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In the event of an outpatient treatment where the cost of treatment exceeds the limit mentioned on the membership card or is pertaining to any of the below mentioned procedure, the provider is required to seek a pre approval before starting the treatment.
Non-emergency out-patient service exceeding the limit
If non-emergency treatment is obtained from a provider outside the network the member should obtain pre-authorization from the Helpdesk. In this case an 'Approval Request' must be sent to the Helpdesk. The Helpdesk will respond to the request as soon as possible and within 30 Minutes of the receipt of the request.
If the original pre-authorization time and benefit is exceeded, a further pre-authorization for the proposed extension period should be obtained.
Gulf Electronic Management Systems Co. W.L.L.
Offices 61 - 81,
Bldg. 737, Road 1510, Block 115,
Opp Customs office, BIIP Main gate,
Kingdom of Bahrain.