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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-06-15 23:55:20.605607 | 2025-06-15 23:55:20.605625 | 358466 | NOT_INITIATED | 4209098 | N/A | N/A | PRIMARY | 20250415P0101353 | 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 | 5536335 | N/A | N/A | N/A | PRE_CERT | N/A | 1 | 1 | N/A | VISITS |
| 2025-06-15 23:55:05.713075 | 2025-06-15 23:55:05.713092 | 358458 | NOT_INITIATED | 4534566 | N/A | N/A | PRIMARY | 20250613P0106784 | 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 | 5874439 | N/A | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2025-06-15 23:54:50.855415 | 2025-06-15 23:54:50.855430 | 358452 | NOT_INITIATED | 4219852 | N/A | N/A | PRIMARY | 20250613P0103026 | 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 | 5551029 | N/A | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2025-06-15 23:54:41.840837 | 2025-06-15 23:54:41.840854 | 358448 | NOT_INITIATED | 4642894 | N/A | N/A | PRIMARY | 22234153013 | 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 | 5993960 | N/A | N/A | N/A | PRE_CERT | N/A | 9 | 9 | N/A | VISITS |
| 2025-06-15 23:54:40.241687 | 2025-06-15 23:54:40.241704 | 358447 | NOT_INITIATED | 4209098 | N/A | N/A | PRIMARY | 20250613P0106917 | 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 | 5536335 | N/A | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2025-06-13 02:29:04.608760 | 2025-06-13 02:29:04.608764 | 208169 | NOT_INITIATED | 4642889 | N/A | N/A | PRIMARY | 22234073783 | N/A | N/A | N/A | N/A | 2025-07-28 07:00:00 | 2025-04-29 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5993954 | N/A | N/A | N/A | PRE_CERT | N/A | 9 | 9 | N/A | VISITS |
| 2025-06-13 01:06:43.277023 | 2025-08-28 22:26:19.577560 | 208127 | NOT_INITIATED | 4213207 | N/A | N/A | PRIMARY | 20250612P0107843 | N/A | N/A | N/A | N/A | 2025-09-10 14:00:00 | 2025-06-12 14:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5541163 | N/A | N/A | N/A | PRE_CERT | N/A | 12 | 13 | N/A | VISITS |
| 2025-06-12 23:50:54.049793 | 2025-06-12 23:50:54.049801 | 207925 | NOT_INITIATED | 4213481 | N/A | N/A | PRIMARY | N/A | N/A | N/A | N/A | N/A | 2080-06-12 07:00:00 | 2025-06-12 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 | 122376 | 8 | 8 | N/A | VISITS |
| 2025-06-12 23:24:06.865157 | 2025-06-12 23:24:06.865163 | 207867 | NOT_INITIATED | 4219794 | N/A | N/A | PRIMARY | N/A | N/A | N/A | N/A | N/A | 2025-06-30 07:00:00 | 2025-02-05 08:00:00 | 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 | 126051 | 12 | 12 | N/A | VISITS |
| 2025-06-12 22:34:06.875752 | 2025-06-15 23:57:45.342252 | 207855 | NOT_INITIATED | 4214542 | N/A | N/A | PRIMARY | 20250415P0105505 | N/A | N/A | N/A | N/A | 2025-07-15 04:00:00 | 2025-04-16 04:00:00 | 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 | 11 | 3 | N/A | VISITS |
| 2025-06-12 22:32:50.365581 | 2025-06-12 22:32:50.365592 | 207854 | NOT_INITIATED | 4208859 | N/A | N/A | PRIMARY | 20250603L0102520 | 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 | 5536048 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2025-06-12 21:46:31.837058 | 2025-06-12 21:46:31.837063 | 207846 | NOT_INITIATED | 4712994 | N/A | N/A | PRIMARY | 20250512L0102066 | 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 | 6188935 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2025-06-12 21:40:38.059538 | 2025-06-12 21:40:38.059547 | 207843 | NOT_INITIATED | 4884069 | 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 | 243681 | 10 | 10 | N/A | VISITS |
