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 21:04:25.835445 | 2025-05-23 23:27:29.750952 | 171584 | PENDING | 4214315 | N/A | 21916 | PRIMARY | 20241113L0100573 | 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 | 5542407 | N/A | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2025-05-14 21:04:25.835457 | 2025-11-13 18:03:45.566522 | 171583 | PENDING | 4214677 | N/A | 21916 | PRIMARY | 20241212P0104060 | 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 | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5542812 | True | N/A | N/A | PRE_CERT | N/A | N/A | N/A | N/A | VISITS |
| 2025-05-14 21:04:25.805279 | 2025-05-23 23:30:13.284404 | 171582 | PENDING | 4214475 | N/A | 21916 | PRIMARY | 20241007P0104308 | N/A | N/A | N/A | N/A | 2025-01-05 00:00:00 | 2024-10-07 00:00:00 | N/A | N/A | N/A | 13 | 13 | PRIOR_AUTH | N/A | N/A | N/A | 5542585 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2025-05-14 21:04:25.767998 | 2025-05-23 23:32:59.764378 | 171581 | PENDING | 4214638 | N/A | 21916 | PRIMARY | 20241216P0100636 | N/A | N/A | N/A | N/A | 2025-03-16 00:00:00 | 2024-12-16 00:00:00 | N/A | N/A | N/A | 1 | 1 | PRIOR_AUTH | N/A | N/A | N/A | 5542766 | N/A | N/A | N/A | PRE_CERT | N/A | 1 | 1 | N/A | VISITS |
| 2025-05-14 21:04:25.732094 | 2025-05-23 23:32:59.715690 | 171580 | PENDING | 4214722 | N/A | 21916 | PRIMARY | 20241230P0102372 | N/A | N/A | N/A | N/A | 2025-03-30 00:00:00 | 2024-12-30 00:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5542859 | N/A | N/A | N/A | PRE_CERT | N/A | N/A | N/A | N/A | VISITS |
| 2025-05-14 21:04:25.718044 | 2025-05-23 00:34:47.904160 | 171579 | PENDING | 4214409 | N/A | 21916 | PRIMARY | 20241029L0100907 | 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 | 1 | 1 | PRIOR_AUTH | N/A | N/A | N/A | 5542506 | N/A | N/A | N/A | PRE_CERT | N/A | 1 | 1 | N/A | VISITS |
| 2025-05-14 21:04:25.714840 | 2025-05-23 23:30:13.571144 | 171578 | PENDING | 4214110 | N/A | 21916 | PRIMARY | 20241101P0103162 | 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 | 1 | 1 | PRIOR_AUTH | N/A | N/A | N/A | 5542159 | N/A | N/A | N/A | PRE_CERT | N/A | 1 | 1 | N/A | VISITS |
| 2025-05-14 21:04:25.667161 | 2025-05-23 23:32:59.629490 | 171577 | PENDING | 4214378 | N/A | 21916 | PRIMARY | 20250123P0101626 | N/A | N/A | N/A | N/A | 2025-01-31 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 | 5542477 | N/A | N/A | N/A | PRE_CERT | N/A | N/A | N/A | N/A | VISITS |
| 2025-05-14 21:04:25.631750 | 2025-05-23 00:34:54.955641 | 171576 | PENDING | 4214338 | N/A | 21916 | PRIMARY | 20250102L0100256 | 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 | 8 | 8 | PRIOR_AUTH | N/A | N/A | N/A | 5542434 | N/A | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2025-05-14 21:04:25.628217 | 2025-06-01 20:54:27.638281 | 171575 | PENDING | 4214674 | N/A | 21916 | PRIMARY | 20241218L0101516 | N/A | N/A | N/A | N/A | 2025-03-18 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 | 5542808 | True | N/A | N/A | PRE_CERT | N/A | N/A | N/A | N/A | VISITS |
