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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-06-06 15:07:40.724508 | 2025-06-06 15:07:40.724516 | 202457 | 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 |
| 2025-06-05 21:19:56.025276 | 2025-06-05 21:19:56.025291 | 201733 | NOT_INITIATED | 4215022 | N/A | N/A | PRIMARY | 20250605L0101638 | 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 | 5543218 | N/A | N/A | N/A | PRE_CERT | N/A | 10 | 10 | N/A | VISITS |
| 2025-06-05 20:49:39.361116 | 2025-06-25 21:51:58.073988 | 201683 | NOT_INITIATED | 4218943 | N/A | N/A | PRIMARY | N/A | N/A | N/A | N/A | N/A | 2026-03-22 04:00:00 | 2025-03-23 04:00:00 | 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 | 169693 | 10 | 7 | N/A | VISITS |
| 2025-06-05 20:19:04.541802 | 2025-06-05 20:19:04.541811 | 201657 | NOT_INITIATED | 4214848 | N/A | N/A | PRIMARY | 8611802 | N/A | N/A | RIGHT FOOT AUTH: (6) EXP: NONE | N/A | 2076-06-05 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 | 5543006 | N/A | N/A | N/A | PRE_CERT | N/A | 6 | 6 | N/A | VISITS |
| 2025-06-05 19:57:18.860962 | 2025-06-05 19:57:18.860972 | 201597 | NOT_INITIATED | 4767564 | N/A | N/A | PRIMARY | 20250605P0104035 | 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 | 6125116 | N/A | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2025-06-05 19:44:37.119892 | 2025-08-13 20:36:22.511288 | 201586 | NOT_INITIATED | 4642886 | N/A | N/A | PRIMARY | 96079020E | N/A | N/A | N/A | N/A | 2026-05-07 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 | True | N/A | N/A | REFERRAL | 243652 | 9 | 9 | N/A | VISITS |
| 2025-06-05 19:32:36.489210 | 2025-06-05 19:32:36.489218 | 201572 | NOT_INITIATED | 4219764 | N/A | N/A | PRIMARY | 90835702C | N/A | N/A | N/A | N/A | 2026-04-04 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 | N/A | N/A | N/A | N/A | REFERRAL | 243659 | 1 | 1 | N/A | VISITS |
| 2025-06-05 19:24:05.589186 | 2025-06-05 19:24:05.589190 | 201566 | NOT_INITIATED | 4215352 | N/A | N/A | PRIMARY | 95601253F | N/A | N/A | N/A | N/A | 2026-05-05 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 | N/A | N/A | N/A | N/A | REFERRAL | 172112 | 9 | 9 | N/A | VISITS |
| 2025-06-05 19:16:57.732865 | 2025-06-05 19:16:57.732876 | 201561 | NOT_INITIATED | 4713009 | N/A | N/A | PRIMARY | 20250501P0101394 | N/A | N/A | N/A | N/A | 2025-07-30 07:00:00 | 2025-05-01 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 6068071 | N/A | N/A | N/A | PRE_CERT | N/A | 10 | 10 | N/A | VISITS |
| 2025-06-05 19:06:45.846262 | 2026-01-08 16:13:58.464738 | 201547 | NOT_INITIATED | 4713011 | 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 | True | N/A | N/A | REFERRAL | 224853 | 9 | 9 | N/A | VISITS |
| 2025-06-05 17:48:04.467081 | 2025-06-18 17:21:37.688756 | 201446 | NOT_INITIATED | 4786695 | N/A | N/A | PRIMARY | 111502776 | N/A | N/A | N/A | N/A | 2025-09-03 14:00:00 | 2025-06-05 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 6145878 | N/A | N/A | N/A | PRE_CERT | N/A | 21 | 21 | N/A | VISITS |
