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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-06-01 19:56:05.100608 | 2025-06-01 19:56:05.100623 | 194495 | NOT_INITIATED | 4219695 | N/A | N/A | PRIMARY | 8608925 | N/A | N/A | N/A | N/A | 2025-12-31 08:00:00 | 2025-03-25 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5550818 | N/A | N/A | N/A | PRE_CERT | N/A | 4 | 4 | N/A | VISITS |
| 2025-06-01 19:49:50.331127 | 2025-06-01 19:49:50.331134 | 194494 | NOT_INITIATED | 4213825 | N/A | N/A | PRIMARY | 96098325A | N/A | N/A | N/A | N/A | 2026-02-24 08:00:00 | 2025-02-24 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5541842 | N/A | N/A | N/A | PRE_CERT | N/A | 3 | 3 | N/A | VISITS |
| 2025-06-01 19:42:39.187685 | 2025-06-01 19:43:07.757322 | 194493 | NOT_INITIATED | 4219837 | N/A | N/A | PRIMARY | 94661810A | N/A | N/A | N/A | N/A | 2026-04-21 14:00:00 | 2025-04-21 14:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5551012 | N/A | N/A | N/A | PRE_CERT | N/A | 3 | 2 | N/A | VISITS |
| 2025-06-01 19:33:17.524587 | 2025-06-01 19:33:17.524596 | 194492 | NOT_INITIATED | 4343437 | N/A | N/A | PRIMARY | 92465068F | 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 | 5676377 | N/A | N/A | N/A | PRE_CERT | N/A | 7 | 7 | N/A | VISITS |
| 2025-06-01 19:28:57.849364 | 2025-11-14 00:28:27.947797 | 194491 | NOT_INITIATED | 4213860 | N/A | N/A | PRIMARY | 97359558G | N/A | N/A | N/A | N/A | 2025-11-13 08:00:00 | 2024-11-13 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5541879 | True | N/A | N/A | PRE_CERT | N/A | 6 | 6 | N/A | VISITS |
| 2025-06-01 19:22:15.497024 | 2025-06-01 20:13:11.208456 | 194490 | NOT_INITIATED | 4215353 | N/A | N/A | PRIMARY | 20250411P0105123 | N/A | N/A | N/A | N/A | 2025-07-10 14:00:00 | 2025-04-11 14:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5543576 | True | N/A | N/A | PRE_CERT | N/A | 10 | 10 | N/A | VISITS |
| 2025-06-01 19:09:28.749265 | 2025-06-26 21:54:23.706725 | 194489 | NOT_INITIATED | 4642871 | N/A | N/A | PRIMARY | 20250522P0102296 | 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 | 5993934 | True | N/A | N/A | PRE_CERT | N/A | 7 | 7 | N/A | VISITS |
| 2025-06-01 19:06:03.843137 | 2025-06-01 19:06:03.843149 | 194488 | NOT_INITIATED | 4219599 | N/A | N/A | PRIMARY | 96744565C | 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 | 5550669 | N/A | N/A | N/A | PRE_CERT | N/A | 4 | 4 | N/A | VISITS |
| 2025-06-01 19:03:56.382413 | 2026-04-01 20:26:01.259456 | 194487 | NOT_INITIATED | 4214819 | N/A | N/A | PRIMARY | OP0027211795 | N/A | N/A | N/A | N/A | 2025-08-03 14:00:00 | 2025-05-06 14:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5542971 | True | N/A | N/A | PRE_CERT | N/A | 9 | 8 | N/A | VISITS |
| 2025-06-01 18:54:24.058770 | 2025-06-01 18:54:57.507851 | 194486 | NOT_INITIATED | 4219773 | N/A | N/A | PRIMARY | 97701856F | N/A | N/A | N/A | N/A | 2026-04-14 14:00:00 | 2025-04-14 14:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5550939 | N/A | N/A | N/A | PRE_CERT | N/A | 3 | 2 | N/A | VISITS |
| 2025-06-01 18:31:00.348131 | 2025-10-03 20:33:07.029859 | 194485 | NOT_INITIATED | 4218983 | N/A | N/A | PRIMARY | 20250514P0107412 | N/A | N/A | N/A | 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 | 5549285 | True | N/A | N/A | PRE_CERT | N/A | 7 | 7 | N/A | VISITS |
| 2025-06-01 18:27:53.969686 | 2025-06-01 18:30:30.337041 | 194484 | NOT_INITIATED | 4218983 | N/A | N/A | PRIMARY | 20250514P0107412 | N/A | N/A | N/A | N/A | 2025-08-12 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 | 5549284 | True | N/A | N/A | PRE_CERT | N/A | 7 | 7 | N/A | VISITS |
