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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-06-10 17:23:41.293964 | 2025-06-10 17:23:41.293972 | 205200 | NOT_INITIATED | 4852447 | N/A | N/A | PRIMARY | 20250529P0104747 | 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 | 6209752 | N/A | N/A | N/A | PRE_CERT | N/A | 1 | 1 | N/A | VISITS |
| 2025-06-10 17:17:08.929740 | 2026-01-16 21:09:43.342664 | 205196 | NOT_INITIATED | 4208520 | N/A | N/A | PRIMARY | N/A | N/A | N/A | RIGHT SHOULDER | N/A | 2026-05-21 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 | N/A | True | N/A | N/A | REFERRAL | 244384 | 10 | 10 | N/A | VISITS |
| 2025-06-10 17:03:41.534498 | 2026-02-06 16:34:53.916591 | 205184 | NOT_INITIATED | 4210290 | N/A | N/A | PRIMARY | 2025061P0101959 | 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 | 5537781 | True | N/A | N/A | PRE_CERT | N/A | 10 | 10 | N/A | VISITS |
| 2025-06-10 16:38:33.893338 | 2025-06-10 16:50:37.239862 | 205161 | NOT_INITIATED | 4214340 | N/A | N/A | PRIMARY | 20250513P0103825 | N/A | N/A | N/A | N/A | 2025-08-11 14:00:00 | 2025-05-13 14:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5542429 | N/A | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2025-06-10 00:46:24.039572 | 2026-05-01 16:38:46.904428 | 204487 | NOT_INITIATED | 4208370 | N/A | N/A | PRIMARY | 20250609P0107229 | N/A | N/A | N/A | N/A | 2025-09-07 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 | 5535446 | True | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2025-06-10 00:03:44.638826 | 2025-08-07 23:35:13.890089 | 204464 | NOT_INITIATED | 4729138 | N/A | N/A | PRIMARY | 20250529P0101087 | N/A | N/A | N/A | N/A | 2025-08-27 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 | 6085762 | N/A | N/A | N/A | PRE_CERT | N/A | 25 | 25 | N/A | VISITS |
| 2025-06-09 23:27:43.880197 | 2025-06-09 23:27:43.880206 | 204449 | NOT_INITIATED | 4209233 | N/A | N/A | PRIMARY | 20250605P0103277 | 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 | 5536508 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2025-06-09 23:19:26.558501 | 2025-11-19 17:40:45.889223 | 204430 | NOT_INITIATED | 4208849 | N/A | N/A | PRIMARY | 20250428P0102178 | N/A | N/A | N/A | N/A | 2025-07-27 21:00:00 | 2025-04-28 21:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5549015 | True | N/A | N/A | PRE_CERT | N/A | 12 | 7 | N/A | VISITS |
| 2025-06-09 23:01:47.349124 | 2025-11-25 23:02:02.069392 | 204415 | NOT_INITIATED | 4208375 | N/A | N/A | PRIMARY | 20250609L0102028 | N/A | N/A | N/A | N/A | 2025-09-07 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 | 5535455 | True | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2025-06-09 22:32:06.618309 | 2025-06-09 22:32:06.618315 | 204408 | NOT_INITIATED | 4839021 | 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 | 243559 | 10 | 10 | N/A | VISITS |
| 2025-06-09 22:21:17.581231 | 2025-08-05 21:46:00.057294 | 204399 | NOT_INITIATED | 4210156 | N/A | N/A | PRIMARY | 20250506P0107016 | 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 | 5537625 | True | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2025-06-09 22:19:46.905246 | 2025-06-09 22:21:31.770511 | 204394 | NOT_INITIATED | 4219628 | N/A | N/A | PRIMARY | N/A | N/A | N/A | N/A | N/A | 2026-04-04 14:00:00 | 2025-04-04 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 | 243681 | 2 | 1 | N/A | VISITS |
