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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-07-25 22:43:56.479364 | 2025-07-25 22:43:56.479370 | 424171 | NOT_INITIATED | 6408333 | N/A | N/A | PRIMARY | 20250723L0100392 | 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 | 7459515 | N/A | N/A | N/A | PRE_CERT | N/A | 5 | 5 | N/A | VISITS |
| 2025-07-25 22:31:18.871822 | 2025-09-16 21:30:31.985460 | 424168 | NOT_INITIATED | 4219721 | N/A | N/A | PRIMARY | 20250725L0101824 | 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 | 5550862 | True | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2025-07-25 22:16:51.241101 | 2025-11-17 17:41:25.054313 | 424157 | NOT_INITIATED | 4212732 | N/A | N/A | PRIMARY | 20250725P0105174 | N/A | N/A | SCIATICA AUTHORIZATION | 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 | 5540601 | True | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2025-07-25 22:15:25.506781 | 2025-10-24 20:53:19.438132 | 424156 | NOT_INITIATED | 4212732 | N/A | N/A | PRIMARY | 20250725P0105222 | N/A | N/A | CERVICAL AUTHORIZATION | 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 | 5540601 | True | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2025-07-25 21:30:49.438764 | 2025-07-25 21:30:49.438769 | 424099 | NOT_INITIATED | 6407685 | N/A | N/A | PRIMARY | 20250617P0105633 | N/A | N/A | N/A | N/A | 2025-09-15 07:00:00 | 2025-06-17 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 7458753 | N/A | N/A | N/A | PRE_CERT | N/A | 19 | 19 | N/A | VISITS |
| 2025-07-25 21:28:16.440753 | 2025-07-25 21:28:16.440762 | 424098 | NOT_INITIATED | 6407557 | N/A | N/A | PRIMARY | 20250724P0106497 | 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 | 7458618 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2025-07-25 20:37:54.368911 | 2025-07-25 20:37:54.368916 | 424031 | NOT_INITIATED | 6407346 | N/A | N/A | PRIMARY | 22677002904 | 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 | 7458401 | N/A | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2025-07-25 20:36:25.272670 | 2025-08-01 18:34:28.496751 | 424030 | NOT_INITIATED | 4766950 | N/A | N/A | PRIMARY | 20250725P0103970 | N/A | N/A | HIP, LT AUTH | N/A | 2025-10-23 14:00:00 | 2025-07-25 14:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 7021193 | N/A | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2025-07-25 20:23:24.275070 | 2025-09-22 21:41:03.474409 | 424002 | NOT_INITIATED | 4781417 | N/A | N/A | PRIMARY | 20250725L0101302 | 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 | 6140436 | True | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2025-07-25 18:45:23.332586 | 2025-07-25 18:45:23.332594 | 423934 | NOT_INITIATED | 6020278 | N/A | N/A | PRIMARY | 2506279345WC | N/A | N/A | N/A | N/A | 2025-08-20 07:00:00 | 2025-07-22 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 7002408 | N/A | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2025-07-25 17:16:41.522222 | 2025-07-25 17:16:50.941261 | 423888 | NOT_INITIATED | 4214843 | N/A | N/A | PRIMARY | OP0029406729 | N/A | N/A | LEFT FOOT | N/A | 2025-10-28 14:00:00 | 2025-07-28 14:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5542994 | N/A | N/A | N/A | PRE_CERT | N/A | 10 | 10 | N/A | VISITS |
| 2025-07-25 17:12:43.170817 | 2025-07-25 17:12:43.170823 | 423886 | NOT_INITIATED | 4534580 | N/A | N/A | PRIMARY | OP0029438194 | N/A | N/A | N/A | N/A | 2025-10-29 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 | 5874460 | N/A | N/A | N/A | PRE_CERT | N/A | 10 | 10 | N/A | VISITS |
