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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swelling, mass, pain | Biopsy, Chest X Ray, X Ray local part,CT/ MRI local part | 7 days (ICU - Nil) | surgical removal of the tumour with adequate bone and soft tissue margins with reconstruction with custom made prosthesis, 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 |