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Alert:

20 May 2022 DoH urges all healthcare facilities operating in the emirate to be vigilant about any suspected or confirmed Monkeypox cases to find out more 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

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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: 30 Mar 2023

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