| 2025-07-25 17:08:26.516710 | 2025-07-25 17:08:26.516721 | 423885 | NOT_INITIATED | 4865900 | N/A | N/A | PRIMARY | OP0029412084 | N/A | N/A | N/A | N/A | 2025-10-29 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 | 6221905 | N/A | N/A | N/A | PRE_CERT | N/A | 10 | 10 | N/A | VISITS |
| 2025-07-25 17:04:44.874190 | 2025-07-25 17:04:44.874198 | 423884 | NOT_INITIATED | 4728576 | N/A | N/A | PRIMARY | OP0029293847 | 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 | 6085242 | N/A | N/A | N/A | PRE_CERT | N/A | 10 | 10 | N/A | VISITS |
| 2025-07-25 16:47:49.517667 | 2025-07-25 16:47:49.517676 | 423881 | NOT_INITIATED | 4215317 | N/A | N/A | PRIMARY | 20250624P0102032 | N/A | N/A | N/A | N/A | 2025-09-22 07:00:00 | 2025-06-24 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5543531 | N/A | N/A | N/A | PRE_CERT | N/A | 11 | 11 | N/A | VISITS |
| 2025-07-25 16:16:55.805544 | 2025-07-25 16:16:55.805551 | 423852 | NOT_INITIATED | 4219820 | N/A | N/A | PRIMARY | 20250718P0103514 | 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 | 5550997 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2025-07-25 15:06:39.243964 | 2025-11-05 00:31:42.650024 | 423803 | NOT_INITIATED | 5132739 | N/A | N/A | PRIMARY | N/A | N/A | N/A | N/A | N/A | 2025-12-31 21:00:00 | 2025-07-23 18:00:00 | 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 | 243541 | 12 | 24 | N/A | VISITS |
| 2025-07-24 23:37:08.984622 | 2025-10-14 18:58:39.851133 | 423366 | NOT_INITIATED | 6399635 | N/A | N/A | PRIMARY | 20250724P0104879 | N/A | N/A | N/A | N/A | 2025-10-23 11:00:00 | 2025-07-25 11:00:00 | 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 | 25 | 13 | N/A | VISITS |
| 2025-07-24 23:34:15.086303 | 2025-07-24 23:34:15.086317 | 423365 | NOT_INITIATED | 6399696 | N/A | N/A | PRIMARY | 20250723L0101822 | 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 | 7449889 | N/A | N/A | N/A | PRE_CERT | N/A | 21 | 21 | N/A | VISITS |
| 2025-07-24 21:56:13.583784 | 2025-07-24 21:56:13.583791 | 423278 | NOT_INITIATED | 5062225 | N/A | N/A | PRIMARY | 20250724P0105285 | 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 | 6414703 | N/A | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2025-07-24 21:06:57.656059 | 2025-07-24 21:06:57.656067 | 423230 | NOT_INITIATED | 4213363 | N/A | N/A | PRIMARY | 20250724P0104624 | 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 | 5541353 | N/A | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2025-07-24 20:28:40.962055 | 2025-07-24 20:28:40.962065 | 423216 | NOT_INITIATED | 6397817 | N/A | N/A | PRIMARY | 22676879730 | N/A | N/A | N/A | N/A | 2025-10-18 07:00:00 | 2025-07-20 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 7447610 | N/A | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2025-07-24 18:47:05.075136 | 2025-07-24 18:47:05.075144 | 423137 | NOT_INITIATED | 4209013 | N/A | N/A | PRIMARY | 20250724P0103101 | 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 | 5536227 | N/A | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2025-07-24 18:40:16.407168 | 2025-07-24 18:40:16.407176 | 423126 | NOT_INITIATED | 4209013 | N/A | N/A | PRIMARY | 20250415p0106965 | N/A | N/A | N/A | N/A | 2025-07-14 07:00:00 | 2025-04-15 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5536227 | N/A | N/A | N/A | PRE_CERT | N/A | 2 | 2 | N/A | VISITS |
| 2025-07-24 18:24:35.419142 | 2025-07-24 18:24:35.419156 | 423091 | NOT_INITIATED | 6395281 | N/A | N/A | PRIMARY | 20250723P0105106 | 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 | 7444559 | N/A | N/A | N/A | PRE_CERT | N/A | 1 | 1 | N/A | VISITS |
