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Alert:

Healthcare facilities are required to complete the Training Programme on Abu Dhabi Healthcare Guidelines for Health Media & Advertising System as mentioned in circular number 26/2023, for more information Click Here

DOH urges all healthcare and pharmaceutical facilities & Health professional to Adhere to the circular number(63\2021) by updating the details of the mobile number & e-mail address in order to receive all circulars & letters issued by DOH, for more information Click Here

shafafiya

Prior Request/Authorization

Prior Request/Authorization

Notes

  • Payer must respond if request cancellation is not possible
  • Payment Amount must have value and DenialCode must be empty if payer replies with trade drug for prescription request
  • Authorization for EncounterType = 7 is not allowed (Network/encounter type access verification must be used instead)
  • DenialCode is mandatory if Authorization.Result = No
  • Must be empty for Activity.Type=10 [Generic drug], otherwise can have value
  • IDPayer is mandatory if resubmission object is presented, otherwise must be empty
  • Mandatory if request is approved or at least one activity is approved; optional otherwise
  • See Business Rules 6.1 and 6.2 for observation requirements
  • Effective 1 Jun 2013

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Last updated: 21 Jul 2024

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