What was the request submitted for this Prior-authorization?
Lucemyra Tablet
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trap
No points!
Oops!
seesaw
Swap points!
Okay!
rocket
Go to first place!
Okay!
baam
Lose 25 points!
Oops!
seesaw
Swap points!
Oops!
fairy
Take points!
5
10
15
20
25
rocket
Go to first place!
Okay!
banana
Go to last place!
Oops!
20
What is the name of the facility?
Providence Health and Services Health and Vascular Institute
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15
What type of procedure was done in this report?
MRI
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15
A doctor who diagnose, assess and treat patients with defects and diseases of the heart and the blood vessels, which are known as the cardiovascular system.
Cardiologist
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5
These are examples of?
Health Insurance card
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10
This is a consent form for what type of medication?
Testosterone
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5
What is the status of the authorization?
Approved
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15
What part of the body was examined in this document report?
Chest
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20
A doctors who specialize in the musculoskeletal system - the bones, joints, ligaments, tendons, and muscles that are so essential to movement and everyday life.
Orthopedic surgeons / Orthologist doctor
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15
What type of procedure was done in this document report?
Bilateral screening mammography
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5
Where is this letter came from?
Dr. Cynthia A. Dreyer
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20
What was the service/medication requested in this document?