<Prior.Request>
  <Header>
    <SenderID>Docmate</SenderID>
    <ReceiverID>TPA004</ReceiverID>
    <TransactionDate>11/10/2024 15:15</TransactionDate>
    <RecordCount>1</RecordCount>
    <DispositionFlag>TEST</DispositionFlag>
  </Header>
  <Authorization>
    <Type>Authorization</Type>
    <ID>Docmate-2024-10-11-AP0203922-656383-1</ID>
    <IDPayer>Docmate</IDPayer>
    <MemberID>62D3-5833-DAA1-D51E</MemberID>
    <PayerID>INS012</PayerID>
    <EmiratesIDNumber>784-1979-9193542-7</EmiratesIDNumber>
    <DateOrdered>09/10/2024</DateOrdered>
    <Encounter>
      <FacilityID>Docmate</FacilityID>
      <Type>1</Type>
    </Encounter>
    <Diagnosis>
      <Type>Principal</Type>
      <Code>K02.3</Code>
    </Diagnosis>
    <Activity>
      <ID>1</ID>
      <Start>09/10/2024 08:15</Start>
      <Type>6</Type>
      <Code>D0150</Code>
      <Quantity>1</Quantity>
      <Net>54</Net>
      <Clinician>DHA-P-0251405</Clinician>
    </Activity>
    <Activity>
      <ID>2</ID>
      <Start>09/10/2024 08:15</Start>
      <Type>6</Type>
      <Code>D2393</Code>
      <Quantity>1</Quantity>
      <Net>270</Net>
      <Clinician>DHA-P-0251405</Clinician>
    </Activity>
  </Authorization>
</Prior.Request>