| 2025-06-01 04:12:14.072907 | 2026-01-09 17:55:37.106651 | 194357 | NOT_INITIATED | 4215201 | N/A | N/A | PRIMARY | 94970322H | 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 | 5543401 | True | N/A | N/A | PRE_CERT | N/A | 2 | 2 | N/A | VISITS |
| 2025-06-01 04:06:31.452947 | 2025-06-01 04:06:31.452956 | 194356 | NOT_INITIATED | 4215012 | N/A | N/A | PRIMARY | 20250425P0101625 | 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 | 5543186 | N/A | N/A | N/A | PRE_CERT | N/A | 6 | 6 | N/A | VISITS |
| 2025-06-01 03:51:13.832618 | 2025-06-01 03:51:13.832643 | 194353 | NOT_INITIATED | 4534579 | N/A | N/A | PRIMARY | 93352848A | 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 | 5874459 | N/A | N/A | N/A | PRE_CERT | N/A | 7 | 7 | N/A | VISITS |
| 2025-06-01 03:46:24.350839 | 2025-06-01 03:46:24.350848 | 194352 | NOT_INITIATED | 4219835 | N/A | N/A | PRIMARY | 95942123A | N/A | N/A | N/A | N/A | 2026-03-19 07:00:00 | 2025-03-19 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5551008 | N/A | N/A | N/A | PRE_CERT | N/A | 5 | 5 | N/A | VISITS |
| 2025-06-01 03:41:30.831669 | 2025-06-01 03:41:30.831679 | 194351 | NOT_INITIATED | 4215017 | N/A | N/A | PRIMARY | 20250505P0104157 | 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 | 5543191 | N/A | N/A | N/A | PRE_CERT | N/A | 5 | 5 | N/A | VISITS |
| 2025-06-01 03:35:26.118294 | 2025-07-29 14:43:13.046479 | 194350 | NOT_INITIATED | 4219640 | N/A | N/A | PRIMARY | 20250421P0106737 | N/A | N/A | N/A | N/A | 2025-07-21 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 | 5550751 | True | N/A | N/A | PRE_CERT | N/A | 4 | 4 | N/A | VISITS |
| 2025-06-01 03:24:19.179018 | 2025-06-01 03:24:19.179030 | 194349 | NOT_INITIATED | 4214843 | N/A | N/A | PRIMARY | 91150405A | N/A | N/A | N/A | N/A | 2026-03-25 07:00:00 | 2025-03-25 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5542994 | N/A | N/A | N/A | PRE_CERT | N/A | 9 | 9 | N/A | VISITS |
| 2025-06-01 03:17:56.392657 | 2026-03-10 16:57:12.154901 | 194343 | NOT_INITIATED | 4219829 | N/A | N/A | PRIMARY | 24010787A | N/A | N/A | N/A | N/A | 2025-12-31 08:00:00 | 2025-03-31 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5551006 | True | N/A | N/A | PRE_CERT | N/A | 7 | 7 | N/A | VISITS |
| 2025-06-01 03:13:05.516650 | 2025-06-01 03:13:05.516657 | 194341 | NOT_INITIATED | 4213985 | N/A | N/A | PRIMARY | 20250522P0106785 | 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 | 5542028 | N/A | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2025-06-01 03:06:52.815164 | 2025-06-01 03:06:52.815173 | 194337 | NOT_INITIATED | 4343441 | N/A | N/A | PRIMARY | 96856297E | 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 | 5676384 | N/A | N/A | N/A | PRE_CERT | N/A | 4 | 4 | N/A | VISITS |
| 2025-06-01 03:03:46.625702 | 2025-08-04 19:47:40.904334 | 194336 | NOT_INITIATED | 4219606 | N/A | N/A | PRIMARY | OP0026276148 | N/A | N/A | N/A | N/A | 2025-07-04 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 | 5550682 | True | N/A | N/A | PRE_CERT | N/A | 6 | 7 | N/A | VISITS |
| 2025-06-01 02:59:51.326572 | 2025-06-01 04:05:55.517988 | 194335 | NOT_INITIATED | 4215012 | N/A | N/A | PRIMARY | 20250425P0101625 | 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 | 5543186 | True | N/A | N/A | PRE_CERT | N/A | 6 | 6 | N/A | VISITS |
