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 21:33:06.837433 | 2025-05-23 21:33:06.837440 | 189466 | PENDING | 4214935 | N/A | 21916 | PRIMARY | 20250212P0103583 | N/A | N/A | N/A | N/A | 2025-05-13 00:00:00 | 2025-02-18 00:00:00 | N/A | N/A | N/A | 13 | 2 | PRIOR_AUTH | N/A | N/A | N/A | 5543100 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2025-05-23 21:33:06.781344 | 2025-05-23 21:33:06.781354 | 189465 | PENDING | 4219587 | N/A | 21916 | PRIMARY | 20250218P0100429 | N/A | N/A | N/A | N/A | 2025-05-19 00:00:00 | 2025-02-18 00:00:00 | N/A | N/A | N/A | 8 | 2 | PRIOR_AUTH | N/A | N/A | N/A | 5550648 | N/A | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2025-05-23 21:33:06.696953 | 2025-05-23 21:33:06.696966 | 189464 | PENDING | 4214928 | N/A | 21916 | PRIMARY | 20250217L0100665 | N/A | N/A | N/A | N/A | 2025-05-18 00:00:00 | 2025-02-17 00:00:00 | N/A | N/A | N/A | 16 | 2 | PRIOR_AUTH | N/A | N/A | N/A | 5543092 | N/A | N/A | N/A | PRE_CERT | N/A | 16 | 16 | N/A | VISITS |
| 2025-05-23 21:33:06.634464 | 2025-05-23 21:33:06.634471 | 189463 | PENDING | 4214960 | N/A | 21916 | PRIMARY | 20250214L0102173 | N/A | N/A | N/A | N/A | 2025-05-15 00:00:00 | 2025-02-14 00:00:00 | N/A | N/A | N/A | 2 | 1 | PRIOR_AUTH | N/A | N/A | N/A | 5543131 | N/A | N/A | N/A | PRE_CERT | N/A | 2 | 2 | N/A | VISITS |
| 2025-05-23 21:33:06.528096 | 2025-05-23 21:33:06.528103 | 189462 | PENDING | 4214905 | N/A | 21916 | PRIMARY | 20250211L0102225 | N/A | N/A | N/A | N/A | 2025-05-12 00:00:00 | 2025-02-13 00:00:00 | N/A | N/A | N/A | 13 | 5 | PRIOR_AUTH | N/A | N/A | N/A | 5543068 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2025-05-23 21:33:06.472429 | 2025-05-23 21:33:06.472438 | 189461 | PENDING | 4214901 | N/A | 21916 | PRIMARY | 20250213L010043 | N/A | N/A | N/A | N/A | 2025-05-14 00:00:00 | 2025-02-13 00:00:00 | N/A | N/A | N/A | 10 | 10 | PRIOR_AUTH | N/A | N/A | N/A | 5543063 | N/A | N/A | N/A | PRE_CERT | N/A | 10 | 10 | N/A | VISITS |
| 2025-05-23 21:33:06.403687 | 2025-12-04 19:47:28.997041 | 189460 | PENDING | 4214483 | N/A | 21916 | PRIMARY | 20250213P0105183 | N/A | N/A | N/A | N/A | 2025-05-14 00:00:00 | 2025-02-13 00:00:00 | N/A | N/A | N/A | 8 | 4 | PRIOR_AUTH | N/A | N/A | N/A | 5542593 | True | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2025-05-23 21:33:06.341572 | 2025-05-23 21:33:06.341580 | 189459 | PENDING | 4214895 | N/A | 21916 | PRIMARY | ASH AUTH | N/A | N/A | N/A | N/A | 2025-12-31 00:00:00 | 2025-02-12 00:00:00 | N/A | N/A | N/A | 8 | 7 | PRIOR_AUTH | N/A | N/A | N/A | 5543058 | N/A | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2025-05-23 21:33:06.286973 | 2025-05-23 21:33:06.286981 | 189458 | PENDING | 4214892 | N/A | 21916 | PRIMARY | 30 VISITS PER YEAR | N/A | N/A | N/A | N/A | 2025-12-31 00:00:00 | 2025-02-12 00:00:00 | N/A | N/A | N/A | 30 | 18 | PRIOR_AUTH | N/A | N/A | N/A | 5543051 | N/A | N/A | N/A | PRE_CERT | N/A | 30 | 30 | N/A | VISITS |
