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 21:27:28.475059 | 2025-05-23 21:27:28.475069 | 189415 | PENDING | 4214197 | N/A | 21916 | PRIMARY | 17 | N/A | N/A | N/A | N/A | 2025-12-31 00:00:00 | 2025-01-02 00:00:00 | N/A | N/A | N/A | 17 | 6 | PRIOR_AUTH | N/A | N/A | N/A | 5542261 | N/A | N/A | N/A | PRE_CERT | N/A | 17 | 17 | N/A | VISITS |
| 2025-05-23 21:27:28.415731 | 2025-05-23 21:27:28.415738 | 189414 | PENDING | 4214334 | N/A | 21916 | PRIMARY | 17 visits | N/A | N/A | N/A | N/A | 2025-12-31 00:00:00 | 2025-01-02 00:00:00 | N/A | N/A | N/A | 17 | 17 | PRIOR_AUTH | N/A | N/A | N/A | 5542423 | N/A | N/A | N/A | PRE_CERT | N/A | 17 | 17 | N/A | VISITS |
| 2025-05-23 21:27:28.358372 | 2025-05-23 21:27:28.358379 | 189413 | PENDING | 4213855 | N/A | 21916 | PRIMARY | 28 per calender year | N/A | N/A | N/A | N/A | 2025-12-31 00:00:00 | 2025-01-01 00:00:00 | N/A | N/A | N/A | 28 | 21 | PRIOR_AUTH | N/A | N/A | N/A | 5541876 | N/A | N/A | N/A | PRE_CERT | N/A | 28 | 28 | N/A | VISITS |
| 2025-05-23 21:27:28.300801 | 2025-05-23 21:27:28.300810 | 189412 | PENDING | 4214737 | N/A | 21916 | PRIMARY | MEDICAL REVIEW AFTER 25TH VISIT | N/A | N/A | N/A | N/A | 2025-12-31 00:00:00 | 2025-01-01 00:00:00 | N/A | N/A | N/A | 25 | 1 | PRIOR_AUTH | N/A | N/A | N/A | 5542874 | N/A | N/A | N/A | PRE_CERT | N/A | 25 | 25 | N/A | VISITS |
| 2025-05-23 21:27:28.247523 | 2025-10-20 19:25:00.910435 | 189411 | PENDING | 4210984 | N/A | 21916 | PRIMARY | 17 | N/A | N/A | N/A | N/A | 2025-12-31 08:00:00 | 2025-01-01 08:00:00 | N/A | N/A | N/A | N/A | 17 | PRIOR_AUTH | N/A | N/A | N/A | 5538576 | N/A | N/A | N/A | PRE_CERT | N/A | 17 | 26 | N/A | VISITS |
| 2025-05-23 21:27:28.191170 | 2025-05-23 21:27:28.191178 | 189410 | PENDING | 4214444 | N/A | 21916 | PRIMARY | 30 visits per calender year | N/A | N/A | N/A | N/A | 2025-12-31 00:00:00 | 2025-01-01 00:00:00 | N/A | N/A | N/A | 30 | 11 | PRIOR_AUTH | N/A | N/A | N/A | 5542552 | N/A | N/A | N/A | PRE_CERT | N/A | 30 | 30 | N/A | VISITS |
| 2025-05-23 21:27:28.133120 | 2025-05-23 21:27:28.133129 | 189409 | PENDING | 4214659 | N/A | 21916 | PRIMARY | ASH AUTH AFTER 8TH VISIT | N/A | N/A | N/A | N/A | 2025-12-31 00:00:00 | 2025-01-01 00:00:00 | N/A | N/A | N/A | 8 | 8 | PRIOR_AUTH | N/A | N/A | N/A | 5542793 | N/A | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2025-05-23 21:27:28.073904 | 2026-01-27 20:45:24.064039 | 189408 | PENDING | 4212155 | N/A | 21916 | PRIMARY | 24 PER CALENDER | N/A | N/A | N/A | N/A | 2025-12-31 08:00:00 | 2025-01-01 08:00:00 | N/A | N/A | N/A | N/A | 9 | PRIOR_AUTH | N/A | N/A | N/A | 5539919 | True | N/A | N/A | PRE_CERT | N/A | 24 | 3 | N/A | VISITS |
| 2025-05-23 21:27:28.016377 | 2025-05-23 21:27:28.016385 | 189407 | PENDING | 4212612 | N/A | 21916 | PRIMARY | 17 VISITS | N/A | N/A | N/A | N/A | 2025-12-31 00:00:00 | 2025-01-01 00:00:00 | N/A | N/A | N/A | 17 | 3 | PRIOR_AUTH | N/A | N/A | N/A | 5540453 | N/A | N/A | N/A | PRE_CERT | N/A | 17 | 17 | N/A | VISITS |
