SERIAL NUMBER | Procedure | 1st Qtr | Per Qtr (for next 3 Qtrs) | Requirements while submitting for follow-up Preauth | Requirements while submitting for follow-up Claims |
---|---|---|---|---|---|
27 | FP0027 : Encephalocele | 1,600 | 800 | Previous Discharge Summary | [Clinical Evaluation(Adult), CT/USG(Paediatrics)-Mandatory] |
28 | FP0028 : Surgeries On adrenal gland in children | 1,600 | 800 | Previous Discharge Summary | (Adrenal Hormone Levels, Clinical Evaluation-Mandatory), USG |