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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-07-02 16:40:34.370460 | 2025-07-02 16:40:34.370476 | 393775 | NOT_INITIATED | 4211931 | N/A | N/A | PRIMARY | 20250702P0101301 | N/A | N/A | N/A | N/A | 2025-09-30 07:00:00 | 2025-07-02 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5539662 | N/A | N/A | N/A | PRE_CERT | N/A | 6 | 6 | N/A | VISITS |
| 2025-07-02 16:27:33.820345 | 2025-07-02 16:27:33.820355 | 393762 | NOT_INITIATED | 4214998 | N/A | N/A | PRIMARY | 50036948265 | N/A | N/A | 2-3 X A WEEK | N/A | 2025-08-15 07:00:00 | 2025-07-02 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 |
| 2025-07-01 22:03:46.025884 | 2025-08-06 20:28:34.017777 | 393112 | NOT_INITIATED | 4212315 | N/A | N/A | PRIMARY | 20250701P0105717 | 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 | 5540113 | True | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2025-07-01 21:58:54.601596 | 2025-08-27 23:35:21.549382 | 393111 | NOT_INITIATED | 4343470 | N/A | N/A | PRIMARY | 20250701P0105646 | 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 | 5676415 | True | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2025-07-01 21:50:05.000473 | 2025-10-01 18:03:58.186097 | 393109 | NOT_INITIATED | 5322280 | N/A | N/A | PRIMARY | 22676395266 | N/A | N/A | N/A | N/A | 2025-11-09 13:00:00 | 2025-06-27 11:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 6721942 | True | N/A | N/A | PRE_CERT | N/A | 9 | 16 | N/A | VISITS |
| 2025-07-01 21:32:28.313072 | 2025-08-07 19:57:43.979425 | 393104 | NOT_INITIATED | 4212024 | N/A | N/A | PRIMARY | 32118314 | N/A | N/A | N/A | N/A | 2025-09-01 21:00:00 | 2025-06-09 21:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5539785 | N/A | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2025-07-01 21:25:36.428839 | 2025-07-01 21:25:36.428847 | 393102 | NOT_INITIATED | 4219638 | N/A | N/A | PRIMARY | OP0028561769 | N/A | N/A | N/A | N/A | 2025-09-22 07:00:00 | 2025-06-23 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5550736 | N/A | N/A | N/A | PRE_CERT | N/A | 10 | 10 | N/A | VISITS |
| 2025-07-01 21:23:01.625605 | 2025-07-01 21:23:01.625616 | 393099 | NOT_INITIATED | 4219773 | N/A | N/A | PRIMARY | OP0028534236 | N/A | N/A | N/A | N/A | 2025-10-02 07:00:00 | 2025-07-04 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5550939 | N/A | N/A | N/A | PRE_CERT | N/A | 10 | 10 | N/A | VISITS |
| 2025-07-01 20:13:53.402386 | 2025-07-01 20:13:53.402397 | 393043 | NOT_INITIATED | 4214542 | N/A | N/A | PRIMARY | 20250701P0104283 | 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 | 5542660 | N/A | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2025-07-01 18:35:04.165567 | 2025-07-01 18:35:04.165573 | 392913 | NOT_INITIATED | 4215154 | N/A | N/A | PRIMARY | 20250619L0100373 | N/A | N/A | N/A | N/A | 2025-09-17 07:00:00 | 2025-06-19 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5543345 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2025-07-01 18:14:19.399986 | 2025-07-01 18:14:19.399995 | 392889 | NOT_INITIATED | 4218963 | N/A | N/A | PRIMARY | 20250701P0102874 | 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 | 5549258 | N/A | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2025-07-01 17:33:37.451298 | 2025-09-23 16:37:17.493942 | 392846 | NOT_INITIATED | 4213091 | N/A | N/A | PRIMARY | 20250624L0101369 | 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 | 5541035 | True | N/A | N/A | PRE_CERT | N/A | 9 | 9 | N/A | VISITS |
