Follow-up authorization
Follow-up authorization: ask for more services or days on an approved authorization.
Linked to
- Earlier authorization
- PA-10977, Approved
- Linked by
- NPHIES response ID 9e61b4d7-0a32-4c5f-8e29-d1f7a63b04c8
- Patient
- Noura Al Harbi
- Payer
- Bupa Arabia
Follow-up
Additional service
| Service code and description | Quantity | Unit Price | Net Amount | Patient Share | Payer Share |
|---|---|---|---|---|---|
| Inpatient room, semi-private (2 nights) | 2 | 900.00 | 1,800.00 | 360.00 | 1,440.00 |
Follow-up authorization opens the same sections as New prior authorization. The care team, diagnoses and insurance are copied from PA-10977. Change them only if they are different.
CancelDraft saved 2 minutes agoSaved in RaneemHCP only. Nothing is sent to NPHIES until you submit the request.Save draftSubmit follow-up