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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-06-03 05:19:35.972048 | 2025-07-31 18:38:04.760863 | 197498 | NOT_INITIATED | 4343467 | N/A | N/A | PRIMARY | N/A | N/A | N/A | N/A | N/A | 2025-08-02 14:00:00 | 2025-04-02 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 | 245069 | 3 | 16 | N/A | VISITS |
| 2025-06-03 04:21:45.374728 | 2025-06-03 04:21:45.374736 | 197494 | NOT_INITIATED | 4208438 | N/A | N/A | PRIMARY | 20250424P0102322 | 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 | 6068048 | N/A | N/A | N/A | PRE_CERT | N/A | 6 | 6 | N/A | VISITS |
| 2025-06-03 04:14:38.816966 | 2025-06-03 04:14:38.816973 | 197491 | NOT_INITIATED | 4211960 | N/A | N/A | PRIMARY | 1701575C | N/A | N/A | N/A | N/A | 2026-05-06 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 | N/A | N/A | N/A | N/A | REFERRAL | 122339 | 6 | 6 | N/A | VISITS |
| 2025-06-03 04:05:37.250500 | 2025-06-03 04:05:37.250508 | 197489 | NOT_INITIATED | 4211977 | N/A | N/A | PRIMARY | 20250501L0101751 | 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 | 5539718 | N/A | N/A | N/A | PRE_CERT | N/A | 6 | 6 | N/A | VISITS |
| 2025-06-03 03:48:21.706571 | 2025-06-23 20:10:35.450035 | 197469 | NOT_INITIATED | 4219533 | N/A | N/A | PRIMARY | 20250404P0105076 | 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 | 5550356 | True | N/A | N/A | PRE_CERT | N/A | 6 | 6 | N/A | VISITS |
| 2025-06-03 03:29:44.278997 | 2026-05-18 21:57:06.143327 | 196332 | NOT_INITIATED | 4219146 | N/A | N/A | PRIMARY | 20250424P0104021 | N/A | N/A | N/A | N/A | 2025-07-03 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 | 5858729 | True | N/A | N/A | PRE_CERT | N/A | 6 | 6 | N/A | VISITS |
| 2025-06-03 03:26:39.576620 | 2025-06-03 03:26:39.576626 | 195812 | NOT_INITIATED | 4219749 | N/A | N/A | PRIMARY | 93578645F | N/A | N/A | N/A | N/A | 2026-04-07 07:00:00 | 2025-04-07 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 | 243461 | 3 | 3 | N/A | VISITS |
| 2025-06-03 03:14:35.177197 | 2025-06-09 17:31:14.543885 | 195518 | NOT_INITIATED | 4219630 | N/A | N/A | PRIMARY | 20250425P0101672 | 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 | 5858742 | True | N/A | N/A | PRE_CERT | N/A | 3 | 3 | N/A | VISITS |
| 2025-06-03 03:12:32.174230 | 2025-06-03 03:12:32.174236 | 195515 | NOT_INITIATED | 4215113 | N/A | N/A | PRIMARY | N/A | N/A | N/A | N/A | N/A | 2025-06-26 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 | 122377 | 8 | 8 | N/A | VISITS |
| 2025-06-03 03:00:22.382970 | 2025-06-03 03:00:22.382979 | 195505 | NOT_INITIATED | 4219805 | N/A | N/A | PRIMARY | 98392657G | N/A | N/A | N/A | N/A | 2026-04-14 07:00:00 | 2025-04-14 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 | 224853 | 7 | 7 | N/A | VISITS |
| 2025-06-03 02:52:31.072495 | 2025-06-03 02:52:31.072505 | 195504 | NOT_INITIATED | 4343452 | N/A | N/A | PRIMARY | 9002-2005-001400 | N/A | N/A | N/A | N/A | 2025-12-31 08:00:00 | 2025-04-23 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5993904 | N/A | N/A | N/A | PRE_CERT | N/A | 5 | 5 | N/A | VISITS |
| 2025-06-03 02:43:54.958994 | 2025-06-03 02:43:54.959004 | 195503 | NOT_INITIATED | 4209436 | N/A | N/A | PRIMARY | 20250429P0106002 | 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 | 5536746 | N/A | N/A | N/A | PRE_CERT | N/A | 17 | 17 | N/A | VISITS |
| 2025-06-03 02:14:30.991940 | 2025-06-03 02:15:21.240611 | 195486 | NOT_INITIATED | 4759738 | N/A | N/A | PRIMARY | 23-0586 | N/A | N/A | Cervical | N/A | 2025-08-01 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 | N/A | N/A | N/A | N/A | REFERRAL | 224372 | 12 | 12 | N/A | VISITS |
