | PRIMARY | 22677097594 | N/A | N/A | ROTATOR CUFF SYNDROME AUTH | N/A | 2025-10-22 14:00:00 | 2025-07-24 14:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 7815883 | N/A | N/A | N/A | PRE_CERT | N/A | 9 | 14 | N/A | VISITS |
| 2025-08-08 21:39:26.939315 | 2025-08-19 16:52:49.873336 | 435623 | NOT_INITIATED | 4211585 | N/A | N/A | PRIMARY | 20250804L0101047 | N/A | N/A | BALANCE AUTH | N/A | 2025-11-02 07:00:00 | 2025-08-04 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5539261 | True | N/A | N/A | PRE_CERT | N/A | 2 | 2 | N/A | VISITS |
| 2025-08-08 21:00:38.556768 | 2025-08-08 21:00:38.556775 | 435560 | NOT_INITIATED | 4215161 | N/A | N/A | PRIMARY | 20250808L0101390 | 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 | 5543360 | N/A | N/A | N/A | PRE_CERT | N/A | 10 | 10 | N/A | VISITS |
| 2025-08-08 16:48:14.290126 | 2025-10-27 17:55:19.266896 | 435327 | NOT_INITIATED | 5230196 | N/A | N/A | PRIMARY | 32484810 | N/A | N/A | N/A | N/A | 2025-09-11 14:00:00 | 2025-08-14 14:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 6611792 | True | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2025-08-08 16:41:36.149527 | 2025-11-05 16:11:44.858840 | 435322 | NOT_INITIATED | 6721838 | N/A | N/A | PRIMARY | 20250805L0100583 | 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 | 7894581 | True | N/A | N/A | PRE_CERT | N/A | 19 | 19 | N/A | VISITS |
| 2025-08-08 15:57:33.485020 | 2025-08-26 15:43:28.233866 | 435276 | NOT_INITIATED | 5215090 | N/A | N/A | PRIMARY | 17096720 | N/A | N/A | 17145211 AUTH 9 VISITS 17096720 AUTH 4 VISITS | N/A | 2025-08-28 18:00:00 | 2025-07-03 18:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 6597151 | N/A | N/A | N/A | PRE_CERT | N/A | 9 | 13 | N/A | VISITS |
| 2025-08-07 22:52:54.111138 | 2025-08-07 22:52:54.111147 | 434702 | NOT_INITIATED | 6708631 | N/A | N/A | PRIMARY | N/A | N/A | N/A | N/A | N/A | 2026-07-07 07:00:00 | 2025-07-07 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 | 172112 | 10 | 10 | N/A | VISITS |
| 2025-08-07 22:09:42.376885 | 2026-01-06 00:37:44.205223 | 434673 | NOT_INITIATED | 4211589 | N/A | N/A | PRIMARY | 20250807P0105639 | N/A | N/A | N/A | 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 | 7545690 | True | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2025-08-07 21:53:23.068596 | 2025-08-07 21:53:23.068603 | 434665 | NOT_INITIATED | 6276688 | N/A | N/A | PRIMARY | 20250123L0100051 | N/A | N/A | N/A | N/A | 2025-10-20 07:00:00 | 2025-01-23 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 7879085 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2025-08-07 21:07:32.362628 | 2025-08-07 21:07:32.362643 | 434622 | NOT_INITIATED | 6707104 | N/A | N/A | PRIMARY | 20250725L0101628 | N/A | N/A | N/A | N/A | 2025-10-23 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 | 7878612 | N/A | N/A | N/A | PRE_CERT | N/A | 1 | 1 | N/A | VISITS |
| 2025-08-07 18:35:35.390370 | 2025-08-07 18:35:35.390380 | 434444 | NOT_INITIATED | 6609923 | N/A | N/A | PRIMARY | 4081991 | N/A | N/A | N/A | N/A | 2025-09-22 07:00:00 | 2025-08-04 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 7760462 | N/A | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2025-08-07 18:21:10.060999 | 2025-08-07 18:21:10.061011 | 434423 | NOT_INITIATED | 4212979 | N/A | N/A | PRIMARY | 20250804P0105309 | N/A | N/A | N/A | N/A | 2025-11-03 08:00:00 | 2025-08-04 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5540893 | N/A | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2025-08-07 17:57:08.330556 | 2025-12-05 17:21:30.013760 | 434393 | NOT_INITIATED | 4214001 | N/A | N/A | PRIMARY | 20250807P0102430 | N/A | N/A | N/A | 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 | 5542046 | True | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2025-08-07 17:16:45.059355 | 2025-08-07 17:16:45.059363 | 434351 | NOT_INITIATED | 4215034 | N/A | N/A | PRIMARY | 25143A0115 | N/A | N/A | N/A | N/A | 2025-11-23 08:00:00 | 2025-05-23 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5543210 | N/A | N/A | N/A | PRE_CERT | N/A | 11 | 11 | N/A | VISITS |
| 2025-08-07 17:06:57.735175 | 2025-09-04 16:03:01.826902 | 434348 | NOT_INITIATED | 6630174 | N/A | N/A | PRIMARY | 50037785547 | N/A | N/A | N/A | N/A | N/A | 2025-08-05 14:00:00 | 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 | 122328 | 6 | 12 | N/A | VISITS |
| 2025-08-07 16:47:43.036379 | 2025-08-07 16:47:43.036387 | 434333 | NOT_INITIATED | 6687413 | N/A | N/A | PRIMARY | 20250731P0102351 | 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 | 7853765 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2025-08-07 16:40:57.565075 | 2025-09-10 16:24:35.526678 | 434330 | NOT_INITIATED | 6687849 | N/A | N/A | PRIMARY | N/A | N/A | N/A | N/A | N/A | 2026-03-12 07:00:00 | 2025-03-12 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 | 243461 | 10 | 10 | N/A | VISITS |