| 2025-05-23 21:27:27.962577 | 2025-05-23 21:27:27.962585 | 189406 | PENDING | 4214727 | N/A | 21916 | PRIMARY | 30 VISITS PER CALENDER | N/A | N/A | N/A | N/A | 2025-12-31 00:00:00 | 2025-01-01 00:00:00 | N/A | N/A | N/A | 30 | 12 | PRIOR_AUTH | N/A | N/A | N/A | 5542861 | N/A | N/A | N/A | PRE_CERT | N/A | 30 | 30 | N/A | VISITS |
| 2025-05-23 21:27:27.904948 | 2025-05-23 21:27:27.904955 | 189405 | PENDING | 4214560 | N/A | 21916 | PRIMARY | MEDICAL REVIEW AFTER 25TH | N/A | N/A | N/A | N/A | 2025-12-31 00:00:00 | 2025-01-01 00:00:00 | N/A | N/A | N/A | 25 | 7 | PRIOR_AUTH | N/A | N/A | N/A | 5542678 | N/A | N/A | N/A | PRE_CERT | N/A | 25 | 25 | N/A | VISITS |
| 2025-05-23 21:27:27.846592 | 2025-05-23 21:27:27.846600 | 189404 | PENDING | 4214711 | N/A | 21916 | PRIMARY | 20 VISITS PER CALENDER YEAR | N/A | N/A | N/A | N/A | 2025-12-31 00:00:00 | 2025-01-01 00:00:00 | N/A | N/A | N/A | 20 | 16 | PRIOR_AUTH | N/A | N/A | N/A | 5542841 | N/A | N/A | N/A | PRE_CERT | N/A | 20 | 20 | N/A | VISITS |
| 2025-05-23 21:27:27.787327 | 2025-05-23 21:27:27.787336 | 189403 | PENDING | 4214807 | N/A | 21916 | PRIMARY | 60 VISITS PER CALENDER YEAR | N/A | N/A | N/A | N/A | 2025-12-31 00:00:00 | 2025-01-01 00:00:00 | N/A | N/A | N/A | 60 | 45 | PRIOR_AUTH | N/A | N/A | N/A | 5542953 | N/A | N/A | N/A | PRE_CERT | N/A | 60 | 60 | N/A | VISITS |
| 2025-05-23 21:27:27.724544 | 2025-05-23 21:27:27.724553 | 189402 | PENDING | 4215114 | N/A | 21916 | PRIMARY | 50 VISITS PER CALENDER YEAR | N/A | N/A | N/A | N/A | 2025-12-31 00:00:00 | 2025-01-01 00:00:00 | N/A | N/A | N/A | 50 | 46 | PRIOR_AUTH | N/A | N/A | N/A | 5543303 | N/A | N/A | N/A | PRE_CERT | N/A | 50 | 50 | N/A | VISITS |
| 2025-05-23 21:21:04.783621 | 2025-05-23 21:21:04.783661 | 189399 | PENDING | 4214515 | N/A | 21916 | PRIMARY | MEDICAL REVIEW AFTER 25 VISITS | N/A | N/A | N/A | N/A | 2025-12-31 00:00:00 | 2025-01-01 00:00:00 | N/A | N/A | N/A | 22 | 21 | PRIOR_AUTH | N/A | N/A | N/A | 5542639 | N/A | N/A | N/A | PRE_CERT | N/A | 22 | 22 | N/A | VISITS |
| 2025-05-15 20:39:25.119931 | 2025-05-28 00:22:49.268026 | 172570 | NOT_INITIATED | 3930357 | N/A | N/A | PRIMARY | 31270001 | N/A | N/A | Shoulder! | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5201628 | True | N/A | N/A | PRE_CERT | N/A | N/A | N/A | N/A | VISITS |
| 2025-05-15 20:37:06.533052 | 2025-05-15 20:37:06.533058 | 172567 | NOT_INITIATED | 3930357 | N/A | N/A | PRIMARY | 1234567890 | N/A | N/A | N/A | N/A | 2025-06-30 07:00:00 | N/A | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5201628 | N/A | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2025-05-14 21:06:08.108257 | 2025-05-23 23:33:01.610364 | 171817 | PENDING | 4210683 | N/A | 21916 | PRIMARY | 20241120P0104349 | 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 | 8 | PRIOR_AUTH | N/A | N/A | N/A | 5538238 | N/A | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2025-05-14 21:06:05.668323 | 2025-10-08 18:33:14.325373 | 171816 | PENDING | 4210781 | N/A | 21916 | PRIMARY | 20250220L0100122 | 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 | 9 | 9 | PRIOR_AUTH | N/A | N/A | N/A | 5538353 | True | N/A | N/A | PRE_CERT | N/A | 9 | 9 | N/A | VISITS |
