<Prior.Request>
  <Header>
    <SenderID>DHA-F-3373832</SenderID>
    <ReceiverID>INS015</ReceiverID>
    <TransactionDate>06/12/2024 10:55</TransactionDate>
    <RecordCount>1</RecordCount>
    <DispositionFlag>PRODUCTION</DispositionFlag>
  </Header>
  <Authorization>
    <Type>Authorization</Type>
    <ID>DHA-F-3373832-2024-12-06-ERCMR64632-749102-18</ID>
    <IDPayer>DHA-F-3373832</IDPayer>
    <MemberID>12345</MemberID>
    <PayerID>INS015</PayerID>
    <EmiratesIDNumber>H456723</EmiratesIDNumber>
    <DateOrdered>04/12/2024</DateOrdered>
    <Encounter>
      <FacilityID>DHA-F-3373832</FacilityID>
      <Type>1</Type>
    </Encounter>
    <Diagnosis>
      <Type>Principal</Type>
      <Code>A00.0</Code>
    </Diagnosis>
    <Diagnosis>
      <Type>Secondary</Type>
      <Code>F11.151</Code>
    </Diagnosis>
    <Diagnosis>
      <Type>Secondary</Type>
      <Code>A01.00</Code>
    </Diagnosis>
    <Diagnosis>
      <Type>Secondary</Type>
      <Code>A02.9</Code>
    </Diagnosis>
  </Authorization>
</Prior.Request>