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 21:04:28.478503 | 2025-05-23 23:33:00.380468 | 171684 | PENDING | 4214676 | N/A | 21916 | PRIMARY | 22232164495 | N/A | N/A | N/A | N/A | 2025-03-24 00:00:00 | 2024-12-26 00:00:00 | N/A | N/A | N/A | 19 | 19 | PRIOR_AUTH | N/A | N/A | N/A | 5542809 | N/A | N/A | N/A | PRE_CERT | N/A | 19 | 19 | N/A | VISITS |
| 2025-05-14 21:04:28.460588 | 2026-04-27 16:11:56.869628 | 171683 | PENDING | 4214506 | N/A | 21916 | PRIMARY | 20241024P0101578 | N/A | N/A | N/A | N/A | 2025-01-22 00:00:00 | 2024-10-24 00:00:00 | N/A | N/A | N/A | 4 | 4 | PRIOR_AUTH | N/A | N/A | N/A | 5542631 | True | N/A | N/A | PRE_CERT | N/A | 4 | 4 | N/A | VISITS |
| 2025-05-14 21:04:28.444366 | 2025-05-23 00:34:56.634177 | 171682 | PENDING | 4214427 | N/A | 21916 | PRIMARY | 20241028L0101594 | 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 | 3 | 3 | PRIOR_AUTH | N/A | N/A | N/A | 5542529 | N/A | N/A | N/A | PRE_CERT | N/A | 3 | 3 | N/A | VISITS |
| 2025-05-14 21:04:28.444175 | 2025-05-23 00:34:53.261424 | 171681 | PENDING | 4214524 | N/A | 21916 | PRIMARY | 20241226L0101412 | N/A | N/A | N/A | N/A | 2025-03-26 00:00:00 | 2024-12-26 00:00:00 | N/A | N/A | N/A | 10 | 10 | PRIOR_AUTH | N/A | N/A | N/A | 5542635 | N/A | N/A | N/A | PRE_CERT | N/A | 10 | 10 | N/A | VISITS |
| 2025-05-14 21:04:28.329986 | 2025-05-23 23:33:00.499858 | 171680 | PENDING | 4214255 | N/A | 21916 | PRIMARY | ASH AUTH 10 VISITS | N/A | N/A | N/A | N/A | 2025-03-28 00:00:00 | 2025-02-28 00:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5542326 | N/A | N/A | N/A | PRE_CERT | N/A | N/A | N/A | N/A | VISITS |
| 2025-05-14 21:04:28.317987 | 2025-05-23 23:33:00.258874 | 171679 | PENDING | 4214625 | N/A | 21916 | PRIMARY | 20250114P0100186 | N/A | N/A | N/A | N/A | 2025-04-14 00:00:00 | 2025-02-05 00:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5542751 | N/A | N/A | N/A | PRE_CERT | N/A | N/A | N/A | N/A | VISITS |
| 2025-05-14 21:04:28.315728 | 2025-05-23 23:33:00.341786 | 171678 | PENDING | 4214393 | N/A | 21916 | PRIMARY | 20241014L0100348 | N/A | N/A | N/A | N/A | 2025-01-12 00:00:00 | 2024-10-14 00:00:00 | N/A | N/A | N/A | 5 | 5 | PRIOR_AUTH | N/A | N/A | N/A | 5542491 | N/A | N/A | N/A | PRE_CERT | N/A | 5 | 5 | N/A | VISITS |
| 2025-05-14 21:04:28.277320 | 2025-05-23 23:33:00.742790 | 171677 | PENDING | 4214796 | N/A | 21916 | PRIMARY | 20250110L0100355 | N/A | N/A | N/A | N/A | 2025-04-14 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 | 5542945 | N/A | N/A | N/A | PRE_CERT | N/A | N/A | N/A | N/A | VISITS |
| 2025-05-14 21:04:28.214955 | 2025-05-23 23:33:00.710256 | 171676 | PENDING | 4214535 | N/A | 21916 | PRIMARY | 20241111P0102040 | N/A | N/A | N/A | N/A | 2025-02-09 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 | 5542647 | N/A | N/A | N/A | PRE_CERT | N/A | 1 | 1 | N/A | VISITS |
| 2025-05-14 21:04:28.236641 | 2025-05-23 23:33:00.210120 | 171675 | PENDING | 4214221 | N/A | 21916 | PRIMARY | 20241009L0101832 | 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 | 7 | 7 | PRIOR_AUTH | N/A | N/A | N/A | 5542289 | N/A | N/A | N/A | PRE_CERT | N/A | 7 | 7 | N/A | VISITS |
