TN0708 IMMUNOGLOBULIN THERAPY IVIG
PREAUTHCLAIMS
MIN. CLINICAL SYMPTOMSMIN. REQUIREDCRITERIADETAILS% breakup amount - claimsPOINTS AWARDEDSPECIAL MENTION
  TOTAL BED DAYS 20  
  INVESTIGATIONSGENERAL WORK UP30  
   WORK UP TO FIND THE CAUSE mandatory 
   PHOTO OF THE PATIENT RECIEVING IMMUNOGLOBULIN THERAPY COMPLETE BILLS AND DETAILS OF DRUGS mandatory 
       
       
  TREATMENTIV IG TREATMENT50mandatoryPAYMENT ACCORDING TO DOSE ADMINISTERED - ( SUBJECT TO LIMIT )