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 21:04:27.024717 | 2025-05-23 23:32:59.752907 | 171634 | PENDING | 4214749 | 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 | 5542888 | N/A | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2025-05-14 21:04:27.012609 | 2025-05-23 23:32:59.806914 | 171633 | PENDING | 4214657 | N/A | 21916 | PRIMARY | 20241217L0100265 | 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 | 12 | 12 | PRIOR_AUTH | N/A | N/A | N/A | 5542787 | N/A | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2025-05-14 21:04:27.011778 | 2025-05-23 23:30:13.454177 | 171632 | PENDING | 4214303 | N/A | 21916 | PRIMARY | OP0022531333 | N/A | N/A | N/A | N/A | 2025-02-19 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 | 5542386 | N/A | N/A | N/A | PRE_CERT | N/A | N/A | N/A | N/A | VISITS |
| 2025-05-14 21:04:27.002916 | 2025-05-23 23:33:00.244894 | 171631 | PENDING | 4214594 | N/A | 21916 | PRIMARY | 20241029P0106184 | 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 | 9 | 9 | PRIOR_AUTH | N/A | N/A | N/A | 5542717 | N/A | N/A | N/A | PRE_CERT | N/A | 9 | 9 | N/A | VISITS |
| 2025-05-14 21:04:26.998638 | 2025-05-23 23:33:00.391298 | 171630 | PENDING | 4219567 | N/A | 21916 | PRIMARY | 20241022P0104332 | 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 | 4 | 4 | PRIOR_AUTH | N/A | N/A | N/A | 5550577 | N/A | N/A | N/A | PRE_CERT | N/A | 4 | 4 | N/A | VISITS |
| 2025-05-14 21:04:26.905418 | 2025-05-23 23:33:00.148365 | 171629 | PENDING | 4214753 | N/A | 21916 | PRIMARY | 20241224P0101389 | N/A | N/A | N/A | N/A | 2025-03-24 00:00:00 | 2024-12-24 00:00:00 | N/A | N/A | N/A | 1 | 1 | PRIOR_AUTH | N/A | N/A | N/A | 5542896 | N/A | N/A | N/A | PRE_CERT | N/A | 1 | 1 | N/A | VISITS |
| 2025-05-14 21:04:26.889716 | 2025-05-23 23:33:00.035603 | 171628 | PENDING | 4214227 | N/A | 21916 | PRIMARY | 20250107P0105065 | N/A | N/A | N/A | N/A | 2025-04-07 00:00:00 | 2025-01-10 00:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5542296 | N/A | N/A | N/A | PRE_CERT | N/A | N/A | N/A | N/A | VISITS |
| 2025-05-14 21:04:26.852066 | 2025-05-23 23:30:12.486634 | 171627 | PENDING | 4214322 | N/A | 21916 | PRIMARY | 20241231P0100257 | N/A | N/A | N/A | N/A | 2025-03-31 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 | 5542406 | N/A | N/A | N/A | PRE_CERT | N/A | N/A | N/A | N/A | VISITS |
| 2025-05-14 21:04:26.747364 | 2025-05-23 23:30:13.442302 | 171626 | PENDING | 4214297 | N/A | 21916 | PRIMARY | 20241011P0101370 | 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 | 1 | 1 | PRIOR_AUTH | N/A | N/A | N/A | 5542384 | N/A | N/A | N/A | PRE_CERT | N/A | 1 | 1 | N/A | VISITS |
| 2025-05-14 21:04:26.747142 | 2025-05-23 23:33:00.231630 | 171625 | PENDING | 4214589 | N/A | 21916 | PRIMARY | 20241118P0100494 | N/A | N/A | N/A | N/A | 2025-02-15 00:00:00 | 2024-11-18 00:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5542712 | N/A | N/A | N/A | PRE_CERT | N/A | N/A | N/A | N/A | VISITS |
