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 |
---|---|---|---|---|
growth in the nasopharynx,breathing difficulty | biospy, CT Face & Neck, Chest X ray | 5 days (ICU - Nil) | surgical removal of tumour with adequate bone and soft tissue margin, 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 |