TN 0422 MULTIORGAN FAILURE |
PREAUTH | CLAIMS |
MIN. CLINICAL SYMPTOMS | MIN. REQUIRED | CRITERIA | DETAILS | % breakup amount - claims | WEIGHTAGE(%) IN CLAIMS AMOUNT | SPECIAL MENTION |
FEATURES OF FAILURE, SHOCK | CLINICAL PHOTO, CBC | TOTAL BED DAYS | > 5 | 20 | | |
| | DAYS IN ICU | | | | discretion of treating doctor |
| | DAYS UNDER VENTILATOR SUPPORT | | | | |
| | INVESTIGATIONS | GENERAL WORK UP + LFT + RFT + ELECTROLYTES | 30 | MANDATORY | |
| | | CXR | | MANDATORY | |
| | | USG ABDOMEN | | MANDATORY | |
| | | CT IMAGING | | | |
| | | REPEAT RFT / LFT / ELECTROLYTES | | MANDATORY | |
| | | | | | |
| | TREATMENT | SUPPORTIVE CARE | 50 | MANDATORY | |
| | | SPECIFIC TREATMENT | | | depending on clinical presentation and aiming at restoring hemodynamic stability |