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 |
---|---|---|---|---|
swelling, mass, pain lower limb/pelvis | Biopsy, Chest X Ray, X Ray local part,CT/ MRI local part | 7 days (ICU - 1) | surgical removal of the tumour with adequate bone and soft tissue margins leading to removal of one or more bones of the pelvis, 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 |