| 2025-05-14 21:04:26.692845 | 2025-07-21 17:08:21.559888 | 171624 | PENDING | 4214064 | N/A | 21916 | PRIMARY | 20241220P0100571 | 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 | 5 | 5 | PRIOR_AUTH | N/A | N/A | N/A | 5542112 | True | N/A | N/A | PRE_CERT | N/A | 5 | 5 | N/A | VISITS |
| 2025-05-14 21:04:26.692956 | 2025-05-23 23:27:31.613074 | 171623 | PENDING | 4214318 | N/A | 21916 | PRIMARY | 20241022P0100773 | 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 | 2 | 2 | PRIOR_AUTH | N/A | N/A | N/A | 5542400 | N/A | N/A | N/A | PRE_CERT | N/A | 2 | 2 | N/A | VISITS |
| 2025-05-14 21:04:26.661715 | 2025-05-23 23:32:59.740503 | 171622 | PENDING | 4214735 | N/A | 21916 | PRIMARY | 30340466 | N/A | N/A | N/A | N/A | 2025-02-24 00:00:00 | 2025-01-13 00:00:00 | N/A | N/A | N/A | 10 | 10 | PRIOR_AUTH | N/A | N/A | N/A | 5542872 | N/A | N/A | N/A | PRE_CERT | N/A | 10 | 10 | N/A | VISITS |
| 2025-05-14 21:04:26.633948 | 2025-05-23 23:33:00.060867 | 171621 | PENDING | 4214603 | N/A | 21916 | PRIMARY | 20241118P0104457 | N/A | N/A | N/A | N/A | 2025-02-16 00:00:00 | 2024-11-18 00:00:00 | N/A | N/A | N/A | 12 | 12 | PRIOR_AUTH | N/A | N/A | N/A | 5542730 | N/A | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2025-05-14 21:04:26.649146 | 2025-05-23 23:33:00.368432 | 171620 | PENDING | 4214685 | N/A | 21916 | PRIMARY | 20241217P0101662 | N/A | N/A | N/A | N/A | 2025-03-17 00:00:00 | 2024-12-17 00:00:00 | N/A | N/A | N/A | 5 | 5 | PRIOR_AUTH | N/A | N/A | N/A | 5542820 | N/A | N/A | N/A | PRE_CERT | N/A | 5 | 5 | N/A | VISITS |
| 2025-05-14 21:04:26.632421 | 2025-05-23 23:32:59.795094 | 171619 | PENDING | 4214651 | N/A | 21916 | PRIMARY | 20241211P0106115 | 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 | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5542777 | N/A | N/A | N/A | PRE_CERT | N/A | N/A | N/A | N/A | VISITS |
| 2025-05-14 21:04:26.625793 | 2026-03-19 18:09:59.814707 | 171618 | PENDING | 4214118 | N/A | 21916 | PRIMARY | 20241101P0104846 | 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 | 5542172 | True | N/A | N/A | PRE_CERT | N/A | N/A | N/A | N/A | VISITS |
| 2025-05-14 21:04:26.617501 | 2025-05-23 23:32:59.572175 | 171617 | PENDING | 4214686 | N/A | 21916 | PRIMARY | 20241219P0104157 | 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 | 7 | 7 | PRIOR_AUTH | N/A | N/A | N/A | 5542818 | N/A | N/A | N/A | PRE_CERT | N/A | 7 | 7 | N/A | VISITS |
| 2025-05-14 21:04:26.544693 | 2025-05-23 23:33:00.330383 | 171616 | PENDING | 4214391 | N/A | 21916 | PRIMARY | 20241018L0101948 | N/A | N/A | N/A | N/A | 2025-01-16 00:00:00 | 2024-10-18 00:00:00 | N/A | N/A | N/A | 5 | 5 | PRIOR_AUTH | N/A | N/A | N/A | 5542484 | N/A | N/A | N/A | PRE_CERT | N/A | 5 | 5 | N/A | VISITS |
