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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-07-22 22:44:14.755101 | 2025-07-22 22:44:14.755113 | 420960 | NOT_INITIATED | 4212656 | N/A | N/A | PRIMARY | 20250722P0106461 | N/A | N/A | N/A | N/A | 2025-10-20 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 | 5568081 | N/A | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2025-07-22 22:16:05.283849 | 2025-10-24 01:19:24.800915 | 420915 | NOT_INITIATED | 6254701 | N/A | N/A | PRIMARY | 20250721P0103736 | N/A | N/A | N/A | N/A | 2025-10-19 21:00:00 | 2025-07-21 21:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 7295079 | N/A | N/A | N/A | PRE_CERT | N/A | 12 | 24 | N/A | VISITS |
| 2025-07-22 21:54:49.065502 | 2025-07-22 21:54:49.065510 | 420879 | NOT_INITIATED | 6254614 | N/A | N/A | PRIMARY | 20250722L0100114 | N/A | N/A | N/A | N/A | 2025-10-20 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 | 7294987 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2025-07-22 21:25:39.482889 | 2025-07-22 21:25:39.482897 | 420860 | NOT_INITIATED | 4219695 | N/A | N/A | PRIMARY | 8827004 | N/A | N/A | N/A | N/A | 2025-09-16 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 | 5550818 | N/A | N/A | N/A | PRE_CERT | N/A | 6 | 6 | N/A | VISITS |
| 2025-07-22 18:46:50.350520 | 2025-07-23 21:57:45.730849 | 420603 | NOT_INITIATED | 4534583 | N/A | N/A | PRIMARY | 22234024518 #2 | N/A | N/A | N/A | N/A | 2025-10-13 21:00:00 | 2025-04-25 21:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5874461 | N/A | N/A | N/A | PRE_CERT | N/A | 8 | 15 | N/A | VISITS |
| 2025-07-22 18:26:16.287062 | 2025-08-11 15:56:24.348900 | 420587 | NOT_INITIATED | 4211143 | N/A | N/A | PRIMARY | 20250708L0100702 | N/A | N/A | NECK AUTH | N/A | 2025-10-06 21:00:00 | 2025-07-08 21:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5549817 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2025-07-22 18:22:35.102047 | 2025-09-18 22:17:02.923928 | 420574 | NOT_INITIATED | 5557241 | N/A | N/A | PRIMARY | 50036965619 | N/A | N/A | N/A | N/A | N/A | 2025-07-03 11:00:00 | 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 | 122696 | 3 | 26 | N/A | VISITS |
| 2025-07-22 18:20:17.590475 | 2025-07-22 18:20:17.590483 | 420568 | NOT_INITIATED | 4343449 | N/A | N/A | PRIMARY | 20250722P0102593 | N/A | N/A | N/A | N/A | 2025-10-20 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 | 5676397 | N/A | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2025-07-22 18:08:58.835577 | 2025-08-01 20:49:32.425388 | 420551 | NOT_INITIATED | 4210079 | N/A | N/A | PRIMARY | 20250613L0101013 | N/A | N/A | LUMBAR AUTH | N/A | 2025-09-11 14:00:00 | 2025-06-13 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 | 9 | 9 | N/A | VISITS |
| 2025-07-22 17:57:28.139410 | 2025-10-01 21:58:22.548719 | 420539 | NOT_INITIATED | 6247001 | N/A | N/A | PRIMARY | 20250718P0102713 | 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 | 7283495 | True | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2025-07-22 17:46:42.752070 | 2025-07-22 17:49:49.643524 | 420521 | NOT_INITIATED | 4219436 | N/A | N/A | PRIMARY | 50036672032 | N/A | N/A | N/A | N/A | N/A | 2025-06-23 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 | 122536 | 20 | 20 | N/A | VISITS |
| 2025-07-22 17:43:33.237978 | 2025-07-22 17:43:33.237986 | 420516 | NOT_INITIATED | 4214672 | N/A | N/A | PRIMARY | N/A | N/A | N/A | N/A | N/A | 2026-07-10 07:00:00 | 2025-07-10 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 |
