TN 0421 ADVERSE EVENTS FOLLOWING IMMUNISATION | ||||||
---|---|---|---|---|---|---|
PREAUTH | CLAIMS | |||||
MIN. CLINICAL SYMPTOMS | MIN. REQUIRED | CRITERIA | DETAILS | % breakup score - claims | WEIGHTAGE(%) IN CLAIMS AMOUNT | SPECIAL MENTION |
H/O RECENT IMMUNISATON, FEVER, SEIZURES+- | CLINICAL PHOTO | TOTAL BED DAYS | > 5 | 20 | ||
DAYS IN ICU | discretion of treating doctor | |||||
DAYS UNDER VENTILATOR SUPPORT | ||||||
INVESTIGATIONS | GENERAL WORK UP + ELECTROLYTES + CBC | 30 | MANDATORY | |||
TREATMENT | SUPPORTIVE CARE | 50 | MANDATORY | |||
ANTIBIOTICS SOS | ||||||
AEDS, ETC - SOS | ||||||