| 2025-05-14 21:04:26.543477 | 2025-05-23 23:30:13.429022 | 171615 | PENDING | 4214292 | N/A | 21916 | PRIMARY | 20241010L0100429 | 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 | 12 | 12 | PRIOR_AUTH | N/A | N/A | N/A | 5542379 | N/A | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2025-05-14 21:04:26.512113 | 2025-05-23 23:33:00.307011 | 171614 | PENDING | 4213921 | N/A | 21916 | PRIMARY | 20241023P0102132 | N/A | N/A | N/A | N/A | 2025-01-21 00:00:00 | 2024-10-23 00:00:00 | N/A | N/A | N/A | 12 | 12 | PRIOR_AUTH | N/A | N/A | N/A | 5541947 | N/A | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2025-05-14 21:04:26.482871 | 2026-02-22 20:17:36.462057 | 171613 | PENDING | 4214646 | N/A | 21916 | PRIMARY | 20241210P0104187 | N/A | N/A | LUMBAR | N/A | 2025-03-10 07:00:00 | 2024-12-10 08:00:00 | N/A | N/A | N/A | N/A | 11 | PRIOR_AUTH | N/A | N/A | N/A | 5542774 | True | N/A | N/A | PRE_CERT | N/A | 11 | 5 | N/A | VISITS |
| 2025-05-14 21:04:26.475052 | 2025-07-08 16:57:41.210813 | 171612 | PENDING | 4214527 | N/A | 21916 | PRIMARY | 20241227P0101874 | 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 | 1 | 1 | PRIOR_AUTH | N/A | N/A | N/A | 5542642 | True | N/A | N/A | PRE_CERT | N/A | 1 | 1 | N/A | VISITS |
| 2025-05-14 21:04:26.418358 | 2025-11-14 19:39:15.245768 | 171611 | PENDING | 4214098 | N/A | 21916 | PRIMARY | 20241202P0103869 | N/A | N/A | N/A | N/A | 2025-03-03 00:00:00 | 2024-12-02 00:00:00 | N/A | N/A | N/A | 6 | 6 | PRIOR_AUTH | N/A | N/A | N/A | 5542147 | True | N/A | N/A | PRE_CERT | N/A | 6 | 6 | N/A | VISITS |
| 2025-05-14 21:04:26.378402 | 2025-05-23 23:32:59.923316 | 171610 | PENDING | 4214075 | N/A | 21916 | PRIMARY | 20241111P0102619 | N/A | N/A | N/A | N/A | 2025-02-12 00:00:00 | 2024-11-11 00:00:00 | N/A | N/A | N/A | 10 | 10 | PRIOR_AUTH | N/A | N/A | N/A | 5542123 | N/A | N/A | N/A | PRE_CERT | N/A | 10 | 10 | N/A | VISITS |
| 2025-05-14 21:04:26.377003 | 2025-07-21 16:51:28.514990 | 171609 | PENDING | 4214597 | N/A | 21916 | PRIMARY | 20241119L0101061 | 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 | 7 | 7 | PRIOR_AUTH | N/A | N/A | N/A | 5542721 | True | N/A | N/A | PRE_CERT | N/A | 7 | 7 | N/A | VISITS |
| 2025-05-14 21:04:26.351148 | 2025-05-23 23:32:59.661454 | 171608 | PENDING | 4214377 | N/A | 21916 | PRIMARY | 16555138 | N/A | N/A | N/A | N/A | 2025-01-20 00:00:00 | 2024-12-18 00:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5542471 | N/A | N/A | N/A | PRE_CERT | N/A | N/A | N/A | N/A | VISITS |
| 2025-05-14 21:04:26.347027 | 2025-05-23 23:33:00.187051 | 171607 | PENDING | 4214210 | N/A | 21916 | PRIMARY | 20241118P0103670 | N/A | N/A | N/A | N/A | 2025-02-16 00:00:00 | 2024-11-18 00:00:00 | N/A | N/A | N/A | 5 | 5 | PRIOR_AUTH | N/A | N/A | N/A | 5542271 | N/A | N/A | N/A | PRE_CERT | N/A | 5 | 5 | N/A | VISITS |
| 2025-05-14 21:04:26.332718 | 2025-05-23 23:33:00.136981 | 171606 | PENDING | 4214745 | N/A | 21916 | PRIMARY | 20241219P0101996 | 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 | 5542892 | N/A | N/A | N/A | PRE_CERT | N/A | N/A | N/A | N/A | VISITS |
| 2025-05-14 21:04:26.315285 | 2025-05-23 23:32:59.562875 | 171605 | PENDING | 4214684 | N/A | 21916 | PRIMARY | 20241219P0100791 | 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 | 2 | 2 | PRIOR_AUTH | N/A | N/A | N/A | 5542816 | N/A | N/A | N/A | PRE_CERT | N/A | 2 | 2 | N/A | VISITS |