| 2025-07-22 17:39:44.960571 | 2025-07-22 17:39:44.960581 | 420512 | NOT_INITIATED | 6224765 | N/A | N/A | PRIMARY | 20250618P0105242 | N/A | N/A | N/A | N/A | 2025-09-16 07:00:00 | 2025-06-18 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 7258957 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2025-07-22 17:17:48.248085 | 2025-10-02 17:04:20.401049 | 420333 | NOT_INITIATED | 4214490 | N/A | N/A | PRIMARY | 20250722P0101838 | N/A | N/A | B KNEES | 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 | 5542611 | N/A | N/A | N/A | PRE_CERT | N/A | 12 | 13 | N/A | VISITS |
| 2025-07-22 17:02:54.648296 | 2025-11-25 23:02:16.900235 | 420316 | NOT_INITIATED | 4208375 | N/A | N/A | PRIMARY | 20250722L0100403 | N/A | N/A | N/A | N/A | 2025-10-20 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 | 5535455 | True | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2025-07-22 16:26:09.591078 | 2025-07-22 16:26:32.396739 | 420293 | NOT_INITIATED | 4642877 | N/A | N/A | PRIMARY | 20250722P0101028 | N/A | N/A | Wrist 2 | 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 | 5993940 | N/A | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2025-07-22 16:20:16.865929 | 2025-07-22 16:20:16.865937 | 420285 | NOT_INITIATED | 4712994 | N/A | N/A | PRIMARY | 20250722L0100283 | N/A | N/A | N/A | N/A | 2025-10-20 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 | 6188935 | N/A | N/A | N/A | PRE_CERT | N/A | 6 | 6 | N/A | VISITS |
| 2025-07-22 15:53:52.043929 | 2025-07-22 16:05:11.150201 | 420268 | NOT_INITIATED | 4642877 | N/A | N/A | PRIMARY | 20250523P0101990 | N/A | N/A | Wrist | N/A | 2025-08-21 21:00:00 | 2025-05-23 21:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5993940 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2025-07-22 14:59:21.452907 | 2025-08-21 16:59:03.571757 | 420216 | NOT_INITIATED | 4343467 | N/A | N/A | PRIMARY | 254880345-UMO-5 | N/A | N/A | N/A | N/A | 2026-01-18 00:00:00 | 2025-07-17 21:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5874436 | N/A | N/A | N/A | PRE_CERT | N/A | 16 | 16 | N/A | VISITS |
| 2025-07-21 23:44:15.816144 | 2025-11-11 18:57:44.181630 | 418552 | NOT_INITIATED | 4213071 | N/A | N/A | PRIMARY | 20250721P0104941 | N/A | N/A | LEFT HIP AND NECK | N/A | 2025-10-20 11:00:00 | 2025-07-22 11:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5540997 | N/A | N/A | N/A | PRE_CERT | N/A | 21 | 23 | N/A | VISITS |
| 2025-07-21 23:29:06.641615 | 2025-10-24 17:35:34.083662 | 418361 | NOT_INITIATED | 4837995 | N/A | N/A | PRIMARY | 20250721P0105551 | 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 | 6193751 | True | N/A | N/A | PRE_CERT | N/A | 18 | 18 | N/A | VISITS |
| 2025-07-21 22:03:11.624092 | 2025-07-21 22:03:11.624101 | 418306 | NOT_INITIATED | 6224768 | N/A | N/A | PRIMARY | 20250718L0101671 | 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 | 7258960 | N/A | N/A | N/A | PRE_CERT | N/A | 6 | 6 | N/A | VISITS |
| 2025-07-21 21:43:18.348065 | 2025-10-16 20:36:53.255339 | 418295 | NOT_INITIATED | 4208829 | N/A | N/A | PRIMARY | 20250721P0104684 | 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 | 5536007 | True | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2025-07-21 20:41:56.475252 | 2025-07-21 20:41:56.475258 | 418262 | NOT_INITIATED | 4214936 | N/A | N/A | PRIMARY | 20250626L0101563 | N/A | N/A | N/A | N/A | 2025-09-24 07:00:00 | 2025-06-26 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5543107 | N/A | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2025-07-21 19:08:49.311828 | 2025-10-08 15:51:51.246211 | 418210 | NOT_INITIATED | 6223297 | N/A | N/A | PRIMARY | 20250619L0100477 | N/A | N/A | N/A | N/A | 2025-09-17 14:00:00 | 2025-06-19 14:00:00 | 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 | 13 | 20 | N/A | VISITS |
