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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hematuria, pain abdomen, lump abdomen | Biopsy, Chest Xray, CT Abdomen | 7 days (ICU - Nil) | surgical removal of whole bladder and urinary diversion procedure without 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 |