| 2025-07-01 16:12:59.876729 | 2025-07-01 16:12:59.876735 | 392774 | NOT_INITIATED | 4212480 | N/A | N/A | PRIMARY | 118986 | N/A | N/A | N/A | N/A | 2025-12-22 08:00:00 | 2025-06-25 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5540313 | N/A | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2025-06-30 23:56:36.151006 | 2026-04-16 15:02:04.169925 | 392209 | NOT_INITIATED | 4343452 | N/A | N/A | PRIMARY | 4078000 | N/A | N/A | LEFT ARM | N/A | 2025-12-24 16:00:00 | 2025-06-27 14:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5993904 | True | N/A | N/A | PRE_CERT | N/A | 6 | 6 | N/A | VISITS |
| 2025-06-30 23:28:01.454031 | 2025-06-30 23:28:01.454037 | 392201 | NOT_INITIATED | 5295043 | N/A | N/A | PRIMARY | 20250529P0107559 | N/A | N/A | N/A | N/A | 2025-08-27 07:00:00 | 2025-05-29 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 6686939 | N/A | N/A | N/A | PRE_CERT | N/A | 9 | 9 | N/A | VISITS |
| 2025-06-30 23:19:09.479137 | 2025-06-30 23:19:09.479146 | 392191 | NOT_INITIATED | 5295012 | N/A | N/A | PRIMARY | 20250623L0101367 | N/A | N/A | N/A | N/A | 2025-09-21 07:00:00 | 2025-06-23 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 6686921 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2025-06-30 23:12:46.765032 | 2026-02-06 16:34:55.527156 | 392189 | NOT_INITIATED | 4210290 | N/A | N/A | PRIMARY | 20250630P0106490 | N/A | N/A | N/A | N/A | 2025-09-28 07:00:00 | 2025-06-30 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5537781 | True | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2025-06-30 22:36:40.433668 | 2025-11-04 23:09:59.568090 | 392103 | NOT_INITIATED | 4209868 | N/A | N/A | PRIMARY | 20250626P0106164 | N/A | N/A | GAIT AUTH | N/A | 2025-09-24 14:00:00 | 2025-06-26 14:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 6685251 | True | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2025-06-30 21:09:02.921354 | 2025-08-07 15:16:49.802789 | 392028 | NOT_INITIATED | 5290108 | N/A | N/A | PRIMARY | N/A | N/A | N/A | N/A | N/A | 2026-06-20 21:00:00 | 2025-06-20 21:00:00 | 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 | 7 | 10 | N/A | VISITS |
| 2025-06-30 21:01:48.570277 | 2025-06-30 21:01:48.570286 | 392025 | NOT_INITIATED | 5290245 | N/A | N/A | PRIMARY | N/A | N/A | N/A | N/A | N/A | 2026-06-24 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 | N/A | N/A | N/A | N/A | REFERRAL | 79512 | 10 | 10 | N/A | VISITS |
| 2025-06-30 19:04:42.860240 | 2025-11-21 16:16:03.782426 | 391918 | NOT_INITIATED | 5285724 | N/A | N/A | PRIMARY | 20250627L0101120 | N/A | N/A | N/A | N/A | 2025-09-25 07:00:00 | 2025-06-27 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 6673106 | True | N/A | N/A | PRE_CERT | N/A | 7 | 7 | N/A | VISITS |
| 2025-06-30 18:44:31.916663 | 2026-03-19 16:43:50.036996 | 391904 | NOT_INITIATED | 5285158 | N/A | N/A | PRIMARY | 20250618P0103525 | 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 | 6671804 | True | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2025-06-30 18:16:06.198387 | 2025-11-06 20:56:25.185818 | 391784 | NOT_INITIATED | 4213071 | N/A | N/A | PRIMARY | 20250630P0102401 | N/A | N/A | LEFT HIP ONLY | N/A | 2025-09-28 21:00:00 | 2025-06-30 21:00:00 | 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 | 22 | N/A | VISITS |
| 2025-06-30 18:09:02.186740 | 2025-06-30 18:09:02.186751 | 391771 | NOT_INITIATED | 4211704 | N/A | N/A | PRIMARY | 20250606P0101823 | N/A | N/A | N/A | N/A | 2025-09-04 07:00:00 | 2025-06-06 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5539382 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2025-06-30 16:54:30.900030 | 2025-10-03 17:38:04.486190 | 391713 | NOT_INITIATED | 4865742 | N/A | N/A | PRIMARY | 20250627L0100579 | N/A | N/A | RIGHT KNEE | N/A | 2025-09-26 14:00:00 | 2025-06-27 14:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 6221805 | True | N/A | N/A | PRE_CERT | N/A | 11 | 11 | N/A | VISITS |
