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 21:04:31.134374 | 2025-05-23 23:33:01.191251 | 171734 | PENDING | 4214917 | N/A | 21916 | PRIMARY | 20241206P0103700 | N/A | N/A | N/A | N/A | 2025-03-11 00:00:00 | 2024-12-06 00:00:00 | N/A | N/A | N/A | 3 | 3 | PRIOR_AUTH | N/A | N/A | N/A | 5543076 | N/A | N/A | N/A | PRE_CERT | N/A | 3 | 3 | N/A | VISITS |
| 2025-05-14 21:04:31.071839 | 2025-05-23 23:33:00.971871 | 171733 | PENDING | 4214569 | N/A | 21916 | PRIMARY | 30543402 | N/A | N/A | N/A | N/A | 2025-01-21 00:00:00 | 2024-12-12 00:00:00 | N/A | N/A | N/A | 9 | 9 | PRIOR_AUTH | N/A | N/A | N/A | 5542692 | N/A | N/A | N/A | PRE_CERT | N/A | 9 | 9 | N/A | VISITS |
| 2025-05-14 21:04:30.983418 | 2025-05-23 23:32:59.901337 | 171732 | PENDING | 4214717 | N/A | 21916 | PRIMARY | 20241218P0105343 | 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 | 14 | 14 | PRIOR_AUTH | N/A | N/A | N/A | 5542851 | N/A | N/A | N/A | PRE_CERT | N/A | 14 | 14 | N/A | VISITS |
| 2025-05-14 21:04:30.749405 | 2025-05-23 23:33:00.877085 | 171731 | PENDING | 4213997 | N/A | 21916 | PRIMARY | 20241010L0100148 | N/A | N/A | N/A | N/A | 2025-01-08 00:00:00 | 2024-10-10 00:00:00 | N/A | N/A | N/A | 1 | 1 | PRIOR_AUTH | N/A | N/A | N/A | 5542039 | N/A | N/A | N/A | PRE_CERT | N/A | 1 | 1 | N/A | VISITS |
| 2025-05-14 21:04:30.737674 | 2025-05-23 00:34:59.996322 | 171730 | PENDING | 4214036 | N/A | 21916 | PRIMARY | 20241107P0105844 | N/A | N/A | N/A | N/A | 2025-02-05 00:00:00 | 2024-11-07 00:00:00 | N/A | N/A | N/A | 6 | 6 | PRIOR_AUTH | N/A | N/A | N/A | 5542080 | N/A | N/A | N/A | PRE_CERT | N/A | 6 | 6 | N/A | VISITS |
| 2025-05-14 21:04:30.695823 | 2025-05-23 23:33:00.416153 | 171729 | PENDING | 4214441 | N/A | 21916 | PRIMARY | 20241223P0101144 | N/A | N/A | N/A | N/A | 2025-03-23 00:00:00 | 2024-12-23 00:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5542550 | N/A | N/A | N/A | PRE_CERT | N/A | N/A | N/A | N/A | VISITS |
| 2025-05-14 21:04:30.465923 | 2025-05-23 00:34:49.416537 | 171728 | PENDING | 4214431 | N/A | 21916 | PRIMARY | 20241108P0102204 | 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 | 5542532 | N/A | N/A | N/A | PRE_CERT | N/A | 4 | 4 | N/A | VISITS |
| 2025-05-14 21:04:30.397998 | 2025-05-23 23:33:00.021707 | 171727 | PENDING | 4214238 | N/A | 21916 | PRIMARY | 20241227P0102586 | 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 | 4 | 4 | PRIOR_AUTH | N/A | N/A | N/A | 5542314 | N/A | N/A | N/A | PRE_CERT | N/A | 4 | 4 | N/A | VISITS |
| 2025-05-14 21:04:30.284074 | 2025-05-23 23:33:00.636245 | 171726 | PENDING | 4214771 | N/A | 21916 | PRIMARY | 20241205P0101355 | N/A | N/A | N/A | N/A | 2025-03-05 00:00:00 | 2024-12-05 00:00:00 | N/A | N/A | N/A | 3 | 3 | PRIOR_AUTH | N/A | N/A | N/A | 5542908 | N/A | N/A | N/A | PRE_CERT | N/A | 3 | 3 | N/A | VISITS |
