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Prior Request Transaction List Users Management Reports Support

Details
Kindly verify member’s eligibility using Emirates ID or Medical Insurance card/eCard. In case of eligibility verification using Emirates ID, we do not require member to
Transaction ID: Transaction Type: Encounter Type: Date Ordered:
present their medical card.
DHA-F-0046792-INS012-20231025165733 Eligibility No Bed + No emergency room 25/10/2023
Patient Name: DHA MemberID: Patient ID: Member ID: Member ID Type Emirates
Status
ID: Result
Prior Request
VAANYA SHUKLA I012-000-115530787-01 9e63f27e6fda41d8872d OIG/ME-50629/C/7945071 111-1111-1111111-1
OIG/ME- Eligibility Responded Eligible DH
Transaction Type Encounter Type Date Weight (kg) *
Request Time: Response Time: Download Time: Cancel Time: 50629/C/7945071 IN
Ordered(DD/MM/YYYY) *
25/10/2023 16:57:00 25/10/2023 16:57:00 25/10/2023 16:58:22 20
Eligibility No Bed + No em 25/10/2023
Insurance
Patient NamePlan (Payer/TPA): Patient ID Policy Name Emirates ID
Contact Number Authorization Ref Number (IDPAYER): Result:
INS012/INS012 - OIC - Oman Insurance Company HCL TECHNOLOGIES LIMITED Select Unavailability
elig_4caec147_c938_4c_2 Yes
Member ID * Plan (Payer/Receiver) * Is New Born? Is Work Related?
Start: End: Limit: Denial
INS012 - OIC - Oman Insurance Company
25/10/2023 00:00:00 25/10/2023 00:00:00 BI-6000-0301- Eligibility Responded Eligible DH
8136 IN
Comments:
20
Clear Request Authorization
Member is effective from 01/07/2023 to 30/06/2024. NETWORK: Edge Network / BENEFITS: Direct Billing OP Consultation: 20% Co-Ins with ceiling of AED 50 OP Maternity
Cons: 10% Co-Ins with ceiling of AED 50 50% Co-insurance on Routine Dental Services Exclusions: NIL

BI-6000-0240- Eligibility Responded Eligible DH

Actions: 3997 IN
Eligible 20

BI-6000-0275- Eligibility Responded Eligible DH

7635 IN
20

BI-6000-0301- Eligibility Responded Eligible DH

8138 IN
20

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Messages
New Message: (03/01/2017)
Our valued Abu Dhabi Partners,

“Please note that all requests after January 1, 2017

ICD10CM.”

___________________________________________
Message: (06/10/2016)
Dear Esteemed Providers,

To avoid any technical issues in ePAR and related cla

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