‫ ﺃﻳﺎﻡ ﻓﻘﻂ‬7 ‫ ﻳﻮﻡ ﻟﻜﺎﻓﺔ ﺍﻟﺨﺪﻣﺎﺕ ﻣﺎﻋﺪﺍ ﺍﻷﺩﻭﻳﺔ‬14 ‫ﺻﺎﻟﺢ ﻟﻤﺪﺓ‬

PRIOR APPROVAL
Pre-Approval ID: 4253288 Provider Code: FCC8888 - .defa

Policy Number: 4494500000 - ORASCOM CONSTRUCTION Physician Name: Doctor

Certificate No. 822692 Approval Submission Date: 23/08/2023

Dependent Code: 1 Expected Admission Date: 01/01/1900

Patient Name: ZAKI ZAKI YOUSSEF Expected No. of Days: 0

Insured Status: Active Termination Date: N/A

Approval Scenario: Out Patient

Public Notes:
‫ ﻃﺒﻘﺎ ﻟﻠﻜﺎﺭﻧﻴﻪ ﺍﻟﻤﺮﻓﻖ‬.‫ﺍﺟﺮﺍﺀﺍﺕ ﻻ ﺗﺤﺘﺎﺝ ﻣﻮﺍﻓﻘﺔ ﻣﺴﺒﻘﺔ ﻣﻊ ﺍﻟﺘﺎﻛﺪ ﻣﻦ ﺍﻻﺳﻢ ﻭ ﺍﻟﺘﺸﺨﻴﺺ ﻭ ﺍﻟﺘﺎﺭﻳﺦ ﻭ ﺍﻟﺨﺘﻢ‬

NO NEED FOR PRIOR CLAIMS DEPARTMENT

APPROVAL
23 Aug, 2023
AS PER CONTRACTED PRICES
EGYPT
METLIFE