| 2025-05-14 21:04:28.212361 | 2025-05-23 00:34:50.545226 | 171674 | PENDING | 4214425 | N/A | 21916 | PRIMARY | 20241107L0102083 | 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 | 8 | 8 | PRIOR_AUTH | N/A | N/A | N/A | 5542534 | N/A | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2025-05-14 21:04:28.133949 | 2025-05-23 23:32:59.850399 | 171673 | PENDING | 4214359 | N/A | 21916 | PRIMARY | 20241025P0104867 | N/A | N/A | N/A | N/A | 2025-01-23 00:00:00 | 2024-10-25 00:00:00 | N/A | N/A | N/A | 8 | 8 | PRIOR_AUTH | N/A | N/A | N/A | 5542459 | N/A | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2025-05-14 21:04:28.121998 | 2025-05-23 23:30:12.615352 | 171672 | PENDING | 4214161 | N/A | 21916 | PRIMARY | OPTUM CERT 3 VISITS | N/A | N/A | N/A | N/A | 2025-03-19 00:00:00 | 2025-02-19 00:00:00 | N/A | N/A | N/A | 1 | 1 | PRIOR_AUTH | N/A | N/A | N/A | 5542219 | N/A | N/A | N/A | PRE_CERT | N/A | 1 | 1 | N/A | VISITS |
| 2025-05-14 21:04:28.118551 | 2025-07-01 19:17:43.397231 | 171671 | PENDING | 4214103 | N/A | 21916 | PRIMARY | 20241107L0102062 | 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 | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5542149 | True | N/A | N/A | PRE_CERT | N/A | N/A | N/A | N/A | VISITS |
| 2025-05-14 21:04:28.070567 | 2025-06-02 01:46:12.546792 | 171670 | PENDING | 4213867 | N/A | 21916 | PRIMARY | 20241125P0104932 | 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 | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5541889 | True | N/A | N/A | PRE_CERT | N/A | N/A | N/A | N/A | VISITS |
| 2025-05-14 21:04:28.022078 | 2025-05-23 23:30:12.509437 | 171669 | PENDING | 4214335 | N/A | 21916 | PRIMARY | 20241014L0100591 | N/A | N/A | N/A | N/A | 2025-01-12 00:00:00 | 2024-10-14 00:00:00 | N/A | N/A | N/A | 8 | 8 | PRIOR_AUTH | N/A | N/A | N/A | 5542424 | N/A | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2025-05-14 21:04:28.012402 | 2025-05-23 23:30:13.807389 | 171668 | PENDING | 4214781 | N/A | 21916 | PRIMARY | 20241230P0103959 | N/A | N/A | N/A | N/A | 2025-03-20 00:00:00 | 2024-12-30 00:00:00 | N/A | N/A | N/A | 1 | 1 | PRIOR_AUTH | N/A | N/A | N/A | 5542920 | N/A | N/A | N/A | PRE_CERT | N/A | 1 | 1 | N/A | VISITS |
| 2025-05-14 21:04:28.000502 | 2025-06-03 16:26:31.108319 | 171667 | PENDING | 4213907 | N/A | 21916 | PRIMARY | 20250327L0100674 | N/A | N/A | N/A | N/A | 2025-01-27 00:00:00 | 2024-10-29 00:00:00 | N/A | N/A | N/A | 6 | 6 | PRIOR_AUTH | N/A | N/A | N/A | 5541944 | True | N/A | N/A | PRE_CERT | N/A | 6 | 6 | N/A | VISITS |
| 2025-05-14 21:04:27.958806 | 2025-05-23 00:34:51.424729 | 171666 | PENDING | 4214486 | N/A | 21916 | PRIMARY | 20241031L0101108 | 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 | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5542599 | N/A | N/A | N/A | PRE_CERT | N/A | N/A | N/A | N/A | VISITS |
| 2025-05-14 21:04:27.858803 | 2025-05-23 23:33:00.403726 | 171665 | PENDING | 4214457 | N/A | 21916 | PRIMARY | 20241112P0100297 | 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 | 3 | 3 | PRIOR_AUTH | N/A | N/A | N/A | 5542568 | N/A | N/A | N/A | PRE_CERT | N/A | 3 | 3 | N/A | VISITS |