| 2025-07-24 18:10:15.910463 | 2025-09-25 22:04:00.705810 | 423084 | NOT_INITIATED | 6395187 | N/A | N/A | PRIMARY | 20250724P0101334 | 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 | 7444452 | True | N/A | N/A | PRE_CERT | N/A | 9 | 9 | N/A | VISITS |
| 2025-07-24 17:34:43.892683 | 2025-08-13 20:23:28.872344 | 423046 | NOT_INITIATED | 6394822 | N/A | N/A | PRIMARY | 20250719L0100004 | N/A | N/A | N/A | N/A | 2025-10-17 07:00:00 | 2025-07-19 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 | 1 | 1 | N/A | VISITS |
| 2025-07-24 17:14:13.366446 | 2025-07-24 17:14:13.366452 | 423009 | NOT_INITIATED | 4210284 | N/A | N/A | PRIMARY | 20250716P0100851 | 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 | 5537769 | N/A | N/A | N/A | PRE_CERT | N/A | 4 | 4 | N/A | VISITS |
| 2025-07-24 16:47:50.554259 | 2025-11-08 00:16:35.926139 | 422991 | NOT_INITIATED | 4215179 | N/A | N/A | PRIMARY | 0006780312 | 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 | 5543379 | True | N/A | N/A | PRE_CERT | N/A | 21 | 21 | N/A | VISITS |
| 2025-07-24 15:35:58.974258 | 2025-07-24 15:35:58.974268 | 422921 | NOT_INITIATED | 6393696 | N/A | N/A | PRIMARY | 22676719999 | N/A | N/A | N/A | N/A | 2025-10-16 07:00:00 | 2025-07-17 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 7442543 | N/A | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2025-07-23 23:38:04.880403 | 2025-07-23 23:38:46.772658 | 422278 | NOT_INITIATED | 4219436 | N/A | N/A | PRIMARY | N/A | N/A | N/A | N/A | N/A | N/A | 2025-06-23 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 | 122536 | N/A | N/A | N/A | VISITS |
| 2025-07-23 23:36:14.738259 | 2025-07-23 23:36:14.738268 | 422276 | NOT_INITIATED | 4219436 | N/A | N/A | PRIMARY | 50036672032 | 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 | 5549981 | N/A | N/A | N/A | PRE_CERT | N/A | 20 | 20 | N/A | VISITS |
| 2025-07-23 18:26:55.348126 | 2025-10-30 21:41:12.620623 | 421819 | NOT_INITIATED | 4208741 | N/A | N/A | PRIMARY | 20250530L0100471 | N/A | N/A | LUMBAR | N/A | 2025-08-28 07:00:00 | 2025-05-30 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 7314863 | True | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2025-07-23 18:17:10.356173 | 2025-07-23 18:41:51.972546 | 421800 | NOT_INITIATED | 4534562 | N/A | N/A | PRIMARY | 20250502P0103426 | N/A | N/A | S13.4XXD - SPRAIN LIGAMENTS C-SPINE SUBSEQUENT | N/A | 2025-07-31 14:00:00 | 2025-05-02 14:00:00 | 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 | 13 | 8 | N/A | VISITS |
| 2025-07-23 18:10:23.598898 | 2025-07-23 18:17:43.629761 | 421789 | NOT_INITIATED | 4534562 | N/A | N/A | PRIMARY | 20250723P0102653 | N/A | N/A | M53.2X5 - SPINAL INSTABILITIES TL REGION | N/A | 2025-10-21 14:00:00 | 2025-07-20 14:00:00 | 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 |
| 2025-07-23 17:49:56.009075 | 2025-07-23 17:49:56.009086 | 421771 | NOT_INITIATED | 5177061 | N/A | N/A | PRIMARY | 20250723P0102294 | 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 | 6553907 | N/A | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2025-07-23 17:47:59.590282 | 2025-07-23 17:47:59.590291 | 421767 | NOT_INITIATED | 6152454 | N/A | N/A | PRIMARY | 20250723P0102264 | N/A | N/A | N/A | N/A | 2025-10-21 07:00:00 | 2025-07-20 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 |
| 2025-07-23 17:42:19.085770 | 2025-07-23 17:42:19.085779 | 421761 | NOT_INITIATED | 6152454 | N/A | N/A | PRIMARY | 20250703P0107013 | N/A | N/A | N/A | N/A | 2025-10-01 07:00:00 | 2025-07-03 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 | 1 | 1 | N/A | VISITS |