| 2025-06-09 22:16:04.251117 | 2026-04-22 18:40:36.726614 | 204392 | NOT_INITIATED | 4219715 | N/A | N/A | PRIMARY | N/A | N/A | N/A | N/A | N/A | N/A | 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 | 172112 | 9 | 9 | N/A | VISITS |
| 2025-06-09 22:14:05.030053 | 2025-06-09 22:14:05.030066 | 204380 | NOT_INITIATED | 4838216 | 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 | 172095 | 10 | 10 | N/A | VISITS |
| 2025-06-09 22:06:01.101703 | 2025-06-09 22:06:01.101714 | 204375 | NOT_INITIATED | 4214352 | N/A | N/A | PRIMARY | N/A | N/A | N/A | N/A | N/A | 2025-11-01 07:00:00 | 2025-05-07 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 | 80403 | 12 | 12 | N/A | VISITS |
| 2025-06-09 22:03:28.142034 | 2025-06-09 22:03:28.142047 | 204373 | NOT_INITIATED | 4837815 | N/A | N/A | PRIMARY | 20250519P0101679 | N/A | N/A | N/A | N/A | 2025-08-17 07:00:00 | 2025-05-19 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 6193602 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2025-06-09 21:59:21.017056 | 2025-07-11 16:11:09.567998 | 204370 | NOT_INITIATED | 4837995 | N/A | N/A | PRIMARY | 20250523P0101519 | 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 | 6193751 | True | N/A | N/A | PRE_CERT | N/A | 7 | 7 | N/A | VISITS |
| 2025-06-09 20:44:08.751725 | 2025-10-16 20:36:51.340568 | 204292 | NOT_INITIATED | 4208829 | N/A | N/A | PRIMARY | 20250515P0106017 | N/A | N/A | N/A | N/A | 2025-08-13 07:00:00 | 2025-05-15 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 |
| 2025-06-09 20:35:31.909259 | 2025-06-09 20:35:31.909269 | 204281 | NOT_INITIATED | 4837663 | 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 | 172095 | 10 | 10 | N/A | VISITS |
| 2025-06-09 20:16:23.896026 | 2025-06-09 20:16:23.896033 | 204269 | NOT_INITIATED | 4218971 | N/A | N/A | PRIMARY | 20250521P0105271 | 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 | 5549270 | N/A | N/A | N/A | PRE_CERT | N/A | 9 | 9 | N/A | VISITS |
| 2025-06-09 18:23:33.055519 | 2025-06-09 18:23:33.055531 | 204095 | NOT_INITIATED | 4836029 | N/A | N/A | PRIMARY | 22675682523 | N/A | N/A | N/A | N/A | 2025-08-31 07:00:00 | 2025-06-02 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 6191874 | N/A | N/A | N/A | PRE_CERT | N/A | 9 | 9 | N/A | VISITS |
| 2025-06-09 18:21:12.654587 | 2026-01-09 15:15:41.196981 | 204091 | NOT_INITIATED | 4836434 | N/A | N/A | PRIMARY | 20250605P0103377 | 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 | 6192336 | True | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2025-06-09 17:31:03.633471 | 2025-07-14 19:37:51.249578 | 204003 | NOT_INITIATED | 4219630 | N/A | N/A | PRIMARY | 20250609P0102072 | N/A | N/A | N/A | N/A | 2025-09-07 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 | 5858742 | True | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2025-06-09 17:24:08.955613 | 2025-07-15 23:39:44.533777 | 203986 | NOT_INITIATED | 4642883 | N/A | N/A | PRIMARY | 20250609P0101972 | N/A | N/A | N/A | N/A | 2025-09-07 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 | 5993946 | True | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2025-06-09 16:55:27.008943 | 2025-06-09 16:55:27.008951 | 203959 | NOT_INITIATED | 4834335 | N/A | N/A | PRIMARY | N/A | N/A | N/A | N/A | N/A | 2026-05-14 07:00:00 | 2025-05-14 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 |
