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 21:33:12.830465 | 2025-06-02 04:03:52.149068 | 189566 | PENDING | 4219692 | N/A | 21916 | PRIMARY | 20250327P0104325 | N/A | N/A | N/A | N/A | 2025-06-25 00:00:00 | 2025-03-27 00:00:00 | N/A | N/A | N/A | 13 | 13 | PRIOR_AUTH | N/A | N/A | N/A | 5550814 | True | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2025-05-23 21:33:12.776688 | 2025-06-03 03:12:10.397675 | 189565 | PENDING | 4219823 | N/A | 21916 | PRIMARY | 25086A0244 | N/A | N/A | N/A | N/A | 2025-09-23 07:00:00 | 2025-03-27 07:00:00 | N/A | N/A | N/A | N/A | 9 | PRIOR_AUTH | N/A | N/A | N/A | 5551002 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 8 | N/A | VISITS |
| 2025-05-23 21:33:12.717251 | 2025-09-16 21:30:38.493116 | 189564 | PENDING | 4219721 | N/A | 21916 | PRIMARY | 20250327L0100888 | 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 | 7 | PRIOR_AUTH | N/A | N/A | N/A | 5550862 | True | N/A | N/A | PRE_CERT | N/A | 13 | 4 | N/A | VISITS |
| 2025-05-23 21:33:12.656430 | 2025-05-23 21:33:12.656436 | 189563 | PENDING | 4215064 | N/A | 21916 | PRIMARY | 20250321P0101053 | N/A | N/A | N/A | N/A | 2025-06-19 00:00:00 | 2025-03-26 00:00:00 | N/A | N/A | N/A | 13 | 13 | PRIOR_AUTH | N/A | N/A | N/A | 5543251 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2025-05-23 21:33:12.599486 | 2025-05-23 21:33:12.599493 | 189562 | PENDING | 4219601 | N/A | 21916 | PRIMARY | 20250326P0106414 | N/A | N/A | N/A | N/A | 2025-06-24 00:00:00 | 2025-03-26 00:00:00 | N/A | N/A | N/A | 12 | 5 | PRIOR_AUTH | N/A | N/A | N/A | 5550674 | N/A | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2025-05-23 21:33:12.540953 | 2026-01-08 21:15:03.234606 | 189561 | PENDING | 4215057 | N/A | 21916 | PRIMARY | 20250326P0107194 | N/A | N/A | N/A | N/A | 2025-06-24 00:00:00 | 2025-03-26 00:00:00 | N/A | N/A | N/A | 12 | 10 | PRIOR_AUTH | N/A | N/A | N/A | 5543240 | True | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2025-05-23 21:33:12.486775 | 2025-05-23 21:33:12.486783 | 189560 | PENDING | 4214238 | N/A | 21916 | PRIMARY | 20250326P0107579 | N/A | N/A | N/A | N/A | 2025-06-24 00:00:00 | 2025-03-26 00:00:00 | N/A | N/A | N/A | 8 | 6 | PRIOR_AUTH | N/A | N/A | N/A | 5542314 | N/A | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2025-05-23 21:33:12.423561 | 2025-05-23 21:33:12.423569 | 189559 | PENDING | 4215138 | N/A | 21916 | PRIMARY | 30 PER YR | N/A | N/A | N/A | N/A | 2025-12-31 00:00:00 | 2025-03-26 00:00:00 | N/A | N/A | N/A | 30 | 20 | PRIOR_AUTH | N/A | N/A | N/A | 5543329 | N/A | N/A | N/A | PRE_CERT | N/A | 30 | 30 | N/A | VISITS |