| 2025-05-14 21:04:30.201862 | 2025-10-21 21:59:05.913095 | 171725 | PENDING | 4214881 | N/A | 21916 | PRIMARY | 20250106P0101197 | N/A | N/A | N/A | N/A | 2025-04-06 00:00:00 | 2025-02-05 00:00:00 | N/A | N/A | N/A | 8 | 8 | PRIOR_AUTH | N/A | N/A | N/A | 5543042 | True | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2025-05-14 21:04:30.179953 | 2025-05-23 23:32:59.891021 | 171724 | PENDING | 4214715 | N/A | 21916 | PRIMARY | 16664951 | N/A | N/A | N/A | N/A | 2025-02-25 00:00:00 | 2025-02-12 00:00:00 | N/A | N/A | N/A | 10 | 10 | PRIOR_AUTH | N/A | N/A | N/A | 5542848 | N/A | N/A | N/A | PRE_CERT | N/A | 10 | 10 | N/A | VISITS |
| 2025-05-14 21:04:30.122496 | 2025-05-23 23:33:00.959998 | 171723 | PENDING | 4214567 | N/A | 21916 | PRIMARY | 16660394 | N/A | N/A | N/A | N/A | 2025-03-10 00:00:00 | 2025-02-19 00:00:00 | N/A | N/A | N/A | 3 | 3 | PRIOR_AUTH | N/A | N/A | N/A | 5550596 | N/A | N/A | N/A | PRE_CERT | N/A | 3 | 3 | N/A | VISITS |
| 2025-05-14 21:04:30.030098 | 2025-05-23 23:33:00.009606 | 171722 | PENDING | 4214252 | N/A | 21916 | PRIMARY | 20241009L0100403 | N/A | N/A | N/A | N/A | 2025-01-07 00:00:00 | 2024-10-09 00:00:00 | N/A | N/A | N/A | 5 | 5 | PRIOR_AUTH | N/A | N/A | N/A | 5542320 | N/A | N/A | N/A | PRE_CERT | N/A | 5 | 5 | N/A | VISITS |
| 2025-05-14 21:04:30.032937 | 2025-05-23 23:33:00.514497 | 171721 | PENDING | 4214261 | N/A | 21916 | PRIMARY | 20241230L0100297 | N/A | N/A | N/A | N/A | 2025-03-30 00:00:00 | 2025-03-14 00:00:00 | N/A | N/A | N/A | 6 | 6 | PRIOR_AUTH | N/A | N/A | N/A | 5542335 | N/A | N/A | N/A | PRE_CERT | N/A | 6 | 6 | N/A | VISITS |
| 2025-05-14 21:04:29.982816 | 2025-05-23 23:33:00.853677 | 171720 | PENDING | 4214505 | N/A | 21916 | PRIMARY | 20241105P0101129 | N/A | N/A | N/A | N/A | 2025-02-03 00:00:00 | 2024-11-05 00:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5542619 | N/A | N/A | N/A | PRE_CERT | N/A | N/A | N/A | N/A | VISITS |
| 2025-05-14 21:04:29.958174 | 2025-09-02 21:15:10.209800 | 171719 | PENDING | 4214777 | N/A | 21916 | PRIMARY | 32687309 | N/A | N/A | N/A | N/A | 2025-10-22 07:00:00 | 2025-08-27 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5542927 | N/A | N/A | N/A | PRE_CERT | N/A | 20 | 20 | N/A | VISITS |
| 2025-05-14 21:04:29.908328 | 2025-05-23 23:33:00.647581 | 171718 | PENDING | 4214482 | N/A | 21916 | PRIMARY | 20241108L0100494 | 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 | 7 | 7 | PRIOR_AUTH | N/A | N/A | N/A | 5542590 | N/A | N/A | N/A | PRE_CERT | N/A | 7 | 7 | N/A | VISITS |
| 2025-05-14 21:04:29.786137 | 2025-05-30 21:21:09.833324 | 171717 | PENDING | 4214108 | N/A | 21916 | PRIMARY | 20241101L0101034 | 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 | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5542158 | True | N/A | N/A | PRE_CERT | N/A | N/A | N/A | N/A | VISITS |
| 2025-05-14 21:04:29.758915 | 2025-05-23 23:33:01.133775 | 171716 | PENDING | 4213959 | N/A | 21916 | SECONDARY | 31262009 | N/A | N/A | N/A | N/A | 2025-04-10 00:00:00 | 2025-03-13 00:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5542003 | N/A | N/A | N/A | PRE_CERT | N/A | N/A | N/A | N/A | VISITS |
| 2025-05-14 21:04:29.740223 | 2025-05-23 23:30:13.596992 | 171715 | PENDING | 4214137 | N/A | 21916 | PRIMARY | 50029981124 | N/A | N/A | N/A | N/A | 2025-01-10 00:00:00 | 2024-12-24 00:00:00 | N/A | N/A | N/A | 2 | 2 | PRIOR_AUTH | N/A | N/A | N/A | 5542189 | N/A | N/A | N/A | PRE_CERT | N/A | 2 | 2 | N/A | VISITS |