| 2025-05-14 21:04:27.881612 | 2026-01-08 17:55:10.971848 | 171664 | PENDING | 4214712 | N/A | 21916 | PRIMARY | 1 | N/A | N/A | N/A | N/A | 2025-03-17 00:00:00 | 2025-01-17 00:00:00 | N/A | N/A | N/A | 12 | 12 | PRIOR_AUTH | N/A | N/A | N/A | 5542843 | True | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2025-05-14 21:04:27.849026 | 2025-05-23 23:33:00.073253 | 171663 | PENDING | 4214622 | N/A | 21916 | PRIMARY | 20241113P0102063 | 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 | 12 | 12 | PRIOR_AUTH | N/A | N/A | N/A | 5542756 | N/A | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2025-05-14 21:04:27.844926 | 2025-05-23 23:30:13.296612 | 171662 | PENDING | 4214476 | N/A | 21916 | PRIMARY | 20241030L0101883 | 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 | 5 | 5 | PRIOR_AUTH | N/A | N/A | N/A | 5542589 | N/A | N/A | N/A | PRE_CERT | N/A | 5 | 5 | N/A | VISITS |
| 2025-05-14 21:04:27.756815 | 2025-05-23 23:30:13.171705 | 171661 | PENDING | 4214273 | N/A | 21916 | PRIMARY | 20241004P0100696 | 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 | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5542357 | N/A | N/A | N/A | PRE_CERT | N/A | N/A | N/A | N/A | VISITS |
| 2025-05-14 21:04:27.755934 | 2025-05-23 23:32:59.429146 | 171660 | PENDING | 4213969 | N/A | 21916 | PRIMARY | 20241219P0102541 | 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 | 8 | 8 | PRIOR_AUTH | N/A | N/A | N/A | 5542006 | N/A | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2025-05-14 21:04:27.729372 | 2025-05-23 00:34:43.820115 | 171659 | PENDING | 4214610 | N/A | 21916 | PRIMARY | 20241205L0100721 | N/A | N/A | N/A | N/A | 2025-03-05 00:00:00 | 2024-12-24 00:00:00 | N/A | N/A | N/A | 10 | 10 | PRIOR_AUTH | N/A | N/A | N/A | 5542743 | N/A | N/A | N/A | PRE_CERT | N/A | 10 | 10 | N/A | VISITS |
| 2025-05-14 21:04:27.707584 | 2025-05-23 23:33:00.579425 | 171658 | PENDING | 4214762 | N/A | 21916 | PRIMARY | 20250107P0101564 | N/A | N/A | N/A | N/A | 2025-04-07 00:00:00 | 2025-01-20 00:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5542903 | N/A | N/A | N/A | PRE_CERT | N/A | N/A | N/A | N/A | VISITS |
| 2025-05-14 21:04:27.692245 | 2025-06-09 22:26:34.954434 | 171657 | PENDING | 4214786 | N/A | 21916 | PRIMARY | 20241230P0102263 | N/A | N/A | N/A | N/A | 2025-04-06 00:00:00 | 2024-12-30 00:00:00 | N/A | N/A | N/A | 2 | 2 | PRIOR_AUTH | N/A | N/A | N/A | 5542939 | True | N/A | N/A | PRE_CERT | N/A | 2 | 2 | N/A | VISITS |
| 2025-05-14 21:04:27.680754 | 2025-06-01 20:46:38.981685 | 171656 | PENDING | 4214237 | N/A | 21916 | PRIMARY | 20250307P0104171 | N/A | N/A | N/A | N/A | 2025-12-02 08:00:00 | 2025-03-07 08:00:00 | N/A | N/A | N/A | N/A | 5 | PRIOR_AUTH | N/A | N/A | N/A | 5542310 | N/A | N/A | N/A | PRE_CERT | N/A | 5 | 11 | N/A | VISITS |
