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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025-05-14 21:04:36.654119 | 2025-07-30 14:51:38.199473 | 171784 | PENDING | 4214496 | N/A | 21916 | PRIMARY | 20241227P0103854 | N/A | N/A | N/A | N/A | 2025-03-27 00:00:00 | 2024-12-27 00:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5542606 | True | N/A | N/A | PRE_CERT | N/A | N/A | N/A | N/A | VISITS |
| 2025-05-14 21:04:36.564652 | 2025-05-23 23:33:01.379184 | 171783 | PENDING | 4219551 | N/A | 21916 | PRIMARY | 20250321P0104936 | 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 | 13 | 13 | PRIOR_AUTH | N/A | N/A | N/A | 5550487 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2025-05-14 21:04:36.580629 | 2025-05-23 23:33:01.025766 | 171782 | PENDING | 4214591 | N/A | 21916 | PRIMARY | 20241218L0101867 | N/A | N/A | N/A | N/A | 2025-03-18 00:00:00 | 2024-12-18 00:00:00 | N/A | N/A | N/A | 5 | 5 | PRIOR_AUTH | N/A | N/A | N/A | 5542716 | N/A | N/A | N/A | PRE_CERT | N/A | 5 | 5 | N/A | VISITS |
| 2025-05-14 21:04:36.353438 | 2025-09-17 21:13:33.909828 | 171781 | PENDING | 4214010 | N/A | 21916 | PRIMARY | REF#EI00165842 | N/A | N/A | N/A | N/A | 2025-02-05 00:00:00 | 2024-11-06 00:00:00 | N/A | N/A | N/A | 10 | 10 | PRIOR_AUTH | N/A | N/A | N/A | 5542058 | True | N/A | N/A | PRE_CERT | N/A | 10 | 10 | N/A | VISITS |
| 2025-05-14 21:04:36.241168 | 2025-06-02 04:21:14.808501 | 171780 | PENDING | 4214827 | N/A | 21916 | PRIMARY | 20250114P0104165 | N/A | N/A | N/A | N/A | 2025-04-14 00:00:00 | 2025-01-14 00:00:00 | N/A | N/A | N/A | 4 | 4 | PRIOR_AUTH | N/A | N/A | N/A | 5542977 | True | N/A | N/A | PRE_CERT | N/A | 4 | 4 | N/A | VISITS |
| 2025-05-14 21:04:36.236666 | 2025-05-23 23:33:00.112961 | 171779 | PENDING | 4219575 | N/A | 21916 | PRIMARY | 20241127P0104070 | N/A | N/A | N/A | N/A | 2025-03-03 00:00:00 | 2024-11-27 00:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5550602 | N/A | N/A | N/A | PRE_CERT | N/A | N/A | N/A | N/A | VISITS |
| 2025-05-14 21:04:36.209484 | 2025-06-23 23:30:21.241894 | 171778 | PENDING | 4215016 | N/A | 21916 | PRIMARY | ASH AUTH AFTER 8TH VISIT | N/A | N/A | N/A | N/A | 2025-03-24 14:00:00 | 2025-03-05 16:00:00 | N/A | N/A | N/A | N/A | 8 | PRIOR_AUTH | N/A | N/A | N/A | 5543189 | N/A | N/A | N/A | PRE_CERT | N/A | 8 | 7 | N/A | VISITS |
| 2025-05-14 21:04:35.879663 | 2025-05-23 23:32:59.704375 | 171777 | PENDING | 4214437 | N/A | 21916 | PRIMARY | 20241003P0102605 | 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 | 5542546 | N/A | N/A | N/A | PRE_CERT | N/A | N/A | N/A | N/A | VISITS |
| 2025-05-14 21:04:35.788536 | 2025-09-23 18:16:29.669144 | 171776 | PENDING | 4214455 | N/A | 21916 | PRIMARY | 20241030L0102185 | 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 | 5542563 | True | N/A | N/A | PRE_CERT | N/A | N/A | N/A | N/A | VISITS |