| 2025-05-14 21:04:25.628082 | 2025-05-23 23:32:59.510531 | 171574 | PENDING | 4214549 | N/A | 21916 | PRIMARY | 31078901 | N/A | N/A | N/A | N/A | 2025-03-20 00:00:00 | 2025-02-20 00:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5542670 | N/A | N/A | N/A | PRE_CERT | N/A | N/A | N/A | N/A | VISITS |
| 2025-05-14 21:04:25.608724 | 2025-05-23 23:32:59.464327 | 171573 | PENDING | 4214617 | N/A | 21916 | PRIMARY | 20250114P0105846 | 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 | 3 | 3 | PRIOR_AUTH | N/A | N/A | N/A | 5542746 | N/A | N/A | N/A | PRE_CERT | N/A | 3 | 3 | N/A | VISITS |
| 2025-05-14 21:04:25.524924 | 2025-07-08 14:51:50.969890 | 171572 | PENDING | 4214047 | N/A | 21916 | PRIMARY | REF# ei00122606 | N/A | N/A | N/A | N/A | 2025-01-14 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 | 5542093 | True | N/A | N/A | PRE_CERT | N/A | N/A | N/A | N/A | VISITS |
| 2025-05-14 21:03:59.339776 | 2025-05-14 21:03:59.339783 | 171571 | PENDING | 4212695 | N/A | 21916 | PRIMARY | 20241115L0101665 | 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 | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5540555 | N/A | N/A | N/A | PRE_CERT | N/A | N/A | N/A | N/A | VISITS |
| 2025-05-14 21:03:55.203976 | 2025-09-22 22:05:32.539614 | 171570 | PENDING | 4213398 | N/A | 21916 | PRIMARY | 20241230P0100866 | 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 | 12 | 12 | PRIOR_AUTH | N/A | N/A | N/A | 5541371 | True | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2025-05-14 21:03:55.022947 | 2025-12-02 16:20:33.668978 | 171569 | PENDING | 4213435 | N/A | 21916 | PRIMARY | 20241115L0101974 | 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 | 5541409 | True | N/A | N/A | PRE_CERT | N/A | 1 | 1 | N/A | VISITS |
| 2025-05-14 21:03:54.165746 | 2025-05-23 23:30:12.638800 | 171568 | PENDING | 4213212 | N/A | 21916 | SECONDARY | 20241003P0102973 | 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 | 5541180 | N/A | N/A | N/A | PRE_CERT | N/A | N/A | N/A | N/A | VISITS |
| 2025-05-14 21:03:53.802212 | 2025-05-23 23:26:48.353829 | 171567 | PENDING | 4212891 | N/A | 21916 | PRIMARY | 24200A0153 | N/A | N/A | N/A | N/A | 2025-01-17 00:00:00 | 2024-07-21 00:00:00 | N/A | N/A | N/A | 10 | 10 | PRIOR_AUTH | N/A | N/A | N/A | 5540798 | N/A | N/A | N/A | PRE_CERT | N/A | 10 | 10 | N/A | VISITS |
| 2025-05-14 21:03:53.711006 | 2025-05-23 00:34:45.087316 | 171566 | PENDING | 4212199 | N/A | 21916 | PRIMARY | 20241105P0103930 | 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 | 5539971 | N/A | N/A | N/A | PRE_CERT | N/A | N/A | N/A | N/A | VISITS |
| 2025-05-14 21:03:53.232688 | 2025-05-23 00:34:46.987738 | 171565 | PENDING | 4213449 | N/A | 21916 | PRIMARY | 20241015P0101608 | N/A | N/A | N/A | N/A | 2025-01-13 00:00:00 | 2024-10-15 00:00:00 | N/A | N/A | N/A | 12 | 12 | PRIOR_AUTH | N/A | N/A | N/A | 5541432 | N/A | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2025-05-14 21:03:53.014599 | 2025-05-23 23:30:13.852092 | 171564 | PENDING | 4213764 | N/A | 21916 | PRIMARY | 20241021P0100334 | 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 | 6 | 6 | PRIOR_AUTH | N/A | N/A | N/A | 5541776 | N/A | N/A | N/A | PRE_CERT | N/A | 6 | 6 | N/A | VISITS |
| 2025-05-14 21:03:52.587375 | 2025-06-17 19:23:48.744642 | 171563 | PENDING | 4213662 | N/A | 21916 | PRIMARY | 20241023P0102630 | 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 | 17 | 17 | PRIOR_AUTH | N/A | N/A | N/A | 5541664 | True | N/A | N/A | PRE_CERT | N/A | 17 | 17 | N/A | VISITS |
| 2025-05-14 21:03:52.348415 | 2025-05-23 00:34:50.367217 | 171562 | PENDING | 4213368 | N/A | 21916 | PRIMARY | 24242A0044 | N/A | N/A | N/A | N/A | 2025-02-25 00:00:00 | 2024-08-29 00:00:00 | N/A | N/A | N/A | 5 | 5 | PRIOR_AUTH | N/A | N/A | N/A | 5541336 | N/A | N/A | N/A | PRE_CERT | N/A | 5 | 5 | N/A | VISITS |
| 2025-05-14 21:03:52.239021 | 2026-01-02 17:04:00.348811 | 171561 | PENDING | 4213481 | N/A | 21916 | PRIMARY | A33NWSX | N/A | N/A | N/A | N/A | 2025-04-01 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 | 5541465 | True | N/A | N/A | PRE_CERT | N/A | 5 | 5 | N/A | VISITS |
| 2025-05-14 21:03:52.179545 | 2025-05-23 23:30:13.727947 | 171560 | PENDING | 4213692 | N/A | 21916 | PRIMARY | 20241121P0101255 | 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 | 5541699 | N/A | N/A | N/A | PRE_CERT | N/A | N/A | N/A | N/A | VISITS |
| 2025-05-14 21:03:52.135725 | 2025-05-23 23:30:13.770705 | 171559 | PENDING | 4213670 | N/A | 21916 | PRIMARY | 20241217P0106622 | N/A | N/A | N/A | N/A | 2025-03-20 00:00:00 | 2024-12-17 00:00:00 | N/A | N/A | N/A | 2 | 2 | PRIOR_AUTH | N/A | N/A | N/A | 5541672 | N/A | N/A | N/A | PRE_CERT | N/A | 2 | 2 | N/A | VISITS |
| 2025-05-14 21:03:52.046914 | 2025-06-17 21:21:33.478960 | 171558 | PENDING | 4213672 | N/A | 21916 | PRIMARY | EI00122606 | N/A | N/A | N/A | N/A | 2025-07-28 14:00:00 | 2024-10-21 14:00:00 | N/A | N/A | N/A | N/A | 10 | PRIOR_AUTH | N/A | N/A | N/A | 5541694 | True | N/A | N/A | PRE_CERT | N/A | 10 | 10 | N/A | VISITS |
| 2025-05-14 21:03:51.930307 | 2025-05-23 23:30:13.756147 | 171557 | PENDING | 4213666 | N/A | 21916 | PRIMARY | ASH AUTH | N/A | N/A | N/A | N/A | 2025-02-14 00:00:00 | 2024-12-12 00:00:00 | N/A | N/A | N/A | 7 | 7 | PRIOR_AUTH | N/A | N/A | N/A | 5541670 | N/A | N/A | N/A | PRE_CERT | N/A | 7 | 7 | N/A | VISITS |
| 2025-05-14 21:03:51.826448 | 2025-05-23 23:30:13.642834 | 171556 | PENDING | 4213711 | N/A | 21916 | PRIMARY | 106273394-00 | N/A | N/A | N/A | N/A | 2025-01-04 00:00:00 | 2024-12-03 00:00:00 | N/A | N/A | N/A | 5 | 5 | PRIOR_AUTH | N/A | N/A | N/A | 5541715 | N/A | N/A | N/A | PRE_CERT | N/A | 5 | 5 | N/A | VISITS |