| 2025-05-14 21:04:29.661173 | 2025-05-23 23:33:00.928215 | 171714 | PENDING | 4214849 | N/A | 21916 | PRIMARY | 20241231P0101751 | N/A | N/A | N/A | N/A | 2025-03-31 00:00:00 | 2024-12-31 00:00:00 | N/A | N/A | N/A | 7 | 7 | PRIOR_AUTH | N/A | N/A | N/A | 5543000 | N/A | N/A | N/A | PRE_CERT | N/A | 7 | 7 | N/A | VISITS |
| 2025-05-14 21:04:29.578350 | 2025-05-23 23:32:59.520240 | 171713 | PENDING | 4214564 | N/A | 21916 | PRIMARY | 20241209P0100334 | N/A | N/A | N/A | N/A | 2025-03-09 00:00:00 | 2024-12-09 00:00:00 | N/A | N/A | N/A | 5 | 5 | PRIOR_AUTH | N/A | N/A | N/A | 5542682 | N/A | N/A | N/A | PRE_CERT | N/A | 5 | 5 | N/A | VISITS |
| 2025-05-14 21:04:29.543884 | 2025-05-23 23:33:00.284934 | 171712 | PENDING | 4214139 | N/A | 21916 | PRIMARY | 20241216P0102388 | N/A | N/A | N/A | N/A | 2025-03-20 00:00:00 | 2024-12-16 00:00:00 | N/A | N/A | N/A | 5 | 5 | PRIOR_AUTH | N/A | N/A | N/A | 5542195 | N/A | N/A | N/A | PRE_CERT | N/A | 5 | 5 | N/A | VISITS |
| 2025-05-14 21:04:29.514982 | 2025-05-23 23:33:00.318508 | 171711 | PENDING | 4214952 | N/A | 21916 | PRIMARY | 20241220L0101687 | 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 | 2 | 2 | PRIOR_AUTH | N/A | N/A | N/A | 5543122 | N/A | N/A | N/A | PRE_CERT | N/A | 2 | 2 | N/A | VISITS |
| 2025-05-14 21:04:29.468172 | 2025-05-23 23:33:00.754869 | 171710 | PENDING | 4214799 | N/A | 21916 | PRIMARY | 20250113L0100895 | N/A | N/A | N/A | N/A | 2025-04-13 00:00:00 | 2025-01-13 00:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5542947 | N/A | N/A | N/A | PRE_CERT | N/A | N/A | N/A | N/A | VISITS |
| 2025-05-14 21:04:29.448072 | 2025-05-23 23:32:59.983639 | 171709 | PENDING | 4214526 | N/A | 21916 | PRIMARY | 20241021P0105371 | N/A | N/A | N/A | N/A | 2025-01-19 00:00:00 | 2024-10-21 00:00:00 | N/A | N/A | N/A | 1 | 1 | PRIOR_AUTH | N/A | N/A | N/A | 5542636 | N/A | N/A | N/A | PRE_CERT | N/A | 1 | 1 | N/A | VISITS |
| 2025-05-14 21:04:29.442227 | 2025-05-23 23:33:01.055470 | 171708 | PENDING | 4214084 | N/A | 21916 | PRIMARY | 20241202P0103458 | 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 | 5 | 5 | PRIOR_AUTH | N/A | N/A | N/A | 5542139 | N/A | N/A | N/A | PRE_CERT | N/A | 5 | 5 | N/A | VISITS |
| 2025-05-14 21:04:29.413221 | 2025-05-23 23:33:00.839565 | 171707 | PENDING | 4214534 | N/A | 21916 | PRIMARY | 20241202L0100092 | 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 | 1 | 1 | PRIOR_AUTH | N/A | N/A | N/A | 5542675 | N/A | N/A | N/A | PRE_CERT | N/A | 1 | 1 | N/A | VISITS |
| 2025-05-14 21:04:29.327294 | 2025-05-23 23:33:00.613254 | 171706 | PENDING | 4214770 | N/A | 21916 | PRIMARY | 20241106L0101477 | N/A | N/A | N/A | N/A | 2025-02-04 00:00:00 | 2024-11-06 00:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5542917 | N/A | N/A | N/A | PRE_CERT | N/A | N/A | N/A | N/A | VISITS |
| 2025-05-14 21:04:29.264485 | 2025-05-29 23:53:56.574653 | 171705 | PENDING | 4214367 | N/A | 21916 | PRIMARY | 20250507L0101400 | N/A | N/A | N/A | N/A | 2025-08-05 15:00:00 | 2025-05-25 14:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5542461 | N/A | N/A | N/A | PRE_CERT | N/A | 10 | 10 | N/A | VISITS |