| 2025-05-23 21:33:12.364708 | 2025-05-23 21:33:12.364716 | 189558 | PENDING | 4219565 | N/A | 21916 | PRIMARY | 20250326P0107594 | N/A | N/A | N/A | N/A | 2025-06-24 00:00:00 | 2025-03-26 00:00:00 | N/A | N/A | N/A | 8 | 8 | PRIOR_AUTH | N/A | N/A | N/A | 5550565 | N/A | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2025-05-23 21:33:12.304038 | 2025-05-23 21:33:12.304047 | 189557 | PENDING | 4208807 | N/A | 21916 | PRIMARY | 31365723 | N/A | N/A | N/A | N/A | 2025-05-07 00:00:00 | 2025-03-26 00:00:00 | N/A | N/A | N/A | 12 | 3 | PRIOR_AUTH | N/A | N/A | N/A | 5535982 | N/A | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2025-05-23 21:33:12.243609 | 2025-05-23 21:33:12.243616 | 189556 | PENDING | 4215141 | N/A | 21916 | PRIMARY | ASH AUTH 8 VISITS | N/A | N/A | N/A | N/A | 2025-12-31 00:00:00 | 2025-03-26 00:00:00 | N/A | N/A | N/A | 8 | 3 | PRIOR_AUTH | N/A | N/A | N/A | 5543333 | N/A | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2025-05-23 21:33:12.187767 | 2025-05-23 21:33:12.187775 | 189555 | PENDING | 4209499 | N/A | 21916 | PRIMARY | 20250326P0107640 | N/A | N/A | N/A | N/A | 2025-06-24 00:00:00 | 2025-03-26 00:00:00 | N/A | N/A | N/A | 13 | 12 | PRIOR_AUTH | N/A | N/A | N/A | 5536815 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2025-05-23 21:33:12.120819 | 2025-09-12 22:17:07.562020 | 189554 | PENDING | 4212709 | N/A | 21916 | PRIMARY | 16769724 | N/A | N/A | N/A | N/A | 2025-05-26 00:00:00 | 2025-03-26 00:00:00 | N/A | N/A | N/A | 5 | 2 | PRIOR_AUTH | N/A | N/A | N/A | 5540568 | True | N/A | N/A | PRE_CERT | N/A | 5 | 5 | N/A | VISITS |
| 2025-05-23 21:33:12.060498 | 2025-06-06 22:22:44.111255 | 189553 | PENDING | 4219615 | N/A | 21916 | PRIMARY | 20250528P0105741 | N/A | N/A | N/A | N/A | 2025-08-26 07:00:00 | 2025-05-28 07:00:00 | N/A | N/A | N/A | N/A | 2 | PRIOR_AUTH | N/A | N/A | N/A | 5550702 | N/A | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2025-05-23 21:33:12.003664 | 2025-05-23 21:33:12.003673 | 189552 | PENDING | 4214840 | N/A | 21916 | PRIMARY | 20250326P0105834 | N/A | N/A | N/A | N/A | 2025-06-24 00:00:00 | 2025-03-26 00:00:00 | N/A | N/A | N/A | 8 | 3 | PRIOR_AUTH | N/A | N/A | N/A | 5542992 | N/A | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2025-05-23 21:33:11.946930 | 2025-07-25 22:13:32.679551 | 189551 | PENDING | 4212732 | N/A | 21916 | PRIMARY | 20250310P0104775 | N/A | N/A | N/A | N/A | 2025-06-08 07:00:00 | 2025-03-25 07:00:00 | N/A | N/A | N/A | N/A | 12 | PRIOR_AUTH | N/A | N/A | N/A | 5540601 | True | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2025-05-23 21:33:11.891005 | 2025-05-23 21:33:11.891013 | 189550 | PENDING | 4214159 | N/A | 21916 | PRIMARY | 20250324P0107258 | N/A | N/A | N/A | N/A | 2025-06-22 00:00:00 | 2025-03-25 00:00:00 | N/A | N/A | N/A | 25 | 22 | PRIOR_AUTH | N/A | N/A | N/A | 5542209 | N/A | N/A | N/A | PRE_CERT | N/A | 25 | 25 | N/A | VISITS |