| 2025-05-14 21:06:02.740446 | 2025-05-23 23:33:01.589360 | 171815 | PENDING | 4210814 | N/A | 21916 | PRIMARY | 20241125L0100512 | 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 | 2 | 2 | PRIOR_AUTH | N/A | N/A | N/A | 5538393 | N/A | N/A | N/A | PRE_CERT | N/A | 2 | 2 | N/A | VISITS |
| 2025-05-14 21:06:01.647005 | 2025-06-18 18:03:36.814284 | 171814 | PENDING | 4210749 | N/A | 21916 | PRIMARY | 20250103L0101431 | 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 | 12 | PRIOR_AUTH | N/A | N/A | N/A | 5538313 | True | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2025-05-14 21:05:38.144930 | 2025-05-23 23:33:01.182080 | 171813 | PENDING | 4209787 | N/A | 21916 | PRIMARY | 20241119P0101593 | N/A | N/A | N/A | N/A | 2025-02-17 00:00:00 | 2024-12-09 00:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5537176 | N/A | N/A | N/A | PRE_CERT | N/A | N/A | N/A | N/A | VISITS |
| 2025-05-14 21:05:36.095824 | 2025-05-23 00:34:43.891625 | 171812 | PENDING | 4209784 | N/A | 21916 | PRIMARY | 20241204P0100965 | N/A | N/A | N/A | N/A | 2025-03-04 00:00:00 | 2024-12-04 00:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5537167 | N/A | N/A | N/A | PRE_CERT | N/A | N/A | N/A | N/A | VISITS |
| 2025-05-14 21:05:33.003913 | 2025-05-23 23:33:01.540380 | 171811 | PENDING | 4209707 | N/A | 21916 | PRIMARY | 20241122P0104418 | 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 | 5537071 | N/A | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2025-05-14 21:05:32.296469 | 2025-06-01 18:30:23.576674 | 171810 | PENDING | 4218983 | N/A | 21916 | PRIMARY | 20250403P0102743 | N/A | N/A | N/A | N/A | 2025-04-06 00:00:00 | 2025-01-06 00:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5549284 | True | N/A | N/A | PRE_CERT | N/A | N/A | N/A | N/A | VISITS |
| 2025-05-14 21:05:31.607836 | 2025-05-23 23:30:13.864093 | 171809 | PENDING | 4209900 | N/A | 21916 | PRIMARY | 20241120l0100440 | N/A | N/A | N/A | N/A | 2025-02-19 00:00:00 | 2024-11-20 00:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5537321 | N/A | N/A | N/A | PRE_CERT | N/A | N/A | N/A | N/A | VISITS |
| 2025-05-14 21:05:31.194997 | 2025-05-23 23:33:01.565219 | 171808 | PENDING | 4209428 | N/A | 21916 | SECONDARY | 20241114P0101902 | N/A | N/A | N/A | N/A | 2025-02-12 00:00:00 | 2024-11-14 00:00:00 | N/A | N/A | N/A | 4 | 4 | PRIOR_AUTH | N/A | N/A | N/A | 5536732 | N/A | N/A | N/A | PRE_CERT | N/A | 4 | 4 | N/A | VISITS |
| 2025-05-14 21:05:31.263788 | 2025-06-02 04:26:16.478854 | 171807 | PENDING | 4218894 | N/A | 21916 | PRIMARY | 20241108P0106237 | N/A | N/A | N/A | N/A | 2025-02-06 00:00:00 | 2024-11-08 00:00:00 | N/A | N/A | N/A | 3 | 3 | PRIOR_AUTH | N/A | N/A | N/A | 5549180 | True | N/A | N/A | PRE_CERT | N/A | 3 | 3 | N/A | VISITS |
| 2025-05-14 21:05:30.999085 | 2025-05-23 23:33:01.530173 | 171806 | PENDING | 4209682 | N/A | 21916 | PRIMARY | 20241219L0100597 | N/A | N/A | N/A | N/A | 2025-03-19 00:00:00 | 2024-12-19 00:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5537041 | N/A | N/A | N/A | PRE_CERT | N/A | N/A | N/A | N/A | VISITS |
| 2025-05-14 21:05:30.808617 | 2025-05-23 23:33:01.520240 | 171805 | PENDING | 4209691 | N/A | 21916 | PRIMARY | 2 | N/A | N/A | N/A | N/A | 2025-03-03 00:00:00 | 2024-12-17 00:00:00 | N/A | N/A | N/A | 15 | 15 | PRIOR_AUTH | N/A | N/A | N/A | 5537054 | N/A | N/A | N/A | PRE_CERT | N/A | 15 | 15 | N/A | VISITS |