| 2025-06-03 02:13:38.568252 | 2025-06-03 02:15:08.901102 | 195481 | NOT_INITIATED | 4759738 | N/A | N/A | PRIMARY | 23-0586 | N/A | N/A | Lumbar | N/A | 2025-08-01 14:00:00 | 2025-06-02 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 | 224372 | 12 | 12 | N/A | VISITS |
| 2025-06-03 02:08:49.431817 | 2025-06-03 02:13:54.219419 | 195475 | NOT_INITIATED | 4759738 | N/A | N/A | PRIMARY | 23-0586 | N/A | N/A | Bilateral Shoulders 23-0586 | N/A | 2025-08-01 14:00:00 | 2025-06-01 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 | 224372 | 12 | 12 | N/A | VISITS |
| 2025-06-03 00:43:28.739902 | 2025-06-25 23:48:56.544270 | 195463 | NOT_INITIATED | 4219848 | N/A | N/A | PRIMARY | 20250404P0105200 | N/A | N/A | N/A | N/A | 2025-07-03 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 | 5551027 | True | N/A | N/A | PRE_CERT | N/A | 6 | 6 | N/A | VISITS |
| 2025-06-03 00:21:40.841742 | 2025-06-03 00:21:40.841751 | 195402 | NOT_INITIATED | 4759511 | N/A | N/A | PRIMARY | N/A | N/A | N/A | N/A | N/A | 2025-08-23 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 | N/A | N/A | N/A | N/A | REFERRAL | 224800 | 10 | 10 | N/A | VISITS |
| 2025-06-02 23:49:38.068736 | 2025-06-02 23:49:38.068741 | 195391 | NOT_INITIATED | 4219726 | N/A | N/A | PRIMARY | 92653092C | 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 | 172112 | 8 | 8 | N/A | VISITS |
| 2025-06-02 23:29:23.755007 | 2025-06-02 23:29:23.755016 | 195384 | NOT_INITIATED | 4756364 | N/A | N/A | PRIMARY | 99965547F | N/A | N/A | N/A | N/A | 2025-08-23 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 | N/A | N/A | N/A | N/A | REFERRAL | 243723 | 10 | 10 | N/A | VISITS |
| 2025-06-02 23:17:45.221737 | 2025-06-04 16:19:08.256031 | 195338 | NOT_INITIATED | 4756295 | N/A | N/A | PRIMARY | 20250515P0104057 | 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 | 6113592 | True | N/A | N/A | PRE_CERT | N/A | 1 | 1 | N/A | VISITS |
| 2025-06-02 23:07:53.282088 | 2025-08-04 21:38:45.871531 | 195316 | NOT_INITIATED | 4756194 | N/A | N/A | PRIMARY | 20250508P0103147 | N/A | N/A | N/A | N/A | 2025-09-26 07:00:00 | 2025-05-26 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 6113467 | True | N/A | N/A | PRE_CERT | N/A | 9 | 9 | N/A | VISITS |
| 2025-06-02 21:40:37.735689 | 2025-06-02 21:40:37.735699 | 195254 | NOT_INITIATED | 4209707 | N/A | N/A | PRIMARY | 20250602P0105120 | N/A | N/A | N/A | N/A | 2025-08-31 07:00:00 | N/A | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5537071 | N/A | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2025-06-02 21:32:57.627715 | 2025-06-02 21:32:57.627726 | 195250 | NOT_INITIATED | 4213550 | N/A | N/A | PRIMARY | 20250602P0104993 | N/A | N/A | N/A | N/A | 2025-08-31 07:00:00 | N/A | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5541539 | N/A | N/A | N/A | PRE_CERT | N/A | 7 | 7 | N/A | VISITS |
| 2025-06-02 18:55:03.275195 | 2025-09-16 16:54:40.451174 | 195055 | NOT_INITIATED | 4211784 | N/A | N/A | PRIMARY | 20250523P0103890 | 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 | 5539486 | True | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2025-06-02 18:40:35.574587 | 2025-11-10 17:00:19.171277 | 195048 | NOT_INITIATED | 4727361 | N/A | N/A | PRIMARY | 92800985A | 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 | 6084287 | True | N/A | N/A | PRE_CERT | N/A | 10 | 10 | N/A | VISITS |
