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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-06-23 16:57:50.763659 | 2025-08-11 15:56:19.244407 | 381616 | NOT_INITIATED | 4211143 | N/A | N/A | PRIMARY | 20250623L0100462 | N/A | N/A | LUMBAR AUTH | N/A | 2025-09-21 21:00:00 | 2025-06-23 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 | 10 | 10 | N/A | VISITS |
| 2025-06-23 16:33:23.383277 | 2025-10-03 15:49:31.806154 | 381534 | NOT_INITIATED | 4214212 | N/A | N/A | PRIMARY | 20250604P0101426 | N/A | N/A | N/A | N/A | 2025-09-02 07:00:00 | 2025-06-04 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5542274 | True | N/A | N/A | PRE_CERT | N/A | 11 | 11 | N/A | VISITS |
| 2025-06-20 23:12:03.173589 | 2025-06-20 23:12:51.460681 | 380466 | NOT_INITIATED | 4215178 | N/A | N/A | PRIMARY | N/A | N/A | N/A | N/A | N/A | 2026-03-28 14:00:00 | 2025-03-28 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 | 172089 | 2 | 2 | N/A | VISITS |
| 2025-06-20 23:10:43.041309 | 2025-06-20 23:12:39.786953 | 380464 | NOT_INITIATED | 4215178 | N/A | N/A | PRIMARY | N/A | N/A | N/A | N/A | N/A | 2026-03-28 07:00:00 | 2025-03-28 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 | 172089 | 2 | 2 | N/A | VISITS |
| 2025-06-20 21:32:04.430047 | 2025-06-20 21:32:04.430055 | 380373 | NOT_INITIATED | 5149068 | N/A | N/A | PRIMARY | 20250505L0100767 | N/A | N/A | N/A | N/A | 2025-08-03 07:00:00 | 2025-05-05 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 6528161 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2025-06-20 20:50:35.461504 | 2025-06-20 20:50:35.461512 | 380364 | NOT_INITIATED | 4218755 | N/A | N/A | PRIMARY | 20250530L0100931 | N/A | N/A | N/A | 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 | 6528080 | N/A | N/A | N/A | PRE_CERT | N/A | 1 | 1 | N/A | VISITS |
| 2025-06-20 20:08:18.102076 | 2025-06-20 20:08:18.102083 | 380335 | NOT_INITIATED | 4212267 | N/A | N/A | PRIMARY | 2025053P0101142 | N/A | N/A | N/A | 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 | 6527988 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2025-06-20 18:11:26.039863 | 2025-06-20 18:11:57.648011 | 380074 | NOT_INITIATED | 4208702 | N/A | N/A | PRIMARY | 20250521P0101174 | N/A | N/A | N/A | N/A | 2025-08-19 14:00:00 | 2025-05-21 14:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5535853 | N/A | N/A | N/A | PRE_CERT | N/A | 7 | 6 | N/A | VISITS |
| 2025-06-20 14:50:26.469820 | 2025-06-20 14:50:26.469830 | 379741 | NOT_INITIATED | 4713867 | N/A | N/A | PRIMARY | N/A | N/A | N/A | N/A | N/A | 2026-05-16 07:00:00 | 2025-05-16 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 | 243719 | 10 | 10 | N/A | VISITS |
| 2025-06-19 23:34:46.887449 | 2025-10-27 23:10:52.079365 | 366676 | NOT_INITIATED | 4213108 | N/A | N/A | PRIMARY | 20250619P0105180 | 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 | 5541038 | N/A | N/A | N/A | PRE_CERT | N/A | 12 | 13 | N/A | VISITS |
| 2025-06-19 23:17:11.552200 | 2025-06-19 23:17:40.260252 | 366655 | NOT_INITIATED | 4214352 | N/A | N/A | PRIMARY | 06979616 | N/A | N/A | 12 ADDITIONAL VISITS | N/A | 2025-11-01 14:00:00 | 2025-03-20 14:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5542440 | N/A | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2025-06-19 23:12:30.478087 | 2025-09-24 23:18:28.514450 | 366654 | NOT_INITIATED | 4215131 | N/A | N/A | PRIMARY | 20250619L0101859 | 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 | 5543324 | True | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2025-06-19 22:49:28.792723 | 2025-11-13 23:04:12.516953 | 366645 | NOT_INITIATED | 4211039 | N/A | N/A | PRIMARY | 20250512P0104554 | N/A | N/A | N/A | N/A | 2025-08-10 07:00:00 | 2025-05-12 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5538674 | True | N/A | N/A | PRE_CERT | N/A | 9 | 9 | N/A | VISITS |