| 2025-07-21 16:55:22.770954 | 2025-07-21 16:55:22.770961 | 417682 | NOT_INITIATED | 6173156 | N/A | N/A | PRIMARY | 20250603P0105596 | N/A | N/A | N/A | N/A | 2025-09-01 07:00:00 | 2025-06-03 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 7202511 | N/A | N/A | N/A | PRE_CERT | N/A | 7 | 7 | N/A | VISITS |
| 2025-07-21 16:51:55.437121 | 2025-07-21 16:51:55.437128 | 417681 | NOT_INITIATED | 4214597 | N/A | N/A | PRIMARY | 20250701L0101596 | N/A | N/A | N/A | N/A | 2025-09-29 07:00:00 | 2025-07-01 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5542721 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2025-07-21 16:36:04.934513 | 2025-10-23 20:26:30.303317 | 417656 | NOT_INITIATED | 4343454 | N/A | N/A | PRIMARY | 20250721P0101099 | 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 | 5676399 | True | N/A | N/A | PRE_CERT | N/A | 10 | 10 | N/A | VISITS |
| 2025-07-21 16:33:41.025946 | 2025-07-21 16:33:41.025954 | 417653 | NOT_INITIATED | 6021643 | N/A | N/A | PRIMARY | 20250709P0107250 | N/A | N/A | N/A | N/A | 2025-10-07 07:00:00 | 2025-07-09 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 7254540 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2025-07-21 16:31:28.670295 | 2026-01-02 22:47:33.825739 | 417649 | NOT_INITIATED | 4214757 | N/A | N/A | PRIMARY | 20250715P0102950 | N/A | N/A | N/A | N/A | 2025-10-13 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 | 5542894 | True | N/A | N/A | PRE_CERT | N/A | 6 | 6 | N/A | VISITS |
| 2025-07-21 15:44:21.175565 | 2025-07-21 15:44:21.175574 | 417603 | NOT_INITIATED | 6219145 | N/A | N/A | PRIMARY | 20250717L0101080 | N/A | N/A | N/A | N/A | 2025-10-15 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 | 7253095 | N/A | N/A | N/A | PRE_CERT | N/A | 1 | 1 | N/A | VISITS |
| 2025-07-21 15:17:28.710012 | 2025-07-21 15:17:28.710020 | 417567 | NOT_INITIATED | 4212623 | N/A | N/A | PRIMARY | N/A | N/A | N/A | N/A | N/A | N/A | 2025-06-04 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 | 122473 | 20 | 20 | N/A | VISITS |
| 2025-07-18 23:20:18.393166 | 2025-07-18 23:20:18.393176 | 411675 | NOT_INITIATED | 4214724 | N/A | N/A | PRIMARY | 20250718L0102107 | 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 | 5542858 | N/A | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2025-07-18 23:13:49.638063 | 2025-07-18 23:13:49.638070 | 411672 | NOT_INITIATED | 4852857 | N/A | N/A | PRIMARY | 20250718P0105985 | 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 | 6210099 | N/A | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2025-07-18 23:02:53.856426 | 2025-12-09 22:21:30.342212 | 411656 | NOT_INITIATED | 4212193 | N/A | N/A | PRIMARY | 20250709P0106518 | N/A | N/A | N/A | N/A | 2025-10-07 07:00:00 | 2025-07-09 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5539962 | True | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2025-07-18 23:02:41.847108 | 2025-07-18 23:02:41.847115 | 411654 | NOT_INITIATED | 4214261 | N/A | N/A | PRIMARY | 20250718L0102043 | 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 | 5542335 | N/A | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2025-07-18 22:54:07.670033 | 2025-07-18 22:54:07.670042 | 411651 | NOT_INITIATED | 6178874 | N/A | N/A | PRIMARY | 20250718P0104764 | 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 | 7208810 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2025-07-18 21:38:09.310339 | 2025-07-18 21:38:09.310343 | 411394 | NOT_INITIATED | 4214702 | N/A | N/A | PRIMARY | OP0028997217 | N/A | N/A | N/A | N/A | 2026-01-22 08:00:00 | 2025-07-22 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5542835 | N/A | N/A | N/A | PRE_CERT | N/A | 10 | 10 | N/A | VISITS |
