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 21:33:19.335195 | 2025-05-23 21:33:19.335201 | 189666 | PENDING | 4642856 | N/A | 21916 | PRIMARY | 20250424p0105367 | N/A | N/A | N/A | N/A | 2025-06-23 00:00:00 | 2025-04-24 00:00:00 | N/A | N/A | N/A | 12 | 10 | PRIOR_AUTH | N/A | N/A | N/A | 5993919 | N/A | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2025-05-23 21:33:19.272599 | 2025-05-30 17:04:40.176420 | 189665 | PENDING | 4343471 | N/A | 21916 | PRIMARY | 20250424L0100062 | 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 | 8 | PRIOR_AUTH | N/A | N/A | N/A | 5993905 | N/A | N/A | N/A | PRE_CERT | N/A | 9 | 6 | N/A | VISITS |
| 2025-05-23 21:33:19.206735 | 2025-05-23 21:33:19.206742 | 189664 | PENDING | 4213974 | N/A | 21916 | PRIMARY | 20250424L0101969 | N/A | N/A | N/A | N/A | 2025-12-31 00:00:00 | 2025-04-24 00:00:00 | N/A | N/A | N/A | 8 | 3 | PRIOR_AUTH | N/A | N/A | N/A | 5542010 | N/A | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2025-05-23 21:33:19.151740 | 2025-11-26 19:28:30.202518 | 189663 | PENDING | 4219815 | N/A | 21916 | PRIMARY | 20250331L0102294 | N/A | N/A | N/A | N/A | 2025-06-29 00:00:00 | 2025-04-23 00:00:00 | N/A | N/A | N/A | 13 | 13 | PRIOR_AUTH | N/A | N/A | N/A | 5550982 | True | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2025-05-23 21:33:19.093911 | 2025-08-21 15:58:05.414975 | 189662 | PENDING | 4214747 | N/A | 21916 | PRIMARY | 20250423P0103409 | N/A | N/A | N/A | N/A | 2025-07-22 00:00:00 | 2025-04-23 00:00:00 | N/A | N/A | N/A | 12 | 9 | PRIOR_AUTH | N/A | N/A | N/A | 5542883 | True | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2025-05-23 21:33:19.026807 | 2025-05-23 21:33:19.026814 | 189661 | PENDING | 4213240 | N/A | 21916 | PRIMARY | 20250423P0104069 | N/A | N/A | N/A | N/A | 2025-07-22 00:00:00 | 2025-04-23 00:00:00 | N/A | N/A | N/A | 13 | 11 | PRIOR_AUTH | N/A | N/A | N/A | 5541198 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2025-05-23 21:33:18.965362 | 2025-05-23 21:33:18.965370 | 189660 | PENDING | 4208423 | N/A | 21916 | PRIMARY | 60 PER YEAR | N/A | N/A | N/A | N/A | 2025-12-31 00:00:00 | 2025-04-22 00:00:00 | N/A | N/A | N/A | 60 | 56 | PRIOR_AUTH | N/A | N/A | N/A | 5535501 | N/A | N/A | N/A | PRE_CERT | N/A | 60 | 60 | N/A | VISITS |
| 2025-05-23 21:33:18.901926 | 2025-05-23 21:33:18.901934 | 189659 | PENDING | 4219801 | N/A | 21916 | PRIMARY | 150 VISITS PER YEAR | N/A | N/A | N/A | N/A | 2025-12-31 00:00:00 | 2025-04-22 00:00:00 | N/A | N/A | N/A | 100 | 95 | PRIOR_AUTH | N/A | N/A | N/A | 5550969 | N/A | N/A | N/A | PRE_CERT | N/A | 100 | 100 | N/A | VISITS |