| 2025-06-12 20:43:44.345740 | 2025-06-12 20:43:44.345751 | 207822 | NOT_INITIATED | 4214103 | N/A | N/A | PRIMARY | 20250605P0101712 | N/A | N/A | N/A | N/A | 2025-09-03 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 | 5542149 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2025-06-12 15:23:49.357435 | 2025-09-26 19:47:54.318149 | 207669 | NOT_INITIATED | 4213743 | N/A | N/A | PRIMARY | 20250610P0106916 | N/A | N/A | N/A | N/A | 2025-09-08 07:00:00 | 2025-06-10 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 6234679 | True | N/A | N/A | PRE_CERT | N/A | 24 | 24 | N/A | VISITS |
| 2025-06-12 14:49:59.058100 | 2025-07-29 14:47:58.310716 | 207624 | NOT_INITIATED | 4219640 | N/A | N/A | PRIMARY | 20250506P0102687 | 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 | 5550751 | True | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2025-06-12 03:31:34.341977 | 2025-11-03 21:04:53.374709 | 207151 | NOT_INITIATED | 4219033 | N/A | N/A | PRIMARY | 20250328P0105091 | N/A | N/A | N/A | N/A | 2025-06-26 11:00:00 | 2025-03-29 11:00:00 | 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 | 13 | 3 | N/A | VISITS |
| 2025-06-11 23:58:20.785280 | 2025-06-11 23:58:20.785288 | 206806 | NOT_INITIATED | 4874079 | N/A | N/A | PRIMARY | 20250605P0102822 | N/A | N/A | N/A | N/A | 2025-09-03 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 | 6226525 | N/A | N/A | N/A | PRE_CERT | N/A | 9 | 9 | N/A | VISITS |
| 2025-06-11 22:33:29.682805 | 2025-06-11 22:33:29.682812 | 206762 | NOT_INITIATED | 4713008 | N/A | N/A | PRIMARY | N/A | N/A | N/A | N/A | N/A | 2026-05-13 07:00:00 | 2025-05-13 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 | 225196 | 10 | 10 | N/A | VISITS |
| 2025-06-11 22:32:49.481240 | 2025-06-11 22:32:49.481248 | 206761 | NOT_INITIATED | 4642890 | N/A | N/A | PRIMARY | 20250508L0100584 | N/A | N/A | N/A | N/A | 2025-08-06 07:00:00 | 2025-05-08 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5993956 | N/A | N/A | N/A | PRE_CERT | N/A | 10 | 10 | N/A | VISITS |
| 2025-06-11 22:22:53.365957 | 2025-06-11 22:22:53.365988 | 206730 | NOT_INITIATED | 4713006 | N/A | N/A | PRIMARY | 20250508L0100103 | N/A | N/A | N/A | N/A | 2025-08-06 07:00:00 | 2025-05-08 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 6068066 | N/A | N/A | N/A | PRE_CERT | N/A | 5 | 5 | N/A | VISITS |
| 2025-06-11 22:04:58.851202 | 2025-06-11 22:04:58.851211 | 206707 | NOT_INITIATED | 4873309 | N/A | N/A | PRIMARY | 20250411P0106396 | 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 | 6225666 | N/A | N/A | N/A | PRE_CERT | N/A | 5 | 5 | N/A | VISITS |
| 2025-06-11 21:41:40.582655 | 2025-06-18 15:59:30.519988 | 206698 | NOT_INITIATED | 4213018 | N/A | N/A | PRIMARY | 20250313L0101893 | N/A | N/A | N/A | N/A | 2025-06-11 21:00:00 | 2025-03-13 21:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5550301 | N/A | N/A | N/A | PRE_CERT | N/A | 1 | 1 | N/A | VISITS |
| 2025-06-11 20:58:14.573111 | 2025-07-07 21:58:42.917620 | 206666 | NOT_INITIATED | 4219169 | N/A | N/A | PRIMARY | N/A | N/A | N/A | N/A | N/A | 2025-09-01 14:00:00 | 2024-10-31 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 | 107595 | 18 | 18 | N/A | VISITS |
| 2025-06-11 20:41:19.196835 | 2025-06-11 20:41:19.196842 | 206657 | NOT_INITIATED | 4219747 | N/A | N/A | PRIMARY | N/A | N/A | N/A | N/A | N/A | 2026-04-02 07:00:00 | 2025-04-02 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 | 224800 | 10 | 10 | N/A | VISITS |
