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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-05-30 18:41:29.857662 | 2025-05-30 18:41:29.857670 | 193755 | NOT_INITIATED | 4219742 | N/A | N/A | PRIMARY | N/A | 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 | N/A | N/A | N/A | N/A | REFERRAL | 243703 | 7 | 7 | N/A | VISITS |
| 2025-05-30 18:38:53.040934 | 2026-05-14 23:21:22.411394 | 193750 | NOT_INITIATED | 4219606 | N/A | N/A | PRIMARY | N/A | N/A | N/A | N/A | N/A | 2026-02-12 08:00:00 | 2025-02-12 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 | 122399 | 7 | 7 | N/A | VISITS |
| 2025-05-30 18:34:49.430172 | 2025-05-30 18:34:49.430191 | 193742 | NOT_INITIATED | 4214763 | N/A | N/A | PRIMARY | N/A | N/A | N/A | N/A | N/A | 2025-12-31 08:00:00 | 2025-04-29 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | N/A | N/A | N/A | N/A | REFERRAL | 122766 | 8 | 8 | N/A | VISITS |
| 2025-05-30 18:31:07.987050 | 2025-05-30 18:31:07.987060 | 193736 | NOT_INITIATED | 3930357 | N/A | N/A | PRIMARY | N/A | N/A | N/A | N/A | N/A | 2025-06-06 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 | 244746 | 3 | 3 | N/A | VISITS |
| 2025-05-30 18:26:48.240849 | 2025-07-14 20:54:51.166360 | 193728 | NOT_INITIATED | 4219519 | N/A | N/A | PRIMARY | N/A | N/A | N/A | N/A | N/A | 2025-12-31 16:00:00 | 2025-03-11 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 | 243613 | 17 | 17 | N/A | VISITS |
| 2025-05-30 18:22:28.139133 | 2025-05-30 18:22:28.139144 | 193704 | NOT_INITIATED | 4219773 | N/A | N/A | PRIMARY | N/A | N/A | N/A | N/A | N/A | 2026-04-04 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 | 243681 | 2 | 2 | N/A | VISITS |
| 2025-05-30 18:21:51.787142 | 2025-05-30 18:30:38.799430 | 193701 | NOT_INITIATED | 4219519 | N/A | N/A | PRIMARY | N/A | N/A | N/A | N/A | N/A | 2025-12-31 08:00:00 | 2025-03-11 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 | 243613 | 17 | 17 | N/A | VISITS |
| 2025-05-30 18:19:22.943088 | 2025-06-02 16:28:18.208280 | 193696 | NOT_INITIATED | 4214980 | N/A | N/A | PRIMARY | 20250228l0101063 | N/A | N/A | N/A | N/A | 2025-11-26 00:00:00 | 2025-03-01 00:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5543155 | N/A | N/A | N/A | PRE_CERT | N/A | 6 | 6 | N/A | VISITS |
| 2025-05-30 18:16:11.409704 | 2025-05-30 18:30:35.494074 | 193690 | NOT_INITIATED | 4219519 | N/A | N/A | PRIMARY | N/A | 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 | True | N/A | N/A | REFERRAL | 243613 | 17 | 17 | N/A | VISITS |
| 2025-05-30 17:41:43.094804 | 2025-07-10 14:59:08.228982 | 193650 | NOT_INITIATED | 4726457 | N/A | N/A | PRIMARY | 20250411P0105191 | N/A | N/A | N/A | N/A | 2025-07-11 21:00:00 | 2025-04-10 21:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 6083221 | True | N/A | N/A | PRE_CERT | N/A | 13 | 11 | N/A | VISITS |
| 2025-05-30 17:11:25.641664 | 2025-05-30 18:30:41.677049 | 193600 | NOT_INITIATED | 4219519 | N/A | N/A | PRIMARY | N/A | N/A | N/A | N/A | N/A | 2025-12-31 08:00:00 | 2025-03-11 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 | 243613 | 17 | 17 | N/A | VISITS |
| 2025-05-30 16:57:22.983921 | 2025-05-30 16:57:22.983927 | 193591 | NOT_INITIATED | 4219836 | N/A | N/A | PRIMARY | N/A | N/A | N/A | N/A | N/A | 2025-12-31 08:00:00 | 2025-04-28 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 | 175870 | 17 | 17 | N/A | VISITS |