| 2025-06-05 17:20:39.031477 | 2025-06-05 17:20:39.031483 | 201400 | NOT_INITIATED | 4755145 | N/A | N/A | PRIMARY | 20250523P0100456 | N/A | N/A | N/A | N/A | 2025-08-21 07:00:00 | N/A | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 6112315 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2025-06-05 17:20:24.878875 | 2025-06-05 17:20:24.878881 | 201399 | NOT_INITIATED | 4219852 | N/A | N/A | PRIMARY | 20250501P0102139 Low Back | N/A | N/A | N/A | N/A | 2025-07-30 07:00:00 | 2025-05-01 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5551030 | N/A | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2025-06-05 17:16:28.540455 | 2025-06-10 17:48:05.584533 | 201391 | NOT_INITIATED | 4219852 | N/A | N/A | PRIMARY | 20250403P0106995 Low Back | N/A | N/A | N/A | N/A | 2025-07-02 14:00:00 | 2025-04-03 14:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5551030 | True | N/A | N/A | PRE_CERT | N/A | 1 | 1 | N/A | VISITS |
| 2025-06-05 17:03:20.082298 | 2025-08-27 22:13:11.387142 | 201384 | NOT_INITIATED | 4766789 | N/A | N/A | PRIMARY | 22675464965 | N/A | N/A | BILAT ILIOTIBIAL BAND SYNDROME | N/A | 2025-11-24 12:00:00 | 2025-05-22 11:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 6124078 | N/A | N/A | N/A | PRE_CERT | N/A | 9 | 14 | N/A | VISITS |
| 2025-06-05 16:25:09.092007 | 2025-11-13 21:32:32.262185 | 201335 | NOT_INITIATED | 4215039 | N/A | N/A | PRIMARY | 20250605L0100386 | N/A | N/A | N/A | N/A | 2025-09-03 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 | 5543223 | True | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2025-06-05 15:41:37.422131 | 2025-06-05 15:41:37.422141 | 201302 | NOT_INITIATED | 4214831 | N/A | N/A | PRIMARY | 20250605L0100213 | 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 | 5542982 | N/A | N/A | N/A | PRE_CERT | N/A | 2 | 2 | N/A | VISITS |
| 2025-06-05 15:27:40.187064 | 2025-08-07 18:23:09.025207 | 201287 | NOT_INITIATED | 4212979 | N/A | N/A | PRIMARY | 20250515P0101468 | N/A | N/A | N/A | N/A | 2025-08-18 21:00:00 | 2025-05-15 21:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5540893 | N/A | N/A | N/A | PRE_CERT | N/A | 17 | 17 | N/A | VISITS |
| 2025-06-05 02:56:49.238392 | 2025-06-05 02:56:49.238399 | 200758 | NOT_INITIATED | 4781434 | N/A | N/A | PRIMARY | N/A | N/A | N/A | N/A | N/A | 2072-06-04 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 | 245773 | 12 | 12 | N/A | VISITS |
| 2025-06-05 02:44:10.952535 | 2025-08-19 20:22:34.089517 | 200754 | NOT_INITIATED | 4781417 | N/A | N/A | PRIMARY | 20250513L0101635 | N/A | N/A | N/A | N/A | 2025-08-11 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 | 6140436 | True | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2025-06-05 02:35:27.328691 | 2025-06-05 02:35:27.328697 | 200753 | NOT_INITIATED | 4781415 | 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 | 243681 | 10 | 10 | N/A | VISITS |
| 2025-06-05 00:32:26.677224 | 2025-06-05 00:32:26.677232 | 200703 | NOT_INITIATED | 4219796 | N/A | N/A | PRIMARY | 20250604P0107536 | 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 | 5550966 | N/A | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2025-06-04 23:25:07.810725 | 2025-06-04 23:25:07.810737 | 200677 | NOT_INITIATED | 4343438 | N/A | N/A | PRIMARY | 97801284G | N/A | N/A | N/A | N/A | 2026-04-21 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 | N/A | N/A | N/A | N/A | REFERRAL | 243659 | 7 | 7 | N/A | VISITS |
| 2025-06-04 23:18:06.710525 | 2025-06-04 23:18:06.710532 | 200674 | NOT_INITIATED | 4213363 | N/A | N/A | PRIMARY | 20250509P0102739 | N/A | N/A | N/A | N/A | 2025-08-07 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 | 5541353 | N/A | N/A | N/A | PRE_CERT | N/A | 25 | 25 | N/A | VISITS |
