Where is this letter came from?
Dr. Cynthia A. Dreyer
What was the request submitted for this Prior-authorization?
Lucemyra Tablet
What body part was examined in this document report?
Right breast
What part of the body was examined in this document report?
Chest
What was the service/medication requested in this document?
Keytruda
What type of procedure was done in the report?
Surgery / Surgical Pathology
What is the name of the facility?
Providence Health and Services Health and Vascular Institute
These are examples of?
Health Insurance card
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
What type of procedure was done in this report?
MRI
These are an examples of?
DME / Durable Medical Equipment
What is the date of service?
August 02, 2019
A ____ is a physician who specializes in the respiratory system.
Pulmonologist
What type of procedure is this?
X-ray
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
What was service/medication requested for this pre-authorization?
Omeprazole
This is a consent form for what type of medication?
Testosterone
What is the date of service?
July 1, 1989
What is the medical equipment requested in this document?
Nebulizer
What is the status of the authorization?
Approved
What type of procedure was done in this document report?
Bilateral screening mammography