| 2025-05-30 16:51:40.487124 | 2025-05-30 16:51:40.487133 | 193589 | NOT_INITIATED | 4219266 | N/A | N/A | PRIMARY | N/A | 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 | 224800 | 5 | 5 | N/A | VISITS |
| 2025-05-30 16:36:22.683160 | 2025-05-30 16:36:22.683168 | 193581 | NOT_INITIATED | 4213347 | N/A | N/A | PRIMARY | 20250428P0103478 | N/A | N/A | N/A | N/A | 2035-07-27 07:00:00 | 2025-04-28 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5541316 | N/A | N/A | N/A | PRE_CERT | N/A | 10 | 10 | N/A | VISITS |
| 2025-05-30 16:25:44.583008 | 2025-05-30 16:25:44.583020 | 193576 | NOT_INITIATED | 4219773 | N/A | N/A | PRIMARY | N/A | 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 | 243681 | 2 | 2 | N/A | VISITS |
| 2025-05-30 16:14:25.483690 | 2025-05-30 16:21:31.660374 | 193547 | NOT_INITIATED | 4212197 | N/A | N/A | PRIMARY | 20250324P0104291 | N/A | N/A | N/A | N/A | 2025-06-22 14:00:00 | 2025-03-24 14:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5539967 | N/A | N/A | N/A | PRE_CERT | N/A | 3 | 5 | N/A | VISITS |
| 2025-05-30 15:37:02.831765 | 2025-05-30 15:37:02.831780 | 193531 | NOT_INITIATED | 4219143 | N/A | N/A | PRIMARY | 20250404P0100478 | 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 | 5549492 | N/A | N/A | N/A | PRE_CERT | N/A | 4 | 4 | N/A | VISITS |
| 2025-05-30 15:28:31.840816 | 2025-05-30 15:28:31.840822 | 193526 | NOT_INITIATED | 4219742 | N/A | N/A | PRIMARY | N/A | 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 | N/A | N/A | N/A | N/A | REFERRAL | 243703 | 7 | 7 | N/A | VISITS |
| 2025-05-30 15:23:02.018273 | 2025-05-30 15:25:28.988853 | 193523 | NOT_INITIATED | 4343452 | N/A | N/A | PRIMARY | 12101311 | N/A | N/A | N/A | N/A | 2025-07-10 14:00:00 | 2025-01-09 16:00:00 | 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 | 7 | 5 | N/A | VISITS |
| 2025-05-30 15:10:50.336702 | 2025-07-15 23:47:05.431286 | 193514 | NOT_INITIATED | 4212656 | N/A | N/A | PRIMARY | 20250418P0100653 | N/A | N/A | N/A | N/A | 2025-07-18 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 | 5568081 | N/A | N/A | N/A | PRE_CERT | N/A | 6 | 6 | N/A | VISITS |
| 2025-05-30 15:03:44.830483 | 2025-06-03 14:58:44.244047 | 193511 | NOT_INITIATED | 4214274 | N/A | N/A | PRIMARY | OP0027213410 | N/A | N/A | N/A | N/A | 2026-01-25 16:00:00 | 2025-01-25 16:00:00 | 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 | 8 | 8 | N/A | VISITS |
| 2025-05-30 14:59:36.321600 | 2025-05-30 14:59:36.321607 | 193510 | NOT_INITIATED | 4219837 | N/A | N/A | PRIMARY | N/A | 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 | 243704 | 3 | 3 | N/A | VISITS |
| 2025-05-30 14:56:35.040551 | 2026-05-14 23:21:19.719523 | 193508 | NOT_INITIATED | 4219606 | N/A | N/A | PRIMARY | N/A | N/A | N/A | N/A | N/A | 2026-02-12 08:00:00 | 2025-02-12 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 | 122399 | 7 | 7 | N/A | VISITS |
| 2025-05-30 03:31:07.065488 | 2025-05-30 03:31:07.065495 | 193234 | NOT_INITIATED | 4219599 | N/A | N/A | PRIMARY | N/A | 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 | 172112 | 4 | 4 | N/A | VISITS |
| 2025-05-30 03:29:00.242743 | 2025-05-30 22:13:50.645329 | 193233 | 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 | True | N/A | N/A | REFERRAL | 243461 | 4 | 4 | N/A | VISITS |
| 2025-05-30 03:27:39.281519 | 2025-05-30 03:27:39.281526 | 193232 | NOT_INITIATED | 4209232 | N/A | N/A | PRIMARY | 20250411P0101714 | 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 | 5536505 | N/A | N/A | N/A | PRE_CERT | N/A | 4 | 4 | N/A | VISITS |