| 2025-05-23 21:33:06.191567 | 2025-05-23 21:33:06.191574 | 189457 | PENDING | 4213717 | N/A | 21916 | PRIMARY | 20250211L0101685 | N/A | N/A | N/A | N/A | 2025-05-12 00:00:00 | 2025-02-11 00:00:00 | N/A | N/A | N/A | 12 | 4 | PRIOR_AUTH | N/A | N/A | N/A | 5541745 | N/A | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2025-05-23 21:33:06.130455 | 2025-05-23 21:33:06.130463 | 189456 | PENDING | 4214891 | N/A | 21916 | PRIMARY | 17 VISITS | N/A | N/A | N/A | N/A | 2025-12-31 00:00:00 | 2025-02-11 00:00:00 | N/A | N/A | N/A | 17 | 8 | PRIOR_AUTH | N/A | N/A | N/A | 5543052 | N/A | N/A | N/A | PRE_CERT | N/A | 17 | 17 | N/A | VISITS |
| 2025-05-23 21:33:06.076637 | 2025-05-23 21:33:06.076659 | 189455 | PENDING | 4219593 | N/A | 21916 | PRIMARY | 17 VISITS | N/A | N/A | N/A | N/A | 2025-12-31 00:00:00 | 2025-02-11 00:00:00 | N/A | N/A | N/A | 17 | 11 | PRIOR_AUTH | N/A | N/A | N/A | 5550657 | N/A | N/A | N/A | PRE_CERT | N/A | 17 | 17 | N/A | VISITS |
| 2025-05-23 21:33:06.020931 | 2025-11-14 23:02:14.679247 | 189454 | PENDING | 4210092 | N/A | 21916 | PRIMARY | 20250206L0100324 | N/A | N/A | N/A | N/A | 2025-05-07 00:00:00 | 2025-02-10 00:00:00 | N/A | N/A | N/A | 9 | 7 | PRIOR_AUTH | N/A | N/A | N/A | 5537547 | True | N/A | N/A | PRE_CERT | N/A | 9 | 9 | N/A | VISITS |
| 2025-05-23 21:33:05.965607 | 2025-05-23 21:33:05.965614 | 189453 | PENDING | 4213382 | N/A | 21916 | PRIMARY | REGAL AUTH | N/A | N/A | N/A | N/A | 2025-05-12 00:00:00 | 2025-02-10 00:00:00 | N/A | N/A | N/A | 8 | 6 | PRIOR_AUTH | N/A | N/A | N/A | 5541351 | N/A | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2025-05-23 21:33:05.913163 | 2025-05-23 21:33:05.913170 | 189452 | PENDING | 4214991 | N/A | 21916 | PRIMARY | 20250210P0101244 | N/A | N/A | N/A | N/A | 2025-05-11 00:00:00 | 2025-02-10 00:00:00 | N/A | N/A | N/A | 9 | 9 | PRIOR_AUTH | N/A | N/A | N/A | 5543166 | N/A | N/A | N/A | PRE_CERT | N/A | 9 | 9 | N/A | VISITS |
| 2025-05-23 21:33:05.860483 | 2026-01-30 16:04:12.577750 | 189451 | PENDING | 4343453 | N/A | 21916 | PRIMARY | 20250208P0100090 | N/A | N/A | N/A | N/A | 2025-11-05 08:00:00 | 2025-02-08 08:00:00 | N/A | N/A | N/A | N/A | 22 | PRIOR_AUTH | N/A | N/A | N/A | 5676398 | True | N/A | N/A | PRE_CERT | N/A | 25 | 21 | N/A | VISITS |