| 2025-05-14 21:04:54.702602 | 2025-05-23 23:33:01.510633 | 171804 | PENDING | 4218963 | N/A | 21916 | PRIMARY | 20241119P0101398 | 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 | 10 | 10 | PRIOR_AUTH | N/A | N/A | N/A | 5549258 | N/A | N/A | N/A | PRE_CERT | N/A | 10 | 10 | N/A | VISITS |
| 2025-05-14 21:04:54.687843 | 2025-06-06 23:38:16.318489 | 171803 | PENDING | 4209547 | N/A | 21916 | PRIMARY | 20250604P0106746 | N/A | N/A | N/A | N/A | 2025-09-02 07:00:00 | 2025-06-04 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5536875 | N/A | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2025-05-14 21:04:53.970278 | 2025-11-19 17:41:56.643224 | 171802 | PENDING | 4218948 | N/A | 21916 | PRIMARY | 20241008P0100569 | N/A | N/A | N/A | N/A | 2025-01-14 00:00:00 | 2024-10-08 00:00:00 | N/A | N/A | N/A | 11 | 11 | PRIOR_AUTH | N/A | N/A | N/A | 5549237 | True | N/A | N/A | PRE_CERT | N/A | 11 | 11 | N/A | VISITS |
| 2025-05-14 21:04:53.512062 | 2025-05-23 23:33:01.488921 | 171801 | PENDING | 4209577 | N/A | 21916 | SECONDARY | 20241031L0100301 | 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 | 8 | 8 | PRIOR_AUTH | N/A | N/A | N/A | 5536914 | N/A | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2025-05-14 21:04:53.264406 | 2025-05-23 00:34:54.705782 | 171800 | PENDING | 4209573 | N/A | 21916 | PRIMARY | 20241031P0104471 | 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 | 5 | 5 | PRIOR_AUTH | N/A | N/A | N/A | 5536908 | N/A | N/A | N/A | PRE_CERT | N/A | 5 | 5 | N/A | VISITS |
| 2025-05-14 21:04:52.997447 | 2025-05-23 23:33:01.477262 | 171799 | PENDING | 4209607 | N/A | 21916 | PRIMARY | 20241202P0100248 | N/A | N/A | N/A | N/A | 2025-03-02 00:00:00 | 2024-12-02 00:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5536951 | N/A | N/A | N/A | PRE_CERT | N/A | N/A | N/A | N/A | VISITS |
| 2025-05-14 21:04:52.963995 | 2025-05-23 00:34:43.891658 | 171798 | PENDING | 4209643 | N/A | 21916 | PRIMARY | 20241004P0105599 | 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 | 5 | 5 | PRIOR_AUTH | N/A | N/A | N/A | 5536990 | N/A | N/A | N/A | PRE_CERT | N/A | 5 | 5 | N/A | VISITS |
| 2025-05-14 21:04:52.842741 | 2025-06-17 20:22:06.508442 | 171797 | PENDING | 4209603 | N/A | 21916 | PRIMARY | 24268A0236 | N/A | N/A | N/A | N/A | 2025-09-08 07:00:00 | 2024-09-24 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5536948 | True | N/A | N/A | PRE_CERT | N/A | 7 | 7 | N/A | VISITS |
| 2025-05-14 21:04:52.614071 | 2025-05-23 23:33:01.465218 | 171796 | PENDING | 4209644 | N/A | 21916 | PRIMARY | 20241101L0101207 | N/A | N/A | N/A | N/A | 2025-01-30 00:00:00 | 2024-11-01 00:00:00 | N/A | N/A | N/A | 7 | 7 | PRIOR_AUTH | N/A | N/A | N/A | 5537002 | N/A | N/A | N/A | PRE_CERT | N/A | 7 | 7 | N/A | VISITS |
| 2025-05-14 21:04:52.327433 | 2025-05-23 00:34:45.098032 | 171795 | PENDING | 4209636 | N/A | 21916 | PRIMARY | 20241003L0101913 | N/A | N/A | N/A | N/A | 2025-01-01 00:00:00 | 2024-10-03 00:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5536981 | N/A | N/A | N/A | PRE_CERT | N/A | N/A | N/A | N/A | VISITS |
