<?xml version="1.0" encoding="utf-8"?>
<Prior.Request xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:noNamespaceSchemaLocation="https://www.haad.ae/DataDictionary/CommonTypes/PriorRequest.xsd">
	<Header>
		<SenderID>MF118</SenderID>
		<ReceiverID>A001</ReceiverID>
		<TransactionDate>22/08/2011 13:08</TransactionDate>
		<RecordCount>1</RecordCount>
		<DispositionFlag>PRODUCTION</DispositionFlag>
	</Header>
	<Authorization>
		<Type>Authorization</Type>
		<ID>1231</ID>
		<IDPayer>
		</IDPayer>
		<MemberID>212977</MemberID>
		<PayerID>A001</PayerID>
		<DateOrdered>18/03/2010</DateOrdered>
		<Encounter>
			<FacilityID>MF118</FacilityID>
			<Type>3</Type>
		</Encounter>
		<Diagnosis>
			<Type>Principal</Type>
			<Code>540.0</Code>
		</Diagnosis>
		<Activity>
			<ID>1</ID>
			<Start>21/03/2010 11:00</Start>
			<Type>3</Type>
			<Code>44950</Code>
			<Quantity>1</Quantity>
			<Net>1500</Net>
			<Observation>
				<Type>LOINC</Type>
				<Code>10579-1</Code>
				<Value>8</Value>
				<ValueType>Qn</ValueType>
			</Observation>
		</Activity>
		<Resubmission>
			<Comment>US report is attached</Comment>
			<Attachment>YTM0NZomIzI2OTsmIzM0NTueYQ==</Attachment>
		</Resubmission>
	</Authorization>
</Prior.Request>