| 2025-06-04 20:53:39.668323 | 2025-06-04 20:53:39.668332 | 200569 | NOT_INITIATED | 4776006 | N/A | N/A | PRIMARY | 20250522P0104644 | 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 | 6134740 | N/A | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2025-06-04 19:59:07.902158 | 2025-06-04 19:59:07.902167 | 200349 | NOT_INITIATED | 4343431 | N/A | N/A | PRIMARY | 97969360E | N/A | N/A | N/A | N/A | 2026-04-21 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 | N/A | N/A | N/A | N/A | REFERRAL | 243681 | 7 | 7 | N/A | VISITS |
| 2025-06-04 19:47:45.039017 | 2025-06-04 19:47:45.039036 | 200219 | NOT_INITIATED | 4214702 | N/A | N/A | PRIMARY | 90446917E | N/A | N/A | N/A | N/A | 2026-05-05 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 | N/A | N/A | N/A | N/A | REFERRAL | 243723 | 10 | 10 | N/A | VISITS |
| 2025-06-04 19:42:52.214334 | 2025-09-16 22:11:09.988854 | 200187 | NOT_INITIATED | 4642882 | N/A | N/A | PRIMARY | 96450179C | N/A | N/A | N/A | N/A | 2026-05-07 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 | True | N/A | N/A | REFERRAL | 224853 | 9 | 9 | N/A | VISITS |
| 2025-06-04 19:37:50.853758 | 2025-06-04 19:38:38.329192 | 200126 | NOT_INITIATED | 4214848 | N/A | N/A | PRIMARY | 12945919 | N/A | N/A | N/A | N/A | 2025-12-31 16:00:00 | 2025-03-28 14:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5543010 | N/A | N/A | N/A | PRE_CERT | N/A | 3 | 3 | N/A | VISITS |
| 2025-06-04 17:42:17.350129 | 2025-10-24 20:53:16.415225 | 199776 | NOT_INITIATED | 4212732 | N/A | N/A | PRIMARY | 20250604P0102059 | N/A | N/A | N/A | N/A | 2025-09-02 21:00:00 | 2025-06-04 21:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5540601 | True | N/A | N/A | PRE_CERT | N/A | 8 | 5 | N/A | VISITS |
| 2025-06-04 17:39:44.890313 | 2025-06-27 17:44:10.213099 | 199753 | NOT_INITIATED | 4212255 | N/A | N/A | PRIMARY | 20250519P01301 | N/A | N/A | N/A | N/A | 2025-08-17 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 | 5540041 | N/A | N/A | N/A | PRE_CERT | N/A | 9 | 11 | N/A | VISITS |
| 2025-06-04 17:00:07.148135 | 2025-06-04 17:00:07.148169 | 199676 | NOT_INITIATED | 4219822 | N/A | N/A | PRIMARY | 20250515L0100483 | 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 | 5551003 | N/A | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2025-06-04 16:31:21.060512 | 2025-10-22 16:11:57.359525 | 199626 | NOT_INITIATED | 4213941 | N/A | N/A | PRIMARY | 20250604P0101171 | 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 | 5541972 | True | N/A | N/A | PRE_CERT | N/A | 4 | 4 | N/A | VISITS |
| 2025-06-04 15:44:54.900999 | 2026-03-26 21:51:27.717892 | 199497 | NOT_INITIATED | 16063668 | N/A | N/A | PRIMARY | 20250402P0102548 | N/A | N/A | N/A | N/A | 2025-07-01 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 | 6132931 | True | N/A | N/A | PRE_CERT | N/A | 17 | 17 | N/A | VISITS |
| 2025-06-04 15:20:36.372365 | 2025-06-04 15:20:36.372377 | 199468 | NOT_INITIATED | 4642865 | N/A | N/A | PRIMARY | 20250604P0100528 | N/A | N/A | N/A | N/A | 2025-09-02 07:00:00 | N/A | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5993928 | N/A | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2025-06-03 23:35:14.170758 | 2025-06-05 19:56:57.915716 | 198402 | NOT_INITIATED | 4767564 | N/A | N/A | PRIMARY | 20250512P0102648 | 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 | 6125116 | True | N/A | N/A | PRE_CERT | N/A | 1 | 1 | N/A | VISITS |
