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 21:03:49.304886 | 2026-05-13 17:35:12.190082 | 171534 | PENDING | 4213276 | N/A | 21916 | PRIMARY | 20241004P0101266 | 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 | 5541240 | True | N/A | N/A | PRE_CERT | N/A | N/A | N/A | N/A | VISITS |
| 2025-05-14 21:03:48.895444 | 2025-07-10 22:42:29.518639 | 171533 | PENDING | 4212802 | N/A | 21916 | PRIMARY | 20250411P0104001 | N/A | N/A | N/A | N/A | 2025-07-10 07:00:00 | 2025-04-11 07:00:00 | N/A | N/A | N/A | N/A | 5 | PRIOR_AUTH | N/A | N/A | N/A | 5540683 | True | N/A | N/A | PRE_CERT | N/A | 5 | 5 | N/A | VISITS |
| 2025-05-14 21:03:48.792756 | 2025-05-23 23:30:12.934678 | 171532 | PENDING | 4212827 | N/A | 21916 | PRIMARY | 16524983 | N/A | N/A | N/A | N/A | 2025-01-06 00:00:00 | 2024-12-06 00:00:00 | N/A | N/A | N/A | 1 | 1 | PRIOR_AUTH | N/A | N/A | N/A | 5540724 | N/A | N/A | N/A | PRE_CERT | N/A | 1 | 1 | N/A | VISITS |
| 2025-05-14 21:03:48.771350 | 2025-09-26 17:58:01.023156 | 171531 | PENDING | 4212709 | N/A | 21916 | SECONDARY | 24204A0109 | N/A | N/A | N/A | N/A | 2025-01-22 00:00:00 | 2024-07-22 00:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5540568 | True | N/A | N/A | PRE_CERT | N/A | N/A | N/A | N/A | VISITS |
| 2025-05-14 21:03:48.470202 | 2025-06-02 18:05:55.488246 | 171530 | PENDING | 4213530 | N/A | 21916 | PRIMARY | 2024113L0102218 | N/A | N/A | N/A | N/A | 2025-02-13 00:00:00 | 2024-11-13 00:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5541519 | True | N/A | N/A | PRE_CERT | N/A | N/A | N/A | N/A | VISITS |
| 2025-05-14 21:03:48.256608 | 2025-05-23 23:30:13.261806 | 171529 | PENDING | 4213267 | N/A | 21916 | PRIMARY | 20241219P0101215 | 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 | 6 | 6 | PRIOR_AUTH | N/A | N/A | N/A | 5541229 | N/A | N/A | N/A | PRE_CERT | N/A | 6 | 6 | N/A | VISITS |
| 2025-05-14 21:03:48.255824 | 2025-05-23 23:30:13.487301 | 171528 | PENDING | 4212980 | N/A | 21916 | SECONDARY | 20241031L0100121 | 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 | 9 | 9 | PRIOR_AUTH | N/A | N/A | N/A | 5540897 | N/A | N/A | N/A | PRE_CERT | N/A | 9 | 9 | N/A | VISITS |
| 2025-05-14 21:03:48.182396 | 2025-05-23 23:30:13.545840 | 171527 | PENDING | 4212907 | N/A | 21916 | PRIMARY | 20241017P0105647 | N/A | N/A | N/A | N/A | 2025-01-15 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 | 5540811 | N/A | N/A | N/A | PRE_CERT | N/A | 2 | 2 | N/A | VISITS |
| 2025-05-14 21:03:48.151342 | 2025-05-23 00:34:44.597531 | 171526 | PENDING | 4212966 | N/A | 21916 | PRIMARY | 20250102P0103685 | N/A | N/A | N/A | N/A | 2025-04-02 00:00:00 | 2025-02-11 00:00:00 | N/A | N/A | N/A | 4 | 4 | PRIOR_AUTH | N/A | N/A | N/A | 5540872 | N/A | N/A | N/A | PRE_CERT | N/A | 4 | 4 | N/A | VISITS |
