CLINICAL REQUIREMENT FOR ADMISSION | BARE MINIMUM INVESTIGATION TO APPROVE PREAUTHORISATION | BARE MINIMUM NUMBER OF DAYS ADMISSION (Including days in ICU) | BARE MINIMUM INVESTIGATION AND TREATMENT FOR APPROVAL OF CLAIM | REMARKS |
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"Lump Abdomen, image detected ovarian/adnexal mass lesion" | USG Abdomen | 3 days (ICU - Nil) | surgical removal of one or both ovaries and Fallopian tubes without major complications, Histopathological report of the specimen | If Surgery done Full Payment will be given based on the procedure done,if Surgery abandoned half way through,upto 25% will be paid,If Surgery not done,No Amount will be paid |