| 2025-06-03 23:29:15.644469 | 2025-10-30 23:48:53.986847 | 198399 | NOT_INITIATED | 4343454 | N/A | N/A | PRIMARY | 20250603P0106854 | N/A | N/A | N/A | N/A | 2025-09-07 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 | 5676399 | True | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2025-06-03 22:55:02.191064 | 2025-06-03 22:55:02.191069 | 198374 | NOT_INITIATED | 4767379 | N/A | N/A | PRIMARY | 96176956G | 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 | 6124921 | N/A | N/A | N/A | PRE_CERT | N/A | 10 | 10 | N/A | VISITS |
| 2025-06-03 22:44:06.860738 | 2025-06-03 22:44:06.860751 | 198373 | NOT_INITIATED | 4767293 | N/A | N/A | PRIMARY | 20250403L0100570 | 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 | 6124845 | N/A | N/A | N/A | PRE_CERT | N/A | 9 | 9 | N/A | VISITS |
| 2025-06-03 22:19:47.756063 | 2025-06-03 22:19:47.756071 | 198332 | NOT_INITIATED | 4756295 | N/A | N/A | PRIMARY | 20250603P0105982 | 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 | 6113592 | N/A | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2025-06-03 22:15:15.680591 | 2025-07-09 15:31:46.921737 | 198327 | NOT_INITIATED | 4219064 | N/A | N/A | PRIMARY | 20250603L0102047 | 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 | 5549398 | True | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2025-06-03 21:49:54.254433 | 2025-06-03 21:49:54.254440 | 198305 | NOT_INITIATED | 4766789 | N/A | N/A | PRIMARY | 22675464965 | 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 | 245186 | 10 | 10 | N/A | VISITS |
| 2025-06-03 21:32:12.590068 | 2025-06-03 21:32:12.590074 | 198290 | NOT_INITIATED | 4766724 | N/A | N/A | PRIMARY | 90729972A | N/A | N/A | N/A | N/A | 2026-04-24 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 | 6124034 | N/A | N/A | N/A | PRE_CERT | N/A | 10 | 10 | N/A | VISITS |
| 2025-06-03 20:40:57.300382 | 2025-07-23 16:57:00.668004 | 198256 | NOT_INITIATED | 4766544 | N/A | N/A | PRIMARY | 20250513P0103689 | N/A | N/A | N/A | N/A | 2025-08-11 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 | 6123813 | True | N/A | N/A | PRE_CERT | N/A | 9 | 9 | N/A | VISITS |
| 2025-06-03 20:00:53.932401 | 2025-06-03 20:00:53.932409 | 198217 | NOT_INITIATED | 4211713 | N/A | N/A | PRIMARY | 4076627 | N/A | N/A | N/A | N/A | 2025-08-30 07:00:00 | 2025-03-03 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5539407 | N/A | N/A | N/A | PRE_CERT | N/A | 5 | 5 | N/A | VISITS |
| 2025-06-03 16:01:05.893147 | 2025-06-03 16:01:05.893156 | 197980 | NOT_INITIATED | 4343443 | N/A | N/A | PRIMARY | 92249142H | 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 | 243659 | 7 | 7 | N/A | VISITS |
| 2025-06-03 15:57:58.979379 | 2025-06-03 15:57:58.979384 | 197978 | NOT_INITIATED | 4343464 | N/A | N/A | PRIMARY | 95004439F | N/A | N/A | N/A | N/A | 2025-12-18 08:00:00 | 2024-12-18 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 | 243652 | 6 | 6 | N/A | VISITS |
| 2025-06-03 15:55:23.613341 | 2025-10-01 18:11:49.398048 | 197974 | NOT_INITIATED | 4214178 | N/A | N/A | PRIMARY | 20250522L0101809 | N/A | N/A | N/A | N/A | 2025-08-20 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 | 5542233 | True | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2025-06-03 15:29:58.762695 | 2025-06-03 15:29:58.762706 | 197940 | NOT_INITIATED | 4219783 | N/A | N/A | PRIMARY | 94521979A | 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 | 172112 | 5 | 5 | N/A | VISITS |
| 2025-06-03 14:56:55.627455 | 2025-09-15 22:46:53.836791 | 197901 | NOT_INITIATED | 4219512 | N/A | N/A | PRIMARY | 2024003783 | N/A | N/A | N/A | N/A | 2025-08-19 07:00:00 | 2025-04-17 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5550273 | True | N/A | N/A | PRE_CERT | N/A | 3 | 3 | N/A | VISITS |