Request Details

Auth Number

{{ $preauth->auth_number }}

Member

{{ $preauth->member->full_name ?? 'N/A' }} ({{ $preauth->member->member_number ?? '' }})

Provider

{{ $preauth->provider->name ?? 'N/A' }}

Policy

{{ $preauth->member->policy->name ?? 'N/A' }}

ICD-10

{{ $preauth->icd10_code }}

Diagnosis

{{ $preauth->diagnosis }}

Procedure

{{ $preauth->procedure_description }}

Requested Date

{{ $preauth->requested_date->format('d M Y') }}

Status

{{ ucfirst($preauth->status) }}

@if($preauth->approved_amount_cents)

Approved Amount

${{ number_format($preauth->approved_amount_cents / 100, 2) }}

Approved Period

{{ $preauth->approved_from?->format('d M Y') }} to {{ $preauth->approved_to?->format('d M Y') }}

@endif @if($preauth->notes)

Notes

{{ $preauth->notes }}

@endif @if($preauth->reviewer)

Reviewed By

{{ $preauth->reviewer->name }} on {{ $preauth->reviewed_at?->format('d M Y H:i') }}

@endif