| 2025-05-14 21:04:35.588957 | 2025-05-23 23:33:01.015860 | 171775 | PENDING | 4214588 | N/A | 21916 | PRIMARY | 20241112P0106570 | 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 | 8 | 8 | PRIOR_AUTH | N/A | N/A | N/A | 5542713 | N/A | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2025-05-14 21:04:35.540437 | 2025-05-23 23:30:12.651052 | 171774 | PENDING | 4215133 | N/A | 21916 | PRIMARY | OP0022855516 | N/A | N/A | N/A | N/A | 2025-03-05 00:00:00 | 2024-12-06 00:00:00 | N/A | N/A | N/A | 4 | 4 | PRIOR_AUTH | N/A | N/A | N/A | 5543326 | N/A | N/A | N/A | PRE_CERT | N/A | 4 | 4 | N/A | VISITS |
| 2025-05-14 21:04:35.248069 | 2025-05-23 23:33:01.085817 | 171773 | PENDING | 4214823 | N/A | 21916 | PRIMARY | 20250103P0103974 | 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 | 7 | 7 | PRIOR_AUTH | N/A | N/A | N/A | 5542972 | N/A | N/A | N/A | PRE_CERT | N/A | 7 | 7 | N/A | VISITS |
| 2025-05-14 21:04:34.944484 | 2025-05-23 00:34:51.075435 | 171772 | PENDING | 4214632 | N/A | 21916 | PRIMARY | 22231488366 | N/A | N/A | N/A | N/A | 2025-02-24 00:00:00 | 2024-11-29 00:00:00 | N/A | N/A | N/A | 40 | 40 | PRIOR_AUTH | N/A | N/A | N/A | 5542754 | N/A | N/A | N/A | PRE_CERT | N/A | 40 | 40 | N/A | VISITS |
| 2025-05-14 21:04:34.892157 | 2025-05-23 00:59:23.453675 | 171771 | PENDING | 4214253 | N/A | 21916 | PRIMARY | 20241016P0100550 | N/A | N/A | N/A | N/A | 2025-01-15 00:00:00 | 2024-10-16 00:00:00 | N/A | N/A | N/A | 8 | 8 | PRIOR_AUTH | N/A | N/A | N/A | 5542329 | N/A | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2025-05-14 21:04:34.888287 | 2025-05-23 23:33:01.240628 | 171770 | PENDING | 4219569 | N/A | 21916 | PRIMARY | 20241022P0102053 | N/A | N/A | N/A | N/A | 2025-01-20 00:00:00 | 2024-10-22 00:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5550582 | N/A | N/A | N/A | PRE_CERT | N/A | N/A | N/A | N/A | VISITS |
| 2025-05-14 21:04:34.822969 | 2025-05-23 23:33:01.392017 | 171769 | PENDING | 4214362 | N/A | 21916 | PRIMARY | 4076313 | N/A | N/A | N/A | N/A | 2025-03-21 00:00:00 | 2025-02-21 00:00:00 | N/A | N/A | N/A | 3 | 3 | PRIOR_AUTH | N/A | N/A | N/A | 5542452 | N/A | N/A | N/A | PRE_CERT | N/A | 3 | 3 | N/A | VISITS |
| 2025-05-14 21:04:34.693457 | 2025-05-23 23:33:01.211271 | 171768 | PENDING | 4214926 | N/A | 21916 | PRIMARY | 20250102P0103187 | N/A | N/A | N/A | N/A | 2025-04-02 00:00:00 | 2025-01-02 00:00:00 | N/A | N/A | N/A | 14 | 14 | PRIOR_AUTH | N/A | N/A | N/A | 5543089 | N/A | N/A | N/A | PRE_CERT | N/A | 14 | 14 | N/A | VISITS |
| 2025-05-14 21:04:34.706878 | 2025-05-23 23:33:01.325807 | 171767 | PENDING | 4214003 | N/A | 21916 | PRIMARY | 20241213L0100564 | N/A | N/A | N/A | N/A | 2025-03-13 00:00:00 | 2024-12-13 00:00:00 | N/A | N/A | N/A | 7 | 7 | PRIOR_AUTH | N/A | N/A | N/A | 5542048 | N/A | N/A | N/A | PRE_CERT | N/A | 7 | 7 | N/A | VISITS |
| 2025-05-14 21:04:34.590449 | 2025-05-23 23:33:00.463601 | 171766 | PENDING | 4214452 | N/A | 21916 | PRIMARY | 16543359 | N/A | N/A | N/A | N/A | 2025-03-25 00:00:00 | 2025-02-25 00:00:00 | N/A | N/A | N/A | 1 | 1 | PRIOR_AUTH | N/A | N/A | N/A | 5542561 | N/A | N/A | N/A | PRE_CERT | N/A | 1 | 1 | N/A | VISITS |
| 2025-05-14 21:04:34.454810 | 2025-05-23 23:32:59.693149 | 171765 | PENDING | 4214439 | N/A | 21916 | PRIMARY | 20241220P0103610 | N/A | N/A | N/A | N/A | 2025-03-20 00:00:00 | 2024-12-20 00:00:00 | N/A | N/A | N/A | 1 | 1 | PRIOR_AUTH | N/A | N/A | N/A | 5542547 | N/A | N/A | N/A | PRE_CERT | N/A | 1 | 1 | N/A | VISITS |