| 2025-05-23 21:33:11.835171 | 2025-05-23 21:33:11.835178 | 189549 | PENDING | 4215129 | N/A | 21916 | PRIMARY | 20250319P0106747 | N/A | N/A | N/A | N/A | 2025-06-17 00:00:00 | 2025-03-25 00:00:00 | N/A | N/A | N/A | 9 | 5 | PRIOR_AUTH | N/A | N/A | N/A | 5543320 | N/A | N/A | N/A | PRE_CERT | N/A | 9 | 9 | N/A | VISITS |
| 2025-05-23 21:33:11.778270 | 2025-05-23 21:33:11.778277 | 189548 | PENDING | 4215142 | N/A | 21916 | PRIMARY | 20250319P0104924 | N/A | N/A | N/A | N/A | 2025-06-17 00:00:00 | 2025-03-25 00:00:00 | N/A | N/A | N/A | 13 | 13 | PRIOR_AUTH | N/A | N/A | N/A | 5543358 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2025-05-23 21:33:11.717239 | 2025-06-20 18:27:37.525082 | 189547 | PENDING | 4215135 | N/A | 21916 | PRIMARY | 20250324P0101489 | N/A | N/A | N/A | N/A | 2025-06-22 07:00:00 | 2025-03-25 07:00:00 | N/A | N/A | N/A | N/A | 1 | PRIOR_AUTH | N/A | N/A | N/A | 5543347 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 8 | N/A | VISITS |
| 2025-05-23 21:33:11.660901 | 2025-05-23 21:33:11.660909 | 189546 | PENDING | 4213699 | N/A | 21916 | PRIMARY | 20250313P0100610 | N/A | N/A | N/A | N/A | 2025-06-13 00:00:00 | 2025-03-25 00:00:00 | N/A | N/A | N/A | 6 | 2 | PRIOR_AUTH | N/A | N/A | N/A | 5541707 | N/A | N/A | N/A | PRE_CERT | N/A | 6 | 6 | N/A | VISITS |
| 2025-05-23 21:33:11.599593 | 2025-06-20 16:55:36.996633 | 189545 | PENDING | 4214765 | N/A | 21916 | PRIMARY | 20250325P0107539 | N/A | N/A | N/A | N/A | 2025-06-23 14:00:00 | 2025-03-25 14:00:00 | N/A | N/A | N/A | N/A | 10 | PRIOR_AUTH | N/A | N/A | N/A | 6522470 | N/A | N/A | N/A | PRE_CERT | N/A | 12 | 8 | N/A | VISITS |
| 2025-05-23 21:33:11.543320 | 2025-05-23 21:33:11.543328 | 189544 | PENDING | 4219723 | N/A | 21916 | PRIMARY | 20250325P0107063 | N/A | N/A | N/A | N/A | 2025-06-23 00:00:00 | 2025-03-25 00:00:00 | N/A | N/A | N/A | 25 | 25 | PRIOR_AUTH | N/A | N/A | N/A | 5550864 | N/A | N/A | N/A | PRE_CERT | N/A | 25 | 25 | N/A | VISITS |
| 2025-05-23 21:33:11.447314 | 2025-06-02 18:06:17.506193 | 189543 | PENDING | 4213530 | N/A | 21916 | PRIMARY | 20241218L0102006 | N/A | N/A | N/A | N/A | 2025-06-22 00:00:00 | 2025-03-25 00:00:00 | N/A | N/A | N/A | 12 | 2 | PRIOR_AUTH | N/A | N/A | N/A | 5541519 | True | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2025-05-23 21:33:11.391792 | 2025-05-23 21:33:11.391801 | 189542 | PENDING | 4215127 | N/A | 21916 | PRIMARY | MEDICAL REVIEW AFTER 25TH | N/A | N/A | N/A | N/A | 2025-12-31 00:00:00 | 2025-03-24 00:00:00 | N/A | N/A | N/A | 25 | 15 | PRIOR_AUTH | N/A | N/A | N/A | 5543319 | N/A | N/A | N/A | PRE_CERT | N/A | 25 | 25 | N/A | VISITS |