| 2025-06-11 20:17:25.737219 | 2025-06-11 20:17:25.737227 | 206635 | NOT_INITIATED | 4872409 | 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 | 243575 | 10 | 10 | N/A | VISITS |
| 2025-06-11 18:39:45.173244 | 2025-06-23 17:46:34.102893 | 206492 | NOT_INITIATED | 4210114 | N/A | N/A | PRIMARY | N/A | N/A | N/A | LUMBAR | N/A | 2080-06-13 08:00:00 | 2025-05-09 08:00:00 | 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 | 224372 | 12 | 12 | N/A | VISITS |
| 2025-06-11 18:39:14.708203 | 2025-06-23 17:45:25.361556 | 206490 | NOT_INITIATED | 4210114 | N/A | N/A | PRIMARY | N/A | N/A | N/A | CERVICAL | N/A | 2082-06-12 18:00:00 | 2025-05-09 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 | 224372 | 12 | 11 | N/A | VISITS |
| 2025-06-11 18:38:37.116473 | 2025-06-23 17:46:25.425425 | 206488 | NOT_INITIATED | 4210114 | N/A | N/A | PRIMARY | N/A | N/A | N/A | SHOULDERS | N/A | 2081-06-13 15:00:00 | 2025-05-09 15:00:00 | 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 | 224372 | 12 | 11 | N/A | VISITS |
| 2025-06-11 18:15:55.764617 | 2025-08-20 21:55:28.694323 | 206459 | NOT_INITIATED | 4215086 | N/A | N/A | PRIMARY | 20250609L0102119 | N/A | N/A | N/A | N/A | 2025-09-08 07:00:00 | 2025-06-09 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5543270 | True | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2025-06-11 18:09:39.974979 | 2025-10-03 15:49:48.116456 | 206443 | NOT_INITIATED | 4214212 | N/A | N/A | PRIMARY | 20250604P0101547 | N/A | N/A | LEFT HIP | N/A | 2025-09-02 14:00:00 | 2025-06-04 14:00:00 | 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 | 12 | 12 | N/A | VISITS |
| 2025-06-11 17:28:52.786359 | 2026-01-21 21:57:51.375163 | 206382 | NOT_INITIATED | 4866412 | N/A | N/A | PRIMARY | 22234176624 | N/A | N/A | N/A | N/A | 2025-09-07 07:00:00 | 2025-06-07 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 6222264 | N/A | N/A | N/A | PRE_CERT | N/A | 9 | 15 | N/A | VISITS |
| 2025-06-11 17:27:00.025222 | 2025-06-16 00:03:10.032373 | 206377 | NOT_INITIATED | 4866524 | N/A | N/A | PRIMARY | 20250610P0104509 | N/A | N/A | N/A | N/A | 2025-09-08 14:00:00 | 2025-06-10 14:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 6222331 | N/A | N/A | N/A | PRE_CERT | N/A | 1 | 1 | N/A | VISITS |
| 2025-06-11 16:07:18.337574 | 2025-10-03 20:51:17.533311 | 206314 | NOT_INITIATED | 4211848 | N/A | N/A | PRIMARY | 25086A0359 | N/A | N/A | N/A | N/A | 2025-09-27 07:00:00 | 2025-03-27 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5539563 | True | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2025-06-11 15:55:38.606607 | 2025-06-11 15:55:38.606626 | 206306 | NOT_INITIATED | 4852857 | N/A | N/A | PRIMARY | 20250521P0105074 | N/A | N/A | N/A | N/A | 2025-08-19 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 | 6210099 | N/A | N/A | N/A | PRE_CERT | N/A | 9 | 9 | N/A | VISITS |
| 2025-06-11 15:53:53.667892 | 2026-04-23 14:49:42.291937 | 206303 | NOT_INITIATED | 4865935 | N/A | N/A | PRIMARY | N/A | N/A | N/A | N/A | N/A | 2026-05-20 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 | N/A | N/A | N/A | N/A | REFERRAL | 225037 | 10 | 10 | N/A | VISITS |
| 2025-06-11 15:45:50.706347 | 2025-12-02 16:20:44.226755 | 206299 | NOT_INITIATED | 4213435 | N/A | N/A | PRIMARY | 20250521P0105074 | N/A | N/A | N/A | N/A | 2025-09-09 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 | 5541409 | True | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2025-06-11 15:31:10.962404 | 2025-10-03 17:38:09.458020 | 206275 | NOT_INITIATED | 4865742 | N/A | N/A | PRIMARY | 20250523L0100755 | N/A | N/A | LUMBAR | N/A | 2025-08-21 14:00:00 | 2025-05-23 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 |