| 2025-06-27 23:22:50.808905 | 2025-06-27 23:22:50.808914 | 390525 | NOT_INITIATED | 4219837 | N/A | N/A | PRIMARY | OP0028400854 | N/A | N/A | N/A | N/A | 2025-09-30 07:00:00 | 2025-06-30 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5551012 | N/A | N/A | N/A | PRE_CERT | N/A | 10 | 10 | N/A | VISITS |
| 2025-06-27 23:18:05.274630 | 2025-06-27 23:18:05.274638 | 390514 | NOT_INITIATED | 4215185 | N/A | N/A | PRIMARY | OP0028340319 | N/A | N/A | N/A | N/A | 2025-12-26 08:00:00 | 2025-06-27 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5543384 | N/A | N/A | N/A | PRE_CERT | N/A | 10 | 10 | N/A | VISITS |
| 2025-06-27 23:13:26.068069 | 2025-06-27 23:13:26.068079 | 390493 | NOT_INITIATED | 4219685 | N/A | N/A | PRIMARY | OP0028338866 | N/A | N/A | N/A | N/A | 2025-12-26 08:00:00 | 2025-06-27 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5550801 | N/A | N/A | N/A | PRE_CERT | N/A | 10 | 10 | N/A | VISITS |
| 2025-06-27 22:33:29.098740 | 2025-06-27 22:33:29.098749 | 390421 | NOT_INITIATED | 5252039 | N/A | N/A | PRIMARY | N/A | N/A | N/A | N/A | N/A | 2089-06-27 07:00:00 | 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 | N/A | N/A | N/A | REFERRAL | 170740 | 6 | 6 | N/A | VISITS |
| 2025-06-27 22:28:17.719720 | 2025-11-13 16:57:58.061818 | 390416 | NOT_INITIATED | 4723172 | N/A | N/A | PRIMARY | 25009406C | N/A | N/A | N/A | N/A | 2026-02-15 22:00:00 | 2025-05-19 21:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 6079298 | N/A | N/A | N/A | PRE_CERT | N/A | 12 | 48 | N/A | VISITS |
| 2025-06-27 22:24:06.479556 | 2025-06-27 22:24:06.479563 | 390406 | NOT_INITIATED | 4208503 | N/A | N/A | PRIMARY | N/A | N/A | N/A | N/A | N/A | 2026-05-28 07:00:00 | 2025-05-28 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 |
| 2025-06-27 21:12:18.988279 | 2025-06-27 21:12:18.988289 | 390352 | NOT_INITIATED | 5251186 | N/A | N/A | PRIMARY | N/A | N/A | N/A | N/A | N/A | 2026-06-27 07:00:00 | 2025-06-27 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 | 243564 | 10 | 10 | N/A | VISITS |
| 2025-06-27 20:33:20.366160 | 2025-06-27 20:33:20.366166 | 390335 | NOT_INITIATED | 5250846 | N/A | N/A | PRIMARY | 20250624P0107796 | 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 | 6643742 | N/A | N/A | N/A | PRE_CERT | N/A | 17 | 17 | N/A | VISITS |
| 2025-06-27 18:30:28.973805 | 2025-06-27 18:30:28.973814 | 390210 | NOT_INITIATED | 5195072 | N/A | N/A | PRIMARY | 20250618L0100917 | 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 | 6574729 | N/A | N/A | N/A | PRE_CERT | N/A | 17 | 17 | N/A | VISITS |
| 2025-06-27 18:21:28.504636 | 2025-09-18 15:53:26.320192 | 390204 | NOT_INITIATED | 5249029 | N/A | N/A | PRIMARY | 20250617P0107885 | 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 | 6642365 | True | N/A | N/A | PRE_CERT | N/A | 9 | 9 | N/A | VISITS |
| 2025-06-27 18:16:21.804941 | 2025-06-27 18:16:21.804950 | 390198 | NOT_INITIATED | 4219106 | N/A | N/A | PRIMARY | 20250617P0102360 | 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 | 5549444 | N/A | N/A | N/A | PRE_CERT | N/A | 11 | 11 | N/A | VISITS |