| 2025-05-23 21:33:11.337331 | 2025-05-23 21:33:11.337338 | 189541 | PENDING | 4215124 | N/A | 21916 | PRIMARY | MEDICAL REVIEW AFTER 25TH VISIT | N/A | N/A | N/A | N/A | 2025-12-31 00:00:00 | 2025-03-24 00:00:00 | N/A | N/A | N/A | 25 | 16 | PRIOR_AUTH | N/A | N/A | N/A | 5543308 | N/A | N/A | N/A | PRE_CERT | N/A | 25 | 25 | N/A | VISITS |
| 2025-05-23 21:33:11.279730 | 2025-05-23 21:33:11.279738 | 189540 | PENDING | 4215128 | N/A | 21916 | PRIMARY | 2025031P0101826 | N/A | N/A | N/A | N/A | 2025-06-10 00:00:00 | 2025-03-24 00:00:00 | N/A | N/A | N/A | 13 | 10 | PRIOR_AUTH | N/A | N/A | N/A | 5543321 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2025-05-23 21:33:11.223193 | 2025-05-23 21:33:11.223202 | 189539 | PENDING | 4219756 | N/A | 21916 | PRIMARY | 20250324P0101269 | N/A | N/A | N/A | N/A | 2025-06-22 00:00:00 | 2025-03-24 00:00:00 | N/A | N/A | N/A | 13 | 3 | PRIOR_AUTH | N/A | N/A | N/A | 5550903 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2025-05-23 21:33:11.114956 | 2025-05-23 21:33:11.114964 | 189538 | PENDING | 4215190 | N/A | 21916 | PRIMARY | 20250321P0104936 | N/A | N/A | N/A | N/A | 2025-06-19 00:00:00 | 2025-03-21 00:00:00 | N/A | N/A | N/A | 13 | 13 | PRIOR_AUTH | N/A | N/A | N/A | 5543398 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2025-05-23 21:33:11.055848 | 2025-05-30 21:21:11.484012 | 189537 | PENDING | 4214108 | N/A | 21916 | PRIMARY | 20241211L0100373 | N/A | N/A | N/A | N/A | 2025-06-19 00:00:00 | 2025-03-21 00:00:00 | N/A | N/A | N/A | 12 | 7 | PRIOR_AUTH | N/A | N/A | N/A | 5542158 | True | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2025-05-23 21:33:10.993321 | 2025-05-23 21:33:10.993327 | 189536 | PENDING | 4214625 | N/A | 21916 | PRIMARY | 20250320P0100979 | N/A | N/A | N/A | N/A | 2025-06-18 00:00:00 | 2025-03-20 00:00:00 | N/A | N/A | N/A | 12 | 12 | PRIOR_AUTH | N/A | N/A | N/A | 5542751 | N/A | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2025-05-23 21:33:10.941519 | 2025-05-23 21:33:10.941526 | 189535 | PENDING | 4215104 | N/A | 21916 | PRIMARY | 17 VISITS | N/A | N/A | N/A | N/A | 2025-12-31 00:00:00 | 2025-03-20 00:00:00 | N/A | N/A | N/A | 17 | 3 | PRIOR_AUTH | N/A | N/A | N/A | 5543292 | N/A | N/A | N/A | PRE_CERT | N/A | 17 | 17 | N/A | VISITS |
| 2025-05-23 21:33:10.887918 | 2025-05-23 21:33:10.887923 | 189534 | PENDING | 4215101 | N/A | 21916 | PRIMARY | MEDICAL REVIEW AFTER 25 | N/A | N/A | N/A | N/A | 2025-12-31 00:00:00 | 2025-03-20 00:00:00 | N/A | N/A | N/A | 25 | 23 | PRIOR_AUTH | N/A | N/A | N/A | 5543289 | N/A | N/A | N/A | PRE_CERT | N/A | 25 | 25 | N/A | VISITS |
| 2025-05-23 21:33:10.831037 | 2025-06-02 17:48:28.833793 | 189533 | PENDING | 4215102 | N/A | 21916 | PRIMARY | 20 VISITS | N/A | N/A | N/A | N/A | 2025-12-31 08:00:00 | 2025-03-20 07:00:00 | N/A | N/A | N/A | N/A | 4 | PRIOR_AUTH | N/A | N/A | N/A | 5543288 | N/A | N/A | N/A | PRE_CERT | N/A | 20 | 2 | N/A | VISITS |
| 2025-05-23 21:33:10.778885 | 2025-11-04 19:50:34.372743 | 189532 | PENDING | 4209091 | N/A | 21916 | PRIMARY | 20250204P0106201 | N/A | N/A | N/A | N/A | 2025-06-05 00:00:00 | 2025-03-20 00:00:00 | N/A | N/A | N/A | 21 | 6 | PRIOR_AUTH | N/A | N/A | N/A | 5536326 | True | N/A | N/A | PRE_CERT | N/A | 21 | 21 | N/A | VISITS |
| 2025-05-23 21:33:10.720641 | 2025-05-23 21:33:10.720672 | 189531 | PENDING | 4215116 | N/A | 21916 | PRIMARY | 17 VISITS AVAILABLE | N/A | N/A | N/A | N/A | 2025-12-31 00:00:00 | 2025-03-19 00:00:00 | N/A | N/A | N/A | 17 | 2 | PRIOR_AUTH | N/A | N/A | N/A | 5543311 | N/A | N/A | N/A | PRE_CERT | N/A | 17 | 17 | N/A | VISITS |
| 2025-05-23 21:33:10.663892 | 2025-05-23 21:33:10.663900 | 189530 | PENDING | 4209262 | N/A | 21916 | PRIMARY | 17 VISITS | N/A | N/A | N/A | N/A | 2025-12-31 00:00:00 | 2025-03-19 00:00:00 | N/A | N/A | N/A | 17 | 11 | PRIOR_AUTH | N/A | N/A | N/A | 5536539 | N/A | N/A | N/A | PRE_CERT | N/A | 17 | 17 | N/A | VISITS |
| 2025-05-23 21:33:10.605054 | 2025-05-23 21:33:10.605062 | 189529 | PENDING | 4219660 | N/A | 21916 | PRIMARY | 17 | N/A | N/A | N/A | N/A | 2025-12-31 00:00:00 | 2025-03-19 00:00:00 | N/A | N/A | N/A | 17 | 10 | PRIOR_AUTH | N/A | N/A | N/A | 5550767 | N/A | N/A | N/A | PRE_CERT | N/A | 17 | 17 | N/A | VISITS |
| 2025-05-23 21:33:10.548152 | 2025-05-23 21:33:10.548161 | 189528 | PENDING | 4215085 | N/A | 21916 | PRIMARY | ASH AUTH AFTER 25 VISITS | N/A | N/A | N/A | N/A | 2025-12-31 00:00:00 | 2025-03-18 00:00:00 | N/A | N/A | N/A | 25 | 18 | PRIOR_AUTH | N/A | N/A | N/A | 5543268 | N/A | N/A | N/A | PRE_CERT | N/A | 25 | 25 | N/A | VISITS |
| 2025-05-23 21:33:10.495362 | 2025-05-23 21:33:10.495371 | 189527 | PENDING | 4215136 | N/A | 21916 | PRIMARY | 20250318L0102178 | N/A | N/A | N/A | N/A | 2025-06-16 00:00:00 | 2025-03-18 00:00:00 | N/A | N/A | N/A | 13 | 2 | PRIOR_AUTH | N/A | N/A | N/A | 5543328 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2025-05-23 21:33:10.437167 | 2025-05-23 21:33:10.437174 | 189526 | PENDING | 4213961 | N/A | 21916 | PRIMARY | 20250318L0102097 | N/A | N/A | N/A | N/A | 2025-06-22 00:00:00 | 2025-03-18 00:00:00 | N/A | N/A | N/A | 37 | 36 | PRIOR_AUTH | N/A | N/A | N/A | 5541993 | N/A | N/A | N/A | PRE_CERT | N/A | 37 | 37 | N/A | VISITS |