| 2025-07-18 21:34:57.553211 | 2025-07-18 21:34:57.553217 | 411392 | NOT_INITIATED | 4213747 | N/A | N/A | PRIMARY | OP0028964752 | N/A | N/A | N/A | N/A | 2025-09-06 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 | 5541755 | N/A | N/A | N/A | PRE_CERT | N/A | 10 | 10 | N/A | VISITS |
| 2025-07-18 21:30:57.783490 | 2025-07-18 21:30:57.783496 | 411389 | NOT_INITIATED | 6175580 | N/A | N/A | PRIMARY | N/A | N/A | N/A | N/A | N/A | 2026-04-16 07:00:00 | 2025-04-16 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 | 243659 | 10 | 10 | N/A | VISITS |
| 2025-07-18 21:28:33.667089 | 2025-07-18 21:28:33.667094 | 411388 | NOT_INITIATED | 4343437 | N/A | N/A | PRIMARY | OP0029041341 | N/A | N/A | N/A | N/A | 2025-10-23 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 | 5676377 | N/A | N/A | N/A | PRE_CERT | N/A | 10 | 10 | N/A | VISITS |
| 2025-07-18 20:57:30.188456 | 2025-07-18 20:57:30.188460 | 411186 | NOT_INITIATED | 6034923 | N/A | N/A | PRIMARY | 8523468 | N/A | N/A | N/A | N/A | 2025-09-11 07:00:00 | 2025-06-11 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 7019879 | N/A | N/A | N/A | PRE_CERT | N/A | 6 | 6 | N/A | VISITS |
| 2025-07-18 20:53:28.811449 | 2025-07-18 20:53:28.811457 | 411183 | NOT_INITIATED | 4219684 | N/A | N/A | PRIMARY | 20250620P0101975 | 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 | 5550802 | N/A | N/A | N/A | PRE_CERT | N/A | 24 | 24 | N/A | VISITS |
| 2025-07-18 20:33:09.614139 | 2025-07-18 20:33:09.614149 | 411174 | NOT_INITIATED | 4856781 | N/A | N/A | PRIMARY | 17052060 | N/A | N/A | N/A | N/A | 2025-08-29 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 | 6213138 | N/A | N/A | N/A | PRE_CERT | N/A | 4 | 4 | N/A | VISITS |
| 2025-07-18 18:43:17.438692 | 2025-07-18 18:43:17.438699 | 411099 | NOT_INITIATED | 6173259 | N/A | N/A | PRIMARY | 20250716L0102185 | N/A | N/A | N/A | N/A | 2025-10-15 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 | 7202584 | N/A | N/A | N/A | PRE_CERT | N/A | 7 | 7 | N/A | VISITS |
| 2025-07-18 18:35:19.904150 | 2025-07-18 18:35:19.904155 | 411097 | NOT_INITIATED | 4214871 | N/A | N/A | PRIMARY | 20250718P0102616 | 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 | 5543033 | N/A | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2025-07-18 18:20:47.951852 | 2025-07-18 18:20:47.951859 | 411095 | NOT_INITIATED | 5991529 | N/A | N/A | PRIMARY | 20250708P0101349 | 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 | 6969360 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2025-07-18 18:06:11.929818 | 2025-07-18 18:06:11.929827 | 411089 | NOT_INITIATED | 4209480 | N/A | N/A | PRIMARY | 20250718L0100793 | 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 |
| 2025-07-18 18:02:04.864914 | 2025-07-18 19:13:25.301646 | 411086 | NOT_INITIATED | 5212620 | N/A | N/A | PRIMARY | 25-191825 | N/A | N/A | N/A | N/A | 2026-01-01 00:00:00 | 2025-06-11 21:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 6593445 | N/A | N/A | N/A | PRE_CERT | N/A | 6 | 6 | N/A | VISITS |
| 2025-07-18 17:42:34.905891 | 2025-09-30 18:30:06.020908 | 411075 | NOT_INITIATED | 4211481 | N/A | N/A | PRIMARY | 20250718P0101920 | 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 | 5539141 | True | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |