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 21:33:27.985059 | 2025-06-02 04:11:41.283128 | 189766 | PENDING | 4212315 | N/A | 21916 | PRIMARY | 20241119P0105189 | 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 | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5540113 | True | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2025-05-23 21:33:27.753873 | 2025-05-23 21:33:27.753887 | 189765 | PENDING | 4213267 | N/A | 21916 | PRIMARY | 20241122P0103465 | 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 | 1 | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5541229 | N/A | N/A | N/A | PRE_CERT | N/A | 1 | 1 | N/A | VISITS |
| 2025-05-23 21:33:27.606061 | 2025-05-23 21:33:27.606069 | 189764 | PENDING | 4213959 | N/A | 21916 | PRIMARY | 30893367 | N/A | N/A | N/A | N/A | 2025-03-07 00:00:00 | 2025-01-24 00:00:00 | N/A | N/A | N/A | 12 | 4 | PRIOR_AUTH | N/A | N/A | N/A | 5542003 | N/A | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2025-05-23 21:33:26.895402 | 2025-09-03 15:43:58.603994 | 189763 | PENDING | 4213370 | N/A | 21916 | PRIMARY | 20241121P0104960 | 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 | 12 | PRIOR_AUTH | N/A | N/A | N/A | 5541337 | True | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2025-05-23 21:33:26.568266 | 2025-09-23 18:16:31.125053 | 189762 | PENDING | 4214455 | N/A | 21916 | PRIMARY | 20241113L0100087 | 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 | 8 | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5542563 | True | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2025-05-23 21:33:26.353854 | 2025-05-23 21:33:26.353861 | 189761 | PENDING | 4214569 | N/A | 21916 | PRIMARY | 30844804 | N/A | N/A | N/A | N/A | 2025-02-28 00:00:00 | 2025-01-21 00:00:00 | N/A | N/A | N/A | 8 | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5542692 | N/A | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2025-05-23 21:33:26.205462 | 2025-05-23 21:33:26.205468 | 189760 | PENDING | 4213955 | N/A | 21916 | PRIMARY | 20241009L0100098 | N/A | N/A | N/A | N/A | 2025-01-07 00:00:00 | 2024-10-09 00:00:00 | N/A | N/A | N/A | 12 | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5541985 | N/A | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2025-05-23 21:33:26.106348 | 2025-05-23 21:33:26.106355 | 189759 | PENDING | 4214534 | N/A | 21916 | PRIMARY | 20241112L0100328 | 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 | 2 | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5542675 | N/A | N/A | N/A | PRE_CERT | N/A | 2 | 2 | N/A | VISITS |
| 2025-05-23 21:33:25.976870 | 2025-05-23 21:33:25.976877 | 189758 | PENDING | 4214425 | N/A | 21916 | PRIMARY | 20241030L0101201 | 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 | 6 | 5 | PRIOR_AUTH | N/A | N/A | N/A | 5542534 | N/A | N/A | N/A | PRE_CERT | N/A | 6 | 6 | N/A | VISITS |
| 2025-05-23 21:33:25.702953 | 2025-05-23 21:33:25.702960 | 189757 | PENDING | 4213569 | N/A | 21916 | PRIMARY | REF# EI00122606 | N/A | N/A | N/A | N/A | 2025-01-04 00:00:00 | 2024-09-04 00:00:00 | N/A | N/A | N/A | 10 | 4 | PRIOR_AUTH | N/A | N/A | N/A | 5541580 | N/A | N/A | N/A | PRE_CERT | N/A | 10 | 10 | N/A | VISITS |
| 2025-05-23 21:33:25.606975 | 2025-05-23 21:33:25.606982 | 189756 | PENDING | 4214710 | N/A | 21916 | PRIMARY | 20241217P0105034 | 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 | 1 | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5542849 | N/A | N/A | N/A | PRE_CERT | N/A | 1 | 1 | N/A | VISITS |
| 2025-05-23 21:33:25.512678 | 2025-05-23 21:33:25.512687 | 189755 | PENDING | 4209607 | N/A | 21916 | PRIMARY | 20250116P0104600 | N/A | N/A | N/A | N/A | 2025-01-13 00:00:00 | 2024-10-15 00:00:00 | N/A | N/A | N/A | 8 | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5536951 | N/A | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2025-05-23 21:33:24.878666 | 2025-05-23 21:33:24.878677 | 189754 | PENDING | 4642869 | N/A | 21916 | PRIMARY | 20250516P0105512 | N/A | N/A | N/A | N/A | 2025-08-14 00:00:00 | 2025-05-19 00:00:00 | N/A | N/A | N/A | 25 | 25 | PRIOR_AUTH | N/A | N/A | N/A | 5993930 | N/A | N/A | N/A | PRE_CERT | N/A | 25 | 25 | N/A | VISITS |
| 2025-05-23 21:33:24.807758 | 2025-06-02 01:49:07.818110 | 189753 | PENDING | 4215139 | N/A | 21916 | PRIMARY | 20250519P0102740 | N/A | N/A | N/A | N/A | 2025-08-17 07:00:00 | 2025-05-19 07:00:00 | N/A | N/A | N/A | N/A | 8 | PRIOR_AUTH | N/A | N/A | N/A | 5543335 | N/A | N/A | N/A | PRE_CERT | N/A | 8 | 5 | N/A | VISITS |
| 2025-05-23 21:33:24.745894 | 2025-05-23 21:33:24.745902 | 189752 | PENDING | 4642884 | N/A | 21916 | PRIMARY | 60 VISITS PER YEAR | N/A | N/A | N/A | N/A | 2025-12-31 00:00:00 | 2025-05-19 00:00:00 | N/A | N/A | N/A | 60 | 59 | PRIOR_AUTH | N/A | N/A | N/A | 5993951 | N/A | N/A | N/A | PRE_CERT | N/A | 60 | 60 | N/A | VISITS |
| 2025-05-23 21:33:24.683129 | 2025-05-23 21:33:24.683136 | 189751 | PENDING | 4214542 | N/A | 21916 | PRIMARY | 202550519P0102824 | N/A | N/A | N/A | N/A | 2025-08-17 00:00:00 | 2025-05-19 00:00:00 | N/A | N/A | N/A | 4 | 4 | PRIOR_AUTH | N/A | N/A | N/A | 5542660 | N/A | N/A | N/A | PRE_CERT | N/A | 4 | 4 | N/A | VISITS |
| 2025-05-23 21:33:24.622176 | 2025-05-23 21:33:24.622184 | 189750 | PENDING | 4642891 | N/A | 21916 | PRIMARY | MEDICAL REVIEW AFTER 25TH | N/A | N/A | N/A | N/A | 2025-12-31 00:00:00 | 2025-05-19 00:00:00 | N/A | N/A | N/A | 25 | 24 | PRIOR_AUTH | N/A | N/A | N/A | 5993959 | N/A | N/A | N/A | PRE_CERT | N/A | 25 | 25 | N/A | VISITS |
| 2025-05-23 21:33:24.558569 | 2025-05-23 21:33:24.558576 | 189749 | PENDING | 4209644 | N/A | 21916 | PRIMARY | 20250519L0100223 | N/A | N/A | N/A | N/A | 2025-08-17 00:00:00 | 2025-05-19 00:00:00 | N/A | N/A | N/A | 8 | 8 | PRIOR_AUTH | N/A | N/A | N/A | 5537002 | N/A | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2025-05-23 21:33:24.497407 | 2025-10-03 18:12:41.479899 | 189748 | PENDING | 4213907 | N/A | 21916 | PRIMARY | 20250519L0100602 | N/A | N/A | LUMBAR | N/A | 2025-08-17 07:00:00 | 2025-05-19 07:00:00 | N/A | N/A | N/A | N/A | 8 | PRIOR_AUTH | N/A | N/A | N/A | 5541944 | True | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2025-05-23 21:33:24.435684 | 2025-06-02 04:26:44.034793 | 189747 | PENDING | 4218894 | N/A | 21916 | PRIMARY | 20250516P0104162 | N/A | N/A | N/A | N/A | 2025-08-14 00:00:00 | 2025-05-16 00:00:00 | N/A | N/A | N/A | 6 | 6 | PRIOR_AUTH | N/A | N/A | N/A | 5549180 | N/A | N/A | N/A | PRE_CERT | N/A | 6 | 6 | N/A | VISITS |
| 2025-05-23 21:33:24.373481 | 2025-05-30 20:14:33.736082 | 189746 | PENDING | 4219581 | N/A | 21916 | PRIMARY | 20250516P0104090 | N/A | N/A | N/A | N/A | 2025-08-14 14:00:00 | 2025-05-16 14:00:00 | N/A | N/A | N/A | N/A | 8 | PRIOR_AUTH | N/A | N/A | N/A | 5993812 | N/A | N/A | N/A | PRE_CERT | N/A | 8 | 7 | N/A | VISITS |
| 2025-05-23 21:33:24.316280 | 2025-07-01 21:58:25.608097 | 189745 | PENDING | 4343470 | N/A | 21916 | PRIMARY | 20250516P0104119 | 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 | 12 | PRIOR_AUTH | N/A | N/A | N/A | 5676415 | True | N/A | N/A | PRE_CERT | N/A | 12 | 9 | N/A | VISITS |
| 2025-05-23 21:33:24.251464 | 2025-05-23 21:33:24.251472 | 189744 | PENDING | 4214776 | N/A | 21916 | PRIMARY | 20250515L0100384 | N/A | N/A | N/A | N/A | 2025-08-13 00:00:00 | 2025-05-15 00:00:00 | N/A | N/A | N/A | 1 | 1 | PRIOR_AUTH | N/A | N/A | N/A | 5542918 | N/A | N/A | N/A | PRE_CERT | N/A | 1 | 1 | N/A | VISITS |
| 2025-05-23 21:33:24.188592 | 2026-04-10 20:51:39.231298 | 189743 | PENDING | 4642859 | N/A | 21916 | PRIMARY | 20250228L0102213 | N/A | N/A | N/A | N/A | 2025-11-25 08:00:00 | 2025-05-15 07:00:00 | N/A | N/A | N/A | N/A | 13 | PRIOR_AUTH | N/A | N/A | N/A | 5993920 | True | N/A | N/A | PRE_CERT | N/A | 13 | 12 | N/A | VISITS |
| 2025-05-23 21:33:24.130196 | 2025-05-23 21:33:24.130204 | 189742 | PENDING | 4213141 | N/A | 21916 | PRIMARY | 20250515P0105242 | N/A | N/A | N/A | N/A | 2025-08-13 00:00:00 | 2025-05-15 00:00:00 | N/A | N/A | N/A | 12 | 11 | PRIOR_AUTH | N/A | N/A | N/A | 5541086 | N/A | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2025-05-23 21:33:24.069069 | 2025-06-02 19:51:35.353279 | 189741 | PENDING | 4212122 | N/A | 21916 | PRIMARY | ASH AUTH 6 VISITS | N/A | N/A | N/A | N/A | 2025-06-16 07:00:00 | 2025-05-15 07:00:00 | N/A | N/A | N/A | N/A | 6 | PRIOR_AUTH | N/A | N/A | N/A | 5539885 | N/A | N/A | N/A | PRE_CERT | N/A | 6 | 4 | N/A | VISITS |
| 2025-05-23 21:33:24.003679 | 2025-06-30 15:19:05.138481 | 189740 | PENDING | 4214517 | N/A | 21916 | PRIMARY | 20250515P0102820 | 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 | 8 | PRIOR_AUTH | N/A | N/A | N/A | 6189571 | N/A | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2025-05-23 21:33:23.938173 | 2025-05-23 21:33:23.938182 | 189739 | PENDING | 4212701 | N/A | 21916 | PRIMARY | 20250515L0102408 | N/A | N/A | N/A | N/A | 2025-08-13 00:00:00 | 2025-05-15 00:00:00 | N/A | N/A | N/A | 12 | 12 | PRIOR_AUTH | N/A | N/A | N/A | 5540559 | N/A | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2025-05-23 21:33:23.881916 | 2025-05-23 21:33:23.881924 | 189738 | PENDING | 4214023 | N/A | 21916 | PRIMARY | ASH AUTH 4 | N/A | N/A | N/A | N/A | 2025-06-16 00:00:00 | 2025-05-15 00:00:00 | N/A | N/A | N/A | 5 | 5 | 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 21:33:23.817856 | 2025-07-22 16:05:22.478620 | 189737 | PENDING | 4642877 | N/A | 21916 | PRIMARY | 20250514P0106844 | N/A | N/A | Back | N/A | 2025-08-12 14:00:00 | 2025-05-14 14:00:00 | N/A | N/A | N/A | N/A | 12 | PRIOR_AUTH | N/A | N/A | N/A | 5993940 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 11 | N/A | VISITS |
| 2025-05-23 21:33:23.752522 | 2025-05-23 21:33:23.752530 | 189736 | PENDING | 4219693 | N/A | 21916 | PRIMARY | 20250513P0103398 | N/A | N/A | N/A | N/A | 2025-08-11 00:00:00 | 2025-05-13 00:00:00 | N/A | N/A | N/A | 8 | 8 | PRIOR_AUTH | N/A | N/A | N/A | 5550815 | N/A | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2025-05-23 21:33:23.685300 | 2025-05-30 23:32:01.002058 | 189735 | PENDING | 4215148 | N/A | 21916 | PRIMARY | 20250512L010323 | N/A | N/A | N/A | N/A | 2025-08-10 14:00:00 | 2025-05-12 14:00:00 | N/A | N/A | N/A | N/A | 10 | PRIOR_AUTH | N/A | N/A | N/A | 5543337 | N/A | N/A | N/A | PRE_CERT | N/A | 12 | 8 | N/A | VISITS |
| 2025-05-23 21:33:23.624090 | 2025-05-23 21:33:23.624100 | 189734 | PENDING | 4534545 | N/A | 21916 | PRIMARY | 22234079504 | N/A | N/A | N/A | N/A | 2025-07-30 00:00:00 | 2025-05-12 00:00:00 | N/A | N/A | N/A | 9 | 7 | PRIOR_AUTH | N/A | N/A | N/A | 5874411 | N/A | N/A | N/A | PRE_CERT | N/A | 9 | 9 | N/A | VISITS |
| 2025-05-23 21:33:23.562991 | 2025-05-23 21:33:23.563001 | 189733 | PENDING | 4534565 | N/A | 21916 | PRIMARY | 20250428L0101436 | N/A | N/A | N/A | N/A | 2025-07-27 00:00:00 | 2025-05-12 00:00:00 | N/A | N/A | N/A | 3 | 3 | PRIOR_AUTH | N/A | N/A | N/A | 5993931 | N/A | N/A | N/A | PRE_CERT | N/A | 3 | 3 | N/A | VISITS |
| 2025-05-23 21:33:23.504545 | 2025-06-01 03:11:07.567668 | 189732 | PENDING | 4218753 | N/A | 21916 | PRIMARY | 20250512L0101312 | N/A | N/A | N/A | N/A | 2025-08-10 14:00:00 | 2025-05-12 14:00:00 | N/A | N/A | N/A | N/A | 10 | PRIOR_AUTH | N/A | N/A | N/A | 5549002 | N/A | N/A | N/A | PRE_CERT | N/A | 12 | 7 | N/A | VISITS |
| 2025-05-23 21:33:23.447031 | 2025-09-18 15:31:51.378931 | 189731 | PENDING | 4214674 | N/A | 21916 | PRIMARY | 20250512L0100748 | N/A | N/A | N/A | N/A | 2025-08-10 00:00:00 | 2025-05-12 00:00:00 | N/A | N/A | N/A | 8 | 8 | PRIOR_AUTH | N/A | N/A | N/A | 5542808 | True | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2025-05-23 21:33:23.391804 | 2025-06-17 17:31:23.680523 | 189730 | PENDING | 4214436 | N/A | 21916 | PRIMARY | 20250511L0100095 | N/A | N/A | N/A | N/A | 2025-08-09 07:00:00 | 2025-05-11 07:00:00 | N/A | N/A | N/A | N/A | 24 | PRIOR_AUTH | N/A | N/A | N/A | 5542543 | N/A | N/A | N/A | PRE_CERT | N/A | 24 | 24 | N/A | VISITS |
| 2025-05-23 21:33:23.330611 | 2025-05-30 20:22:30.334075 | 189729 | PENDING | 4214724 | N/A | 21916 | PRIMARY | 20250509L0102195 | N/A | N/A | N/A | N/A | 2025-08-07 14:00:00 | 2025-05-09 14:00:00 | N/A | N/A | N/A | N/A | 9 | PRIOR_AUTH | N/A | N/A | N/A | 5542858 | N/A | N/A | N/A | PRE_CERT | N/A | 12 | 8 | N/A | VISITS |
| 2025-05-23 21:33:23.268423 | 2025-05-23 21:33:23.268431 | 189728 | PENDING | 4214261 | N/A | 21916 | PRIMARY | 20250505L0100874 | N/A | N/A | N/A | N/A | 2025-08-04 00:00:00 | 2025-05-09 00:00:00 | N/A | N/A | N/A | 2 | 1 | PRIOR_AUTH | N/A | N/A | N/A | 5542335 | N/A | N/A | N/A | PRE_CERT | N/A | 2 | 2 | N/A | VISITS |
| 2025-05-23 21:33:23.209276 | 2025-06-02 00:04:47.505110 | 189727 | PENDING | 4214871 | N/A | 21916 | PRIMARY | 20250509P0104758 | 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 | 9 | PRIOR_AUTH | N/A | N/A | N/A | 5543033 | N/A | N/A | N/A | PRE_CERT | N/A | 12 | 9 | N/A | VISITS |