| 2025-05-23 21:33:18.845215 | 2025-05-23 21:33:18.845223 | 189658 | PENDING | 4219569 | N/A | 21916 | PRIMARY | 20250422P0102584 | N/A | N/A | N/A | N/A | 2025-07-21 00:00:00 | 2025-04-22 00:00:00 | N/A | N/A | N/A | 8 | 6 | PRIOR_AUTH | N/A | N/A | N/A | 5550582 | N/A | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2025-05-23 21:33:18.767667 | 2025-05-30 22:25:46.067335 | 189657 | PENDING | 4219798 | N/A | 21916 | PRIMARY | 20250410P0103149 | N/A | N/A | N/A | N/A | 2025-07-09 07:00:00 | 2025-04-22 07:00:00 | N/A | N/A | N/A | N/A | 6 | PRIOR_AUTH | N/A | N/A | N/A | 5550965 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 3 | N/A | VISITS |
| 2025-05-23 21:33:18.704976 | 2025-06-25 17:05:54.579227 | 189656 | PENDING | 4213108 | N/A | 21916 | PRIMARY | 20250422P0106704 | N/A | N/A | N/A | N/A | 2025-07-21 14:00:00 | 2025-04-22 14:00:00 | N/A | N/A | N/A | N/A | 7 | PRIOR_AUTH | N/A | N/A | N/A | 5541038 | N/A | N/A | N/A | PRE_CERT | N/A | 12 | 5 | N/A | VISITS |
| 2025-05-23 21:33:18.644619 | 2025-06-10 14:56:23.863149 | 189655 | PENDING | 4215002 | N/A | 21916 | PRIMARY | 20250422P0106876 | 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 | 5 | PRIOR_AUTH | N/A | N/A | N/A | 5543176 | N/A | N/A | N/A | PRE_CERT | N/A | 12 | 2 | N/A | VISITS |
| 2025-05-23 21:33:18.582879 | 2025-05-23 21:33:18.582887 | 189654 | PENDING | 4219804 | N/A | 21916 | PRIMARY | 17 VISITS | N/A | N/A | N/A | N/A | 2025-12-31 00:00:00 | 2025-04-22 00:00:00 | N/A | N/A | N/A | 17 | 13 | PRIOR_AUTH | N/A | N/A | N/A | 5550977 | N/A | N/A | N/A | PRE_CERT | N/A | 17 | 17 | N/A | VISITS |
| 2025-05-23 21:33:18.523510 | 2025-05-23 21:33:18.523517 | 189653 | PENDING | 4214817 | N/A | 21916 | PRIMARY | 20250203L0101770 | N/A | N/A | N/A | N/A | 2025-07-21 00:00:00 | 2025-04-22 00:00:00 | N/A | N/A | N/A | 8 | 3 | PRIOR_AUTH | N/A | N/A | N/A | 5542968 | N/A | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2025-05-23 21:33:18.463363 | 2025-05-23 21:33:18.463371 | 189652 | PENDING | 4215188 | N/A | 21916 | PRIMARY | 20250421P0101051 | N/A | N/A | N/A | N/A | 2025-07-20 00:00:00 | 2025-04-21 00:00:00 | N/A | N/A | N/A | 12 | 12 | PRIOR_AUTH | N/A | N/A | N/A | 5543394 | N/A | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2025-05-23 21:33:18.399421 | 2025-10-22 17:49:10.499415 | 189651 | PENDING | 4219772 | N/A | 21916 | PRIMARY | 20250421P0101294 | N/A | N/A | N/A | N/A | 2025-07-20 14:00:00 | 2025-04-21 14:00:00 | N/A | N/A | N/A | N/A | 5 | PRIOR_AUTH | N/A | N/A | N/A | 5550925 | True | N/A | N/A | PRE_CERT | N/A | 12 | 3 | N/A | VISITS |