| 2025-05-14 21:03:48.137488 | 2025-05-23 23:30:13.515157 | 171525 | PENDING | 4213220 | N/A | 21916 | PRIMARY | 1 | N/A | N/A | N/A | N/A | 2025-03-10 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 | 5541172 | N/A | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2025-05-14 21:03:48.134234 | 2025-05-23 00:34:53.526968 | 171524 | PENDING | 4212900 | N/A | 21916 | PRIMARY | 20241016P0100592 | N/A | N/A | N/A | N/A | 2025-01-04 00:00:00 | 2024-10-16 00:00:00 | N/A | N/A | N/A | 5 | 5 | PRIOR_AUTH | N/A | N/A | N/A | 5540804 | N/A | N/A | N/A | PRE_CERT | N/A | 5 | 5 | N/A | VISITS |
| 2025-05-14 21:03:48.080594 | 2026-02-16 23:12:25.531647 | 171523 | PENDING | 4213307 | N/A | 21916 | PRIMARY | OP0022096805 | N/A | N/A | N/A | N/A | 2025-02-03 00:00:00 | 2024-11-08 00:00:00 | N/A | N/A | N/A | 1 | 1 | PRIOR_AUTH | N/A | N/A | N/A | 5541272 | True | N/A | N/A | PRE_CERT | N/A | 1 | 1 | N/A | VISITS |
| 2025-05-14 21:03:48.075329 | 2025-05-23 23:30:13.505574 | 171522 | PENDING | 4213351 | N/A | 21916 | PRIMARY | 20241008P0105321 | 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 | 2 | 2 | PRIOR_AUTH | N/A | N/A | N/A | 5541321 | N/A | N/A | N/A | PRE_CERT | N/A | 2 | 2 | N/A | VISITS |
| 2025-05-14 21:03:48.051607 | 2025-05-23 23:30:13.477096 | 171521 | PENDING | 4212980 | N/A | 21916 | PRIMARY | 20241125L0100075 | 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 | 5540894 | N/A | N/A | N/A | PRE_CERT | N/A | N/A | N/A | N/A | VISITS |
| 2025-05-14 21:03:47.923254 | 2025-05-23 00:34:48.200701 | 171520 | PENDING | 4212452 | N/A | 21916 | PRIMARY | 24067125380 | N/A | N/A | N/A | N/A | 2025-01-09 00:00:00 | 2024-01-09 00:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5540266 | N/A | N/A | N/A | PRE_CERT | N/A | N/A | N/A | N/A | VISITS |
| 2025-05-14 21:03:47.630001 | 2025-09-24 23:12:16.270545 | 171519 | PENDING | 4213108 | N/A | 21916 | PRIMARY | 20241119P0104267 | N/A | N/A | N/A | N/A | 2025-02-17 08:00:00 | 2024-11-19 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5541038 | N/A | N/A | N/A | PRE_CERT | N/A | 1 | 1 | N/A | VISITS |
| 2025-05-14 21:03:47.482121 | 2025-09-03 15:43:59.037713 | 171518 | PENDING | 4213370 | N/A | 21916 | PRIMARY | 20250110P0101409 | 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 | 12 | 12 | PRIOR_AUTH | N/A | N/A | N/A | 5541337 | True | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2025-05-14 21:03:47.482095 | 2025-05-23 23:30:13.331349 | 171517 | PENDING | 4212913 | N/A | 21916 | PRIMARY | EN246958 | N/A | N/A | N/A | N/A | 2025-04-07 00:00:00 | 2024-11-04 00:00:00 | N/A | N/A | N/A | 3 | 3 | PRIOR_AUTH | N/A | N/A | N/A | 5540848 | N/A | N/A | N/A | PRE_CERT | N/A | 3 | 3 | N/A | VISITS |
| 2025-05-14 21:03:47.321040 | 2025-05-30 16:27:53.429873 | 171516 | PENDING | 4212810 | N/A | 21916 | PRIMARY | 20241121L0100816 | N/A | N/A | N/A | N/A | 2025-02-19 08:00:00 | 2024-11-21 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5540701 | True | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2025-05-14 21:03:47.199698 | 2025-05-23 23:30:13.390295 | 171515 | PENDING | 4219525 | N/A | 21916 | PRIMARY | 20241023L0102194 | N/A | N/A | N/A | N/A | 2025-01-27 00:00:00 | 2024-10-23 00:00:00 | N/A | N/A | N/A | 3 | 3 | PRIOR_AUTH | N/A | N/A | N/A | 5550318 | N/A | N/A | N/A | PRE_CERT | N/A | 3 | 3 | N/A | VISITS |
| 2025-05-14 21:03:47.138857 | 2025-09-26 17:57:54.575350 | 171514 | PENDING | 4212709 | N/A | 21916 | PRIMARY | 16558051 | N/A | N/A | N/A | N/A | 2025-02-20 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 | 5540566 | True | N/A | N/A | PRE_CERT | N/A | N/A | N/A | N/A | VISITS |
| 2025-05-14 21:03:47.097497 | 2025-05-23 00:34:53.924367 | 171513 | PENDING | 4212846 | N/A | 21916 | PRIMARY | 20241104P0104618 | 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 | 3 | 3 | PRIOR_AUTH | N/A | N/A | N/A | 5540739 | N/A | N/A | N/A | PRE_CERT | N/A | 3 | 3 | N/A | VISITS |
| 2025-05-14 21:03:46.910110 | 2025-06-18 23:05:12.005239 | 171512 | PENDING | 4212773 | N/A | 21916 | PRIMARY | 20250425P0101567 | N/A | N/A | N/A | N/A | 2025-07-24 07:00:00 | 2025-04-25 07:00:00 | N/A | N/A | N/A | N/A | 3 | PRIOR_AUTH | N/A | N/A | N/A | 5540659 | True | N/A | N/A | PRE_CERT | N/A | 3 | 3 | N/A | VISITS |
| 2025-05-14 21:03:46.909037 | 2025-05-23 00:34:52.354903 | 171511 | PENDING | 4212870 | N/A | 21916 | PRIMARY | 20241113P0106685 | 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 | 9 | 9 | PRIOR_AUTH | N/A | N/A | N/A | 5540785 | N/A | N/A | N/A | PRE_CERT | N/A | 9 | 9 | N/A | VISITS |
| 2025-05-14 21:03:46.741400 | 2025-05-23 00:34:45.999350 | 171510 | PENDING | 4212838 | N/A | 21916 | PRIMARY | 20241007P0107260 | N/A | N/A | N/A | N/A | 2025-01-05 00:00:00 | 2024-10-06 00:00:00 | N/A | N/A | N/A | 6 | 6 | PRIOR_AUTH | N/A | N/A | N/A | 5540732 | N/A | N/A | N/A | PRE_CERT | N/A | 6 | 6 | N/A | VISITS |
| 2025-05-14 21:03:46.735447 | 2025-05-23 23:30:13.319176 | 171509 | PENDING | 4212857 | N/A | 21916 | PRIMARY | 20241104L0100867 | 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 | 7 | 7 | PRIOR_AUTH | N/A | N/A | N/A | 5540747 | N/A | N/A | N/A | PRE_CERT | N/A | 7 | 7 | N/A | VISITS |
| 2025-05-14 21:03:46.651273 | 2025-05-23 23:30:13.252333 | 171508 | PENDING | 4213265 | N/A | 21916 | PRIMARY | 20241030L0100946 | 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 | 5541232 | N/A | N/A | N/A | PRE_CERT | N/A | 5 | 5 | N/A | VISITS |
| 2025-05-14 21:03:46.012391 | 2025-05-30 16:14:43.164145 | 171507 | PENDING | 4212197 | N/A | 21916 | PRIMARY | 20241230P0103244 | N/A | N/A | N/A | N/A | 2025-06-22 21:00:00 | 2024-12-31 00:00:00 | N/A | N/A | N/A | N/A | 9 | PRIOR_AUTH | N/A | N/A | N/A | 5539967 | True | N/A | N/A | PRE_CERT | N/A | 9 | 7 | N/A | VISITS |
| 2025-05-14 21:03:46.006404 | 2025-05-23 23:30:13.233530 | 171506 | PENDING | 4212409 | N/A | 21916 | PRIMARY | 20241022L0100236 | N/A | N/A | N/A | N/A | 2025-01-22 00:00:00 | 2024-10-22 00:00:00 | N/A | N/A | N/A | 10 | 10 | PRIOR_AUTH | N/A | N/A | N/A | 5540226 | N/A | N/A | N/A | PRE_CERT | N/A | 10 | 10 | N/A | VISITS |