| 2025-05-23 21:33:23.142812 | 2025-05-23 21:33:23.142820 | 189726 | PENDING | 4534564 | N/A | 21916 | PRIMARY | 17 | N/A | N/A | N/A | N/A | 2025-12-31 00:00:00 | 2025-05-09 00:00:00 | N/A | N/A | N/A | 17 | 13 | PRIOR_AUTH | N/A | N/A | N/A | 5874437 | N/A | N/A | N/A | PRE_CERT | N/A | 17 | 17 | N/A | VISITS |
| 2025-05-23 21:33:23.068624 | 2025-09-18 15:31:58.638825 | 189725 | PENDING | 4214674 | N/A | 21916 | PRIMARY | 20250509L0101933 | 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 | 6 | PRIOR_AUTH | N/A | N/A | N/A | 5542808 | True | N/A | N/A | PRE_CERT | N/A | 8 | 4 | N/A | VISITS |
| 2025-05-23 21:33:23.010722 | 2025-08-20 21:55:22.849270 | 189724 | PENDING | 4215086 | N/A | 21916 | PRIMARY | 20250506L0102106 | 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 | 6 | PRIOR_AUTH | N/A | N/A | N/A | 5543270 | True | N/A | N/A | PRE_CERT | N/A | 12 | 3 | N/A | VISITS |
| 2025-05-23 21:33:22.953307 | 2025-05-23 21:33:22.953315 | 189723 | PENDING | 4213883 | N/A | 21916 | PRIMARY | 20250508L0102453 | N/A | N/A | N/A | N/A | 2025-08-06 00:00:00 | 2025-05-08 00:00:00 | N/A | N/A | N/A | 12 | 9 | PRIOR_AUTH | N/A | N/A | N/A | 5541907 | N/A | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2025-05-23 21:33:22.890718 | 2025-06-01 21:56:15.608480 | 189722 | PENDING | 4215022 | N/A | 21916 | PRIMARY | 20250508L0100768 | 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 | 9 | PRIOR_AUTH | N/A | N/A | N/A | 5543218 | N/A | N/A | N/A | PRE_CERT | N/A | 12 | 5 | N/A | VISITS |
| 2025-05-23 21:33:22.823018 | 2025-05-23 21:33:22.823029 | 189721 | PENDING | 4212856 | N/A | 21916 | PRIMARY | 17 | N/A | N/A | N/A | N/A | 2025-12-31 00:00:00 | 2025-05-08 00:00:00 | N/A | N/A | N/A | 17 | 16 | PRIOR_AUTH | N/A | N/A | N/A | 5540768 | N/A | N/A | N/A | PRE_CERT | N/A | 17 | 17 | N/A | VISITS |
| 2025-05-23 21:33:22.764496 | 2025-10-27 20:28:18.404942 | 189720 | PENDING | 4219789 | N/A | 21916 | PRIMARY | 20250508L0100118 | N/A | N/A | N/A | N/A | 2025-08-06 07:00:00 | 2025-05-08 07:00:00 | N/A | N/A | N/A | N/A | 8 | PRIOR_AUTH | N/A | N/A | N/A | 5550962 | True | N/A | N/A | PRE_CERT | N/A | 8 | 6 | N/A | VISITS |
| 2025-05-23 21:33:22.699374 | 2025-05-23 21:33:22.699381 | 189719 | PENDING | 4219687 | N/A | 21916 | PRIMARY | 20250508P010386 | N/A | N/A | N/A | N/A | 2025-08-06 00:00:00 | 2025-05-08 00:00:00 | N/A | N/A | N/A | 10 | 8 | PRIOR_AUTH | N/A | N/A | N/A | 5550805 | N/A | N/A | N/A | PRE_CERT | N/A | 10 | 10 | N/A | VISITS |
| 2025-05-23 21:33:22.642121 | 2025-05-23 21:33:22.642129 | 189718 | PENDING | 4343468 | N/A | 21916 | PRIMARY | 20250508L0100109 | N/A | N/A | N/A | N/A | 2025-08-06 00:00:00 | 2025-05-08 00:00:00 | N/A | N/A | N/A | 8 | 8 | PRIOR_AUTH | N/A | N/A | N/A | 5993903 | N/A | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2025-05-23 21:33:22.584525 | 2025-06-19 23:12:13.704883 | 189717 | PENDING | 4215131 | N/A | 21916 | PRIMARY | 20250507L0101504 | N/A | N/A | N/A | N/A | 2025-08-05 07:00:00 | 2025-05-07 07:00:00 | N/A | N/A | N/A | N/A | 8 | PRIOR_AUTH | N/A | N/A | N/A | 5543324 | True | N/A | N/A | PRE_CERT | N/A | 8 | 6 | N/A | VISITS |