| 2025-05-23 21:33:10.387619 | 2025-05-23 21:33:10.387626 | 189525 | PENDING | 4215083 | N/A | 21916 | PRIMARY | 20250305P0104430 | N/A | N/A | N/A | N/A | 2025-06-03 00:00:00 | 2025-03-18 00:00:00 | N/A | N/A | N/A | 13 | 6 | PRIOR_AUTH | N/A | N/A | N/A | 5543269 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2025-05-23 21:33:10.330618 | 2025-05-23 21:33:10.330626 | 189524 | PENDING | 4215071 | N/A | 21916 | PRIMARY | 20250217P0106395 | N/A | N/A | N/A | N/A | 2025-05-18 00:00:00 | 2025-03-17 00:00:00 | N/A | N/A | N/A | 13 | 13 | PRIOR_AUTH | N/A | N/A | N/A | 5543254 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2025-05-23 21:33:10.270567 | 2025-10-22 16:11:59.283865 | 189523 | PENDING | 4213941 | N/A | 21916 | PRIMARY | 20250217P0106406 | N/A | N/A | N/A | N/A | 2025-05-19 04:00:00 | 2025-03-18 04:00:00 | N/A | N/A | N/A | N/A | 13 | PRIOR_AUTH | N/A | N/A | N/A | 5541972 | True | N/A | N/A | PRE_CERT | N/A | 13 | N/A | N/A | VISITS |
| 2025-05-23 21:33:10.214521 | 2025-10-09 17:57:17.541708 | 189522 | PENDING | 4215075 | N/A | 21916 | PRIMARY | 20250311L0100675 | N/A | N/A | N/A | N/A | 2025-06-09 00:00:00 | 2025-03-17 00:00:00 | N/A | N/A | N/A | 13 | 3 | PRIOR_AUTH | N/A | N/A | N/A | 5543259 | True | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2025-05-23 21:33:10.156076 | 2025-05-23 21:33:10.156082 | 189521 | PENDING | 4214923 | N/A | 21916 | PRIMARY | 20250317L0102121 | N/A | N/A | N/A | N/A | 2025-06-15 00:00:00 | 2025-03-17 00:00:00 | N/A | N/A | N/A | 12 | 11 | PRIOR_AUTH | N/A | N/A | N/A | 5543087 | N/A | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2025-05-23 21:33:10.099669 | 2025-06-25 18:42:38.354994 | 189520 | PENDING | 4213867 | N/A | 21916 | PRIMARY | 20250317P0101603 | N/A | N/A | N/A | N/A | 2025-06-17 14:00:00 | 2025-03-17 14:00:00 | N/A | N/A | N/A | N/A | 4 | PRIOR_AUTH | N/A | N/A | N/A | 5541889 | N/A | N/A | N/A | PRE_CERT | N/A | 8 | 5 | N/A | VISITS |
| 2025-05-23 21:33:10.046293 | 2025-05-23 21:33:10.046302 | 189519 | PENDING | 4215076 | N/A | 21916 | PRIMARY | REGAL AUTH 16 VISITS | N/A | N/A | N/A | N/A | 2025-12-31 00:00:00 | 2025-03-17 00:00:00 | N/A | N/A | N/A | 16 | 1 | PRIOR_AUTH | N/A | N/A | N/A | 5543261 | N/A | N/A | N/A | PRE_CERT | N/A | 16 | 16 | N/A | VISITS |
| 2025-05-23 21:33:09.991981 | 2025-06-03 00:37:51.647431 | 189518 | PENDING | 4214811 | N/A | 21916 | PRIMARY | 20250317L0102054 | N/A | N/A | N/A | N/A | 2025-06-15 07:00:00 | 2025-03-17 07:00:00 | N/A | N/A | N/A | N/A | 11 | PRIOR_AUTH | N/A | N/A | N/A | 5542959 | N/A | N/A | N/A | PRE_CERT | N/A | 18 | 9 | N/A | VISITS |
| 2025-05-23 21:33:09.937793 | 2025-09-18 17:07:07.201891 | 189517 | PENDING | 4214861 | N/A | 21916 | PRIMARY | 20250317P0106358 | N/A | N/A | N/A | N/A | 2025-06-15 07:00:00 | 2025-03-17 07:00:00 | N/A | N/A | N/A | N/A | 12 | PRIOR_AUTH | N/A | N/A | N/A | 5543011 | True | N/A | N/A | PRE_CERT | N/A | 18 | 12 | N/A | VISITS |