| 2025-05-14 21:04:29.238552 | 2025-05-23 23:33:01.066322 | 171704 | PENDING | 4214817 | N/A | 21916 | PRIMARY | 20250305L0101114 | N/A | N/A | N/A | N/A | 2025-03-08 00:00:00 | 2025-03-05 00:00:00 | N/A | N/A | N/A | 1 | 1 | PRIOR_AUTH | N/A | N/A | N/A | 5542968 | N/A | N/A | N/A | PRE_CERT | N/A | 1 | 1 | N/A | VISITS |
| 2025-05-14 21:04:29.220639 | 2025-05-30 22:03:53.775951 | 171703 | PENDING | 4214528 | N/A | 21916 | PRIMARY | 20241031P0104826 | 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 | 2 | 2 | PRIOR_AUTH | N/A | N/A | N/A | 5542652 | True | N/A | N/A | PRE_CERT | N/A | 2 | 2 | N/A | VISITS |
| 2025-05-14 21:04:29.198579 | 2025-05-23 00:34:44.299762 | 171702 | PENDING | 4214078 | N/A | 21916 | PRIMARY | 20241121P0101681 | 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 | 5542134 | N/A | N/A | N/A | PRE_CERT | N/A | N/A | N/A | N/A | VISITS |
| 2025-05-14 21:04:29.175941 | 2025-05-23 23:33:01.044727 | 171701 | PENDING | 4214890 | N/A | 21916 | PRIMARY | 20250110P0102080 | N/A | N/A | N/A | N/A | 2025-04-10 00:00:00 | 2025-02-11 00:00:00 | N/A | N/A | N/A | 22 | 22 | PRIOR_AUTH | N/A | N/A | N/A | 5543049 | N/A | N/A | N/A | PRE_CERT | N/A | 22 | 22 | N/A | VISITS |
| 2025-05-14 21:04:29.080641 | 2025-05-23 23:33:00.915953 | 171700 | PENDING | 4219587 | N/A | 21916 | PRIMARY | 20250107P0105883 | N/A | N/A | N/A | N/A | 2025-04-07 00:00:00 | 2025-01-07 00:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5550648 | N/A | N/A | N/A | PRE_CERT | N/A | N/A | N/A | N/A | VISITS |
| 2025-05-14 21:04:29.055103 | 2025-05-23 23:33:00.684632 | 171699 | PENDING | 4213911 | N/A | 21916 | PRIMARY | 646630 | N/A | N/A | N/A | N/A | 2025-01-23 00:00:00 | 2024-11-07 00:00:00 | N/A | N/A | N/A | 3 | 3 | PRIOR_AUTH | N/A | N/A | N/A | 5541939 | N/A | N/A | N/A | PRE_CERT | N/A | 3 | 3 | N/A | VISITS |
| 2025-05-14 21:04:29.037694 | 2025-06-01 18:51:52.788868 | 171698 | PENDING | 4214517 | N/A | 21916 | PRIMARY | 20241105L0100686 | N/A | N/A | N/A | N/A | 2025-02-03 00:00:00 | 2024-11-05 00:00:00 | N/A | N/A | N/A | 4 | 4 | PRIOR_AUTH | N/A | N/A | N/A | 5542645 | True | N/A | N/A | PRE_CERT | N/A | 4 | 4 | N/A | VISITS |
| 2025-05-14 21:04:28.979786 | 2026-04-15 21:02:46.684120 | 171697 | PENDING | 4214794 | N/A | 21916 | PRIMARY | 20241211P0105826 | N/A | N/A | N/A | N/A | 2025-03-11 00:00:00 | 2024-12-11 00:00:00 | N/A | N/A | N/A | 7 | 7 | PRIOR_AUTH | N/A | N/A | N/A | 5542942 | True | N/A | N/A | PRE_CERT | N/A | 7 | 7 | N/A | VISITS |
| 2025-05-14 21:04:28.973486 | 2025-05-23 23:30:13.737590 | 171696 | PENDING | 4214179 | N/A | 21916 | PRIMARY | 20250110L01267 | 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 | 1 | 1 | PRIOR_AUTH | N/A | N/A | N/A | 5542230 | N/A | N/A | N/A | PRE_CERT | N/A | 1 | 1 | N/A | VISITS |
| 2025-05-14 21:04:28.944891 | 2025-06-18 20:51:38.096000 | 171695 | PENDING | 4214765 | N/A | 21916 | PRIMARY | 20250102L0101117 | N/A | N/A | N/A | N/A | 2025-06-23 14:00:00 | 2025-01-02 16:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5542904 | True | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2025-05-14 21:04:28.943915 | 2025-05-23 23:30:13.307997 | 171694 | PENDING | 4214480 | N/A | 21916 | PRIMARY | ASH AUTH | N/A | N/A | N/A | N/A | 2025-03-06 00:00:00 | 2025-02-06 00:00:00 | N/A | N/A | N/A | 7 | 7 | PRIOR_AUTH | N/A | N/A | N/A | 5542591 | N/A | N/A | N/A | PRE_CERT | N/A | 7 | 7 | N/A | VISITS |
