Revenue operations
Prior authorization work queue.
Select a case to review each stage.
Waiting on a person
3
SAR 99,200
At the approval gate
1
drafted clean, needs a signature
Drafted clean
38%
no exception raised
Median draft time
16s
encounter to ready for review
| Case | Patient | Service | Payer | Facility | Amount | Status | Confidence | |
|---|---|---|---|---|---|---|---|---|
| PA-2026-0093 | Aisha Al-Ghamdi | Coronary artery bypass graftInpatientI25.10, N18.3, E11.2 | GulfCare Takaful | Dar Al Shifa Hospital | SAR 95,000 | ExceptionRequest exceeds the remaining benefit | 0.95 | |
| PA-2026-0083 | Fatimah Al-Zahrani | Upper GI endoscopy, diagnosticK21.0 | Al Salam Cooperative Insurance | Al Noor Polyclinic | SAR 2,400 | ExceptionMN-021 documentation requirement not met | 0.95 | |
| PA-2026-0082 | Maria Santos | Physiotherapy, 12-session course ×12M54.50 | GulfCare Takaful | Al Noor Polyclinic | SAR 1,800 | ExceptionRequest exceeds the remaining benefit | 0.94 | |
| PA-2026-0081 | Ahmed Al-Rashidi | MRI knee, unilateralM23.20 | Al Salam Cooperative Insurance | Al Noor Polyclinic | SAR 1,800 | Awaiting approval | 0.90 | |
| PA-2026-0090 | Khalid Al-Otaibi | Total knee replacementInpatientM17.11 | GulfCare Takaful | Dar Al Shifa Hospital | SAR 42,000 | Approved | 0.94 | |
| PA-2026-0092 | John Okafor | Laparoscopic cholecystectomyInpatientK80.20 | Najm Health | Dar Al Shifa Hospital | SAR 21,400 | Amended · approved | 0.96 | |
| PA-2026-0091 | Noura Al-Harbi | Caesarean section, plannedInpatientO34.211 | Al Salam Cooperative Insurance | Dar Al Shifa Hospital | SAR 16,500 | Partial | 0.95 | |
| PA-2026-0087 | Ravi Kumar | MRI knee, unilateralM17.11 | Najm Health | Al Noor Polyclinic | SAR 1,800 | Denied | 0.95 |