| 2025-06-19 22:15:37.339952 | 2025-11-04 19:50:30.831876 | 366581 | NOT_INITIATED | 4209091 | N/A | N/A | PRIMARY | 20250619P0103086 | 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 | 5536326 | True | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2025-06-19 21:52:51.399028 | 2025-11-03 21:04:56.253245 | 366578 | NOT_INITIATED | 4219033 | N/A | N/A | PRIMARY | 20250619P0104612 | 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 | 6231314 | True | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2025-06-19 21:41:19.726114 | 2025-06-19 21:43:12.604478 | 366576 | NOT_INITIATED | 4214848 | N/A | N/A | PRIMARY | 12945919 #2 | N/A | N/A | RIGHT SHOULDER : (6) NO EXP | N/A | 2084-06-20 04:00:00 | 2025-06-05 04:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5543010 | N/A | N/A | N/A | PRE_CERT | N/A | 6 | 6 | N/A | VISITS |
| 2025-06-19 21:22:58.455159 | 2025-10-03 17:37:58.710824 | 366572 | NOT_INITIATED | 4865742 | N/A | N/A | PRIMARY | 20250619L0100304 | N/A | N/A | RIGHT ARM | 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 | 6221805 | True | N/A | N/A | PRE_CERT | N/A | 11 | 11 | N/A | VISITS |
| 2025-06-19 20:47:59.572347 | 2025-06-19 20:47:59.572354 | 366559 | NOT_INITIATED | 4211178 | N/A | N/A | PRIMARY | 20250613L0102341 | N/A | N/A | N/A | N/A | 2025-09-11 07:00:00 | 2025-06-13 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 6497469 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2025-06-19 20:45:56.960474 | 2025-06-19 20:45:56.960480 | 366558 | NOT_INITIATED | 4852447 | N/A | N/A | PRIMARY | 20250619P0103878 | 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 | 6209752 | N/A | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2025-06-19 20:41:44.851325 | 2025-06-19 20:46:50.637190 | 366553 | NOT_INITIATED | 4219658 | N/A | N/A | PRIMARY | 6022623 | N/A | N/A | N/A | N/A | 2025-07-31 21:00:00 | 2025-04-11 21:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5550762 | N/A | N/A | N/A | PRE_CERT | N/A | 6 | 2 | N/A | VISITS |
| 2025-06-19 20:38:46.323435 | 2025-06-19 20:38:46.323440 | 366551 | NOT_INITIATED | 4865900 | N/A | N/A | PRIMARY | N/A | N/A | N/A | N/A | N/A | 2026-04-09 07:00:00 | 2025-04-09 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 | 243681 | 10 | 10 | N/A | VISITS |
| 2025-06-19 20:22:40.699747 | 2025-09-26 15:53:04.630664 | 366539 | NOT_INITIATED | 4728540 | N/A | N/A | PRIMARY | N/A | N/A | N/A | BILATERAL ANKLES | N/A | 2026-06-06 14:00:00 | 2025-06-06 14:00:00 | 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 |
| 2025-06-19 20:20:26.140140 | 2025-06-19 20:20:26.140149 | 366537 | NOT_INITIATED | 5122479 | N/A | N/A | PRIMARY | 20250613P0103889 | N/A | N/A | N/A | N/A | 2025-09-11 07:00:00 | 2025-06-13 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 6493574 | N/A | N/A | N/A | PRE_CERT | N/A | 2 | 2 | N/A | VISITS |
| 2025-06-19 20:11:43.693356 | 2025-09-26 15:53:12.347529 | 366527 | NOT_INITIATED | 4728540 | N/A | N/A | PRIMARY | N/A | N/A | N/A | RIGHT KNEE | N/A | 2026-05-14 14:00:00 | 2025-05-14 14:00:00 | 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 |
| 2025-06-19 20:08:41.454822 | 2025-06-19 20:08:41.454832 | 366525 | NOT_INITIATED | 4214418 | N/A | N/A | PRIMARY | LAC0180794 | N/A | N/A | N/A | N/A | 2026-12-11 08:00:00 | 2025-06-11 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5542513 | N/A | N/A | N/A | PRE_CERT | N/A | N/A | N/A | N/A | VISITS |