| 2025-06-11 00:18:48.902823 | 2025-06-11 00:18:48.902832 | 205630 | NOT_INITIATED | 4209480 | N/A | N/A | PRIMARY | 20250516L0100251 | N/A | N/A | N/A | N/A | 2025-08-14 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 | 5568076 | N/A | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2025-06-10 23:57:12.323464 | 2025-06-10 23:57:12.323477 | 205615 | NOT_INITIATED | 4856954 | N/A | N/A | PRIMARY | 20250523l0101996 | N/A | N/A | N/A | N/A | 2025-08-21 07:00:00 | 2025-05-23 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 6213233 | N/A | N/A | N/A | PRE_CERT | N/A | 3 | 3 | N/A | VISITS |
| 2025-06-10 23:21:55.045233 | 2025-06-10 23:21:55.045247 | 205607 | NOT_INITIATED | 4219840 | N/A | N/A | PRIMARY | 20250610P0107435 | N/A | N/A | N/A | N/A | 2025-09-08 07:00:00 | 2025-06-10 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5551017 | N/A | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2025-06-10 22:23:35.702627 | 2025-06-10 22:23:35.702633 | 205554 | NOT_INITIATED | 4219841 | N/A | N/A | PRIMARY | 20250603P0104514 | 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 | 5551018 | N/A | N/A | N/A | PRE_CERT | N/A | 24 | 24 | N/A | VISITS |
| 2025-06-10 22:01:42.429689 | 2025-06-10 22:01:42.429697 | 205507 | NOT_INITIATED | 4856155 | N/A | N/A | PRIMARY | 20250523L0100512 | 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 | 6212389 | N/A | N/A | N/A | PRE_CERT | N/A | 10 | 10 | N/A | VISITS |
| 2025-06-10 22:00:52.538425 | 2025-08-05 21:42:43.966201 | 205506 | NOT_INITIATED | 4720748 | N/A | N/A | PRIMARY | 20250521P0100925 | N/A | N/A | N/A | N/A | 2025-08-19 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 | 6077164 | True | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2025-06-10 20:58:01.819383 | 2025-06-10 20:58:01.819393 | 205470 | NOT_INITIATED | 4213738 | N/A | N/A | PRIMARY | N/A | N/A | N/A | N/A | N/A | 2085-06-10 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 | 122317 | 18 | 18 | N/A | VISITS |
| 2025-06-10 20:47:49.580468 | 2025-11-25 23:15:04.944765 | 205459 | NOT_INITIATED | 4210531 | N/A | N/A | PRIMARY | 20250603L0101208 | N/A | N/A | HIP, LT | N/A | 2025-09-01 14:00:00 | 2025-06-03 14:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5676340 | True | N/A | N/A | PRE_CERT | N/A | 25 | 25 | N/A | VISITS |
| 2025-06-10 18:50:47.841993 | 2025-06-10 18:50:47.842001 | 205320 | NOT_INITIATED | 4853176 | N/A | N/A | PRIMARY | 20250606L0100683 | 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 | 6210310 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2025-06-10 18:35:50.118087 | 2025-06-10 18:35:50.118097 | 205309 | NOT_INITIATED | 4211977 | N/A | N/A | PRIMARY | 20250610L0101027 | N/A | N/A | N/A | N/A | 2025-09-08 07:00:00 | 2025-06-10 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5539718 | N/A | N/A | N/A | PRE_CERT | N/A | 10 | 10 | N/A | VISITS |
| 2025-06-10 18:00:45.889900 | 2025-06-10 18:00:45.889905 | 205252 | NOT_INITIATED | 4214261 | N/A | N/A | PRIMARY | 2025061L0100633 | N/A | N/A | N/A | N/A | 2025-09-08 07:00:00 | 2025-06-10 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 |
| 2025-06-10 17:39:54.911388 | 2025-06-10 17:39:54.911397 | 205224 | NOT_INITIATED | 4852858 | N/A | N/A | PRIMARY | N/A | N/A | N/A | N/A | N/A | 2025-06-23 07:00:00 | 2025-05-09 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 | 224406 | 6 | 6 | N/A | VISITS |