| 2025-05-14 21:04:27.674190 | 2025-05-23 23:32:59.501149 | 171655 | PENDING | 4214653 | N/A | 21916 | PRIMARY | 20241202P0105376 | 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 | 8 | 8 | PRIOR_AUTH | N/A | N/A | N/A | 5542788 | N/A | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2025-05-14 21:04:27.600287 | 2025-05-23 23:33:00.567591 | 171654 | PENDING | 4214183 | N/A | 21916 | PRIMARY | F2M6058 | N/A | N/A | N/A | N/A | 2025-01-17 00:00:00 | 2024-11-22 00:00:00 | N/A | N/A | N/A | 5 | 5 | PRIOR_AUTH | N/A | N/A | N/A | 5542237 | N/A | N/A | N/A | PRE_CERT | N/A | 5 | 5 | N/A | VISITS |
| 2025-05-14 21:04:27.547283 | 2025-05-23 23:32:59.620614 | 171653 | PENDING | 4214347 | N/A | 21916 | PRIMARY | 20241011P0102782 | 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 | 7 | 7 | PRIOR_AUTH | N/A | N/A | N/A | 5542433 | N/A | N/A | N/A | PRE_CERT | N/A | 7 | 7 | N/A | VISITS |
| 2025-05-14 21:04:27.528430 | 2025-09-18 22:56:23.675181 | 171652 | PENDING | 4214761 | N/A | 21916 | PRIMARY | 20241212L0100785 | N/A | N/A | N/A | N/A | 2025-03-12 00:00:00 | 2024-12-12 00:00:00 | N/A | N/A | N/A | 3 | 3 | PRIOR_AUTH | N/A | N/A | N/A | 5542902 | True | N/A | N/A | PRE_CERT | N/A | 3 | 3 | N/A | VISITS |
| 2025-05-14 21:04:27.524745 | 2025-11-13 17:52:32.268648 | 171651 | PENDING | 4214170 | N/A | 21916 | PRIMARY | 20241203P0105785 | N/A | N/A | N/A | N/A | 2025-03-03 00:00:00 | 2024-12-03 00:00:00 | N/A | N/A | N/A | 12 | 12 | PRIOR_AUTH | N/A | N/A | N/A | 5542250 | True | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2025-05-14 21:04:27.520761 | 2025-05-23 23:33:00.554375 | 171650 | PENDING | 4213889 | N/A | 21916 | PRIMARY | OP0022473214 | N/A | N/A | N/A | N/A | 2025-02-18 00:00:00 | 2024-11-21 00:00:00 | N/A | N/A | N/A | 4 | 4 | PRIOR_AUTH | N/A | N/A | N/A | 5541914 | N/A | N/A | N/A | PRE_CERT | N/A | 4 | 4 | N/A | VISITS |
| 2025-05-14 21:04:27.513642 | 2025-05-23 00:34:50.330110 | 171649 | PENDING | 4214673 | N/A | 21916 | PRIMARY | 20241219P0105639 | N/A | N/A | N/A | N/A | 2025-03-19 00:00:00 | 2024-12-26 00:00:00 | N/A | N/A | N/A | 8 | 8 | PRIOR_AUTH | N/A | N/A | N/A | 5542805 | N/A | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2025-05-14 21:04:27.498006 | 2025-05-23 23:30:13.465394 | 171648 | PENDING | 4214291 | N/A | 21916 | PRIMARY | OP0022870493 | N/A | N/A | N/A | N/A | 2025-03-05 00:00:00 | 2024-12-07 00:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5542378 | N/A | N/A | N/A | PRE_CERT | N/A | N/A | N/A | N/A | VISITS |
| 2025-05-14 21:04:27.408353 | 2025-05-23 23:30:12.499428 | 171647 | PENDING | 4214331 | N/A | 21916 | PRIMARY | 2 | N/A | N/A | N/A | N/A | 2025-03-30 00:00:00 | 2024-12-13 00:00:00 | N/A | N/A | N/A | 15 | 15 | PRIOR_AUTH | N/A | N/A | N/A | 5542419 | N/A | N/A | N/A | PRE_CERT | N/A | 15 | 15 | N/A | VISITS |
| 2025-05-14 21:04:27.392042 | 2025-05-23 00:34:52.784810 | 171646 | PENDING | 4214401 | N/A | 21916 | PRIMARY | 20241008P0104090 | N/A | N/A | N/A | N/A | 2025-01-06 00:00:00 | 2024-10-08 00:00:00 | N/A | N/A | N/A | 3 | 3 | PRIOR_AUTH | N/A | N/A | N/A | 5542509 | N/A | N/A | N/A | PRE_CERT | N/A | 3 | 3 | N/A | VISITS |
