OBSCURE GI BLEED
PREAUTH		CLAIMS
MIN. CLINICAL SYMPTOMS	MIN. REQUIRED	CRITERIA	DETAILS	% breakup amount - claims	POINTS AWARDED	SPECIAL MENTION
MALENA / HEMATEMESIS / ABDOMINAL PAIN	STOOL OCCULT BLOOD REPORT CLINICAL PHOTO / USG ABDOMEN	TOTAL BED DAYS		20
		BEDS IN ICU
		DAYS UNDER VENTILATOR SUPPORT
		INVESTIGATIONS	general work up	30		including HB, PCV, blood grouping
			coagulation profile		mandatory
			Endoscopy		mandatory
			stool occult blood test		mandatory
			colonoscopy/ sigmoidoscopy
		TREATMENT	i.v fluids and blood transfusion / ffp	50	mandatory
			supportive care
			endoscoping intervension