| 2025-06-01 02:53:39.791019 | 2025-06-01 02:53:39.791046 | 194334 | NOT_INITIATED | 4534585 | N/A | N/A | PRIMARY | 97967707F | N/A | N/A | N/A | N/A | 2026-04-23 07:00:00 | 2025-04-23 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5874464 | N/A | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2025-06-01 02:50:56.460719 | 2025-06-01 02:50:56.460728 | 194333 | NOT_INITIATED | 4212480 | N/A | N/A | PRIMARY | 110692 | N/A | N/A | N/A | N/A | 2025-10-05 07:00:00 | 2025-04-03 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5540313 | N/A | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2025-05-31 20:05:17.794164 | 2025-06-17 15:49:24.225298 | 194274 | NOT_INITIATED | 4211143 | N/A | N/A | PRIMARY | 20250417L0101403 | N/A | N/A | N/A | N/A | 2025-07-19 11:00:00 | 2025-04-19 11:00:00 | 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 | 7 | 7 | N/A | VISITS |
| 2025-05-30 23:15:41.389615 | 2025-07-24 22:09:33.435538 | 193894 | NOT_INITIATED | 4712998 | N/A | N/A | PRIMARY | 95484497E | N/A | N/A | N/A | N/A | 2025-12-31 08:00:00 | 2025-05-28 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 6068056 | True | N/A | N/A | PRE_CERT | N/A | 9 | 9 | N/A | VISITS |
| 2025-05-30 23:03:08.894860 | 2025-05-30 23:03:08.894869 | 193879 | NOT_INITIATED | 4214983 | N/A | N/A | PRIMARY | 20250327P0104449 | N/A | N/A | N/A | N/A | 2025-06-25 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 | 5858720 | N/A | N/A | N/A | PRE_CERT | N/A | 2 | 2 | N/A | VISITS |
| 2025-05-30 22:58:44.686177 | 2026-01-06 19:35:13.883758 | 193877 | NOT_INITIATED | 4214372 | N/A | N/A | PRIMARY | 4070733 | N/A | N/A | N/A | N/A | N/A | 2025-05-08 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5542487 | N/A | N/A | N/A | PRE_CERT | N/A | 11 | 23 | N/A | VISITS |
| 2025-05-30 22:44:07.090558 | 2025-05-30 22:44:07.090565 | 193872 | NOT_INITIATED | 4210348 | N/A | N/A | PRIMARY | 6058246 | N/A | N/A | N/A | N/A | 2025-08-07 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 | 5537836 | N/A | N/A | N/A | PRE_CERT | N/A | 6 | 6 | N/A | VISITS |
| 2025-05-30 22:40:48.506760 | 2025-05-30 22:40:48.506769 | 193870 | NOT_INITIATED | 4534571 | N/A | N/A | PRIMARY | 99286058E | 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 | 5874447 | N/A | N/A | N/A | PRE_CERT | N/A | 9 | 9 | N/A | VISITS |
| 2025-05-30 22:13:10.944365 | 2025-05-30 22:13:10.944377 | 193865 | NOT_INITIATED | 4219719 | 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 | 243461 | 4 | 4 | N/A | VISITS |
| 2025-05-30 22:13:09.940842 | 2025-05-30 22:14:03.149325 | 193864 | NOT_INITIATED | 4642874 | N/A | N/A | PRIMARY | 000002447244 | N/A | N/A | N/A | N/A | 2025-12-31 16:00:00 | 2025-05-19 14:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5993939 | N/A | N/A | N/A | PRE_CERT | N/A | 6 | 6 | N/A | VISITS |
| 2025-05-30 21:41:39.157043 | 2025-05-30 21:44:23.963284 | 193862 | NOT_INITIATED | 4210945 | N/A | N/A | PRIMARY | 110561060 | N/A | N/A | N/A | N/A | 2026-01-01 00:00:00 | 2025-05-15 21:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5994830 | N/A | N/A | N/A | PRE_CERT | N/A | 2 | 5 | N/A | VISITS |
| 2025-05-30 21:37:27.937320 | 2025-05-30 21:37:27.937328 | 193861 | NOT_INITIATED | 4214899 | N/A | N/A | PRIMARY | 20250415L0100233 | 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 | 5543060 | N/A | N/A | N/A | PRE_CERT | N/A | 5 | 5 | N/A | VISITS |
| 2025-05-30 21:29:19.917863 | 2025-05-30 21:29:40.540533 | 193859 | NOT_INITIATED | 4209900 | N/A | N/A | PRIMARY | 20250520L0100596 | N/A | N/A | N/A | N/A | 2025-08-18 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 | 5537321 | N/A | N/A | N/A | PRE_CERT | N/A | 12 | 9 | N/A | VISITS |