| 2025-06-02 18:05:36.878618 | 2025-06-02 18:07:07.546461 | 194977 | NOT_INITIATED | 4213530 | N/A | N/A | PRIMARY | 20240612P0101252 | N/A | N/A | N/A | N/A | 2025-08-25 14:00:00 | 2025-05-27 14:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5541519 | N/A | N/A | N/A | PRE_CERT | N/A | 12 | 11 | N/A | VISITS |
| 2025-06-02 17:43:56.942840 | 2025-06-02 17:43:56.942848 | 194960 | NOT_INITIATED | 4213550 | N/A | N/A | PRIMARY | 20240612P0101252 | N/A | N/A | N/A | N/A | 2025-09-27 07:00:00 | 2025-05-27 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5541539 | N/A | N/A | N/A | PRE_CERT | N/A | 11 | 11 | N/A | VISITS |
| 2025-06-02 16:37:10.552635 | 2025-06-02 16:37:10.552643 | 194887 | NOT_INITIATED | 4728439 | N/A | N/A | PRIMARY | 94472119A | 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 | 6105002 | N/A | N/A | N/A | PRE_CERT | N/A | 10 | 10 | N/A | VISITS |
| 2025-06-02 16:31:57.087282 | 2025-06-06 23:31:06.991959 | 194886 | NOT_INITIATED | 4713004 | N/A | N/A | PRIMARY | 20250429L0100832 | N/A | N/A | N/A | N/A | 2025-07-28 14:00:00 | 2025-04-29 14:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 6068063 | N/A | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2025-06-02 16:22:10.096149 | 2025-06-02 16:23:32.665881 | 194864 | NOT_INITIATED | 4642853 | N/A | N/A | PRIMARY | 20250408L0100500 | N/A | N/A | N/A | N/A | 2025-07-07 14:00:00 | 2025-04-08 14:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5993914 | N/A | N/A | N/A | PRE_CERT | N/A | 10 | 9 | N/A | VISITS |
| 2025-06-02 14:21:12.587665 | 2025-06-03 05:11:55.819335 | 194777 | NOT_INITIATED | 4209480 | N/A | N/A | PRIMARY | 20250516l0100233 | N/A | N/A | N/A | N/A | 2025-08-04 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 | 6071144 | N/A | N/A | N/A | PRE_CERT | N/A | 9 | 9 | N/A | VISITS |
| 2025-06-02 04:28:46.070210 | 2025-06-02 04:28:46.070220 | 194582 | NOT_INITIATED | 4219266 | N/A | N/A | PRIMARY | 94569867D | N/A | N/A | N/A | N/A | 2025-04-04 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 | 5549644 | N/A | N/A | N/A | PRE_CERT | N/A | 6 | 6 | N/A | VISITS |
| 2025-06-02 04:21:39.756134 | 2025-06-02 04:22:34.458938 | 194581 | NOT_INITIATED | 4214827 | N/A | N/A | PRIMARY | 20250501P0101809 | N/A | N/A | N/A | N/A | 2025-07-30 14:00:00 | 2025-05-01 14:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5858696 | N/A | N/A | N/A | PRE_CERT | N/A | 7 | 7 | N/A | VISITS |
| 2025-06-02 04:17:48.816888 | 2025-06-02 04:17:48.816897 | 194579 | NOT_INITIATED | 4209329 | N/A | N/A | PRIMARY | 98890689D | N/A | N/A | N/A | N/A | 2026-04-16 07:00:00 | 2025-04-16 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5536627 | N/A | N/A | N/A | PRE_CERT | N/A | 6 | 6 | N/A | VISITS |
| 2025-06-02 04:16:28.373304 | 2025-06-02 04:16:28.373312 | 194578 | NOT_INITIATED | 4219780 | N/A | N/A | PRIMARY | 96081517G | 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 | 5550945 | N/A | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2025-06-02 04:12:22.628447 | 2025-07-01 22:03:32.132582 | 194577 | NOT_INITIATED | 4212315 | N/A | N/A | PRIMARY | 20250418P0101622 | N/A | N/A | N/A | N/A | 2025-07-17 07:00:00 | 2025-04-18 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 | 6 | 6 | N/A | VISITS |
| 2025-06-02 04:04:33.790439 | 2025-06-02 04:04:33.790448 | 194573 | NOT_INITIATED | 4219692 | N/A | N/A | PRIMARY | 20250505P0102290 | 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 | 5550814 | N/A | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2025-06-02 04:00:12.470401 | 2025-06-02 04:02:26.504866 | 194570 | NOT_INITIATED | 4211119 | N/A | N/A | PRIMARY | 25005446A | N/A | N/A | N/A | N/A | 2025-12-31 16:00:00 | 2025-03-14 14:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5549802 | N/A | N/A | N/A | PRE_CERT | N/A | 10 | 10 | N/A | VISITS |
