TN0723 SLE WITH SEPSIS
PREAUTHCLAIMS
MIN. CLINICAL SYMPTOMSMIN. REQUIREDCRITERIADETAILS% BREAKUP AMOUNT - CLAIMSPOINTS AWARDEDSPECIAL MENTION
SLE RASH , FEVER , ALTERED SENSORIUMCLINICAL PHOTO, ANA, ECHO, RFT, CBCTOTAL BED DAYS 20  
  BEDS IN ICU    
  DAYS UNDER VENTILATOR SUPPORT   INCLUDES NIV
  INVESTIGATIONSGENERAL WORK UP30mandatoryIncludes LFT / RFT / ECHO / CXR
   CULTURES mandatory 
   SEROLOGY mandatory 
   IMAGING   
  TREATMENTSTEROIDS / IMMUNOSUPPRESSION /50mandatory 
   ANTIBIOTICS mandatory 
   SUPPORTIVE CARE