| 2025-05-23 21:33:05.804193 | 2025-05-23 21:33:05.804200 | 189450 | PENDING | 4213778 | N/A | 21916 | PRIMARY | 20250206L0101457 | N/A | N/A | N/A | N/A | 2025-05-07 00:00:00 | 2025-02-07 00:00:00 | N/A | N/A | N/A | 13 | 1 | PRIOR_AUTH | N/A | N/A | N/A | 5541791 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2025-05-23 21:33:05.748393 | 2025-05-23 21:33:05.748401 | 189449 | PENDING | 4214880 | N/A | 21916 | PRIMARY | 20250131P0106459 | N/A | N/A | N/A | N/A | 2025-05-01 00:00:00 | 2025-02-07 00:00:00 | N/A | N/A | N/A | 13 | 13 | PRIOR_AUTH | N/A | N/A | N/A | 5543038 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2025-05-23 21:33:05.692619 | 2025-05-23 21:33:05.692627 | 189448 | PENDING | 4208637 | N/A | 21916 | PRIMARY | 12 VISITS | N/A | N/A | N/A | N/A | 2025-05-02 00:00:00 | 2025-02-07 00:00:00 | N/A | N/A | N/A | 12 | 2 | PRIOR_AUTH | N/A | N/A | N/A | 5535778 | N/A | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2025-05-23 21:33:05.642835 | 2025-05-23 21:33:05.642841 | 189447 | PENDING | 4214963 | N/A | 21916 | PRIMARY | 22025-0055 | N/A | N/A | N/A | N/A | 2025-12-31 00:00:00 | 2025-02-07 00:00:00 | N/A | N/A | N/A | 12 | 9 | PRIOR_AUTH | N/A | N/A | N/A | 5543132 | N/A | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2025-05-23 21:33:05.587010 | 2025-10-27 20:28:21.447885 | 189446 | PENDING | 4219789 | N/A | 21916 | PRIMARY | 20250207L0102096 | N/A | N/A | N/A | N/A | 2025-05-10 00:00:00 | 2025-02-07 00:00:00 | N/A | N/A | N/A | 7 | 4 | PRIOR_AUTH | N/A | N/A | N/A | 5550962 | True | N/A | N/A | PRE_CERT | N/A | 7 | 7 | N/A | VISITS |
| 2025-05-23 21:33:05.534257 | 2025-05-23 21:33:05.534264 | 189445 | PENDING | 4218903 | N/A | 21916 | PRIMARY | 20250206P0106553 | N/A | N/A | N/A | N/A | 2025-05-07 00:00:00 | 2025-02-06 00:00:00 | N/A | N/A | N/A | 16 | 4 | PRIOR_AUTH | N/A | N/A | N/A | 5549189 | N/A | N/A | N/A | PRE_CERT | N/A | 16 | 16 | N/A | VISITS |
| 2025-05-23 21:33:05.480040 | 2025-05-23 21:33:05.480047 | 189444 | PENDING | 4219642 | N/A | 21916 | PRIMARY | 20250206P0101467 | N/A | N/A | N/A | N/A | 2025-05-07 00:00:00 | 2025-02-06 00:00:00 | N/A | N/A | N/A | 12 | 8 | PRIOR_AUTH | N/A | N/A | N/A | 5550739 | N/A | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2025-05-23 21:33:05.423550 | 2025-05-23 21:33:05.423558 | 189443 | PENDING | 4214598 | N/A | 21916 | PRIMARY | 20250204P0103279 | N/A | N/A | N/A | N/A | 2025-05-05 00:00:00 | 2025-02-05 00:00:00 | N/A | N/A | N/A | 17 | 1 | PRIOR_AUTH | N/A | N/A | N/A | 5542722 | N/A | N/A | N/A | PRE_CERT | N/A | 17 | 17 | N/A | VISITS |