| 2025-05-14 21:04:41.375924 | 2025-05-23 23:33:01.450516 | 171794 | PENDING | 4215331 | N/A | 21916 | PRIMARY | 20241219P0102544 | N/A | N/A | N/A | N/A | 2025-03-20 00:00:00 | 2024-12-19 00:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5543562 | N/A | N/A | N/A | PRE_CERT | N/A | N/A | N/A | N/A | VISITS |
| 2025-05-14 21:04:41.044414 | 2025-06-05 17:20:43.303207 | 171793 | PENDING | 4219852 | N/A | 21916 | SECONDARY | 20250407P0102178 Right Knee | N/A | N/A | N/A | N/A | 2025-07-06 14:00:00 | 2025-04-07 14:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5551030 | N/A | N/A | N/A | PRE_CERT | N/A | 2 | 2 | N/A | VISITS |
| 2025-05-14 21:04:40.451921 | 2025-05-23 23:33:01.122036 | 171792 | PENDING | 4214840 | N/A | 21916 | PRIMARY | 20241114P0106817 | N/A | N/A | N/A | N/A | 2025-02-12 00:00:00 | 2024-11-14 00:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5542992 | N/A | N/A | N/A | PRE_CERT | N/A | N/A | N/A | N/A | VISITS |
| 2025-05-14 21:04:38.569675 | 2025-10-03 15:49:29.725986 | 171791 | PENDING | 4214212 | N/A | 21916 | PRIMARY | 20241031P0100565 | N/A | N/A | N/A | N/A | 2025-02-02 00:00:00 | 2024-10-31 00:00:00 | N/A | N/A | N/A | 10 | 10 | PRIOR_AUTH | N/A | N/A | N/A | 5542274 | True | N/A | N/A | PRE_CERT | N/A | 10 | 10 | N/A | VISITS |
| 2025-05-14 21:04:38.459075 | 2025-05-23 23:33:01.109054 | 171790 | PENDING | 4214836 | N/A | 21916 | PRIMARY | 20241213P0100960 | N/A | N/A | N/A | N/A | 2025-03-19 00:00:00 | 2024-12-19 00:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5542987 | N/A | N/A | N/A | PRE_CERT | N/A | N/A | N/A | N/A | VISITS |
| 2025-05-14 21:04:38.097770 | 2026-04-16 19:49:04.655587 | 171789 | PENDING | 4215359 | N/A | 21916 | PRIMARY | 20241030L0100694 | 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 | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5543586 | True | N/A | N/A | PRE_CERT | N/A | N/A | N/A | N/A | VISITS |
| 2025-05-14 21:04:37.496362 | 2025-05-23 23:33:01.035355 | 171788 | PENDING | 4214584 | N/A | 21916 | PRIMARY | 20241113L0101208 | 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 | 4 | 4 | PRIOR_AUTH | N/A | N/A | N/A | 5542706 | N/A | N/A | N/A | PRE_CERT | N/A | 4 | 4 | N/A | VISITS |
| 2025-05-14 21:04:37.443540 | 2025-05-23 23:33:01.428299 | 171787 | PENDING | 4214204 | N/A | 21916 | PRIMARY | 20241011P0100630 | N/A | N/A | N/A | N/A | 2025-01-09 00:00:00 | 2024-10-11 00:00:00 | N/A | N/A | N/A | 2 | 2 | PRIOR_AUTH | N/A | N/A | N/A | 5542266 | N/A | N/A | N/A | PRE_CERT | N/A | 2 | 2 | N/A | VISITS |
| 2025-05-14 21:04:37.149467 | 2025-05-23 23:33:01.347636 | 171786 | PENDING | 4214023 | 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 | 7 | 7 | PRIOR_AUTH | N/A | N/A | N/A | 5542071 | N/A | N/A | N/A | PRE_CERT | N/A | 7 | 7 | N/A | VISITS |
| 2025-05-14 21:04:36.904497 | 2025-05-23 23:33:00.124892 | 171785 | PENDING | 4214607 | N/A | 21916 | PRIMARY | 2023120001130 | N/A | N/A | N/A | N/A | 2025-03-31 00:00:00 | 2024-11-25 00:00:00 | N/A | N/A | N/A | 4 | 4 | PRIOR_AUTH | N/A | N/A | N/A | 5542736 | N/A | N/A | N/A | PRE_CERT | N/A | 4 | 4 | N/A | VISITS |