Prior authorization

Track prior authorization requests and approvals. An approval is valid for 14 days.

New request

This screen answersUS-16 US-04 US-38 OP-6 OP-9

Acceptance criteria

US-16 Pre-Auth Validity Window MEDIUM

As a provider user, I want the system to enforce the 2-week pre-auth validity window, so that expired authorizations are flagged and can be extended correctly.

2 weeks elapsed without extension must show as Expired.
Extension request results in real-time reset with new service date.
Near-expiry requests to show highlighted as "Expiring Soon."

US-04 NPHIES ID Traceability HIGHEST

As a support/functional user, I want the full NPHIES ID chain visible on each request, so that I can trace a request end-to-end when troubleshooting.

Internal Req ID, NPHIES Req ID, Response, Response ID all visible per request.
Queued requests show "Pending," not blank/error.
Copy-to-clipboard on each ID.

US-38 Wizard Navigability LOW

As a user filling long wizards, I want to save a draft and resume, plus jump between completed steps, so that I don't lose work on long forms.

Persistent step indicator with jump-to-completed-step.
Save-as-draft + resume across Eligibility, Pre-Auth, Claims.
No partial submission to NPHIES from a draft.

OP-6 CSV export and print P1 OPERATIONAL REVIEW

As a desk user, I need to export a list to CSV and print a result, so I can hand it to finance or file it with the patient.

Every list has Export with CSV. The export says how many rows it holds and is logged.
Eligibility, authorization and claim results have Print or save as PDF.
A role that cannot read a list cannot export it.

OP-9 Facility scope for multi-facility users P1 OPERATIONAL REVIEW

As a central desk user, I need to see work from several facilities and switch between them, so one desk can serve a group.

Lists show a Facility column and a Facility filter for a user with more than one facility.
The top bar has a facility switcher. A record of a facility outside the scope is refused with a clear reason (US-52b).
A user with one facility sees none of this.

Wireframe state

DefaultEmptyMulti facilityExported

CSV downloaded. prior-authorizations-05 Oct 2026.csv is ready: 96 rows, with the filters you set. The export is logged in the audit log.

Expiring soon. 1 authorization expires on 17 Oct 2026, in 12 days. Extend it before the service date.

Open PA-10977

RequestsDrafts (1)

Request ID	Patient name	Prior authorization reference	Status	Age	Submitted
REQ-10977Bundle a4f0c2e8-7b61-4d3a	Noura Al Harbi	PA-10977	Expiring soon	2 days	03 Oct 2026, 10:15	Send communication Check status Submit claim Follow-up Extend Amend
REQ-10981Bundle b71d3e90-2c58-4f1a	Khalid Al Mutairi	PA-10981	Approved	2 days	03 Oct 2026, 10:15	Send communication Check status Submit claim Follow-up Extend Amend
REQ-10979Bundle c05e8a14-9d37-4b26	Sara Al Dosari	PA-10979	Partial	3 days	02 Oct 2026, 10:15	Send communication Check status Submit claim Follow-up Extend Amend
REQ-10975Bundle d92f6b03-1e84-4c7d	Faisal Al Shammari	Not issued	Denied	3 days	02 Oct 2026, 10:15	Send communication Check status Amend
REQ-10970Bundle e18a5c47-6f02-4d9b	Maha Al Zahrani	Not issued	Queued	0 days	05 Oct 2026, 10:15	Send communication Check status Cancel request
REQ-10962Bundle f36b9d21-8a15-4e0c	Omar Al Ghamdi	PA-10962	Expired	17 days	18 Sep 2026, 10:15	Send communication Check status Extend
REQ-10958Bundle 0a47c1e8-3b69-4f52	Reem Al Qahtani	Not issued	Error	5 days	30 Sep 2026, 10:15	Send communication Check status Amend

Request ID	Patient name	Facility	Prior authorization reference	Status	Age	Submitted
REQ-10977Bundle a4f0c2e8-7b61-4d3a	Noura Al Harbi	Facility A	PA-10977	Expiring soon	2 days	03 Oct 2026, 10:15	Send communication Check status Submit claim Follow-up Extend Amend
REQ-10981Bundle b71d3e90-2c58-4f1a	Khalid Al Mutairi	Facility A	PA-10981	Approved	2 days	03 Oct 2026, 10:15	Send communication Check status Submit claim Follow-up Extend Amend
REQ-10979Bundle c05e8a14-9d37-4b26	Sara Al Dosari	Facility B	PA-10979	Partial	3 days	02 Oct 2026, 10:15	Send communication Check status Submit claim Follow-up Extend Amend
REQ-10975Bundle d92f6b03-1e84-4c7d	Faisal Al Shammari	Facility A	Not issued	Denied	3 days	02 Oct 2026, 10:15	Send communication Check status Amend
REQ-10970Bundle e18a5c47-6f02-4d9b	Maha Al Zahrani	Facility C	Not issued	Queued	0 days	05 Oct 2026, 10:15	Send communication Check status Cancel request
REQ-10962Bundle f36b9d21-8a15-4e0c	Omar Al Ghamdi	Facility B	PA-10962	Expired	17 days	18 Sep 2026, 10:15	Send communication Check status Extend
REQ-10958Bundle 0a47c1e8-3b69-4f52	Reem Al Qahtani	Facility A	Not issued	Error	5 days	30 Sep 2026, 10:15	Send communication Check status Amend

1 draft. Saved in RaneemHCP only. Nothing is sent to NPHIES until you submit the request.Open all drafts

Patient	Payer	Last step saved	Saved
Sara Al Dosari2145678903	Bupa Arabia	Diagnoses	04 Oct 2026, 15:20	Load and editDelete

Saved in RaneemHCP only. Nothing is sent to NPHIES until you submit the request.

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