| 2025-06-09 16:53:57.063705 | 2025-10-23 20:26:31.902622 | 203957 | NOT_INITIATED | 4343454 | N/A | N/A | PRIMARY | 20250609P0101516 | N/A | N/A | AUTHORIZATION | N/A | 2025-09-03 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 | 5676399 | True | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2025-06-09 16:05:56.867028 | 2025-06-09 16:05:56.867044 | 203877 | NOT_INITIATED | 4215082 | N/A | N/A | PRIMARY | 20250520P0103787 | N/A | N/A | N/A | N/A | 2025-08-18 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 | 5543265 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2025-06-09 15:44:36.445096 | 2025-06-09 15:44:36.445102 | 203860 | NOT_INITIATED | 4211768 | N/A | N/A | PRIMARY | 20250606L0101534 | 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 | 5539471 | N/A | N/A | N/A | PRE_CERT | N/A | 1 | 1 | N/A | VISITS |
| 2025-06-06 23:35:08.525775 | 2025-07-25 23:11:32.201268 | 202854 | NOT_INITIATED | 4209547 | N/A | N/A | PRIMARY | 20250604P0106746 | 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 | 5536875 | True | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2025-06-06 22:55:08.508352 | 2025-06-06 22:55:08.508361 | 202817 | NOT_INITIATED | 4816588 | 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 | 243723 | 10 | 10 | N/A | VISITS |
| 2025-06-06 22:52:50.666358 | 2025-06-06 22:52:50.666366 | 202815 | NOT_INITIATED | 4213738 | N/A | N/A | PRIMARY | 24010511C | N/A | N/A | N/A | N/A | 2025-12-31 08:00:00 | 2025-02-05 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5541744 | N/A | N/A | N/A | PRE_CERT | N/A | 2 | 2 | N/A | VISITS |
| 2025-06-06 22:30:42.399671 | 2026-03-06 18:28:32.940862 | 202802 | NOT_INITIATED | 4642897 | N/A | N/A | PRIMARY | N/A | N/A | N/A | N/A | N/A | 2026-04-30 07:00:00 | 2025-04-30 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 | 172112 | 8 | 8 | N/A | VISITS |
| 2025-06-06 22:18:34.446338 | 2025-06-06 22:18:34.446345 | 202770 | NOT_INITIATED | 4213583 | N/A | N/A | PRIMARY | 20250404P0105114 | N/A | N/A | N/A | N/A | 2025-07-03 07:00:00 | 2025-04-04 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5541586 | N/A | N/A | N/A | PRE_CERT | N/A | 6 | 6 | N/A | VISITS |
| 2025-06-06 22:15:01.882244 | 2026-01-20 21:53:56.343293 | 202768 | NOT_INITIATED | 4534572 | N/A | N/A | PRIMARY | N/A | N/A | N/A | N/A | N/A | 2026-03-05 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 | N/A | True | N/A | N/A | REFERRAL | 243704 | 9 | 9 | N/A | VISITS |
| 2025-06-06 22:10:48.375797 | 2025-06-06 22:10:48.375805 | 202766 | NOT_INITIATED | 4219119 | N/A | N/A | PRIMARY | 8444601 | N/A | N/A | N/A | N/A | 2025-08-13 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 | 5549459 | N/A | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2025-06-06 21:43:39.144679 | 2025-06-06 21:43:39.144688 | 202765 | NOT_INITIATED | 4816073 | N/A | N/A | PRIMARY | 20250603P0106018 | 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 | 6175582 | N/A | N/A | N/A | PRE_CERT | N/A | 4 | 4 | N/A | VISITS |
| 2025-06-06 21:16:39.502239 | 2025-06-06 21:16:39.502245 | 202764 | NOT_INITIATED | 4816044 | 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 | 243659 | 10 | 10 | N/A | VISITS |
| 2025-06-06 20:42:58.248832 | 2025-06-09 17:24:22.915963 | 202758 | NOT_INITIATED | 4642883 | N/A | N/A | PRIMARY | 20250502P0106198 | 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 | 5993946 | True | N/A | N/A | PRE_CERT | N/A | 1 | 1 | N/A | VISITS |
