‫ﺻﺎﻟﺢ ﻟﻤﺪﺓ ﺳﺒﻌﺔ ﺍﻳﺎﻡ‬

PRIOR APPROVAL
Pre-Approval ID: 2993152 Provider Code: FCC8888 - .defa

Policy Number: 4494500000 - ORASCOM CONSTRUCTION Physician Name: Doctor

Certificate No. 822692 Approval Submission Date: 15/12/2021

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: Pharmacy

Public Notes:
approved

APPROVED CLAIMS DEPARTMENT

AS PER CONTRACTED PRICES 15 Dec, 2021

EGYPT
METLIFE