| 2025-05-14 21:03:51.768533 | 2025-05-23 00:34:46.008791 | 171555 | PENDING | 4213718 | N/A | 21916 | PRIMARY | 20241007P0106272 | 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 | 8 | 8 | PRIOR_AUTH | N/A | N/A | N/A | 5541749 | N/A | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2025-05-14 21:03:51.466183 | 2025-05-23 00:34:45.457251 | 171554 | PENDING | 4213720 | N/A | 21916 | PRIMARY | 16513601 | N/A | N/A | N/A | N/A | 2025-01-05 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 | 5541726 | N/A | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2025-05-14 21:03:51.393530 | 2025-05-23 00:34:48.782922 | 171553 | PENDING | 4213750 | N/A | 21916 | PRIMARY | 20241015L0102087 | N/A | N/A | N/A | N/A | 2025-01-13 00:00:00 | 2024-10-15 00:00:00 | N/A | N/A | N/A | 2 | 2 | PRIOR_AUTH | N/A | N/A | N/A | 5541759 | N/A | N/A | N/A | PRE_CERT | N/A | 2 | 2 | N/A | VISITS |
| 2025-05-14 21:03:51.306668 | 2025-05-23 00:34:53.767967 | 171552 | PENDING | 4213602 | N/A | 21916 | PRIMARY | 20241111P0100255 | 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 | 8 | 8 | PRIOR_AUTH | N/A | N/A | N/A | 5541607 | N/A | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2025-05-14 21:03:51.262937 | 2025-05-23 23:30:13.631327 | 171551 | PENDING | 4213710 | N/A | 21916 | PRIMARY | OP0021877436 | N/A | N/A | N/A | N/A | 2025-01-29 00:00:00 | 2024-10-30 00:00:00 | N/A | N/A | N/A | 2 | 2 | PRIOR_AUTH | N/A | N/A | N/A | 5541717 | N/A | N/A | N/A | PRE_CERT | N/A | 2 | 2 | N/A | VISITS |
| 2025-05-14 21:03:51.074881 | 2025-05-23 00:34:51.853471 | 171550 | PENDING | 4213688 | N/A | 21916 | PRIMARY | 20241105P0101199 | 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 | 1 | 1 | PRIOR_AUTH | N/A | N/A | N/A | 5541691 | N/A | N/A | N/A | PRE_CERT | N/A | 1 | 1 | N/A | VISITS |
| 2025-05-14 21:03:50.980268 | 2025-05-23 23:30:13.746742 | 171549 | PENDING | 4213565 | N/A | 21916 | PRIMARY | 20241107P0105475 | 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 | 2 | 2 | PRIOR_AUTH | N/A | N/A | N/A | 5541556 | N/A | N/A | N/A | PRE_CERT | N/A | 2 | 2 | N/A | VISITS |
| 2025-05-14 21:03:50.884481 | 2025-05-23 23:30:13.706620 | 171548 | PENDING | 4213667 | N/A | 21916 | PRIMARY | OP0023074813 | 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 | 6 | 6 | PRIOR_AUTH | N/A | N/A | N/A | 5541669 | N/A | N/A | N/A | PRE_CERT | N/A | 6 | 6 | N/A | VISITS |
| 2025-05-14 21:03:50.772620 | 2025-05-23 00:34:46.133054 | 171547 | PENDING | 4213685 | N/A | 21916 | PRIMARY | 20241018P0100637 | 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 | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5541687 | N/A | N/A | N/A | PRE_CERT | N/A | N/A | N/A | N/A | VISITS |
| 2025-05-14 21:03:50.642752 | 2025-05-23 23:30:13.416509 | 171546 | PENDING | 4213382 | N/A | 21916 | PRIMARY | 20241106P0106555 | 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 | 9 | 9 | PRIOR_AUTH | N/A | N/A | N/A | 5541351 | N/A | N/A | N/A | PRE_CERT | N/A | 9 | 9 | N/A | VISITS |
| 2025-05-14 21:03:50.554960 | 2025-05-23 23:30:13.356966 | 171545 | PENDING | 4213778 | N/A | 21916 | SECONDARY | 20241206P0104909 | N/A | N/A | N/A | N/A | 2025-03-06 00:00:00 | 2024-12-06 00:00:00 | N/A | N/A | N/A | 11 | 11 | PRIOR_AUTH | N/A | N/A | N/A | 5541795 | N/A | N/A | N/A | PRE_CERT | N/A | 11 | 11 | N/A | VISITS |