| 2025-05-14 21:04:34.405803 | 2025-05-23 23:33:01.076460 | 171764 | PENDING | 4214832 | N/A | 21916 | PRIMARY | 20250110P0103508 | N/A | N/A | N/A | N/A | 2025-04-10 00:00:00 | 2025-01-10 00:00:00 | N/A | N/A | N/A | 5 | 5 | PRIOR_AUTH | N/A | N/A | N/A | 5542983 | N/A | N/A | N/A | PRE_CERT | N/A | 5 | 5 | N/A | VISITS |
| 2025-05-14 21:04:34.315514 | 2025-05-23 23:33:00.798249 | 171763 | PENDING | 4214811 | N/A | 21916 | PRIMARY | 20241213L0101454 | N/A | N/A | N/A | N/A | 2025-03-13 00:00:00 | 2024-12-13 00:00:00 | N/A | N/A | N/A | 5 | 5 | PRIOR_AUTH | N/A | N/A | N/A | 5542959 | N/A | N/A | N/A | PRE_CERT | N/A | 5 | 5 | N/A | VISITS |
| 2025-05-14 21:04:34.200049 | 2025-05-23 23:33:01.367460 | 171762 | PENDING | 4213872 | N/A | 21916 | PRIMARY | 20241122P0102000 | N/A | N/A | N/A | N/A | 2025-03-02 00:00:00 | 2024-11-22 00:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5541894 | N/A | N/A | N/A | PRE_CERT | N/A | N/A | N/A | N/A | VISITS |
| 2025-05-14 21:04:33.909923 | 2025-11-13 21:28:15.883526 | 171761 | PENDING | 4214822 | N/A | 21916 | PRIMARY | 20250114L0101392 | N/A | N/A | N/A | N/A | 2025-04-14 00:00:00 | 2025-01-28 00:00:00 | N/A | N/A | N/A | 2 | 2 | PRIOR_AUTH | N/A | N/A | N/A | 5542976 | True | N/A | N/A | PRE_CERT | N/A | 2 | 2 | N/A | VISITS |
| 2025-05-14 21:04:33.886870 | 2025-07-31 16:48:04.614084 | 171760 | PENDING | 4214490 | N/A | 21916 | PRIMARY | 20250520P0101710 | N/A | N/A | knees | N/A | 2025-08-18 21:00:00 | 2025-05-20 21:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5542611 | N/A | N/A | N/A | PRE_CERT | N/A | 10 | 12 | N/A | VISITS |
| 2025-05-14 21:04:33.856078 | 2025-05-23 23:33:00.099456 | 171759 | PENDING | 4214626 | N/A | 21916 | PRIMARY | 20241122P0105809 | 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 | 1 | PRIOR_AUTH | N/A | N/A | N/A | 5542748 | N/A | N/A | N/A | PRE_CERT | N/A | 1 | 1 | N/A | VISITS |
| 2025-05-14 21:04:33.614576 | 2025-05-23 23:33:01.004909 | 171758 | PENDING | 4214573 | N/A | 21916 | PRIMARY | OP0021056389 | N/A | N/A | N/A | N/A | 2025-01-30 00:00:00 | 2024-10-02 00:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5542695 | N/A | N/A | N/A | PRE_CERT | N/A | N/A | N/A | N/A | VISITS |
| 2025-05-14 21:04:33.446091 | 2025-05-23 23:33:00.451960 | 171757 | PENDING | 4214450 | N/A | 21916 | PRIMARY | 20241112P0106604 | 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 | 10 | 10 | PRIOR_AUTH | N/A | N/A | N/A | 5542557 | N/A | N/A | N/A | PRE_CERT | N/A | 10 | 10 | N/A | VISITS |
| 2025-05-14 21:04:33.306599 | 2025-06-10 19:51:30.296361 | 171756 | PENDING | 4214436 | N/A | 21916 | SECONDARY | 20241016L0101803 | N/A | N/A | N/A | N/A | 2025-01-14 00:00:00 | 2024-10-16 00:00:00 | N/A | N/A | N/A | 17 | 17 | PRIOR_AUTH | N/A | N/A | N/A | 5542543 | True | N/A | N/A | PRE_CERT | N/A | 17 | 17 | N/A | VISITS |
| 2025-05-14 21:04:33.016856 | 2025-10-13 22:16:24.884559 | 171755 | PENDING | 4214806 | N/A | 21916 | PRIMARY | 20250114P0102719 | N/A | N/A | N/A | N/A | 2025-04-14 00:00:00 | 2025-01-28 00:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5542956 | True | N/A | N/A | PRE_CERT | N/A | N/A | N/A | N/A | VISITS |