| 2025-06-06 20:34:52.816718 | 2025-06-06 20:35:12.917097 | 202755 | NOT_INITIATED | 4214591 | N/A | N/A | PRIMARY | 20250529P0106928 | N/A | N/A | LUMBAR | N/A | 2025-08-27 14:00:00 | 2025-05-29 14:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5542716 | N/A | N/A | N/A | PRE_CERT | N/A | 9 | 9 | N/A | VISITS |
| 2025-06-06 18:19:08.212247 | 2025-06-06 18:19:08.212256 | 202619 | NOT_INITIATED | 4211713 | N/A | N/A | PRIMARY | N/A | N/A | N/A | N/A | N/A | 2025-11-29 08:00:00 | 2025-06-02 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 | 17764 | 12 | 12 | N/A | VISITS |
| 2025-06-06 18:11:23.005630 | 2025-07-25 18:57:45.862221 | 202613 | NOT_INITIATED | 4766950 | N/A | N/A | PRIMARY | 20250514P0107608 | N/A | N/A | LUMBAR AUTH | N/A | 2025-08-12 21:00:00 | 2025-05-14 21:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 6231672 | True | N/A | N/A | PRE_CERT | N/A | 2 | 2 | N/A | VISITS |
| 2025-06-06 18:07:52.001191 | 2025-07-25 19:04:01.505611 | 202597 | NOT_INITIATED | 4766950 | N/A | N/A | PRIMARY | 20250514P0107600 | N/A | N/A | HIP BILATERAL | N/A | 2025-08-13 18:00:00 | 2025-05-15 18:00:00 | 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 | 13 | 13 | N/A | VISITS |
| 2025-06-06 17:30:46.462160 | 2025-09-30 22:28:15.609846 | 202571 | NOT_INITIATED | 4219334 | N/A | N/A | PRIMARY | 20250513L0102346 | N/A | N/A | N/A | N/A | 2025-08-11 14:00:00 | 2025-05-13 14:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5549730 | True | N/A | N/A | PRE_CERT | N/A | 25 | 25 | N/A | VISITS |
| 2025-06-06 17:07:25.370473 | 2025-09-03 21:21:50.418291 | 202561 | NOT_INITIATED | 4214047 | N/A | N/A | PRIMARY | OP0027921452 | N/A | N/A | N/A | N/A | 2025-08-28 14:00:00 | 2025-05-28 14:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5542093 | True | N/A | N/A | PRE_CERT | N/A | 9 | 10 | N/A | VISITS |
| 2025-06-06 16:59:17.592929 | 2025-10-03 21:10:50.170635 | 202557 | NOT_INITIATED | 4781434 | N/A | N/A | PRIMARY | 12483245 | N/A | N/A | N/A | N/A | 2080-06-06 14:00:00 | 2025-05-20 14:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 6140438 | True | N/A | N/A | PRE_CERT | N/A | 12 | 24 | N/A | VISITS |
| 2025-06-06 16:06:05.675999 | 2025-06-06 16:06:05.676010 | 202523 | NOT_INITIATED | 4813955 | 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 | 244384 | 10 | 10 | N/A | VISITS |
| 2025-06-06 15:51:53.665874 | 2025-09-05 15:02:12.240830 | 202512 | NOT_INITIATED | 4212098 | N/A | N/A | PRIMARY | 20250530P0105096 | 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 | 5539853 | True | N/A | N/A | PRE_CERT | N/A | 24 | 24 | N/A | VISITS |
| 2025-06-06 15:40:13.587197 | 2025-06-06 15:40:13.587203 | 202499 | NOT_INITIATED | 4213106 | N/A | N/A | PRIMARY | 06946762 | N/A | N/A | N/A | N/A | 2025-11-11 08:00:00 | 2025-05-15 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5541039 | N/A | N/A | N/A | PRE_CERT | N/A | 6 | 6 | N/A | VISITS |
| 2025-06-06 15:10:51.919759 | 2025-11-21 19:05:27.509836 | 202464 | NOT_INITIATED | 4212977 | N/A | N/A | PRIMARY | 4059139 | N/A | N/A | N/A | N/A | 2026-03-16 07:00:00 | 2025-09-17 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5540892 | N/A | N/A | N/A | PRE_CERT | N/A | 6 | 18 | N/A | VISITS |
| 2025-06-06 15:08:56.934075 | 2025-06-06 15:08:56.934080 | 202459 | NOT_INITIATED | 4212977 | N/A | N/A | PRIMARY | N/A | N/A | N/A | N/A | N/A | 2025-11-23 08:00:00 | 2025-05-27 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 | 125640 | 6 | 6 | N/A | VISITS |