TN0653 THALASSEMIA MAJOR REQUIRING TRANSFUSION & CHELATION
PREAUTHCLAIMS
MIN. CLINICAL SYMPTOMSMIN. REQUIREDCRITERIADETAILS% BREAKUP AMOUNT - CLAIMSPOINTS AWARDEDSPECIAL MENTION
FATIGUE / +/- ABDOMINAL PAIN / +/- JAUNDICECBC / PERIPHERAL SMEAR / XRAY SKULL / USG ABDOMENTOTAL BED DAYS 20  
  BEDS IN ICU    
  INVESTIGATIONScoagulation profile30  
   Hb electrophoresis mandatoryfor first time visit
   general work up incl. Cbc +peripheral smear mandatory 
   Imaging -- xray skull + USG Abdomen mandatory 
  TREATMENTchelation therapy50mandatoryPLAN TO REDUCE PACKAGE AMOUNT
       
   blood transfusion mandatory