| 2025-05-14 21:04:26.272171 | 2025-11-05 16:15:57.289647 | 171604 | PENDING | 4214627 | N/A | 21916 | PRIMARY | 20241230P0101419 | N/A | N/A | N/A | N/A | 2025-03-30 00:00:00 | 2025-01-31 00:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5542752 | True | N/A | N/A | PRE_CERT | N/A | N/A | N/A | N/A | VISITS |
| 2025-05-14 21:04:26.259019 | 2025-06-10 16:50:20.868049 | 171603 | PENDING | 4214340 | N/A | 21916 | PRIMARY | 20241016P0100788 | N/A | N/A | N/A | N/A | 2025-01-14 08:00:00 | 2024-10-16 07:00:00 | N/A | N/A | N/A | N/A | 3 | PRIOR_AUTH | N/A | N/A | N/A | 5542429 | N/A | N/A | N/A | PRE_CERT | N/A | 3 | 3 | N/A | VISITS |
| 2025-05-14 21:04:26.249726 | 2025-05-30 15:02:57.810068 | 171602 | PENDING | 4214274 | N/A | 21916 | PRIMARY | OP0022564634 | N/A | N/A | N/A | N/A | 2025-02-20 00:00:00 | 2024-11-26 00:00:00 | N/A | N/A | N/A | 10 | 10 | PRIOR_AUTH | N/A | N/A | N/A | 5542346 | True | N/A | N/A | PRE_CERT | N/A | 10 | 10 | N/A | VISITS |
| 2025-05-14 21:04:26.213821 | 2025-05-23 23:32:59.840391 | 171601 | PENDING | 4219565 | N/A | 21916 | PRIMARY | 20241209P0107139 | 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 | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5550565 | N/A | N/A | N/A | PRE_CERT | N/A | N/A | N/A | N/A | VISITS |
| 2025-05-14 21:04:26.205326 | 2025-05-23 23:32:59.406582 | 171600 | PENDING | 4213956 | N/A | 21916 | PRIMARY | 20241003P0105961 | N/A | N/A | N/A | N/A | 2025-01-03 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 | 5541989 | N/A | N/A | N/A | PRE_CERT | N/A | N/A | N/A | N/A | VISITS |
| 2025-05-14 21:04:26.143050 | 2025-05-23 23:27:30.505078 | 171599 | PENDING | 4214321 | N/A | 21916 | PRIMARY | 20241021P0104368 | 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 | 3 | 3 | PRIOR_AUTH | N/A | N/A | N/A | 5542409 | N/A | N/A | N/A | PRE_CERT | N/A | 3 | 3 | N/A | VISITS |
| 2025-05-14 21:04:26.137224 | 2025-05-23 23:33:00.047506 | 171598 | PENDING | 4214624 | N/A | 21916 | PRIMARY | 20241205L0100721 | 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 | 10 | 10 | PRIOR_AUTH | N/A | N/A | N/A | 5542753 | N/A | N/A | N/A | PRE_CERT | N/A | 10 | 10 | N/A | VISITS |
| 2025-05-14 21:04:26.133261 | 2025-05-23 23:32:59.671405 | 171597 | PENDING | 4214411 | N/A | 21916 | PRIMARY | ASH AUTH 01/20/2025 | 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 | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5542507 | N/A | N/A | N/A | PRE_CERT | N/A | N/A | N/A | N/A | VISITS |
| 2025-05-14 21:04:26.130559 | 2025-05-23 23:32:59.647238 | 171596 | PENDING | 4214370 | N/A | 21916 | PRIMARY | 20250109P0105803 | N/A | N/A | N/A | N/A | 2025-04-09 00:00:00 | 2025-02-04 00:00:00 | N/A | N/A | N/A | 1 | 1 | PRIOR_AUTH | N/A | N/A | N/A | 5542458 | N/A | N/A | N/A | PRE_CERT | N/A | 1 | 1 | N/A | VISITS |
| 2025-05-14 21:04:26.056818 | 2025-06-17 22:25:06.102538 | 171595 | PENDING | 4219577 | N/A | 21916 | PRIMARY | 20241125P0106435 | 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 | 9 | 9 | PRIOR_AUTH | N/A | N/A | N/A | 5550613 | True | N/A | N/A | PRE_CERT | N/A | 9 | 9 | N/A | VISITS |
| 2025-05-14 21:04:26.046386 | 2025-05-23 23:32:59.775191 | 171594 | PENDING | 4214648 | N/A | 21916 | PRIMARY | 20241107P0105904 | 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 | 4 | 4 | PRIOR_AUTH | N/A | N/A | N/A | 5542776 | N/A | N/A | N/A | PRE_CERT | N/A | 4 | 4 | N/A | VISITS |
| 2025-05-14 21:04:25.998153 | 2025-05-23 23:32:59.728983 | 171593 | PENDING | 4214728 | N/A | 21916 | PRIMARY | 20241228P0100187 | N/A | N/A | N/A | N/A | 2025-03-28 00:00:00 | 2024-12-28 00:00:00 | N/A | N/A | N/A | 9 | 9 | PRIOR_AUTH | N/A | N/A | N/A | 5542860 | N/A | N/A | N/A | PRE_CERT | N/A | 9 | 9 | N/A | VISITS |
| 2025-05-14 21:04:25.977234 | 2025-05-23 00:34:53.612122 | 171592 | PENDING | 4214266 | N/A | 21916 | PRIMARY | 20241114P0106051 | 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 | 2 | 2 | PRIOR_AUTH | N/A | N/A | N/A | 5542349 | N/A | N/A | N/A | PRE_CERT | N/A | 2 | 2 | N/A | VISITS |
| 2025-05-14 21:04:25.966580 | 2025-05-23 23:32:59.590814 | 171591 | PENDING | 4214350 | N/A | 21916 | PRIMARY | ASH AUTH | N/A | N/A | N/A | N/A | 2025-02-24 00:00:00 | 2025-01-22 00:00:00 | N/A | N/A | N/A | 7 | 7 | PRIOR_AUTH | N/A | N/A | N/A | 5542446 | N/A | N/A | N/A | PRE_CERT | N/A | 7 | 7 | N/A | VISITS |
| 2025-05-14 21:04:25.962781 | 2025-05-23 23:32:59.996635 | 171590 | PENDING | 4214226 | N/A | 21916 | PRIMARY | 20241231P01024748 | N/A | N/A | N/A | N/A | 2025-04-09 00:00:00 | 2025-01-09 00:00:00 | N/A | N/A | N/A | 2 | 2 | PRIOR_AUTH | N/A | N/A | N/A | 5542295 | N/A | N/A | N/A | PRE_CERT | N/A | 2 | 2 | N/A | VISITS |
| 2025-05-14 21:04:25.940594 | 2025-05-23 23:32:59.945469 | 171589 | PENDING | 4214518 | N/A | 21916 | PRIMARY | 20241114P0100946 | 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 | 5542630 | N/A | N/A | N/A | PRE_CERT | N/A | N/A | N/A | N/A | VISITS |
| 2025-05-14 21:04:25.894223 | 2025-05-23 23:32:59.911483 | 171588 | PENDING | 4214076 | N/A | 21916 | PRIMARY | 20241023P0102223 | N/A | N/A | N/A | N/A | 2025-01-21 00:00:00 | 2024-10-23 00:00:00 | N/A | N/A | N/A | 4 | 4 | PRIOR_AUTH | N/A | N/A | N/A | 5542125 | N/A | N/A | N/A | PRE_CERT | N/A | 4 | 4 | N/A | VISITS |
| 2025-05-14 21:04:25.888389 | 2025-05-23 23:32:59.638669 | 171587 | PENDING | 4214365 | N/A | 21916 | PRIMARY | 20241021P0104017 | 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 | 5542454 | N/A | N/A | N/A | PRE_CERT | N/A | N/A | N/A | N/A | VISITS |
| 2025-05-14 21:04:25.858854 | 2025-05-23 23:32:59.869590 | 171586 | PENDING | 4214705 | N/A | 21916 | PRIMARY | 20241223P0103386 | N/A | N/A | N/A | N/A | 2025-03-25 00:00:00 | 2025-01-03 00:00:00 | N/A | N/A | N/A | 14 | 14 | PRIOR_AUTH | N/A | N/A | N/A | 5542838 | N/A | N/A | N/A | PRE_CERT | N/A | 14 | 14 | N/A | VISITS |
| 2025-05-14 21:04:25.835917 | 2025-06-19 23:53:30.078618 | 171585 | PENDING | 4214352 | N/A | 21916 | PRIMARY | 6979616 | N/A | N/A | N/A | N/A | 2025-11-02 04:00:00 | 2025-03-21 04:00:00 | N/A | N/A | N/A | N/A | 3 | PRIOR_AUTH | N/A | N/A | N/A | 5542440 | True | N/A | N/A | PRE_CERT | N/A | 3 | 2 | N/A | VISITS |