| 2025-05-14 21:04:28.929228 | 2025-05-30 03:14:09.797521 | 171693 | PENDING | 4214757 | N/A | 21916 | PRIMARY | 20250103P0105442 | 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 | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5542894 | True | N/A | N/A | PRE_CERT | N/A | N/A | N/A | N/A | VISITS |
| 2025-05-14 21:04:28.861723 | 2025-06-20 20:26:57.013003 | 171692 | PENDING | 4214565 | N/A | 21916 | PRIMARY | 16654301 | N/A | N/A | N/A | N/A | 2025-03-04 00:00:00 | 2025-02-13 00:00:00 | N/A | N/A | N/A | -1 | -1 | PRIOR_AUTH | N/A | N/A | N/A | 5542686 | True | N/A | N/A | PRE_CERT | N/A | -1 | -1 | N/A | VISITS |
| 2025-05-14 21:04:28.837307 | 2025-05-23 23:33:00.938085 | 171691 | PENDING | 4214031 | N/A | 21916 | PRIMARY | 20241017P0102453 | N/A | N/A | N/A | N/A | 2025-01-15 00:00:00 | 2024-10-17 00:00:00 | N/A | N/A | N/A | 6 | 6 | PRIOR_AUTH | N/A | N/A | N/A | 5542082 | N/A | N/A | N/A | PRE_CERT | N/A | 6 | 6 | N/A | VISITS |
| 2025-05-14 21:04:28.799448 | 2025-05-23 00:34:54.342036 | 171690 | PENDING | 4213986 | N/A | 21916 | PRIMARY | 20241004L0100520 | 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 | 15 | 15 | PRIOR_AUTH | N/A | N/A | N/A | 5542027 | N/A | N/A | N/A | PRE_CERT | N/A | 15 | 15 | N/A | VISITS |
| 2025-05-14 21:04:28.756157 | 2025-05-23 23:33:00.900886 | 171689 | PENDING | 4214842 | N/A | 21916 | PRIMARY | 20241218P0104570 | 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 | 2 | 2 | PRIOR_AUTH | N/A | N/A | N/A | 5542993 | N/A | N/A | N/A | PRE_CERT | N/A | 2 | 2 | N/A | VISITS |
| 2025-05-14 21:04:28.683272 | 2026-02-26 00:07:08.739542 | 171688 | PENDING | 4214793 | N/A | 21916 | PRIMARY | 20250113P0106461 | N/A | N/A | N/A | N/A | 2025-04-13 00:00:00 | 2025-01-23 00:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5542940 | True | N/A | N/A | PRE_CERT | N/A | N/A | N/A | N/A | VISITS |
| 2025-05-14 21:04:28.682841 | 2025-05-23 23:33:00.673180 | 171687 | PENDING | 4213920 | N/A | 21916 | PRIMARY | 20241105L0100216 | N/A | N/A | N/A | N/A | 2025-02-03 00:00:00 | 2024-11-05 00:00:00 | N/A | N/A | N/A | 12 | 12 | PRIOR_AUTH | N/A | N/A | N/A | 5541954 | N/A | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2025-05-14 21:04:28.604805 | 2025-05-23 23:33:00.863401 | 171686 | PENDING | 4213999 | N/A | 21916 | PRIMARY | 20241021L0101598 | N/A | N/A | N/A | N/A | 2025-01-19 00:00:00 | 2024-10-21 00:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5542042 | N/A | N/A | N/A | PRE_CERT | N/A | N/A | N/A | N/A | VISITS |
| 2025-05-14 21:04:28.581247 | 2025-05-23 23:33:00.590840 | 171685 | PENDING | 4214769 | N/A | 21916 | PRIMARY | 20241211L0100465 | N/A | N/A | N/A | N/A | 2025-03-11 00:00:00 | 2024-12-11 00:00:00 | N/A | N/A | N/A | 14 | 14 | PRIOR_AUTH | N/A | N/A | N/A | 5542923 | N/A | N/A | N/A | PRE_CERT | N/A | 14 | 14 | N/A | VISITS |