| 2025-05-30 03:23:16.704367 | 2025-07-09 22:33:16.680556 | 193228 | NOT_INITIATED | 4642892 | N/A | N/A | PRIMARY | 20250422P0107565 | N/A | N/A | N/A | N/A | 2025-07-21 07:00:00 | 2025-04-22 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5993958 | True | N/A | N/A | PRE_CERT | N/A | 3 | 3 | N/A | VISITS |
| 2025-05-30 03:21:52.718372 | 2025-09-22 20:51:13.042998 | 193227 | NOT_INITIATED | 4214920 | N/A | N/A | PRIMARY | 20250508L0100184 | N/A | N/A | N/A | N/A | 2025-08-06 14:00:00 | 2025-05-08 14:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5858710 | True | N/A | N/A | PRE_CERT | N/A | 16 | 16 | N/A | VISITS |
| 2025-05-30 03:20:39.985239 | 2025-06-03 20:29:34.042532 | 193224 | NOT_INITIATED | 4213051 | N/A | N/A | PRIMARY | 20250326P0104127 | N/A | N/A | N/A | N/A | 2025-06-24 14:00:00 | 2025-03-26 14:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5540970 | N/A | N/A | N/A | PRE_CERT | N/A | 5 | 5 | N/A | VISITS |
| 2025-05-30 03:19:27.888236 | 2025-05-30 03:19:27.888247 | 193223 | NOT_INITIATED | 4219632 | N/A | N/A | PRIMARY | N/A | N/A | N/A | N/A | N/A | 2026-02-04 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 | N/A | N/A | N/A | N/A | REFERRAL | 225037 | 1 | 1 | N/A | VISITS |
| 2025-05-30 03:16:34.588712 | 2025-05-30 03:16:34.588718 | 193222 | 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 | 5543151 | N/A | N/A | N/A | PRE_CERT | N/A | 3 | 3 | N/A | VISITS |
| 2025-05-30 03:12:11.975895 | 2025-05-30 03:12:11.975900 | 193212 | NOT_INITIATED | 4214763 | N/A | N/A | PRIMARY | N/A | N/A | N/A | N/A | N/A | 2025-12-31 08:00:00 | 2025-04-29 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | N/A | N/A | N/A | N/A | REFERRAL | 122766 | 8 | 8 | N/A | VISITS |
| 2025-05-30 03:08:04.923982 | 2025-07-09 16:44:21.863531 | 193209 | NOT_INITIATED | 4210001 | N/A | N/A | PRIMARY | 20250425P0101697 | N/A | N/A | N/A | N/A | 2025-07-24 21:00:00 | 2025-04-25 21:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5537439 | True | N/A | N/A | PRE_CERT | N/A | 11 | 8 | N/A | VISITS |
| 2025-05-30 03:01:09.666941 | 2025-05-30 03:01:09.666950 | 193207 | NOT_INITIATED | 4209390 | N/A | N/A | PRIMARY | N/A | 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 | N/A | N/A | N/A | N/A | REFERRAL | 243715 | 4 | 4 | N/A | VISITS |
| 2025-05-30 02:56:51.180159 | 2025-06-03 16:22:14.888814 | 193206 | NOT_INITIATED | 4219729 | N/A | N/A | PRIMARY | 98896255F | 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 | 172112 | 5 | 5 | N/A | VISITS |
| 2025-05-29 20:26:44.025332 | 2025-05-29 20:26:44.025341 | 193015 | NOT_INITIATED | 4722340 | N/A | N/A | PRIMARY | 2025052P0103769 | 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 | 6078082 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2025-05-29 20:15:30.833279 | 2025-09-29 19:47:30.838402 | 193008 | NOT_INITIATED | 4718592 | N/A | N/A | PRIMARY | 20250512L0100876 | N/A | N/A | N/A | N/A | 2025-08-12 21:00:00 | 2025-05-12 21:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 6074035 | True | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2025-05-29 17:28:25.603523 | 2025-05-29 17:28:25.603530 | 192885 | NOT_INITIATED | 4642865 | N/A | N/A | PRIMARY | 20250529P0100677 | N/A | N/A | N/A | N/A | 2025-08-27 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 | 5993928 | N/A | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2025-05-29 17:06:54.585504 | 2025-06-05 21:32:28.789385 | 192852 | NOT_INITIATED | 4713867 | N/A | N/A | PRIMARY | N/A | N/A | N/A | N/A | N/A | 2025-08-16 07:00:00 | 2024-08-16 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 | 224800 | 10 | 10 | N/A | VISITS |
| 2025-05-28 22:14:07.507080 | 2025-05-28 22:14:07.507091 | 191698 | NOT_INITIATED | 4713555 | 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 | 244384 | 10 | 10 | N/A | VISITS |
| 2025-05-28 18:37:37.962462 | 2025-05-28 18:37:37.962469 | 191574 | NOT_INITIATED | 4712163 | N/A | N/A | PRIMARY | N/A | N/A | N/A | N/A | N/A | 2026-01-03 08:00:00 | 2025-01-03 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 | 243681 | 10 | 10 | N/A | VISITS |
| 2025-05-28 00:22:56.669531 | 2025-05-28 00:22:56.669540 | 191101 | NOT_INITIATED | 3930357 | N/A | N/A | PRIMARY | 31270001 | 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 | 5201628 | N/A | N/A | N/A | PRE_CERT | N/A | N/A | N/A | N/A | VISITS |
| 2025-05-28 00:22:08.084194 | 2025-05-28 00:22:08.084199 | 191100 | NOT_INITIATED | 4674951 | N/A | N/A | PRIMARY | 31270001 | 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 | 6030889 | N/A | N/A | N/A | PRE_CERT | N/A | N/A | N/A | N/A | VISITS |
| 2025-05-23 21:33:41.699591 | 2025-11-05 16:16:02.040118 | 189823 | PENDING | 4214627 | N/A | 21916 | PRIMARY | 20241213P0102224 | N/A | N/A | N/A | N/A | 2025-03-13 00:00:00 | 2024-12-24 00:00:00 | N/A | N/A | N/A | 1 | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5542752 | True | N/A | N/A | PRE_CERT | N/A | 1 | 1 | N/A | VISITS |
| 2025-05-23 21:33:41.601078 | 2025-11-04 19:50:01.782979 | 189822 | PENDING | 4209091 | N/A | 21916 | PRIMARY | 20241010P0104374 | N/A | N/A | NECK AUTH | N/A | 2025-01-08 08:00:00 | 2024-10-10 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5536326 | True | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2025-05-23 21:33:41.304118 | 2025-05-23 21:33:41.304125 | 189821 | PENDING | 4212070 | N/A | 21916 | PRIMARY | 20241029L0100698 | N/A | N/A | N/A | N/A | 2025-01-27 00:00:00 | 2024-10-29 00:00:00 | N/A | N/A | N/A | 1 | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5539818 | N/A | N/A | N/A | PRE_CERT | N/A | 1 | 1 | N/A | VISITS |
| 2025-05-23 21:33:41.059510 | 2025-05-23 21:33:41.059517 | 189820 | PENDING | 4212566 | N/A | 21916 | PRIMARY | 20241016L0102415 | N/A | N/A | N/A | N/A | 2025-01-14 00:00:00 | 2024-10-16 00:00:00 | N/A | N/A | N/A | 12 | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5540409 | N/A | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2025-05-23 21:33:40.812259 | 2025-05-23 21:33:40.812266 | 189819 | PENDING | 4214610 | N/A | 21916 | PRIMARY | 20241113P0106345 | N/A | N/A | N/A | N/A | 2025-02-11 00:00:00 | 2024-11-13 00:00:00 | N/A | N/A | N/A | 2 | 1 | PRIOR_AUTH | N/A | N/A | N/A | 5542743 | N/A | N/A | N/A | PRE_CERT | N/A | 2 | 2 | N/A | VISITS |
| 2025-05-23 21:33:40.709515 | 2025-05-23 21:33:40.709525 | 189818 | PENDING | 4214322 | N/A | 21916 | PRIMARY | 20241126P0102110 | N/A | N/A | N/A | N/A | 2025-02-24 00:00:00 | 2024-11-26 00:00:00 | N/A | N/A | N/A | 12 | 1 | PRIOR_AUTH | N/A | N/A | N/A | 5542406 | N/A | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2025-05-23 21:33:40.647871 | 2025-05-23 21:33:40.647881 | 189817 | PENDING | 4214322 | N/A | 21916 | PRIMARY | 20241024P0101300 | N/A | N/A | N/A | N/A | 2025-01-22 00:00:00 | 2024-10-24 00:00:00 | N/A | N/A | N/A | 12 | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5542406 | N/A | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |