API Data Explorer (Athletic API)
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Total rows: 3,625
| 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2026-01-23 15:44:10.417502 | 2026-01-23 15:44:10.417508 | 708599 | NOT_INITIATED | 6037805 | N/A | N/A | PRIMARY | Direct referral | N/A | N/A | N/A | N/A | 2026-04-23 07:00:00 | 2026-01-23 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | N/A | N/A | N/A | N/A | REFERRAL | 442052 | 10 | 10 | N/A | VISITS |
| 2026-01-23 15:28:41.264323 | 2026-01-28 17:02:41.501941 | 708584 | NOT_INITIATED | 13920103 | N/A | N/A | PRIMARY | N/A | N/A | N/A | N/A | N/A | 2027-01-23 08:00:00 | 2026-01-23 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | N/A | N/A | N/A | N/A | REFERRAL | 243652 | 10 | 10 | N/A | VISITS |
| 2026-01-23 15:18:29.258940 | 2026-01-23 15:18:29.258948 | 708525 | NOT_INITIATED | 4219630 | N/A | N/A | PRIMARY | 20260115P0100249 | N/A | N/A | N/A | N/A | 2026-04-15 07:00:00 | 2026-01-15 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5858742 | N/A | N/A | N/A | PRE_CERT | N/A | 9 | 9 | N/A | VISITS |
| 2026-01-23 00:22:00.413654 | 2026-01-23 00:22:00.413665 | 707625 | NOT_INITIATED | 13902523 | N/A | N/A | PRIMARY | 20260113P0100521 | N/A | N/A | N/A | N/A | 2026-04-13 07:00:00 | 2026-01-13 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 15812762 | N/A | N/A | N/A | PRE_CERT | N/A | 9 | 9 | N/A | VISITS |
| 2026-01-23 00:15:27.784174 | 2026-01-27 23:06:42.859974 | 707620 | NOT_INITIATED | 13902408 | N/A | N/A | PRIMARY | N/A | N/A | N/A | N/A | N/A | 2026-10-01 07:00:00 | 2025-10-01 07:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | N/A | N/A | N/A | N/A | REFERRAL | 224685 | 10 | 10 | N/A | VISITS |
| 2026-01-22 23:52:18.630368 | 2026-01-22 23:52:18.630374 | 707555 | NOT_INITIATED | 13901436 | N/A | N/A | PRIMARY | 20260119P0100462 | N/A | N/A | N/A | N/A | 2026-04-19 07:00:00 | 2026-01-19 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 15811850 | N/A | N/A | N/A | PRE_CERT | N/A | 6 | 6 | N/A | VISITS |
| 2026-01-22 23:45:29.114870 | 2026-01-22 23:45:29.114877 | 707551 | NOT_INITIATED | 4722569 | N/A | N/A | PRIMARY | 20251204P0107546 | N/A | N/A | N/A | N/A | 2026-03-04 08:00:00 | 2025-12-04 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 9924959 | N/A | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |
| 2026-01-22 23:34:44.638355 | 2026-01-22 23:34:44.638362 | 707491 | NOT_INITIATED | 13901033 | N/A | N/A | PRIMARY | 22680939571 | N/A | N/A | N/A | N/A | 2026-04-13 07:00:00 | 2026-01-14 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 15811539 | N/A | N/A | N/A | PRE_CERT | N/A | 5 | 5 | N/A | VISITS |
| 2026-01-22 23:29:05.103978 | 2026-01-23 19:03:24.757996 | 707487 | NOT_INITIATED | 13900900 | N/A | N/A | PRIMARY | N/A | N/A | N/A | RIGHT ANKLE | N/A | 2027-01-16 08:00:00 | 2026-01-16 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | N/A | N/A | N/A | N/A | REFERRAL | 243519 | 10 | 10 | N/A | VISITS |
| 2026-01-22 23:15:39.903973 | 2026-01-23 19:04:42.403759 | 707459 | NOT_INITIATED | 13900510 | N/A | N/A | PRIMARY | 20260106P0106898 | N/A | N/A | LUMBAR | N/A | 2026-04-07 07:00:00 | 2026-01-06 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 15810989 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2026-01-22 22:49:35.825283 | 2026-01-23 18:56:14.113675 | 707428 | NOT_INITIATED | 13899617 | N/A | N/A | PRIMARY | N/A | N/A | N/A | LUMBAR AND LEFT HIP | N/A | 2027-01-20 08:00:00 | 2026-01-20 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | N/A | N/A | N/A | N/A | REFERRAL | 243681 | 10 | 10 | N/A | VISITS |
| 2026-01-22 21:49:13.076203 | 2026-01-22 21:49:43.371327 | 707274 | NOT_INITIATED | 4219767 | N/A | N/A | PRIMARY | 20260113P0105631 | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5550924 | True | N/A | N/A | PRE_CERT | N/A | N/A | N/A | N/A | VISITS |
| 2026-01-22 19:09:08.218965 | 2026-01-22 19:09:08.218973 | 706872 | NOT_INITIATED | 13889062 | N/A | N/A | PRIMARY | 22681749999 | N/A | N/A | S39.012D (ICD-10-CM) - LUMBAR MUSCLE STRAIN, SUBSEQ Z00.00 (ICD-10-CM) - ROUTINE ADULT HEALTH CHECK UP ЕХА | N/A | 2027-01-08 08:00:00 | 2026-01-08 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 15800298 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2026-01-22 18:54:37.206678 | 2026-01-22 18:54:37.206692 | 706843 | NOT_INITIATED | 4214714 | N/A | N/A | PRIMARY | 20260115L0102209 | N/A | N/A | N/A | N/A | 2026-04-22 07:00:00 | 2026-01-15 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5542850 | N/A | N/A | N/A | PRE_CERT | N/A | 7 | 7 | N/A | VISITS |
| 2026-01-22 18:11:24.663094 | 2026-01-22 18:11:24.663109 | 706693 | NOT_INITIATED | 13885523 | N/A | N/A | PRIMARY | 20251230L0100394 | N/A | N/A | N/A | N/A | 2026-04-06 07:00:00 | 2026-01-06 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 15796824 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2026-01-22 17:45:38.297211 | 2026-01-22 17:45:38.297223 | 706666 | NOT_INITIATED | 13884236 | N/A | N/A | PRIMARY | 22680907802 | N/A | N/A | S86.111A (ICD-10-CM) - RIGHT GASTROCNEMIUS STRAIN, INIT | N/A | 2026-06-17 07:00:00 | 2025-12-18 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 15795515 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2026-01-22 16:46:39.538849 | 2026-01-22 16:46:39.538863 | 706573 | NOT_INITIATED | 13881495 | N/A | N/A | PRIMARY | VA0052895115 | N/A | N/A | N/A | N/A | N/A | 2025-11-04 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | N/A | N/A | N/A | N/A | REFERRAL | 696194 | N/A | N/A | N/A | VISITS |
| 2026-01-22 16:40:15.432699 | 2026-01-22 16:40:15.432707 | 706565 | NOT_INITIATED | 10144918 | N/A | N/A | PRIMARY | 20260115P0101214 | N/A | N/A | OTH SPECIFIED POSTPROCEDURAL STATES | N/A | 2026-04-22 07:00:00 | 2026-01-22 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 11917007 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2026-01-22 16:17:09.435163 | 2026-01-22 16:17:09.435171 | 706519 | NOT_INITIATED | 13043206 | N/A | N/A | PRIMARY | 20260122P0100498 | N/A | N/A | N/A | N/A | 2026-04-22 07:00:00 | 2026-01-22 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 14932772 | N/A | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2026-01-22 16:13:05.738587 | 2026-01-22 16:13:05.738593 | 706511 | NOT_INITIATED | 4213492 | N/A | N/A | PRIMARY | 20260122P0100472 | N/A | N/A | N/A | N/A | 2026-04-22 07:00:00 | 2026-01-22 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5541480 | N/A | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2026-01-22 00:54:22.515626 | 2026-01-22 00:54:22.515640 | 705764 | NOT_INITIATED | 4219609 | N/A | N/A | PRIMARY | OP0033549778 | N/A | N/A | N/A | N/A | 2026-02-04 08:00:00 | 2025-12-04 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5550691 | N/A | N/A | N/A | PRE_CERT | N/A | 10 | 10 | N/A | VISITS |
| 2026-01-21 23:20:49.672516 | 2026-01-21 23:20:49.672523 | 705567 | NOT_INITIATED | 8061360 | N/A | N/A | PRIMARY | 20260121P0106961 | N/A | N/A | N/A | N/A | 2026-04-21 07:00:00 | 2026-01-21 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 9634904 | N/A | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2026-01-21 21:11:06.037964 | 2026-01-21 21:11:06.037972 | 705370 | NOT_INITIATED | 11790346 | N/A | N/A | PRIMARY | OP0034739815 | N/A | N/A | N/A | N/A | 2026-04-14 07:00:00 | 2026-01-14 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 13642737 | N/A | N/A | N/A | PRE_CERT | N/A | 10 | 10 | N/A | VISITS |
| 2026-01-21 20:42:44.639659 | 2026-01-21 20:42:44.639668 | 705312 | NOT_INITIATED | 13849069 | N/A | N/A | PRIMARY | 22680803294 | N/A | N/A | M76.61 (ICD-10-CM) - TENDINITIS OF RIGHT ACHILLES TENDON M17.11 (ICD-10-CM) - OSTEOARTHRITIS OF RIGHT KNEE | N/A | 2026-06-12 07:00:00 | 2025-12-11 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 15755764 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2026-01-21 20:29:13.456321 | 2026-01-21 20:29:13.456329 | 705287 | NOT_INITIATED | 9778191 | N/A | N/A | PRIMARY | 22682083240 | N/A | N/A | M54.50 (ICD-10-CM) - LOW BACK PAIN, UNSPECIFIED | N/A | 2027-11-02 07:00:00 | 2026-01-10 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 11537156 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2026-01-21 19:54:32.257124 | 2026-01-21 19:54:32.257130 | 705213 | NOT_INITIATED | 13846306 | N/A | N/A | PRIMARY | 22682291694 | N/A | N/A | S46.002A (ICD-10-CM) - LEFT ROTATOR CUFF INJURY, INIT | N/A | 2027-01-12 08:00:00 | 2026-01-12 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 15748712 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2026-01-21 19:37:19.707460 | 2026-01-21 19:37:19.707470 | 705176 | NOT_INITIATED | 4209647 | N/A | N/A | PRIMARY | 20251218L0100144 | N/A | N/A | N/A | N/A | 2026-03-18 07:00:00 | 2025-12-18 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5549278 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2026-01-21 19:26:59.922787 | 2026-01-21 19:26:59.922795 | 705151 | NOT_INITIATED | 13844800 | N/A | N/A | PRIMARY | 20260120P0105410 | N/A | N/A | N/A | N/A | 2026-04-21 07:00:00 | 2026-01-21 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 15747368 | N/A | N/A | N/A | PRE_CERT | N/A | 17 | 17 | N/A | VISITS |
| 2026-01-21 19:23:52.282243 | 2026-01-21 19:23:52.282253 | 705148 | NOT_INITIATED | 12968899 | N/A | N/A | PRIMARY | 20260116P0103245 | N/A | N/A | N/A | N/A | 2026-04-16 07:00:00 | 2026-01-16 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 14856447 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2026-01-21 19:04:45.365416 | 2026-02-17 00:30:26.368296 | 705063 | NOT_INITIATED | 13843731 | N/A | N/A | PRIMARY | 20260113P0108540 | N/A | N/A | M54.50 - LOW BACK PAIN, UNSPECIFIED | N/A | 2026-04-13 07:00:00 | 2026-01-13 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 15746316 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2026-01-21 17:19:16.284274 | 2026-01-21 17:19:16.284280 | 704827 | NOT_INITIATED | 13838088 | N/A | N/A | PRIMARY | 22680570233 | N/A | N/A | M54.50 (ICD-10-CM) - LOW BACK PAIN, UNSPECIFIED | N/A | 2026-12-03 08:00:00 | 2025-12-03 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 15738632 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2026-01-21 17:08:04.067829 | 2026-01-21 17:08:04.067835 | 704804 | NOT_INITIATED | 13837869 | N/A | N/A | PRIMARY | 20260120L0101839 | N/A | N/A | N/A | N/A | 2026-04-20 07:00:00 | 2026-01-20 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 15738373 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2026-01-21 16:59:17.893338 | 2026-01-21 16:59:17.893344 | 704794 | NOT_INITIATED | 13837235 | N/A | N/A | PRIMARY | 20260120P0104266 | N/A | N/A | N/A | N/A | 2026-04-20 07:00:00 | 2026-01-20 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 15737778 | N/A | N/A | N/A | PRE_CERT | N/A | 9 | 9 | N/A | VISITS |
| 2026-01-21 16:55:02.442890 | 2026-01-21 16:55:02.442899 | 704790 | NOT_INITIATED | 13837022 | N/A | N/A | PRIMARY | 20260120L0101203 | N/A | N/A | N/A | N/A | 2026-04-20 07:00:00 | 2026-01-20 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 15737586 | N/A | N/A | N/A | PRE_CERT | N/A | 17 | 17 | N/A | VISITS |
| 2026-01-20 23:28:21.646655 | 2026-01-20 23:28:21.646685 | 703447 | NOT_INITIATED | 13813645 | N/A | N/A | PRIMARY | 22682295121 | N/A | N/A | M54.9 (ICD-10-CM) - BACK PAIN | N/A | 2026-07-14 07:00:00 | 2026-01-12 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 15712668 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2026-01-20 23:26:57.795439 | 2026-01-20 23:26:57.795449 | 703444 | NOT_INITIATED | 4219019 | N/A | N/A | PRIMARY | 20260114P0105600 | N/A | N/A | N/A | N/A | 2026-04-14 07:00:00 | 2026-01-14 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 11415049 | N/A | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2026-01-20 23:19:39.780893 | 2026-01-20 23:19:39.780901 | 703432 | NOT_INITIATED | 4837995 | N/A | N/A | PRIMARY | 20251215P0104939 | N/A | N/A | N/A | N/A | 2026-03-15 07:00:00 | 2025-12-15 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 6193751 | N/A | N/A | N/A | PRE_CERT | N/A | 18 | 18 | N/A | VISITS |
| 2026-01-20 22:34:25.218998 | 2026-01-20 22:34:25.219006 | 703398 | NOT_INITIATED | 13811232 | N/A | N/A | PRIMARY | 22681506316 | N/A | N/A | N/A | N/A | 2027-01-06 08:00:00 | 2026-01-06 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 15710448 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2026-01-20 18:28:45.959908 | 2026-01-20 18:28:45.959916 | 702919 | NOT_INITIATED | 4219523 | N/A | N/A | PRIMARY | 20260120P0102316 | N/A | N/A | N/A | N/A | 2026-04-20 07:00:00 | 2026-01-20 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5550314 | N/A | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2026-01-20 18:07:26.467748 | 2026-02-13 05:20:42.527839 | 702857 | NOT_INITIATED | 11842216 | N/A | N/A | PRIMARY | 20260120P0101965 | N/A | N/A | N/A | N/A | 2026-04-20 07:00:00 | 2026-01-20 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 13691995 | True | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2026-01-20 17:44:24.737505 | 2026-01-20 17:44:24.737513 | 702827 | NOT_INITIATED | 13769449 | N/A | N/A | PRIMARY | 22682412766 | N/A | N/A | M54.12 (ICD-10-CM) - CERVICAL RADICULOPATHY | N/A | 2027-01-20 08:00:00 | 2026-01-13 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 15671437 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2026-01-20 00:12:58.895419 | 2026-01-20 00:12:58.895425 | 701799 | NOT_INITIATED | 13699502 | N/A | N/A | PRIMARY | 22681286734 | N/A | N/A | N/A | N/A | 2027-01-02 08:00:00 | 2026-01-02 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 15606815 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2026-01-19 21:46:20.599647 | 2026-01-19 21:46:20.599654 | 701665 | NOT_INITIATED | 8236812 | N/A | N/A | PRIMARY | 20260119L0101144 | N/A | N/A | N/A | N/A | 2026-04-19 07:00:00 | 2026-01-19 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 15481816 | N/A | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2026-01-19 21:30:13.113859 | 2026-01-19 21:30:13.113868 | 701643 | NOT_INITIATED | 11202258 | N/A | N/A | PRIMARY | 20260119L0101116 | N/A | N/A | N/A | N/A | 2026-04-19 07:00:00 | 2026-01-19 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 13044933 | N/A | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2026-01-19 19:49:09.393270 | 2026-01-19 19:49:09.393278 | 701446 | NOT_INITIATED | 12922959 | N/A | N/A | PRIMARY | 22681222053 | N/A | N/A | M25.512 (ICD-10-CM) - PAIN IN LEFT SHOULDER M25.511 (ICD-10-CM) - PAIN IN RIGHT SHOULDER | N/A | 2026-12-30 08:00:00 | 2025-12-30 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 14792524 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2026-01-19 19:24:29.066693 | 2026-01-19 19:24:29.066702 | 701418 | NOT_INITIATED | 4219200 | N/A | N/A | PRIMARY | 20260119L0100486 | N/A | N/A | N/A | N/A | 2026-04-19 07:00:00 | 2026-01-19 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 5549563 | N/A | N/A | N/A | PRE_CERT | N/A | 8 | 8 | N/A | VISITS |
| 2026-01-19 19:17:47.761799 | 2026-01-19 19:17:47.761812 | 701409 | NOT_INITIATED | 13687703 | N/A | N/A | PRIMARY | 22680818295 | N/A | N/A | N/A | N/A | 2026-06-15 07:00:00 | 2025-12-11 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 15595357 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2026-01-19 19:13:20.173062 | 2026-01-19 19:13:20.173074 | 701400 | NOT_INITIATED | 13687632 | N/A | N/A | PRIMARY | 20260113L0101645 | N/A | N/A | N/A | N/A | 2026-04-19 07:00:00 | 2026-01-19 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 15595304 | N/A | N/A | N/A | PRE_CERT | N/A | 13 | 13 | N/A | VISITS |
| 2026-01-19 17:32:16.019812 | 2026-01-29 18:13:24.760533 | 701170 | NOT_INITIATED | 13670725 | N/A | N/A | PRIMARY | 20260115P0108815 | N/A | N/A | N/A | N/A | 2026-04-15 07:00:00 | 2026-01-15 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 15581399 | True | N/A | N/A | PRE_CERT | N/A | 1 | 1 | N/A | VISITS |
| 2026-01-19 16:35:41.327211 | 2026-01-19 16:35:41.327220 | 701054 | NOT_INITIATED | 4214617 | N/A | N/A | PRIMARY | 20251125P0105183 | N/A | N/A | N/A | N/A | 2026-02-23 08:00:00 | 2025-11-25 08:00:00 | N/A | N/A | N/A | N/A | N/A | PRIOR_AUTH | N/A | N/A | N/A | 15051093 | N/A | N/A | N/A | PRE_CERT | N/A | 12 | 12 | N/A | VISITS |