| 2025-05-23 21:33:18.339781 | 2025-11-05 16:26:43.064035 | 189650 | PENDING | 4211630 | N/A | 21916 | PRIMARY | 20250414P0103192 | N/A | N/A | N/A | N/A | 2025-07-16 00:00:00 | 2025-04-21 00:00:00 | N/A | N/A | N/A | 17 | 11 | PRIOR_AUTH | N/A | N/A | N/A | 5539306 | True | N/A | N/A | PRE_CERT | N/A | 17 | 17 | N/A | VISITS |
| 2025-05-23 21:33:18.274171 | 2025-05-23 21:33:18.274179 | 189649 | PENDING | 4219799 | N/A | 21916 | PRIMARY | ASH AUTH REQUEST | N/A | N/A | N/A | N/A | 2025-12-31 00:00:00 | 2025-04-21 00:00:00 | N/A | N/A | N/A | 8 | 3 | PRIOR_AUTH | N/A | N/A | N/A | 5550986 | N/A | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2025-05-23 21:33:18.206203 | 2025-05-23 21:33:18.206210 | 189648 | PENDING | 4214255 | N/A | 21916 | PRIMARY | TEMP | N/A | N/A | N/A | N/A | 2025-05-02 00:00:00 | 2025-04-21 00:00:00 | N/A | N/A | N/A | 4 | 2 | PRIOR_AUTH | N/A | N/A | N/A | 5542326 | N/A | N/A | N/A | PRE_CERT | N/A | 4 | 4 | N/A | VISITS |
| 2025-05-23 21:33:18.143145 | 2025-06-19 23:01:30.272996 | 189647 | PENDING | 4212098 | N/A | 21916 | PRIMARY | 20250421P0100522 | N/A | N/A | N/A | N/A | 2025-07-20 07:00:00 | 2025-04-21 07:00:00 | N/A | N/A | N/A | N/A | 4 | PRIOR_AUTH | N/A | N/A | N/A | 5539853 | True | N/A | N/A | PRE_CERT | N/A | 8 | 4 | N/A | VISITS |
| 2025-05-23 21:33:18.085481 | 2025-05-30 20:21:16.238190 | 189646 | PENDING | 4219629 | N/A | 21916 | PRIMARY | 25107A0442 | N/A | N/A | N/A | N/A | 2025-10-18 07:00:00 | 2025-04-21 07:00:00 | N/A | N/A | N/A | N/A | 7 | PRIOR_AUTH | N/A | N/A | N/A | 5550722 | N/A | N/A | N/A | PRE_CERT | N/A | 10 | 5 | N/A | VISITS |
| 2025-05-23 21:33:18.016888 | 2025-06-03 17:47:48.778494 | 189645 | PENDING | 4211143 | N/A | 21916 | PRIMARY | 20250417L0101403 | N/A | N/A | N/A | N/A | 2025-07-16 00:00:00 | 2025-04-18 00:00:00 | N/A | N/A | N/A | 12 | 8 | PRIOR_AUTH | N/A | N/A | N/A | 5676341 | True | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2025-05-23 21:33:17.956809 | 2025-12-01 16:36:05.751217 | 189644 | PENDING | 4219769 | N/A | 21916 | PRIMARY | 20250325L0100755 | N/A | N/A | N/A | N/A | 2025-06-23 07:00:00 | 2025-04-18 07:00:00 | N/A | N/A | N/A | N/A | 8 | PRIOR_AUTH | N/A | N/A | N/A | 5550933 | True | N/A | N/A | PRE_CERT | N/A | 13 | 3 | N/A | VISITS |
| 2025-05-23 21:33:17.896986 | 2025-11-13 21:19:19.399101 | 189643 | PENDING | 4219790 | N/A | 21916 | PRIMARY | 20250414L0101282 | N/A | N/A | N/A | N/A | 2025-07-13 07:00:00 | 2025-04-18 07:00:00 | N/A | N/A | N/A | N/A | 9 | PRIOR_AUTH | N/A | N/A | N/A | 5676367 | True | N/A | N/A | PRE_CERT | N/A | 13 | 8 | N/A | VISITS |
| 2025-05-23 21:33:17.841418 | 2025-06-10 23:21:36.228399 | 189642 | PENDING | 4219840 | N/A | 21916 | PRIMARY | 20250418P0101017 | 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 | 2 | PRIOR_AUTH | N/A | N/A | N/A | 5551017 | True | N/A | N/A | PRE_CERT | N/A | 5 | 1 | N/A | VISITS |