| 2025-05-23 21:33:05.354957 | 2025-05-23 21:33:05.354966 | 189442 | PENDING | 4213141 | N/A | 21916 | PRIMARY | 20250204P0105913 | N/A | N/A | N/A | N/A | 2025-05-05 00:00:00 | 2025-02-05 00:00:00 | N/A | N/A | N/A | 12 | 5 | 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 21:33:05.301436 | 2025-05-23 21:33:05.301444 | 189441 | PENDING | 4214864 | N/A | 21916 | PRIMARY | ASH AUTH AFTER 8TH VISIT | N/A | N/A | N/A | N/A | 2025-12-31 00:00:00 | 2025-02-05 00:00:00 | N/A | N/A | N/A | 8 | 1 | PRIOR_AUTH | N/A | N/A | N/A | 5543018 | N/A | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2025-05-23 21:33:05.250280 | 2025-05-23 21:33:05.250288 | 189440 | PENDING | 4215082 | N/A | 21916 | PRIMARY | 20250205P0101245 | N/A | N/A | N/A | N/A | 2025-05-06 00:00:00 | 2025-02-05 00:00:00 | N/A | N/A | N/A | 9 | 9 | PRIOR_AUTH | N/A | N/A | N/A | 5543265 | N/A | N/A | N/A | PRE_CERT | N/A | 9 | 9 | N/A | VISITS |
| 2025-05-23 21:33:05.196466 | 2026-01-15 18:50:11.652066 | 189439 | PENDING | 4214191 | N/A | 21916 | PRIMARY | 27 MEDICARE VISITS | N/A | N/A | N/A | N/A | 2026-12-31 08:00:00 | 2026-01-01 08:00:00 | N/A | N/A | N/A | N/A | 7 | PRIOR_AUTH | N/A | N/A | N/A | 5542251 | N/A | N/A | N/A | PRE_CERT | N/A | 16 | 27 | N/A | VISITS |
| 2025-05-23 21:33:05.102224 | 2026-02-11 17:53:52.921072 | 189438 | PENDING | 4214546 | N/A | 21916 | PRIMARY | WC608676280 | N/A | N/A | RT SHOULDER AUTH | N/A | N/A | 2025-08-14 07:00:00 | N/A | N/A | N/A | N/A | 11 | PRIOR_AUTH | N/A | N/A | N/A | 5542664 | N/A | N/A | N/A | PRE_CERT | N/A | 11 | 38 | N/A | VISITS |
| 2025-05-23 21:33:05.046201 | 2025-05-23 21:33:05.046207 | 189437 | PENDING | 4214854 | N/A | 21916 | PRIMARY | 17 VISITS | N/A | N/A | N/A | N/A | 2025-12-31 00:00:00 | 2025-02-04 00:00:00 | N/A | N/A | N/A | 17 | 11 | PRIOR_AUTH | N/A | N/A | N/A | 5543016 | N/A | N/A | N/A | PRE_CERT | N/A | 17 | 17 | N/A | VISITS |
| 2025-05-23 21:33:04.992630 | 2025-11-10 20:56:46.586455 | 189436 | PENDING | 4210338 | N/A | 21916 | PRIMARY | 17 | N/A | N/A | N/A | N/A | 2025-12-31 08:00:00 | 2025-02-04 08:00:00 | N/A | N/A | N/A | N/A | 8 | PRIOR_AUTH | N/A | N/A | N/A | 5537826 | N/A | N/A | N/A | PRE_CERT | N/A | 17 | 20 | N/A | VISITS |
| 2025-05-23 21:33:04.926552 | 2025-05-23 21:33:04.926560 | 189435 | PENDING | 4209644 | N/A | 21916 | PRIMARY | 20250204L0100622 | N/A | N/A | N/A | N/A | 2025-05-05 00:00:00 | 2025-02-04 00:00:00 | N/A | N/A | N/A | 8 | 1 | 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 21:33:04.874717 | 2025-05-23 21:33:04.874725 | 189434 | PENDING | 4214916 | N/A | 21916 | PRIMARY | 20250204P0103968 | N/A | N/A | N/A | N/A | 2025-05-05 00:00:00 | 2025-02-04 00:00:00 | N/A | N/A | N/A | 13 | 4 | PRIOR_AUTH | N/A | N/A | N/A | 5543083 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2025-05-23 21:33:04.815308 | 2025-10-03 18:09:42.775011 | 189433 | PENDING | 4219596 | N/A | 21916 | PRIMARY | 20250204L0101636 | N/A | N/A | N/A | N/A | 2025-05-05 00:00:00 | 2025-02-04 00:00:00 | N/A | N/A | N/A | 9 | 2 | PRIOR_AUTH | N/A | N/A | N/A | 5550662 | True | N/A | N/A | PRE_CERT | N/A | 9 | 9 | N/A | VISITS |
| 2025-05-23 21:33:04.751598 | 2025-05-23 21:33:04.751605 | 189432 | PENDING | 4208459 | N/A | 21916 | PRIMARY | 20250325L0100922 | N/A | N/A | N/A | N/A | 2025-05-05 00:00:00 | 2025-02-04 00:00:00 | N/A | N/A | N/A | 13 | 6 | PRIOR_AUTH | N/A | N/A | N/A | 5535552 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2025-05-23 21:33:04.695372 | 2025-05-23 21:33:04.695379 | 189431 | PENDING | 4214915 | N/A | 21916 | PRIMARY | 20250204L0101952 | N/A | N/A | N/A | N/A | 2025-05-07 00:00:00 | 2025-02-04 00:00:00 | N/A | N/A | N/A | 7 | 1 | PRIOR_AUTH | N/A | N/A | N/A | 5543078 | N/A | N/A | N/A | PRE_CERT | N/A | 7 | 7 | N/A | VISITS |
| 2025-05-23 21:33:04.635285 | 2026-01-13 22:47:18.169103 | 189430 | PENDING | 4214714 | N/A | 21916 | PRIMARY | 20250131L0101708 | N/A | N/A | N/A | N/A | 2025-05-01 00:00:00 | 2025-02-03 00:00:00 | N/A | N/A | N/A | 10 | 5 | PRIOR_AUTH | N/A | N/A | N/A | 5542847 | True | N/A | N/A | PRE_CERT | N/A | 10 | 10 | N/A | VISITS |
| 2025-05-23 21:33:04.572684 | 2025-05-23 21:33:04.572694 | 189429 | PENDING | 4214651 | N/A | 21916 | PRIMARY | 20250203P0100780 | N/A | N/A | N/A | N/A | 2025-05-04 00:00:00 | 2025-02-03 00:00:00 | N/A | N/A | N/A | 8 | 1 | PRIOR_AUTH | N/A | N/A | N/A | 5542777 | N/A | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2025-05-23 21:33:04.508433 | 2025-05-23 21:33:04.508443 | 189428 | PENDING | 4219645 | N/A | 21916 | PRIMARY | 20250203P0104808 | N/A | N/A | N/A | N/A | 2025-05-04 00:00:00 | 2025-02-03 00:00:00 | N/A | N/A | N/A | 5 | 2 | PRIOR_AUTH | N/A | N/A | N/A | 5550742 | N/A | N/A | N/A | PRE_CERT | N/A | 5 | 5 | N/A | VISITS |
| 2025-05-23 21:27:29.134641 | 2025-05-23 21:27:29.134686 | 189426 | PENDING | 4212176 | N/A | 21916 | PRIMARY | 20250130L0100143 | N/A | N/A | N/A | N/A | 2025-05-02 00:00:00 | 2025-01-30 00:00:00 | N/A | N/A | N/A | 9 | 6 | PRIOR_AUTH | N/A | N/A | N/A | 5550102 | N/A | N/A | N/A | PRE_CERT | N/A | 9 | 9 | N/A | VISITS |
| 2025-05-23 21:27:29.080154 | 2025-05-23 21:27:29.080162 | 189425 | PENDING | 4211931 | N/A | 21916 | PRIMARY | 20250124P0103466 | N/A | N/A | N/A | N/A | 2025-05-01 00:00:00 | 2025-01-24 00:00:00 | N/A | N/A | N/A | 7 | 3 | PRIOR_AUTH | N/A | N/A | N/A | 5539662 | N/A | N/A | N/A | PRE_CERT | N/A | 7 | 7 | N/A | VISITS |
| 2025-05-23 21:27:29.023993 | 2025-05-23 21:27:29.024000 | 189424 | PENDING | 4215219 | N/A | 21916 | PRIMARY | 17 | N/A | N/A | N/A | N/A | 2025-12-31 00:00:00 | 2025-01-23 00:00:00 | N/A | N/A | N/A | 17 | 12 | PRIOR_AUTH | N/A | N/A | N/A | 5543421 | N/A | N/A | N/A | PRE_CERT | N/A | 17 | 17 | N/A | VISITS |
| 2025-05-23 21:27:28.960396 | 2025-05-23 21:27:28.960404 | 189423 | PENDING | 4213981 | N/A | 21916 | PRIMARY | initial 2025 | N/A | N/A | N/A | N/A | 2025-12-31 00:00:00 | 2025-01-17 00:00:00 | N/A | N/A | N/A | 17 | 3 | PRIOR_AUTH | N/A | N/A | N/A | 5542022 | N/A | N/A | N/A | PRE_CERT | N/A | 17 | 17 | N/A | VISITS |
| 2025-05-23 21:27:28.907397 | 2025-05-23 21:27:28.907405 | 189422 | PENDING | 4213080 | N/A | 21916 | PRIMARY | 1 | N/A | N/A | N/A | N/A | 2025-12-31 00:00:00 | 2025-01-17 00:00:00 | N/A | N/A | N/A | 16 | 12 | PRIOR_AUTH | N/A | N/A | N/A | 5541009 | N/A | N/A | N/A | PRE_CERT | N/A | 16 | 16 | N/A | VISITS |
| 2025-05-23 21:27:28.849177 | 2025-05-23 21:27:28.849185 | 189421 | PENDING | 4210291 | N/A | 21916 | PRIMARY | 17 | N/A | N/A | N/A | N/A | 2025-12-31 00:00:00 | 2025-01-07 00:00:00 | N/A | N/A | N/A | 17 | 6 | PRIOR_AUTH | N/A | N/A | N/A | 5537778 | N/A | N/A | N/A | PRE_CERT | N/A | 17 | 17 | N/A | VISITS |
| 2025-05-23 21:27:28.788411 | 2025-05-23 21:27:28.788418 | 189420 | PENDING | 4214493 | N/A | 21916 | PRIMARY | 17 | N/A | N/A | N/A | N/A | 2025-12-31 00:00:00 | 2025-01-07 00:00:00 | N/A | N/A | N/A | 17 | 1 | PRIOR_AUTH | N/A | N/A | N/A | 5542608 | N/A | N/A | N/A | PRE_CERT | N/A | 17 | 17 | N/A | VISITS |
| 2025-05-23 21:27:28.735464 | 2025-05-23 21:27:28.735471 | 189419 | PENDING | 4214606 | N/A | 21916 | PRIMARY | 17 VISITS | N/A | N/A | N/A | N/A | 2025-12-31 00:00:00 | 2025-01-07 00:00:00 | N/A | N/A | N/A | 17 | 10 | PRIOR_AUTH | N/A | N/A | N/A | 5542733 | N/A | N/A | N/A | PRE_CERT | N/A | 17 | 17 | N/A | VISITS |
| 2025-05-23 21:27:28.677805 | 2025-05-23 21:27:28.677813 | 189418 | PENDING | 4213389 | N/A | 21916 | PRIMARY | 17 | N/A | N/A | N/A | N/A | 2025-12-31 00:00:00 | 2025-01-06 00:00:00 | N/A | N/A | N/A | 17 | 17 | PRIOR_AUTH | N/A | N/A | N/A | 5541365 | N/A | N/A | N/A | PRE_CERT | N/A | 17 | 17 | N/A | VISITS |
| 2025-05-23 21:27:28.610948 | 2025-05-23 21:27:28.610956 | 189417 | PENDING | 4213453 | N/A | 21916 | PRIMARY | 17 VISITS | N/A | N/A | N/A | N/A | 2025-12-31 00:00:00 | 2025-01-06 00:00:00 | N/A | N/A | N/A | 17 | 11 | PRIOR_AUTH | N/A | N/A | N/A | 5541430 | N/A | N/A | N/A | PRE_CERT | N/A | 17 | 17 | N/A | VISITS |
| 2025-05-23 21:27:28.554925 | 2025-05-23 21:27:28.554933 | 189416 | PENDING | 4214709 | N/A | 21916 | PRIMARY | 17 VISITS | N/A | N/A | N/A | N/A | 2025-12-31 00:00:00 | 2025-01-06 00:00:00 | N/A | N/A | N/A | 17 | 4 | PRIOR_AUTH | N/A | N/A | N/A | 5542844 | N/A | N/A | N/A | PRE_CERT | N/A | 17 | 17 | N/A | VISITS |