| 2025-06-19 17:40:44.380555 | 2025-06-19 17:40:44.380568 | 366374 | NOT_INITIATED | 5083714 | N/A | N/A | PRIMARY | 20250618P0104783 | 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 | 6442609 | N/A | N/A | N/A | PRE_CERT | N/A | 11 | 11 | N/A | VISITS |
| 2025-06-19 16:45:39.747157 | 2026-03-23 15:12:37.593734 | 366308 | NOT_INITIATED | 5121181 | N/A | N/A | PRIMARY | 20250421L01400577 | N/A | N/A | N/A | N/A | 2025-07-20 07:00:00 | 2025-04-21 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 6492025 | True | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2025-06-19 16:24:05.001091 | 2025-06-19 16:24:05.001097 | 366287 | NOT_INITIATED | 4215201 | N/A | N/A | PRIMARY | N/A | N/A | N/A | N/A | N/A | 2025-08-29 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 | N/A | N/A | N/A | N/A | REFERRAL | 243659 | 10 | 10 | N/A | VISITS |
| 2025-06-19 14:55:03.800987 | 2025-06-19 14:55:03.800998 | 366207 | NOT_INITIATED | 4728565 | N/A | N/A | PRIMARY | 22234137665 | N/A | N/A | N/A | N/A | 2025-08-04 07:00:00 | 2025-05-05 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 6085238 | N/A | N/A | N/A | PRE_CERT | N/A | 9 | 9 | N/A | VISITS |
| 2025-06-19 03:28:13.083760 | 2025-06-19 03:28:13.083767 | 365843 | NOT_INITIATED | 5113852 | N/A | N/A | PRIMARY | N/A | N/A | N/A | N/A | N/A | 2026-05-29 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 | N/A | N/A | N/A | N/A | REFERRAL | 169684 | 10 | 10 | N/A | VISITS |
| 2025-06-18 23:51:19.700289 | 2025-08-27 16:16:24.604095 | 365731 | NOT_INITIATED | 5105341 | N/A | N/A | PRIMARY | N/A | N/A | N/A | N/A | N/A | 2025-08-15 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 | N/A | True | N/A | N/A | REFERRAL | 224618 | 6 | 6 | N/A | VISITS |
| 2025-06-18 23:50:48.650417 | 2025-10-27 17:24:06.886119 | 365729 | NOT_INITIATED | 4214773 | N/A | N/A | PRIMARY | 3250414 | N/A | N/A | N/A | N/A | 2025-12-27 15:00:00 | 2025-03-25 14:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5542911 | N/A | N/A | N/A | PRE_CERT | N/A | 18 | 18 | N/A | VISITS |
| 2025-06-18 23:27:47.757427 | 2025-06-18 23:27:47.757435 | 365726 | NOT_INITIATED | 4209603 | N/A | N/A | PRIMARY | 25113A0566 | N/A | N/A | N/A | N/A | 2025-11-12 08:00:00 | 2025-05-12 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5536948 | N/A | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2025-06-18 23:18:45.790368 | 2025-07-25 22:17:40.319070 | 365723 | NOT_INITIATED | 5106449 | N/A | N/A | PRIMARY | 20250602L0100382 | N/A | N/A | N/A | N/A | 2025-08-31 21:00:00 | 2025-06-02 21:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 6473411 | N/A | N/A | N/A | PRE_CERT | N/A | 11 | 11 | N/A | VISITS |
| 2025-06-18 23:05:37.566237 | 2026-04-03 18:23:13.103722 | 365600 | NOT_INITIATED | 4212773 | N/A | N/A | PRIMARY | 20250618P0106913 | 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 | 5540659 | True | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2025-06-18 22:50:28.952296 | 2025-06-18 22:50:28.952303 | 365583 | NOT_INITIATED | 4534574 | N/A | N/A | PRIMARY | 21645484897 | N/A | N/A | N/A | N/A | 2025-07-23 07:00:00 | 2025-04-24 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 | 224821 | 9 | 9 | N/A | VISITS |
| 2025-06-18 22:38:22.275669 | 2025-06-18 22:38:22.275679 | 365580 | NOT_INITIATED | 4212165 | N/A | N/A | PRIMARY | 20250617P0102987 | 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 | 5539935 | N/A | N/A | N/A | PRE_CERT | N/A | 11 | 11 | N/A | VISITS |
| 2025-06-18 22:25:57.333139 | 2025-06-19 14:50:03.765237 | 365558 | NOT_INITIATED | 4209603 | N/A | N/A | PRIMARY | Low back | N/A | N/A | N/A | N/A | 2025-10-12 07:00:00 | 2025-05-12 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5536948 | True | N/A | N/A | PRE_CERT | N/A | 10 | 10 | N/A | VISITS |
| 2025-06-18 21:50:29.288847 | 2025-06-18 21:50:29.288860 | 365533 | NOT_INITIATED | 5105323 | N/A | N/A | PRIMARY | 20250502P0102809 | N/A | N/A | N/A | N/A | 2025-07-31 07:00:00 | 2025-05-02 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 6472283 | N/A | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2025-06-18 21:25:27.022645 | 2025-06-18 21:25:27.022657 | 365521 | NOT_INITIATED | 4211857 | N/A | N/A | PRIMARY | 20250529L0102467 | 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 | 5539573 | N/A | N/A | N/A | PRE_CERT | N/A | 17 | 17 | N/A | VISITS |
| 2025-06-18 20:10:56.311486 | 2025-06-18 20:10:56.311495 | 365457 | NOT_INITIATED | 4211851 | N/A | N/A | PRIMARY | 20250411P0105453 | N/A | N/A | N/A | N/A | 2025-07-10 07:00:00 | 2025-04-11 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5539569 | N/A | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2025-06-18 18:51:15.000055 | 2025-06-18 18:51:15.000068 | 365324 | NOT_INITIATED | 4214604 | N/A | N/A | PRIMARY | N/A | N/A | N/A | N/A | N/A | 2026-04-04 07:00:00 | 2025-04-05 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 | 172834 | 10 | 10 | N/A | VISITS |
| 2025-06-18 18:13:49.304185 | 2025-06-18 18:13:49.304196 | 365302 | NOT_INITIATED | 4219671 | N/A | N/A | PRIMARY | N/A | N/A | N/A | N/A | N/A | 2025-08-23 07:00:00 | 2025-05-22 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 | 243652 | 10 | 10 | N/A | VISITS |
| 2025-06-18 18:05:14.136789 | 2025-06-18 18:05:14.136794 | 365291 | NOT_INITIATED | 4210749 | N/A | N/A | PRIMARY | 20250409L0100505 | N/A | N/A | N/A | N/A | 2025-07-08 07:00:00 | 2025-04-09 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5538314 | N/A | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2025-06-18 17:10:42.356953 | 2025-06-18 17:10:42.356966 | 365059 | NOT_INITIATED | 5102569 | N/A | N/A | PRIMARY | N/A | N/A | N/A | N/A | N/A | 2026-05-30 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 | N/A | N/A | N/A | N/A | REFERRAL | 172095 | 10 | 10 | N/A | VISITS |
| 2025-06-18 16:44:18.473416 | 2025-06-18 16:44:18.473425 | 365046 | NOT_INITIATED | 5101798 | N/A | N/A | PRIMARY | N/A | N/A | N/A | N/A | N/A | 2026-05-21 07:00:00 | 2025-05-21 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 | 409712 | 10 | 10 | N/A | VISITS |
| 2025-06-18 16:32:51.204420 | 2025-06-18 16:32:51.204432 | 365030 | NOT_INITIATED | 4642898 | N/A | N/A | PRIMARY | 20250506L0100611 | N/A | N/A | N/A | N/A | 2025-08-04 07:00:00 | 2025-05-06 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5993967 | N/A | N/A | N/A | PRE_CERT | N/A | 5 | 5 | N/A | VISITS |
| 2025-06-18 15:11:29.151275 | 2025-09-16 22:04:10.910347 | 364962 | NOT_INITIATED | 4343452 | N/A | N/A | PRIMARY | 90022005001400 | N/A | N/A | N/A | N/A | 2025-12-10 08:00:00 | 2025-06-13 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5993904 | True | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2025-06-17 23:57:29.067823 | 2025-06-17 23:57:29.067835 | 363067 | NOT_INITIATED | 4214516 | N/A | N/A | PRIMARY | 8591762 | N/A | N/A | N/A | N/A | 2084-06-17 07:00:00 | 2025-05-20 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5542626 | N/A | N/A | N/A | PRE_CERT | N/A | 6 | 6 | N/A | VISITS |
| 2025-06-17 23:34:16.361608 | 2025-06-17 23:34:16.361616 | 363047 | NOT_INITIATED | 5090365 | N/A | N/A | PRIMARY | N/A | N/A | N/A | N/A | N/A | 2026-05-16 07:00:00 | 2025-05-16 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 |