| 2025-05-14 21:04:27.368811 | 2025-05-23 23:33:00.199240 | 171645 | PENDING | 4219558 | N/A | 21916 | PRIMARY | 20241022P01060205 | N/A | N/A | N/A | N/A | 2025-01-25 00:00:00 | 2024-10-22 00:00:00 | N/A | N/A | N/A | 12 | 12 | PRIOR_AUTH | N/A | N/A | N/A | 5550540 | N/A | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2025-05-14 21:04:27.361274 | 2025-05-23 23:32:59.581051 | 171644 | PENDING | 4214710 | N/A | 21916 | PRIMARY | 20250102P0103179 | 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 | 1 | 1 | PRIOR_AUTH | N/A | N/A | N/A | 5542849 | N/A | N/A | N/A | PRE_CERT | N/A | 1 | 1 | N/A | VISITS |
| 2025-05-14 21:04:27.341845 | 2025-05-23 23:32:59.971773 | 171643 | PENDING | 4214513 | N/A | 21916 | PRIMARY | 20241028L0101718 | 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 | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5542624 | N/A | N/A | N/A | PRE_CERT | N/A | N/A | N/A | N/A | VISITS |
| 2025-05-14 21:04:27.333597 | 2025-05-23 00:34:46.623941 | 171642 | PENDING | 4214102 | N/A | 21916 | PRIMARY | 20241204L0100409 | 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 | 5542155 | N/A | N/A | N/A | PRE_CERT | N/A | N/A | N/A | N/A | VISITS |
| 2025-05-14 21:04:27.297310 | 2025-05-23 23:32:59.818026 | 171641 | PENDING | 4214661 | N/A | 21916 | PRIMARY | 20241217L0100202 | N/A | N/A | N/A | N/A | 2025-03-17 00:00:00 | 2024-12-23 00:00:00 | N/A | N/A | N/A | 7 | 7 | PRIOR_AUTH | N/A | N/A | N/A | 5542792 | N/A | N/A | N/A | PRE_CERT | N/A | 7 | 7 | N/A | VISITS |
| 2025-05-14 21:04:27.237741 | 2025-05-23 23:33:00.527369 | 171640 | PENDING | 4214164 | N/A | 21916 | PRIMARY | OP0023518703 | N/A | N/A | N/A | N/A | 2025-03-20 00:00:00 | 2025-01-01 00:00:00 | N/A | N/A | N/A | 10 | 10 | PRIOR_AUTH | N/A | N/A | N/A | 5542218 | N/A | N/A | N/A | PRE_CERT | N/A | 10 | 10 | N/A | VISITS |
| 2025-05-14 21:04:27.209525 | 2025-08-18 15:45:24.138304 | 171639 | PENDING | 4213966 | N/A | 21916 | SECONDARY | 16665019 | N/A | N/A | N/A | N/A | 2025-03-11 00:00:00 | 2025-02-12 00:00:00 | N/A | N/A | N/A | 6 | 6 | PRIOR_AUTH | N/A | N/A | N/A | 5542002 | True | N/A | N/A | PRE_CERT | N/A | 6 | 6 | N/A | VISITS |
| 2025-05-14 21:04:27.101386 | 2025-05-23 23:30:12.605749 | 171638 | PENDING | 4214159 | N/A | 21916 | PRIMARY | 20241209P0102030 | 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 | 3 | 3 | PRIOR_AUTH | N/A | N/A | N/A | 5542209 | N/A | N/A | N/A | PRE_CERT | N/A | 3 | 3 | N/A | VISITS |
| 2025-05-14 21:04:27.087377 | 2025-05-23 23:32:59.935192 | 171637 | PENDING | 4214095 | N/A | 21916 | PRIMARY | 20241014L0100070 | N/A | N/A | N/A | N/A | 2025-01-12 00:00:00 | 2024-10-14 00:00:00 | N/A | N/A | N/A | 4 | 4 | PRIOR_AUTH | N/A | N/A | N/A | 5542170 | N/A | N/A | N/A | PRE_CERT | N/A | 4 | 4 | N/A | VISITS |
| 2025-05-14 21:04:27.038935 | 2025-05-23 23:32:59.611626 | 171636 | PENDING | 4214346 | N/A | 21916 | PRIMARY | 20241204P0100542 | 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 | 9 | 9 | PRIOR_AUTH | N/A | N/A | N/A | 5542432 | N/A | N/A | N/A | PRE_CERT | N/A | 9 | 9 | N/A | VISITS |
| 2025-05-14 21:04:27.024106 | 2025-05-23 23:33:00.487426 | 171635 | PENDING | 4214256 | N/A | 21916 | PRIMARY | 20241107L0100442 | 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 | 11 | 11 | PRIOR_AUTH | N/A | N/A | N/A | 5542325 | N/A | N/A | N/A | PRE_CERT | N/A | 11 | 11 | N/A | VISITS |