| 2025-05-14 21:03:50.540097 | 2025-05-23 00:34:54.849723 | 171544 | PENDING | 4213703 | N/A | 21916 | PRIMARY | 20241024P0102128 | 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 | 5541718 | N/A | N/A | N/A | PRE_CERT | N/A | 4 | 4 | N/A | VISITS |
| 2025-05-14 21:03:50.486709 | 2025-05-23 23:30:13.693898 | 171543 | PENDING | 4213463 | N/A | 21916 | PRIMARY | 20241125P0102768 | N/A | N/A | N/A | N/A | 2025-03-03 00:00:00 | 2024-11-25 00:00:00 | N/A | N/A | N/A | 8 | 8 | PRIOR_AUTH | N/A | N/A | N/A | 5541445 | N/A | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2025-05-14 21:03:50.453059 | 2025-05-23 23:30:13.680821 | 171542 | PENDING | 4213677 | N/A | 21916 | PRIMARY | 20241014L0100074 | 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 | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5541678 | N/A | N/A | N/A | PRE_CERT | N/A | N/A | N/A | N/A | VISITS |
| 2025-05-14 21:03:50.353847 | 2025-07-07 17:22:31.405684 | 171541 | PENDING | 4213743 | N/A | 21916 | PRIMARY | 20250404P0100452 | N/A | N/A | N/A | N/A | 2025-07-03 14:00:00 | 2025-04-04 14:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 6234679 | True | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2025-05-14 21:03:50.242016 | 2025-05-23 23:30:13.655189 | 171540 | PENDING | 4212830 | N/A | 21916 | PRIMARY | 20241127P0101131 | N/A | N/A | N/A | N/A | 2025-03-25 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 | 5540722 | N/A | N/A | N/A | PRE_CERT | N/A | N/A | N/A | N/A | VISITS |
| 2025-05-14 21:03:50.136663 | 2025-05-23 23:30:13.619388 | 171539 | PENDING | 4213699 | N/A | 21916 | PRIMARY | 20241014P0106784 | N/A | N/A | N/A | N/A | 2025-01-15 00:00:00 | 2024-10-14 00:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5541707 | N/A | N/A | N/A | PRE_CERT | N/A | N/A | N/A | N/A | VISITS |
| 2025-05-14 21:03:49.701220 | 2025-05-23 23:30:13.523932 | 171538 | PENDING | 4213207 | N/A | 21916 | PRIMARY | 20241210P0102354 | N/A | N/A | N/A | N/A | 2025-03-10 00:00:00 | 2024-12-10 00:00:00 | N/A | N/A | N/A | 10 | 10 | PRIOR_AUTH | N/A | N/A | N/A | 5541163 | N/A | N/A | N/A | PRE_CERT | N/A | 10 | 10 | N/A | VISITS |
| 2025-05-14 21:03:49.593249 | 2025-05-23 23:30:12.946199 | 171537 | PENDING | 4212839 | N/A | 21916 | PRIMARY | 20241030L0101063 | 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 | 5540742 | N/A | N/A | N/A | PRE_CERT | N/A | 5 | 5 | N/A | VISITS |
| 2025-05-14 21:03:49.421949 | 2025-05-23 23:30:13.534973 | 171536 | PENDING | 4219516 | N/A | 21916 | PRIMARY | 20241205L0100729 | 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 | 5550282 | N/A | N/A | N/A | PRE_CERT | N/A | 3 | 3 | N/A | VISITS |
| 2025-05-14 21:03:49.352139 | 2025-05-23 00:34:52.823327 | 171535 | PENDING | 4213515 | N/A | 21916 | PRIMARY | 20241018L0100078 | 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 | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5541504 | N/A | N/A | N/A | PRE_CERT | N/A | N/A | N/A | N/A | VISITS |