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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TN0145 | Biopsy, CT/MRI - Abdomen + Pelvis, Sigmoidoscopy,cystoscopy,chest X Ray | 7 days (ICU - 1) | surgical removal of tumour, bladder, uterus, cervix, ovaries and tubes, vagina, rectum with adequate soft tissue margin with urinary diversion and colostomy, 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 |