| 2025-07-23 17:31:06.686468 | 2025-07-23 17:31:06.686483 | 421751 | NOT_INITIATED | 6019236 | N/A | N/A | PRIMARY | 50037010941 | N/A | N/A | N/A | N/A | N/A | 2025-07-03 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 | 122364 | 12 | 12 | N/A | VISITS |
| 2025-07-23 17:14:03.726545 | 2025-08-13 18:52:30.800015 | 421726 | NOT_INITIATED | 5990952 | N/A | N/A | PRIMARY | 20250620P0106434 | N/A | N/A | Problem with AUTH: 1 Thera Exercise and 6 Eval....Need to call MD to request the right amount | N/A | 2025-09-21 18:00:00 | 2025-06-21 18:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 7314254 | N/A | N/A | N/A | PRE_CERT | N/A | 7 | 7 | N/A | VISITS |
| 2025-07-23 16:47:40.992537 | 2025-07-23 16:47:40.992544 | 421696 | NOT_INITIATED | 6269719 | N/A | N/A | PRIMARY | 20250721P0103899 | 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 | 7312434 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2025-07-23 16:44:23.065948 | 2025-07-23 16:44:23.065957 | 421693 | NOT_INITIATED | 6269719 | N/A | N/A | PRIMARY | 20250721P0103892 | 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 | 7312434 | N/A | N/A | N/A | PRE_CERT | N/A | 1 | 1 | N/A | VISITS |
| 2025-07-23 16:40:56.774240 | 2025-09-04 15:19:16.878269 | 421690 | NOT_INITIATED | 4766544 | N/A | N/A | PRIMARY | 20250723P0101270 | 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 | 6123813 | True | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2025-07-23 16:24:35.932602 | 2025-09-23 21:49:18.799135 | 421672 | NOT_INITIATED | 4212176 | N/A | N/A | PRIMARY | 20250723L0100289 | N/A | N/A | Still Pending check in Regal | N/A | 2025-10-21 21:00:00 | 2025-07-23 21:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5550102 | N/A | N/A | N/A | PRE_CERT | N/A | 6 | 7 | N/A | VISITS |
| 2025-07-23 15:41:56.613850 | 2025-12-02 21:07:36.290232 | 421632 | NOT_INITIATED | 4215039 | N/A | N/A | PRIMARY | 20250723L0100155 | 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 | 5543223 | True | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2025-07-22 23:44:42.285331 | 2025-07-22 23:44:42.285340 | 421012 | NOT_INITIATED | 6258145 | N/A | N/A | PRIMARY | 20250708L0101512 | N/A | N/A | N/A | N/A | 2025-10-06 07:00:00 | 2025-07-08 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 7300180 | N/A | N/A | N/A | PRE_CERT | N/A | 5 | 5 | N/A | VISITS |
| 2025-07-22 23:18:55.353362 | 2025-11-10 22:25:35.997585 | 420994 | NOT_INITIATED | 6257690 | N/A | N/A | PRIMARY | WC617A64995 | N/A | N/A | N/A | N/A | 2093-07-22 07:00:00 | 2025-06-05 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 7299033 | True | N/A | N/A | PRE_CERT | N/A | 6 | 6 | N/A | VISITS |
| 2025-07-22 23:11:39.558927 | 2025-10-06 23:23:48.278609 | 420993 | NOT_INITIATED | 6257423 | N/A | N/A | PRIMARY | 20250722P0106242 | N/A | N/A | N/A | N/A | 2025-10-20 14:00:00 | 2025-07-22 14:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 7750942 | N/A | N/A | N/A | PRE_CERT | N/A | 11 | 11 | N/A | VISITS |
| 2025-07-22 23:08:16.108796 | 2025-07-22 23:08:16.108807 | 420970 | NOT_INITIATED | 6257550 | N/A | N/A | PRIMARY | 20250708P0106525 | N/A | N/A | N/A | N/A | 2025-10-06 07:00:00 | 2025-07-08 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 7298865 | N/A | N/A | N/A | PRE_CERT | N/A | 1 | 1 | N/A | VISITS |
| 2025-07-22 22:54:42.900887 | 2025-12-11 22:14:13.178008 | 420964 | NOT_INITIATED | 4642886 | N/A | N/A | PRIMARY | OP0029183932 | N/A | N/A | N/A | N/A | 2025-10-26 07:00:00 | 2025-07-28 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5993952 | True | N/A | N/A | PRE_CERT | N/A | 10 | 10 | N/A | VISITS |