| 2025-06-02 03:56:12.551566 | 2025-10-27 17:22:30.693202 | 194569 | NOT_INITIATED | 4214773 | N/A | N/A | PRIMARY | 06981104 | N/A | N/A | N/A | N/A | 2025-12-27 00:00:00 | 2025-04-03 21:00:00 | 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 | 12 | 18 | N/A | VISITS |
| 2025-06-02 03:43:08.276334 | 2025-06-02 03:43:08.276345 | 194560 | NOT_INITIATED | 4209390 | N/A | N/A | PRIMARY | OP0027243177 | 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 | 5536695 | N/A | N/A | N/A | PRE_CERT | N/A | 9 | 9 | N/A | VISITS |
| 2025-06-02 03:39:24.078012 | 2025-06-02 03:40:20.426507 | 194559 | NOT_INITIATED | 4219766 | N/A | N/A | PRIMARY | 97463431D | N/A | N/A | N/A | N/A | 2026-04-02 14:00:00 | 2025-04-02 14:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5550928 | N/A | N/A | N/A | PRE_CERT | N/A | 4 | 4 | N/A | VISITS |
| 2025-06-02 03:34:59.677037 | 2025-06-02 03:34:59.677045 | 194557 | NOT_INITIATED | 4534576 | N/A | N/A | PRIMARY | 94565210A | N/A | N/A | N/A | N/A | 2026-05-06 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 | 5874453 | N/A | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2025-06-01 23:53:03.545988 | 2025-06-01 23:53:03.545996 | 194523 | NOT_INITIATED | 4209480 | N/A | N/A | PRIMARY | 20250516L0100233 | 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 | 9 | 9 | N/A | VISITS |
| 2025-06-01 21:07:02.686377 | 2025-06-01 21:07:02.686387 | 194502 | NOT_INITIATED | 4642885 | N/A | N/A | PRIMARY | 22234178448 | N/A | N/A | N/A | N/A | 2025-08-05 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 | 5993948 | N/A | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2025-06-01 21:03:09.874795 | 2025-06-01 21:03:09.874803 | 194501 | NOT_INITIATED | 4219781 | N/A | N/A | PRIMARY | 90539636F | 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 | 5550937 | N/A | N/A | N/A | PRE_CERT | N/A | 3 | 3 | N/A | VISITS |
| 2025-06-01 20:40:59.562295 | 2025-06-01 20:40:59.562301 | 194500 | NOT_INITIATED | 4219637 | N/A | N/A | PRIMARY | 20250424L0100571 | 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 | 5550735 | N/A | N/A | N/A | PRE_CERT | N/A | 10 | 10 | N/A | VISITS |
| 2025-06-01 20:22:21.752745 | 2025-06-01 20:22:21.752754 | 194499 | NOT_INITIATED | 4534580 | N/A | N/A | PRIMARY | 96154556E | N/A | N/A | N/A | N/A | 2026-02-26 08:00:00 | 2025-02-26 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5874460 | N/A | N/A | N/A | PRE_CERT | N/A | 9 | 9 | N/A | VISITS |
| 2025-06-01 20:20:50.671971 | 2025-06-01 20:20:50.671981 | 194498 | NOT_INITIATED | 4219685 | N/A | N/A | PRIMARY | 98283102H | N/A | N/A | N/A | N/A | 2026-03-21 07:00:00 | 2025-03-21 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 | 1 | 1 | N/A | VISITS |
| 2025-06-01 20:14:02.031750 | 2025-06-24 17:54:50.364613 | 194497 | NOT_INITIATED | 4215353 | N/A | N/A | PRIMARY | 20250411P0105123 | N/A | N/A | N/A | N/A | 2025-07-11 04:00:00 | 2025-04-12 04:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 6222083 | N/A | N/A | N/A | PRE_CERT | N/A | 5 | 10 | N/A | VISITS |
| 2025-06-01 19:59:47.029448 | 2025-06-01 19:59:47.029456 | 194496 | NOT_INITIATED | 4534581 | N/A | N/A | PRIMARY | 25107A0238 | N/A | N/A | N/A | N/A | 2025-10-17 07:00:00 | 2015-04-17 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5874463 | N/A | N/A | N/A | PRE_CERT | N/A | 10 | 10 | N/A | VISITS |