AUTH-24817 · Simulated authorization request · Medical reports not accessible to Insurancly
Lumbar Spine MRI — Sara Alharbi
Patient & coverage
- Patient
- Sara Alharbi
- Age / Sex
- 46 · F
- MRN
- RMC-0045821
- National ID
- 1•••••••47
- Insurer
- Insurer X (Demo)
- Policy class
- Gold B
- Member ID
- IX-88231-04
- Hospital
- Riyadh Medical Center (Demo)
Requested service
- Service
- MRI Lumbar Spine without contrast
- Diagnosis
- Chronic low-back pain with radicular symptoms
- ICD-10-AM
- M54.16 · Radiculopathy, lumbar region
- Requesting physician
- Dr. Khalid Almutairi
- Encounter date
- 28 Sep 2026
- Priority
- Elective
Clinical information in request
Fictional request details provided for this demo; not verified against a medical report
46-year-old female with 5-month history of low-back pain radiating to the left leg along the L5 dermatome. Reports numbness over dorsum of left foot. SLR positive at 40° on the left. No bowel/bladder dysfunction. No red flags for malignancy or infection.
Previously managed with physiotherapy and analgesics. Symptoms persist and affect daily function and work.
Plan: MRI lumbar spine to evaluate for disc herniation / nerve-root compression and guide further management.
Report contents and supporting attachments are not visible here. The authorization team must confirm them before submission.