TN 0401 ACUTE GASTROINTESTINAL BLEED
PREAUTH		CLAIMS
MIN. CLINICAL SYMPTOMS	MIN. REQUIRED	CRITERIA	DETAILS	% breakup amount - claims	WEIGHTAGE(%) IN CLAIMS AMOUNT	SPECIAL MENTION
HEMATEMESIS, VOMITTING, MELENA+-	CLINICAL PHOTO, CBC	TOTAL BED DAYS	> 5	20
		DAYS IN ICU				discretion of treating doctor
		DAYS UNDER VENTILATOR SUPPORT
		INVESTIGATIONS	GENERAL WORK UP	30
			UGI SCOPY		MANDATORY
			USG ABDOMEN		MANDATORY
			xray abdomen
			HB % ,		MANDATORY
			COAGULATION PROFILE
		TREATMENT	SUPPORTIVE CARE	50
			PPI		MANDATORY
			BLOOD TRANSFUSION/PRBC TRANSFUSION		MANDATORY
			bleeding vessel embolisation
			OCTREOTIDE INFUSION
			ANTIEMETICS,