| 2025-05-30 21:22:48.300216 | 2025-05-30 21:22:48.300227 | 193856 | NOT_INITIATED | 4214108 | N/A | N/A | PRIMARY | 20250527L0102132 | N/A | N/A | N/A | N/A | 2025-08-25 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 | 5542158 | N/A | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2025-05-30 21:22:18.499905 | 2025-05-30 21:22:18.499914 | 193855 | NOT_INITIATED | 4214108 | N/A | N/A | PRIMARY | 20250321L0101397 | N/A | N/A | N/A | N/A | 2025-06-19 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 | 5542158 | N/A | N/A | N/A | PRE_CERT | N/A | 5 | 5 | N/A | VISITS |
| 2025-05-30 20:19:18.622084 | 2025-05-30 20:19:18.622092 | 193841 | NOT_INITIATED | 4343465 | N/A | N/A | PRIMARY | 20250328L0102240 | N/A | N/A | N/A | N/A | 2025-06-06 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 | 5676409 | N/A | N/A | N/A | PRE_CERT | N/A | 9 | 9 | N/A | VISITS |
| 2025-05-30 20:15:15.016012 | 2025-08-20 22:30:33.923387 | 193836 | NOT_INITIATED | 4219806 | N/A | N/A | PRIMARY | N/A | N/A | N/A | N/A | N/A | 2026-03-05 08:00:00 | 2025-04-22 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 | 172045 | 2 | 2 | N/A | VISITS |
| 2025-05-30 20:12:22.144577 | 2026-01-21 21:49:14.087650 | 193834 | NOT_INITIATED | 4219609 | N/A | N/A | PRIMARY | OP0027290480 | 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 | 5550691 | N/A | N/A | N/A | PRE_CERT | N/A | 10 | 20 | N/A | VISITS |
| 2025-05-30 19:54:37.254176 | 2026-05-14 23:21:24.600692 | 193828 | NOT_INITIATED | 4219606 | N/A | N/A | PRIMARY | N/A | N/A | N/A | N/A | N/A | 2026-02-13 00:00:00 | 2025-02-13 00:00:00 | 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 | 122399 | 7 | 7 | N/A | VISITS |
| 2025-05-30 19:51:18.015307 | 2025-06-25 21:06:42.947894 | 193826 | NOT_INITIATED | 4219473 | N/A | N/A | PRIMARY | 20250515L0101835 | N/A | N/A | N/A | N/A | 2025-08-13 14:00:00 | 2025-05-15 14:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 6189728 | N/A | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2025-05-30 19:50:23.426955 | 2026-02-06 16:34:49.345013 | 193825 | NOT_INITIATED | 4210290 | N/A | N/A | PRIMARY | 20250310P0106657 | N/A | N/A | N/A | N/A | 2025-06-08 14:00:00 | 2025-03-14 14:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5537781 | True | N/A | N/A | PRE_CERT | N/A | 12 | 11 | N/A | VISITS |
| 2025-05-30 19:47:37.670775 | 2025-06-25 20:39:25.344582 | 193823 | NOT_INITIATED | 4219317 | N/A | N/A | PRIMARY | 20250327L0102340 | N/A | N/A | N/A | N/A | 2025-06-25 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 | 5549707 | True | N/A | N/A | PRE_CERT | N/A | 10 | 10 | N/A | VISITS |
| 2025-05-30 19:47:06.757068 | 2025-10-22 15:57:15.491463 | 193822 | NOT_INITIATED | 4343462 | N/A | N/A | PRIMARY | 20250411L0102042 | N/A | N/A | N/A | N/A | 2025-07-02 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 | 5676411 | True | N/A | N/A | PRE_CERT | N/A | 10 | 10 | N/A | VISITS |
| 2025-05-30 19:43:05.056223 | 2025-06-01 02:59:13.539126 | 193819 | NOT_INITIATED | 4215012 | N/A | N/A | PRIMARY | 20250425P0101625 | 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 | 5543186 | True | N/A | N/A | PRE_CERT | N/A | 6 | 6 | N/A | VISITS |
| 2025-05-30 18:50:27.725082 | 2025-05-30 18:51:53.171581 | 193768 | NOT_INITIATED | 4209390 | N/A | N/A | PRIMARY | N/A | N/A | N/A | N/A | N/A | 2026-04-16 14:00:00 | 2025-04-16 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 | 243715 | 3 | 4 | N/A | VISITS |
| 2025-05-30 18:46:04.291692 | 2025-06-03 14:58:28.571975 | 193761 | NOT_INITIATED | 4214274 | N/A | N/A | PRIMARY | op0027213410 | N/A | N/A | N/A | N/A | 2025-12-31 16:00:00 | 2025-05-06 14:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5542346 | True | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |