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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-05-23 21:33:40.492709 | 2025-05-23 21:33:40.492719 | 189816 | PENDING | 4214431 | N/A | 21916 | PRIMARY | 20241102P0100708 | N/A | N/A | N/A | N/A | 2025-01-29 00:00:00 | 2024-11-02 00:00:00 | N/A | N/A | N/A | 1 | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5542532 | N/A | N/A | N/A | PRE_CERT | N/A | 1 | 1 | N/A | VISITS |
| 2025-05-23 21:33:40.237008 | 2025-05-23 21:33:40.237016 | 189815 | PENDING | 4212446 | N/A | 21916 | PRIMARY | 20241121L0100672 | N/A | N/A | N/A | N/A | 2025-02-19 00:00:00 | 2024-11-21 00:00:00 | N/A | N/A | N/A | 12 | 8 | PRIOR_AUTH | N/A | N/A | N/A | 5540257 | N/A | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2025-05-23 21:33:39.995600 | 2025-05-23 21:33:39.995608 | 189814 | PENDING | 4214526 | N/A | 21916 | PRIMARY | 20250113P0106655 | N/A | N/A | N/A | N/A | 2025-04-13 00:00:00 | 2025-02-04 00:00:00 | N/A | N/A | N/A | 8 | 6 | PRIOR_AUTH | N/A | N/A | N/A | 5542636 | N/A | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2025-05-23 21:33:39.267466 | 2025-05-23 21:33:39.267474 | 189813 | PENDING | 4214370 | N/A | 21916 | PRIMARY | 20241017P0106617 | N/A | N/A | N/A | N/A | 2025-01-15 00:00:00 | 2024-10-17 00:00:00 | N/A | N/A | N/A | 13 | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5542458 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2025-05-23 21:33:39.100035 | 2025-05-23 21:33:39.100044 | 189812 | PENDING | 4214625 | N/A | 21916 | PRIMARY | 20241217P0100516 | N/A | N/A | N/A | N/A | 2025-03-17 00:00:00 | 2024-12-17 00:00:00 | N/A | N/A | N/A | 8 | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5542751 | N/A | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2025-05-23 21:33:39.035472 | 2025-05-23 21:33:39.035478 | 189811 | PENDING | 4214625 | N/A | 21916 | PRIMARY | 20241206P0105188 | N/A | N/A | N/A | N/A | 2025-03-06 00:00:00 | 2024-12-06 00:00:00 | N/A | N/A | N/A | 1 | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5542751 | N/A | N/A | N/A | PRE_CERT | N/A | 1 | 1 | N/A | VISITS |
| 2025-05-23 21:33:38.550460 | 2025-05-23 21:33:38.550471 | 189810 | PENDING | 4209636 | N/A | 21916 | PRIMARY | 20241125L0100297 | N/A | N/A | N/A | N/A | 2025-02-23 00:00:00 | 2024-11-25 00:00:00 | N/A | N/A | N/A | 12 | 12 | PRIOR_AUTH | N/A | N/A | N/A | 5536981 | N/A | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2025-05-23 21:33:38.456663 | 2025-05-23 21:33:38.456673 | 189809 | PENDING | 4213997 | N/A | 21916 | PRIMARY | 20241119L0100085 | N/A | N/A | N/A | N/A | 2025-02-17 00:00:00 | 2024-11-19 00:00:00 | N/A | N/A | N/A | 12 | 12 | PRIOR_AUTH | N/A | N/A | N/A | 5542039 | N/A | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2025-05-23 21:33:38.316591 | 2025-05-23 21:33:38.316599 | 189808 | PENDING | 4214513 | N/A | 21916 | PRIMARY | 20241206L0100202 | N/A | N/A | N/A | N/A | 2025-03-06 00:00:00 | 2024-12-06 00:00:00 | N/A | N/A | N/A | 12 | 4 | PRIOR_AUTH | N/A | N/A | N/A | 5542624 | N/A | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2025-05-23 21:33:37.630338 | 2025-05-23 21:33:37.630345 | 189807 | PENDING | 4214161 | N/A | 21916 | PRIMARY | Optum Cert | N/A | N/A | N/A | N/A | 2025-02-13 00:00:00 | 2025-01-16 00:00:00 | N/A | N/A | N/A | 8 | 5 | PRIOR_AUTH | N/A | N/A | N/A | 5542219 | N/A | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2025-05-23 21:33:37.412582 | 2025-05-23 21:33:37.412590 | 189806 | PENDING | 4214377 | N/A | 21916 | PRIMARY | ASH AUTH | N/A | N/A | N/A | N/A | 2025-02-20 00:00:00 | 2025-01-20 00:00:00 | N/A | N/A | N/A | 4 | 3 | PRIOR_AUTH | N/A | N/A | N/A | 5542471 | N/A | N/A | N/A | PRE_CERT | N/A | 4 | 4 | N/A | VISITS |
| 2025-05-23 21:33:37.235938 | 2025-06-02 18:05:58.005584 | 189805 | PENDING | 4213530 | N/A | 21916 | PRIMARY | 20241028L0102130 | N/A | N/A | N/A | N/A | 2025-01-26 00:00:00 | 2024-10-28 00:00:00 | N/A | N/A | N/A | 8 | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5541519 | True | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2025-05-23 21:33:36.987988 | 2025-05-23 21:33:36.988000 | 189804 | PENDING | 4214549 | N/A | 21916 | PRIMARY | OPTUM CERT | N/A | N/A | N/A | N/A | 2025-02-19 00:00:00 | 2025-01-22 00:00:00 | N/A | N/A | N/A | 8 | 5 | PRIOR_AUTH | N/A | N/A | N/A | 5542670 | N/A | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2025-05-23 21:33:36.698226 | 2025-05-23 21:33:36.698234 | 189803 | PENDING | 4219558 | N/A | 21916 | PRIMARY | 20241002P0106886 | N/A | N/A | N/A | N/A | 2025-01-01 00:00:00 | 2024-10-02 00:00:00 | N/A | N/A | N/A | 6 | 2 | PRIOR_AUTH | N/A | N/A | N/A | 5550540 | N/A | N/A | N/A | PRE_CERT | N/A | 6 | 6 | N/A | VISITS |
| 2025-05-23 21:33:36.529009 | 2025-05-23 21:33:36.529017 | 189802 | PENDING | 4214023 | N/A | 21916 | PRIMARY | 16543077 | N/A | N/A | N/A | N/A | 2025-01-03 00:00:00 | 2024-12-13 00:00:00 | N/A | N/A | N/A | 5 | 4 | PRIOR_AUTH | N/A | N/A | N/A | 5542071 | N/A | N/A | N/A | PRE_CERT | N/A | 5 | 5 | N/A | VISITS |
| 2025-05-23 21:33:36.269943 | 2025-05-23 21:33:36.269951 | 189801 | PENDING | 4210211 | N/A | 21916 | PRIMARY | ASH AUTH 2025 | N/A | N/A | N/A | N/A | 2025-02-28 00:00:00 | 2025-01-27 00:00:00 | N/A | N/A | N/A | 8 | 2 | PRIOR_AUTH | N/A | N/A | N/A | 5537687 | N/A | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2025-05-23 21:33:36.014449 | 2025-05-23 21:33:36.014456 | 189800 | PENDING | 4213699 | N/A | 21916 | PRIMARY | 20241015P0102370 | N/A | N/A | N/A | N/A | 2025-01-15 00:00:00 | 2024-10-15 00:00:00 | N/A | N/A | N/A | 17 | 6 | PRIOR_AUTH | N/A | N/A | N/A | 5541707 | N/A | N/A | N/A | PRE_CERT | N/A | 17 | 17 | N/A | VISITS |
| 2025-05-23 21:33:35.809596 | 2025-05-23 21:33:35.809604 | 189799 | PENDING | 4214450 | N/A | 21916 | PRIMARY | 20241008P0101542 | N/A | N/A | N/A | N/A | 2025-01-06 00:00:00 | 2024-10-08 00:00:00 | N/A | N/A | N/A | 2 | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5542557 | N/A | N/A | N/A | PRE_CERT | N/A | 2 | 2 | N/A | VISITS |
| 2025-05-23 21:33:35.712834 | 2025-05-23 21:33:35.712841 | 189798 | PENDING | 4214617 | N/A | 21916 | PRIMARY | 20241210P0103083 | N/A | N/A | N/A | N/A | 2025-03-10 00:00:00 | 2024-12-10 00:00:00 | N/A | N/A | N/A | 13 | 6 | PRIOR_AUTH | N/A | N/A | N/A | 5542746 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2025-05-23 21:33:35.611159 | 2025-05-23 21:33:35.611165 | 189797 | PENDING | 4214139 | N/A | 21916 | PRIMARY | 20241014P0100326 | N/A | N/A | N/A | N/A | 2025-01-12 00:00:00 | 2024-10-18 00:00:00 | N/A | N/A | N/A | 12 | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5542195 | N/A | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2025-05-23 21:33:35.379514 | 2025-05-23 21:33:35.379520 | 189796 | PENDING | 4209547 | N/A | 21916 | PRIMARY | 20241112P0106969 | N/A | N/A | N/A | N/A | 2025-02-10 00:00:00 | 2024-11-12 00:00:00 | N/A | N/A | N/A | 12 | 5 | PRIOR_AUTH | N/A | N/A | N/A | 5536875 | N/A | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2025-05-23 21:33:35.272547 | 2025-05-23 21:33:35.272555 | 189795 | PENDING | 4213108 | N/A | 21916 | PRIMARY | 20241021P0105905 | N/A | N/A | N/A | N/A | 2025-01-21 00:00:00 | 2024-10-21 00:00:00 | N/A | N/A | N/A | 8 | 1 | PRIOR_AUTH | N/A | N/A | N/A | 5541038 | N/A | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2025-05-23 21:33:34.953973 | 2025-05-23 21:33:34.953981 | 189794 | PENDING | 4213812 | N/A | 21916 | PRIMARY | PENDING | N/A | N/A | N/A | N/A | 2025-03-04 00:00:00 | 2025-03-03 00:00:00 | N/A | N/A | N/A | 1 | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5541820 | N/A | N/A | N/A | PRE_CERT | N/A | 1 | 1 | N/A | VISITS |
| 2025-05-23 21:33:34.857959 | 2025-05-23 21:33:34.857967 | 189793 | PENDING | 4213812 | N/A | 21916 | PRIMARY | 7 | N/A | N/A | N/A | N/A | 2025-01-06 00:00:00 | 2024-11-04 00:00:00 | N/A | N/A | N/A | 7 | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5541820 | N/A | N/A | N/A | PRE_CERT | N/A | 7 | 7 | N/A | VISITS |
| 2025-05-23 21:33:34.726582 | 2025-05-23 21:33:34.726593 | 189792 | PENDING | 4213666 | N/A | 21916 | PRIMARY | ASH AUTH 2025 | N/A | N/A | N/A | N/A | 2025-02-27 00:00:00 | 2025-01-27 00:00:00 | N/A | N/A | N/A | 4 | 3 | PRIOR_AUTH | N/A | N/A | N/A | 5541670 | N/A | N/A | N/A | PRE_CERT | N/A | 4 | 4 | N/A | VISITS |
| 2025-05-23 21:33:34.433131 | 2025-05-23 21:33:34.433138 | 189791 | PENDING | 4214558 | N/A | 21916 | PRIMARY | 20241021L0102221 | N/A | N/A | N/A | N/A | 2025-01-20 00:00:00 | 2024-10-21 00:00:00 | N/A | N/A | N/A | 1 | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5542681 | N/A | N/A | N/A | PRE_CERT | N/A | 1 | 1 | N/A | VISITS |
| 2025-05-23 21:33:34.324087 | 2025-05-23 21:33:34.324095 | 189790 | PENDING | 4213956 | N/A | 21916 | PRIMARY | 20241125P0102728 | 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 | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5541989 | N/A | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2025-05-23 21:33:34.173332 | 2025-05-23 21:33:34.173338 | 189789 | PENDING | 4214411 | N/A | 21916 | PRIMARY | 16557454 | N/A | N/A | N/A | N/A | 2025-01-20 00:00:00 | 2024-12-19 00:00:00 | N/A | N/A | N/A | 6 | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5542507 | N/A | N/A | N/A | PRE_CERT | N/A | 6 | 6 | N/A | VISITS |
| 2025-05-23 21:33:33.967688 | 2025-05-23 21:33:33.967695 | 189788 | PENDING | 4214518 | N/A | 21916 | PRIMARY | ZITKOVICH | N/A | N/A | N/A | N/A | 2025-02-20 00:00:00 | 2024-11-22 00:00:00 | N/A | N/A | N/A | 8 | 2 | PRIOR_AUTH | N/A | N/A | N/A | 5542630 | N/A | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2025-05-23 21:33:32.925898 | 2026-05-13 17:35:22.981521 | 189787 | PENDING | 4213276 | N/A | 21916 | PRIMARY | 20241205P0106796 | N/A | N/A | N/A | N/A | 2025-03-05 00:00:00 | 2024-12-05 00:00:00 | N/A | N/A | N/A | 12 | 8 | PRIOR_AUTH | N/A | N/A | N/A | 5541240 | True | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2025-05-23 21:33:32.486400 | 2025-05-23 21:33:32.486408 | 189786 | PENDING | 4218781 | N/A | 21916 | PRIMARY | 20241030P0100391 | N/A | N/A | N/A | N/A | 2025-01-28 00:00:00 | 2024-10-30 00:00:00 | N/A | N/A | N/A | 11 | 1 | PRIOR_AUTH | N/A | N/A | N/A | 5549043 | N/A | N/A | N/A | PRE_CERT | N/A | 11 | 11 | N/A | VISITS |
| 2025-05-23 21:33:32.357888 | 2025-05-23 21:33:32.357896 | 189785 | PENDING | 4214441 | N/A | 21916 | PRIMARY | 20241017P0104870 | N/A | N/A | N/A | N/A | 2025-01-15 00:00:00 | 2024-10-17 00:00:00 | N/A | N/A | N/A | 13 | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5542550 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2025-05-23 21:33:32.195522 | 2025-05-30 18:45:06.954905 | 189784 | PENDING | 4212098 | N/A | 21916 | PRIMARY | 20241008P0105236 | N/A | N/A | N/A | N/A | 2025-01-06 00:00:00 | 2024-10-08 00:00:00 | N/A | N/A | N/A | 12 | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5539853 | True | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2025-05-23 21:33:32.102156 | 2025-05-23 21:33:32.102164 | 189783 | PENDING | 4211915 | N/A | 21916 | PRIMARY | 20241002P0106979 | N/A | N/A | N/A | N/A | 2025-01-01 00:00:00 | 2024-10-02 00:00:00 | N/A | N/A | N/A | 3 | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5539638 | N/A | N/A | N/A | PRE_CERT | N/A | 3 | 3 | N/A | VISITS |
| 2025-05-23 21:33:31.928691 | 2025-05-23 21:33:31.928700 | 189782 | PENDING | 4214564 | N/A | 21916 | PRIMARY | 20241018P0103520 | N/A | N/A | N/A | N/A | 2025-01-16 00:00:00 | 2024-10-18 00:00:00 | N/A | N/A | N/A | 2 | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5542682 | N/A | N/A | N/A | PRE_CERT | N/A | 2 | 2 | N/A | VISITS |
| 2025-05-23 21:33:31.111460 | 2025-05-23 21:33:31.111467 | 189781 | PENDING | 4214735 | N/A | 21916 | PRIMARY | 31262951A | N/A | N/A | N/A | N/A | 2025-04-10 00:00:00 | 2025-03-17 00:00:00 | N/A | N/A | N/A | 8 | 5 | PRIOR_AUTH | N/A | N/A | N/A | 5542872 | N/A | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2025-05-23 21:33:31.054172 | 2025-05-23 21:33:31.054182 | 189780 | PENDING | 4214735 | N/A | 21916 | PRIMARY | 31025564 | N/A | N/A | N/A | N/A | 2025-03-12 00:00:00 | 2025-02-12 00:00:00 | N/A | N/A | N/A | 8 | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5542872 | N/A | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2025-05-23 21:33:30.953338 | 2025-05-23 21:33:30.953347 | 189779 | PENDING | 4211771 | N/A | 21916 | PRIMARY | 20241120P0106528 | N/A | N/A | N/A | N/A | 2025-02-18 00:00:00 | 2024-11-20 00:00:00 | N/A | N/A | N/A | 8 | 3 | PRIOR_AUTH | N/A | N/A | N/A | 5539474 | N/A | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2025-05-23 21:33:30.859470 | 2025-07-30 14:51:31.198738 | 189778 | PENDING | 4214496 | N/A | 21916 | PRIMARY | 20241023P0105952 | N/A | N/A | N/A | N/A | 2025-01-21 00:00:00 | 2024-10-23 00:00:00 | N/A | N/A | N/A | 9 | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5542606 | True | N/A | N/A | PRE_CERT | N/A | 9 | 9 | N/A | VISITS |
| 2025-05-23 21:33:30.761718 | 2025-05-23 21:33:30.761725 | 189777 | PENDING | 4209682 | N/A | 21916 | PRIMARY | 20241104L0100707 | N/A | N/A | N/A | N/A | 2025-02-02 00:00:00 | 2024-11-04 00:00:00 | N/A | N/A | N/A | 6 | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5537041 | N/A | N/A | N/A | PRE_CERT | N/A | 6 | 6 | N/A | VISITS |
| 2025-05-23 21:33:30.633601 | 2025-05-23 21:33:30.633608 | 189776 | PENDING | 4214618 | N/A | 21916 | PRIMARY | 20241121L0100149 | N/A | N/A | N/A | N/A | 2025-02-19 00:00:00 | 2024-11-21 00:00:00 | N/A | N/A | N/A | 2 | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5542742 | N/A | N/A | N/A | PRE_CERT | N/A | 2 | 2 | N/A | VISITS |
| 2025-05-23 21:33:30.050793 | 2025-05-23 21:33:30.050802 | 189775 | PENDING | 4214486 | N/A | 21916 | PRIMARY | 20241120L0102151 | N/A | N/A | N/A | N/A | 2025-02-18 00:00:00 | 2024-11-20 00:00:00 | N/A | N/A | N/A | 8 | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5542599 | N/A | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2025-05-23 21:33:29.863902 | 2025-09-26 17:57:48.443370 | 189774 | PENDING | 4212709 | N/A | 21916 | PRIMARY | 16704442 | N/A | N/A | N/A | N/A | 2025-03-27 00:00:00 | 2025-02-27 00:00:00 | N/A | N/A | N/A | 4 | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5540566 | True | N/A | N/A | PRE_CERT | N/A | 4 | 4 | N/A | VISITS |
| 2025-05-23 21:33:29.807166 | 2025-09-26 17:57:40.654941 | 189773 | PENDING | 4212709 | N/A | 21916 | PRIMARY | REF# UM69070081 | N/A | N/A | N/A | N/A | 2025-01-27 00:00:00 | 2024-10-30 00:00:00 | N/A | N/A | N/A | 10 | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5540566 | True | N/A | N/A | PRE_CERT | N/A | 10 | 10 | N/A | VISITS |
| 2025-05-23 21:33:29.631938 | 2025-05-23 21:33:29.631949 | 189772 | PENDING | 4214505 | N/A | 21916 | PRIMARY | 20241203P0101404 | N/A | N/A | N/A | N/A | 2025-03-03 00:00:00 | 2024-12-03 00:00:00 | N/A | N/A | N/A | 4 | 3 | PRIOR_AUTH | N/A | N/A | N/A | 5542619 | N/A | N/A | N/A | PRE_CERT | N/A | 4 | 4 | N/A | VISITS |
| 2025-05-23 21:33:28.663037 | 2025-07-10 22:35:38.121330 | 189771 | PENDING | 4212802 | N/A | 21916 | PRIMARY | 20250103P0104215 | N/A | N/A | N/A | N/A | 2025-04-03 00:00:00 | 2025-01-03 00:00:00 | N/A | N/A | N/A | 12 | 5 | PRIOR_AUTH | N/A | N/A | N/A | 5540683 | True | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2025-05-23 21:33:28.603191 | 2025-07-10 22:35:41.601779 | 189770 | PENDING | 4212802 | N/A | 21916 | PRIMARY | 20241004P0104213 | N/A | N/A | N/A | N/A | 2025-01-02 00:00:00 | 2024-10-04 00:00:00 | N/A | N/A | N/A | 12 | 8 | PRIOR_AUTH | N/A | N/A | N/A | 5540683 | True | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2025-05-23 21:33:28.504212 | 2025-05-23 21:33:28.504220 | 189769 | PENDING | 4210644 | N/A | 21916 | PRIMARY | 20241213L0101599 | N/A | N/A | N/A | N/A | 2025-03-13 00:00:00 | 2024-12-13 00:00:00 | N/A | N/A | N/A | 8 | 7 | PRIOR_AUTH | N/A | N/A | N/A | 5538189 | N/A | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2025-05-23 21:33:28.402365 | 2025-05-23 21:33:28.402373 | 189768 | PENDING | 4213515 | N/A | 21916 | PRIMARY | 20241119L0101603 | N/A | N/A | N/A | N/A | 2025-02-17 00:00:00 | 2024-11-19 00:00:00 | N/A | N/A | N/A | 8 | 4 | PRIOR_AUTH | N/A | N/A | N/A | 5541504 | N/A | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2025-05-23 21:33:28.083264 | 2025-05-23 21:33:28.083272 | 189767 | PENDING | 4214457 | N/A | 21916 | PRIMARY | 20241031P0100603 | N/A | N/A | N/A | N/A | 2025-01-29 00:00:00 | 2024-10-31 00:00:00 | N/A | N/A | N/A | 1 | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5542568 | N/A | N/A | N/A | PRE_CERT | N/A | 1 | 1 | N/A | VISITS |