| 2025-05-14 21:04:33.004481 | 2025-05-23 23:33:00.085476 | 171754 | PENDING | 4214618 | N/A | 21916 | PRIMARY | 20241218L0100059 | N/A | N/A | N/A | N/A | 2025-03-18 00:00:00 | 2024-12-18 00:00:00 | N/A | N/A | N/A | 8 | 8 | PRIOR_AUTH | N/A | N/A | N/A | 5542742 | N/A | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2025-05-14 21:04:32.825390 | 2025-11-03 18:09:58.454634 | 171753 | PENDING | 4214447 | N/A | 21916 | PRIMARY | 20241104L0100816 | N/A | N/A | N/A | N/A | 2025-02-02 00:00:00 | 2024-11-04 00:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5542555 | True | N/A | N/A | PRE_CERT | N/A | N/A | N/A | N/A | VISITS |
| 2025-05-14 21:04:32.658847 | 2025-05-23 23:33:00.765568 | 171752 | PENDING | 4214808 | N/A | 21916 | PRIMARY | 20250110P0102383 | N/A | N/A | N/A | N/A | 2025-04-10 00:00:00 | 2025-01-27 00:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5542958 | N/A | N/A | N/A | PRE_CERT | N/A | N/A | N/A | N/A | VISITS |
| 2025-05-14 21:04:32.607290 | 2025-05-23 23:33:00.993428 | 171751 | PENDING | 4214570 | N/A | 21916 | PRIMARY | 20241115L0101401 | N/A | N/A | N/A | N/A | 2025-02-13 00:00:00 | 2024-11-15 00:00:00 | N/A | N/A | N/A | 1 | 1 | PRIOR_AUTH | N/A | N/A | N/A | 5542693 | N/A | N/A | N/A | PRE_CERT | N/A | 1 | 1 | N/A | VISITS |
| 2025-05-14 21:04:32.577596 | 2025-06-12 23:22:56.520454 | 171750 | PENDING | 4214542 | N/A | 21916 | PRIMARY | 20241028P0102731 | N/A | N/A | N/A | N/A | 2025-01-26 00:00:00 | 2024-10-28 00:00:00 | N/A | N/A | N/A | 11 | 11 | PRIOR_AUTH | N/A | N/A | N/A | 5542660 | True | N/A | N/A | PRE_CERT | N/A | 11 | 11 | N/A | VISITS |
| 2025-05-14 21:04:32.485410 | 2025-05-23 23:30:12.584950 | 171749 | PENDING | 4214288 | N/A | 21916 | PRIMARY | 20241003P0105676 | 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 | 10 | 10 | PRIOR_AUTH | N/A | N/A | N/A | 5542372 | N/A | N/A | N/A | PRE_CERT | N/A | 10 | 10 | N/A | VISITS |
| 2025-05-14 21:04:32.195485 | 2025-05-23 23:33:01.357314 | 171748 | PENDING | 4213812 | N/A | 21916 | PRIMARY | ASH AUTH | N/A | N/A | N/A | N/A | 2025-03-26 00:00:00 | 2025-02-26 00:00:00 | N/A | N/A | N/A | 7 | 7 | PRIOR_AUTH | N/A | N/A | N/A | 5541820 | N/A | N/A | N/A | PRE_CERT | N/A | 7 | 7 | N/A | VISITS |
| 2025-05-14 21:04:32.139668 | 2025-12-15 17:27:29.245155 | 171747 | PENDING | 4214919 | N/A | 21916 | PRIMARY | 20241211P0106565 | N/A | N/A | N/A | N/A | 2025-03-11 00:00:00 | 2025-02-18 00:00:00 | N/A | N/A | N/A | 8 | 8 | PRIOR_AUTH | N/A | N/A | N/A | 5543081 | True | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2025-05-14 21:04:32.130166 | 2025-05-23 23:33:00.429985 | 171746 | PENDING | 4214448 | N/A | 21916 | PRIMARY | 20250311P0104632 | 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 | 8 | 8 | PRIOR_AUTH | N/A | N/A | N/A | 5542556 | N/A | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2025-05-14 21:04:32.100065 | 2025-05-23 23:32:59.529584 | 171745 | PENDING | 4214577 | N/A | 21916 | PRIMARY | 20241111P0104989 | N/A | N/A | N/A | N/A | 2025-02-11 00:00:00 | 2024-11-11 00:00:00 | N/A | N/A | N/A | 1 | 1 | PRIOR_AUTH | N/A | N/A | N/A | 5542703 | N/A | N/A | N/A | PRE_CERT | N/A | 1 | 1 | N/A | VISITS |