| 2025-05-14 21:03:45.958431 | 2025-05-23 23:30:13.223915 | 171505 | PENDING | 4212566 | N/A | 21916 | PRIMARY | 20241230L0101678 | N/A | N/A | N/A | N/A | 2025-03-30 00:00:00 | 2024-12-31 00:00:00 | N/A | N/A | N/A | 10 | 10 | PRIOR_AUTH | N/A | N/A | N/A | 5540409 | N/A | N/A | N/A | PRE_CERT | N/A | 10 | 10 | N/A | VISITS |
| 2025-05-14 21:03:45.540673 | 2025-05-23 23:30:13.214736 | 171504 | PENDING | 4212446 | N/A | 21916 | PRIMARY | 20241030L0100574 | 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 | 5540257 | N/A | N/A | N/A | PRE_CERT | N/A | N/A | N/A | N/A | VISITS |
| 2025-05-14 21:03:45.501305 | 2025-05-23 23:30:13.203737 | 171503 | PENDING | 4212498 | N/A | 21916 | SECONDARY | 31105100 | N/A | N/A | N/A | N/A | 2025-04-03 00:00:00 | 2025-02-25 00:00:00 | N/A | N/A | N/A | 12 | 12 | PRIOR_AUTH | N/A | N/A | N/A | 5540317 | N/A | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2025-05-14 21:03:44.893212 | 2025-05-30 02:53:32.301755 | 171502 | PENDING | 4212475 | N/A | 21916 | PRIMARY | 20250428P0101278 | N/A | N/A | N/A | N/A | 2025-07-27 07:00:00 | 2025-04-28 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5540301 | N/A | N/A | N/A | PRE_CERT | N/A | 3 | 3 | N/A | VISITS |
| 2025-05-14 21:03:44.866133 | 2025-05-23 23:30:13.075123 | 171501 | PENDING | 4212107 | N/A | 21916 | PRIMARY | 20241114L0100388 | 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 | 5539861 | N/A | N/A | N/A | PRE_CERT | N/A | N/A | N/A | N/A | VISITS |
| 2025-05-14 21:03:43.556617 | 2025-07-15 21:45:53.521436 | 171500 | PENDING | 4212576 | N/A | 21916 | PRIMARY | 1 | 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 | 12 | 12 | PRIOR_AUTH | N/A | N/A | N/A | 5540410 | True | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2025-05-14 21:03:43.175043 | 2025-06-02 04:11:39.671600 | 171499 | PENDING | 4212315 | N/A | 21916 | PRIMARY | 20241231P0102593 | 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 | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5540113 | True | N/A | N/A | PRE_CERT | N/A | N/A | N/A | N/A | VISITS |
| 2025-05-14 21:03:42.930410 | 2025-05-23 23:30:13.131250 | 171498 | PENDING | 4212646 | N/A | 21916 | PRIMARY | 24093404724 | N/A | N/A | N/A | N/A | 2025-01-25 00:00:00 | 2024-01-25 00:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5540494 | N/A | N/A | N/A | PRE_CERT | N/A | N/A | N/A | N/A | VISITS |
| 2025-05-14 21:03:42.637875 | 2025-05-23 23:30:13.120081 | 171497 | PENDING | 4212325 | N/A | 21916 | PRIMARY | 20241111L0101243 | 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 | 4 | 4 | PRIOR_AUTH | N/A | N/A | N/A | 5540126 | N/A | N/A | N/A | PRE_CERT | N/A | 4 | 4 | N/A | VISITS |
| 2025-05-14 21:03:42.403504 | 2025-05-23 23:30:13.107702 | 171496 | PENDING | 4212633 | N/A | 21916 | PRIMARY | 20241015P0104611 | N/A | N/A | N/A | N/A | 2025-01-14 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 | 5540480 | N/A | N/A | N/A | PRE_CERT | N/A | 7 | 7 | N/A | VISITS |
| 2025-05-14 21:03:42.311951 | 2025-08-05 19:52:17.259885 | 171495 | PENDING | 4211481 | N/A | 21916 | PRIMARY | 20250507P0105048 | N/A | N/A | N/A | N/A | 2025-08-05 07:00:00 | 2025-05-07 07:00:00 | N/A | N/A | N/A | N/A | 4 | PRIOR_AUTH | N/A | N/A | N/A | 5539141 | True | N/A | N/A | PRE_CERT | N/A | 4 | 7 | N/A | VISITS |
| 2025-05-14 21:03:40.492964 | 2025-05-23 23:30:13.087289 | 171494 | PENDING | 4211915 | N/A | 21916 | PRIMARY | 20241022P0105149 | 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 | 5539638 | N/A | N/A | N/A | PRE_CERT | N/A | N/A | N/A | N/A | VISITS |
| 2025-05-14 21:03:40.378216 | 2025-05-30 18:45:08.999078 | 171493 | PENDING | 4212098 | N/A | 21916 | PRIMARY | 20241206P0100350 | 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 | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5539853 | True | N/A | N/A | PRE_CERT | N/A | N/A | N/A | N/A | VISITS |
| 2025-05-14 21:03:39.772926 | 2025-05-23 23:30:13.051992 | 171492 | PENDING | 4219395 | N/A | 21916 | SECONDARY | 20241122P0106035 | 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 | 8 | 8 | PRIOR_AUTH | N/A | N/A | N/A | 5549841 | N/A | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2025-05-14 21:03:39.512012 | 2025-05-23 23:30:12.968828 | 171491 | PENDING | 4211851 | N/A | 21916 | PRIMARY | 20250102P0100761 | 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 | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5539569 | N/A | N/A | N/A | PRE_CERT | N/A | N/A | N/A | N/A | VISITS |
| 2025-05-14 21:03:38.685346 | 2025-05-23 23:30:13.041590 | 171490 | PENDING | 4219434 | N/A | 21916 | PRIMARY | 20241212P0101654 | 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 | 5549974 | N/A | N/A | N/A | PRE_CERT | N/A | N/A | N/A | N/A | VISITS |
| 2025-05-14 21:03:37.677398 | 2025-05-23 23:30:13.030189 | 171489 | PENDING | 4212070 | N/A | 21916 | PRIMARY | 20241031L0100175 | 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 | 6 | 6 | PRIOR_AUTH | N/A | N/A | N/A | 5539818 | N/A | N/A | N/A | PRE_CERT | N/A | 6 | 6 | N/A | VISITS |
| 2025-05-14 21:03:37.546355 | 2025-05-23 23:30:13.017631 | 171488 | PENDING | 4211618 | N/A | 21916 | PRIMARY | 20241122P0105500 | 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 | 5539294 | N/A | N/A | N/A | PRE_CERT | N/A | 1 | 1 | N/A | VISITS |
| 2025-05-14 21:03:37.523364 | 2025-05-23 23:30:12.993035 | 171487 | PENDING | 4212058 | N/A | 21916 | PRIMARY | 20241003L0100747 | N/A | N/A | N/A | N/A | 2025-01-01 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 | 5539810 | N/A | N/A | N/A | PRE_CERT | N/A | N/A | N/A | N/A | VISITS |
| 2025-05-14 21:03:37.137498 | 2025-05-23 00:34:55.937645 | 171486 | PENDING | 4211512 | N/A | 21916 | PRIMARY | 20241021P0104244 | 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 | 5539179 | N/A | N/A | N/A | PRE_CERT | N/A | 1 | 1 | N/A | VISITS |
| 2025-05-14 21:03:36.992234 | 2025-05-23 23:30:12.980601 | 171485 | PENDING | 4211812 | N/A | 21916 | PRIMARY | 20241018L0101682 | N/A | N/A | N/A | N/A | 2025-01-17 00:00:00 | 2024-10-18 00:00:00 | N/A | N/A | N/A | 6 | 6 | PRIOR_AUTH | N/A | N/A | N/A | 5539522 | N/A | N/A | N/A | PRE_CERT | N/A | 6 | 6 | N/A | VISITS |