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View Clinical Drafts

Please select the Provider ID below to view and click the Search Request button to view Saved and Expired Clinical Request for a different provider.
 
 
Provider ID

Saved Clinical Request Drafts

Saved request drafts will automatically expire 7 days after the Initial Saved Date
 
 
  Initial Saved Date
Member ID
 Member Name
 Provider ID Level Of Service Level Of Care
Type Of Care
Authorized User Requested Start Date
 
11/12/2009 987654321 ASLAN,  SUSAN 123456789 MM Outpatient 11/12/2009 View    Open
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Expired Clinical Request Drafts

The requests listed below expired within the last 30 days
  Next >>
  Initial Saved Date
Member ID
 Member Name
 Provider ID Level Of Service Level Of Care
Type Of Care
Authorized User Requested Start Date
 
  10/30/2009 987654321 ASLAN,  SUSAN 123456789 OP 10/30/2009  
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