| 2025-05-14 21:04:32.096166 | 2025-05-23 23:33:01.153853 | 171744 | PENDING | 4213944 | N/A | 21916 | PRIMARY | 20241115P0101655 | N/A | N/A | N/A | N/A | 2025-02-13 00:00:00 | 2024-11-15 00:00:00 | N/A | N/A | N/A | 7 | 7 | PRIOR_AUTH | N/A | N/A | N/A | 5541977 | N/A | N/A | N/A | PRE_CERT | N/A | 7 | 7 | N/A | VISITS |
| 2025-05-14 21:04:32.065159 | 2025-05-23 23:33:01.315314 | 171743 | PENDING | 4214009 | N/A | 21916 | PRIMARY | OP0022085606 | N/A | N/A | N/A | N/A | 2025-02-23 00:00:00 | 2024-11-07 00:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5542054 | N/A | N/A | N/A | PRE_CERT | N/A | N/A | N/A | N/A | VISITS |
| 2025-05-14 21:04:31.916596 | 2025-05-23 23:30:13.180898 | 171742 | PENDING | 4214301 | N/A | 21916 | PRIMARY | 20241003P0103160 | N/A | N/A | N/A | N/A | 2025-01-01 00:00:00 | 2024-10-15 00:00:00 | N/A | N/A | N/A | 7 | 7 | PRIOR_AUTH | N/A | N/A | N/A | 5542381 | N/A | N/A | N/A | PRE_CERT | N/A | 7 | 7 | N/A | VISITS |
| 2025-05-14 21:04:31.798118 | 2025-12-04 19:47:29.005901 | 171741 | PENDING | 4214483 | N/A | 21916 | PRIMARY | 20241101P0105160 | 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 | 2 | 2 | PRIOR_AUTH | N/A | N/A | N/A | 5542593 | True | N/A | N/A | PRE_CERT | N/A | 2 | 2 | N/A | VISITS |
| 2025-05-14 21:04:31.707434 | 2025-05-23 23:33:00.981745 | 171740 | PENDING | 4214578 | N/A | 21916 | PRIMARY | 20241113P0100804 | 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 | 8 | PRIOR_AUTH | N/A | N/A | N/A | 5542697 | N/A | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2025-05-14 21:04:31.670684 | 2026-04-01 21:53:59.871594 | 171739 | PENDING | 4214126 | N/A | 21916 | PRIMARY | 20240919L0101655 | N/A | N/A | N/A | N/A | 2025-01-18 00:00:00 | 2024-09-19 00:00:00 | N/A | N/A | N/A | 8 | 8 | PRIOR_AUTH | N/A | N/A | N/A | 5542180 | True | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2025-05-14 21:04:31.489712 | 2025-05-23 23:33:01.144139 | 171738 | PENDING | 4213955 | N/A | 21916 | PRIMARY | 20241121L0101927 | 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 | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5541985 | N/A | N/A | N/A | PRE_CERT | N/A | N/A | N/A | N/A | VISITS |
| 2025-05-14 21:04:31.404385 | 2025-05-23 23:33:00.355981 | 171737 | PENDING | 4214403 | N/A | 21916 | PRIMARY | 24274A0298 | N/A | N/A | N/A | N/A | 2025-04-05 00:00:00 | 2024-10-07 00:00:00 | N/A | N/A | N/A | 8 | 8 | PRIOR_AUTH | N/A | N/A | N/A | 5542501 | N/A | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2025-05-14 21:04:31.312996 | 2025-12-05 17:21:32.772103 | 171736 | PENDING | 4214001 | N/A | 21916 | PRIMARY | 20250509P0105831 | N/A | N/A | N/A | N/A | 2025-08-08 04:00:00 | 2025-05-10 04:00:00 | N/A | N/A | N/A | N/A | 8 | PRIOR_AUTH | N/A | N/A | N/A | 5542046 | True | N/A | N/A | PRE_CERT | N/A | 8 | 7 | N/A | VISITS |
| 2025-05-14 21:04:31.302337 | 2025-05-23 23:33:00.722464 | 171735 | PENDING | 4214558 | N/A | 21916 | PRIMARY | 20241108L0102118 | 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 | 4 | 4 | PRIOR_AUTH | N/A | N/A | N/A | 5542681 | N/A | N/A | N/A | PRE_CERT | N/A | 4 | 4 | N/A | VISITS |