| 2025-05-23 21:33:17.781321 | 2025-11-25 23:01:58.120776 | 189641 | PENDING | 4208375 | N/A | 21916 | PRIMARY | 20250418L0100159 | 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 | 7 | PRIOR_AUTH | N/A | N/A | N/A | 5535455 | True | N/A | N/A | PRE_CERT | N/A | 12 | 4 | N/A | VISITS |
| 2025-05-23 21:33:17.715875 | 2025-06-02 04:11:43.302327 | 189640 | PENDING | 4212315 | N/A | 21916 | PRIMARY | 20250418P0101622 | N/A | N/A | N/A | N/A | 2025-07-17 00:00:00 | 2025-04-18 00:00:00 | N/A | N/A | N/A | 8 | 6 | 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 21:33:17.650962 | 2025-05-23 21:33:17.650970 | 189639 | PENDING | 4214259 | N/A | 21916 | PRIMARY | 20250327L0101257 | N/A | N/A | N/A | N/A | 2025-06-25 00:00:00 | 2025-04-18 00:00:00 | N/A | N/A | N/A | 11 | 10 | PRIOR_AUTH | N/A | N/A | N/A | 5874422 | N/A | N/A | N/A | PRE_CERT | N/A | 11 | 11 | N/A | VISITS |
| 2025-05-23 21:33:17.584081 | 2025-05-23 21:33:17.584089 | 189638 | PENDING | 4219770 | N/A | 21916 | PRIMARY | 20250417L0101403 | N/A | N/A | N/A | N/A | 2025-07-16 00:00:00 | 2025-04-17 00:00:00 | N/A | N/A | N/A | 13 | 13 | PRIOR_AUTH | N/A | N/A | N/A | 5550929 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2025-05-23 21:33:17.521629 | 2025-10-03 20:32:08.425589 | 189637 | PENDING | 4215008 | N/A | 21916 | PRIMARY | 20250416L0102250 | N/A | N/A | N/A | N/A | 2025-07-15 07:00:00 | 2025-04-17 07:00:00 | N/A | N/A | N/A | N/A | 11 | PRIOR_AUTH | N/A | N/A | N/A | 5543181 | True | N/A | N/A | PRE_CERT | N/A | 12 | 11 | N/A | VISITS |
| 2025-05-23 21:33:17.445465 | 2025-05-23 21:33:17.445473 | 189636 | PENDING | 4210360 | N/A | 21916 | PRIMARY | 17 VISITS | N/A | N/A | N/A | N/A | 2025-12-31 00:00:00 | 2025-04-17 00:00:00 | N/A | N/A | N/A | 17 | 10 | PRIOR_AUTH | N/A | N/A | N/A | 5537856 | N/A | N/A | N/A | PRE_CERT | N/A | 17 | 17 | N/A | VISITS |
| 2025-05-23 21:33:17.378396 | 2025-05-23 21:33:17.378405 | 189635 | PENDING | 4642863 | N/A | 21916 | PRIMARY | 20250417L0101234 | N/A | N/A | N/A | N/A | 2025-07-16 00:00:00 | 2025-04-17 00:00:00 | N/A | N/A | N/A | 11 | 10 | PRIOR_AUTH | N/A | N/A | N/A | 5993925 | N/A | N/A | N/A | PRE_CERT | N/A | 11 | 11 | N/A | VISITS |
| 2025-05-23 21:33:17.311440 | 2026-01-29 18:57:11.710172 | 189634 | PENDING | 4219602 | N/A | 21916 | PRIMARY | 20250417L0100874 | N/A | N/A | N/A | N/A | 2025-07-16 00:00:00 | 2025-04-17 00:00:00 | N/A | N/A | N/A | 8 | 2 | PRIOR_AUTH | N/A | N/A | N/A | 5550678 | True | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2025-05-23 21:33:17.104838 | 2025-05-23 21:33:17.104850 | 189633 | PENDING | 4219777 | N/A | 21916 | PRIMARY | 20250405L0100099 | N/A | N/A | N/A | N/A | 2025-07-04 00:00:00 | 2025-04-17 00:00:00 | N/A | N/A | N/A | 13 | 10 | PRIOR_AUTH | N/A | N/A | N/A | 5676366 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2025-05-23 21:33:17.033061 | 2025-05-23 21:33:17.033069 | 189632 | PENDING | 4208539 | N/A | 21916 | PRIMARY | 20250405L0100099 | N/A | N/A | N/A | N/A | 2025-07-04 00:00:00 | 2025-04-16 00:00:00 | N/A | N/A | N/A | 13 | 13 | PRIOR_AUTH | N/A | N/A | N/A | 5535654 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2025-05-23 21:33:16.965120 | 2026-01-13 22:47:15.602446 | 189631 | PENDING | 4214714 | N/A | 21916 | PRIMARY | 20250416L0100994 | N/A | N/A | N/A | N/A | 2025-07-15 00:00:00 | 2025-04-16 00:00:00 | N/A | N/A | N/A | 12 | 5 | PRIOR_AUTH | N/A | N/A | N/A | 5542847 | True | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2025-05-23 21:33:16.905639 | 2025-05-23 21:33:16.905663 | 189630 | PENDING | 4211931 | N/A | 21916 | PRIMARY | 20250416P0103141 | N/A | N/A | N/A | N/A | 2025-05-12 00:00:00 | 2025-04-16 00:00:00 | N/A | N/A | N/A | 12 | 9 | PRIOR_AUTH | N/A | N/A | N/A | 5539662 | N/A | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2025-05-23 21:33:16.839786 | 2025-06-10 15:01:59.029891 | 189629 | PENDING | 4214601 | N/A | 21916 | PRIMARY | 20250416P0103072 | N/A | N/A | N/A | N/A | 2025-07-15 07:00:00 | 2025-04-16 07:00:00 | N/A | N/A | N/A | N/A | 8 | PRIOR_AUTH | N/A | N/A | N/A | 5542728 | N/A | N/A | N/A | PRE_CERT | N/A | 12 | 5 | N/A | VISITS |
| 2025-05-23 21:33:16.778591 | 2025-05-23 21:33:16.778598 | 189628 | PENDING | 4215082 | N/A | 21916 | PRIMARY | 20250416P0102889 | N/A | N/A | N/A | N/A | 2025-07-15 00:00:00 | 2025-04-16 00:00:00 | N/A | N/A | N/A | 12 | 6 | PRIOR_AUTH | N/A | N/A | N/A | 5543265 | N/A | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2025-05-23 21:33:16.722052 | 2025-05-23 21:33:16.722060 | 189627 | PENDING | 4219703 | N/A | 21916 | PRIMARY | 20250416P0100403 | N/A | N/A | N/A | N/A | 2025-07-15 00:00:00 | 2025-04-16 00:00:00 | N/A | N/A | N/A | 8 | 6 | PRIOR_AUTH | N/A | N/A | N/A | 5550833 | N/A | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2025-05-23 21:33:16.657466 | 2025-05-23 21:33:16.657474 | 189626 | PENDING | 4215197 | N/A | 21916 | PRIMARY | 20250416L0102425 | N/A | N/A | N/A | N/A | 2025-07-15 00:00:00 | 2025-04-16 00:00:00 | N/A | N/A | N/A | 12 | 4 | PRIOR_AUTH | N/A | N/A | N/A | 5550853 | N/A | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2025-05-23 21:33:16.586532 | 2026-01-07 21:05:03.408027 | 189625 | PENDING | 4215193 | N/A | 21916 | PRIMARY | 20250415P0107309 | N/A | N/A | N/A | N/A | 2025-07-14 00:00:00 | 2025-04-15 00:00:00 | N/A | N/A | N/A | 12 | 7 | PRIOR_AUTH | N/A | N/A | N/A | 5543396 | True | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2025-05-23 21:33:16.524500 | 2025-11-13 21:32:29.266549 | 189624 | PENDING | 4215039 | N/A | 21916 | PRIMARY | 20250604L0102548 | N/A | N/A | N/A | N/A | 2025-09-02 14:00:00 | 2025-06-04 14:00:00 | N/A | N/A | N/A | N/A | 3 | PRIOR_AUTH | N/A | N/A | N/A | 5543223 | True | N/A | N/A | PRE_CERT | N/A | 12 | 2 | N/A | VISITS |
| 2025-05-23 21:33:16.466197 | 2025-05-23 21:33:16.466204 | 189623 | PENDING | 4219808 | N/A | 21916 | PRIMARY | 20250415L0101443 | N/A | N/A | N/A | N/A | 2025-07-14 00:00:00 | 2025-04-15 00:00:00 | N/A | N/A | N/A | 13 | 8 | PRIOR_AUTH | N/A | N/A | N/A | 5550990 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2025-05-23 21:33:16.397635 | 2025-05-23 21:33:16.397644 | 189622 | PENDING | 4214549 | N/A | 21916 | PRIMARY | 31585519A | N/A | N/A | N/A | N/A | 2025-07-08 00:00:00 | 2025-04-15 00:00:00 | N/A | N/A | N/A | 12 | 8 | PRIOR_AUTH | N/A | N/A | N/A | 5542670 | N/A | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2025-05-23 21:33:16.336449 | 2025-06-03 19:30:55.399802 | 189621 | PENDING | 4219740 | N/A | 21916 | PRIMARY | 20250415P0100485 | 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 | 5 | PRIOR_AUTH | N/A | N/A | N/A | 5550902 | N/A | N/A | N/A | PRE_CERT | N/A | 8 | 3 | N/A | VISITS |
| 2025-05-23 21:33:16.228823 | 2025-05-23 21:33:16.228831 | 189620 | PENDING | 4214968 | N/A | 21916 | PRIMARY | ASH AUTH | N/A | N/A | N/A | N/A | 2025-05-14 00:00:00 | 2025-04-14 00:00:00 | N/A | N/A | N/A | 8 | 7 | PRIOR_AUTH | N/A | N/A | N/A | 5543137 | N/A | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2025-05-23 21:33:16.164806 | 2025-05-23 21:33:16.164815 | 189619 | PENDING | 4214914 | N/A | 21916 | PRIMARY | 20250411P0106503 | N/A | N/A | N/A | N/A | 2025-07-11 00:00:00 | 2025-04-11 00:00:00 | N/A | N/A | N/A | 12 | 11 | PRIOR_AUTH | N/A | N/A | N/A | 5543077 | N/A | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2025-05-23 21:33:16.103171 | 2025-05-23 21:33:16.103178 | 189618 | PENDING | 4343429 | N/A | 21916 | PRIMARY | 17 | N/A | N/A | N/A | N/A | 2025-12-31 00:00:00 | 2025-04-11 00:00:00 | N/A | N/A | N/A | 17 | 14 | PRIOR_AUTH | N/A | N/A | N/A | 5676363 | N/A | N/A | N/A | PRE_CERT | N/A | 17 | 17 | N/A | VISITS |
| 2025-05-23 21:33:16.046691 | 2025-10-17 00:21:42.388743 | 189617 | PENDING | 4215118 | N/A | 21916 | PRIMARY | 20250411P0104332 | N/A | N/A | N/A | N/A | 2025-07-14 14:00:00 | 2025-04-11 14:00:00 | N/A | N/A | N/A | N/A | 2 | PRIOR_AUTH | N/A | N/A | N/A | 5550793 | N/A | N/A | N/A | PRE_CERT | N/A | 9 | 2 | N/A | VISITS |