Sent Authorization
| Entry ID | Authorization Number | Approved Request ID | Date Created | Original Application ID | Date Updated | Case Manager | First | Last | Type of Service Request | Payment Amount | Yes | Cancel This Authorization |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Entry ID | Authorization Number | Approved Request ID | Date Created | Original Application ID | Date Updated | Case Manager | First | Last | Type of Service Request | Payment Amount | Yes | Cancel This Authorization |
Unauthorized
You are not authorized to view this page.