<Prior.Request>
  <Header>
    <SenderID>DHA-F-3373832</SenderID>
    <ReceiverID>INS015</ReceiverID>
    <TransactionDate>05/12/2024 11:21</TransactionDate>
    <RecordCount>1</RecordCount>
    <DispositionFlag>PRODUCTION</DispositionFlag>
  </Header>
  <Authorization>
    <Type>Authorization</Type>
    <ID>DHA-F-3373832-2024-12-05-5345-749108-525</ID>
    <IDPayer>DHA-F-3373832</IDPayer>
    <MemberID>512334</MemberID>
    <PayerID>INS015</PayerID>
    <EmiratesIDNumber>999-9999-9999999-9</EmiratesIDNumber>
    <DateOrdered>05/12/2024</DateOrdered>
    <Encounter>
      <FacilityID>DHA-F-3373832</FacilityID>
      <Type>1</Type>
    </Encounter>
    <Diagnosis>
      <Type>Principal</Type>
      <Code>R50.9</Code>
    </Diagnosis>
  </Authorization>
</Prior.Request>