| 2025-06-27 17:57:09.097459 | 2025-10-31 20:20:33.515587 | 390190 | NOT_INITIATED | 4642900 | N/A | N/A | PRIMARY | 20250627P0102337 | N/A | N/A | N/A | N/A | 2025-09-25 14:00:00 | 2025-06-27 14:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 8046575 | True | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2025-06-27 16:52:21.432146 | 2025-10-03 18:12:57.413783 | 390128 | NOT_INITIATED | 4213907 | N/A | N/A | PRIMARY | 20250627L0100431 | N/A | N/A | RIGHT SHOULDER | N/A | 2025-09-25 14:00:00 | 2025-06-27 14:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5541944 | True | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2025-06-27 16:35:53.720890 | 2025-10-02 16:29:24.047724 | 390110 | NOT_INITIATED | 4211528 | N/A | N/A | PRIMARY | 20250627P0101245 | N/A | N/A | N/A | N/A | 2025-09-25 07:00:00 | 2025-06-27 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5539195 | True | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2025-06-27 15:51:27.911768 | 2025-10-30 20:07:03.271060 | 390072 | NOT_INITIATED | 4215183 | N/A | N/A | PRIMARY | 25006984 | N/A | N/A | N/A | N/A | 2026-01-16 05:00:00 | 2025-06-27 04:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5543382 | True | N/A | N/A | PRE_CERT | N/A | 8 | 19 | N/A | VISITS |
| 2025-06-27 15:21:21.573396 | 2025-10-09 16:48:45.708060 | 390060 | NOT_INITIATED | 5237560 | N/A | N/A | PRIMARY | N/A | N/A | N/A | N/A | N/A | 2025-08-12 07:00:00 | 2025-04-01 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 | 243592 | 12 | 12 | N/A | VISITS |
| 2025-06-26 23:33:12.976724 | 2025-10-03 20:32:11.828139 | 389336 | NOT_INITIATED | 4215008 | N/A | N/A | PRIMARY | 20250626L0100901 | 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 | 5543181 | True | N/A | N/A | PRE_CERT | N/A | 1 | 1 | N/A | VISITS |
| 2025-06-26 23:26:33.756899 | 2025-06-26 23:26:33.756909 | 389335 | NOT_INITIATED | 4214992 | N/A | N/A | PRIMARY | N/A | N/A | N/A | N/A | N/A | 2025-09-19 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 | N/A | N/A | N/A | N/A | REFERRAL | 243495 | 12 | 12 | N/A | VISITS |
| 2025-06-26 23:11:46.764276 | 2025-06-26 23:11:46.764290 | 389330 | NOT_INITIATED | 5212620 | N/A | N/A | PRIMARY | 25-191825 | 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 | N/A | N/A | N/A | N/A | REFERRAL | 122504 | 6 | 6 | N/A | VISITS |
| 2025-06-26 22:00:46.980205 | 2025-06-26 22:00:46.980213 | 389212 | NOT_INITIATED | 4209060 | N/A | N/A | PRIMARY | 20250425P0105026 | N/A | N/A | N/A | N/A | 2025-07-24 07:00:00 | 2025-04-25 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5536294 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2025-06-26 21:58:12.798507 | 2025-06-26 21:58:12.798511 | 389209 | NOT_INITIATED | 4215135 | N/A | N/A | PRIMARY | 20250626p0105639 | 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 | 5543347 | N/A | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2025-06-26 21:56:57.896125 | 2025-06-26 21:56:57.896132 | 389207 | NOT_INITIATED | 4642871 | N/A | N/A | PRIMARY | 20250626P0105704 | 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 | 5993934 | N/A | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2025-06-26 21:40:14.925220 | 2025-06-26 21:40:14.925231 | 389070 | NOT_INITIATED | 4215110 | N/A | N/A | PRIMARY | 20250626P0105408 | 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 | 5543296 | N/A | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2025-06-26 17:04:26.410539 | 2025-10-29 22:47:28.846055 | 387547 | NOT_INITIATED | 5228512 | N/A | N/A | PRIMARY | N/A | N/A | N/A | N/A | N/A | 2026-06-25 07:00:00 | 2025-06-25 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 |
| 2025-06-26 15:52:49.462735 | 2025-06-26 15:52:49.462742 | 387516 | NOT_INITIATED | 5227772 | N/A | N/A | PRIMARY | 20250305L0101907 | N/A | N/A | N/A | N/A | 2025-11-30 08:00:00 | 2025-03-05 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 6609399 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |