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 |
---|---|---|---|---|
TENDERNESS AT A SITE , INABILITY TO USE THE LIMB | FRACTURE NECK- FRACTURED PELVIS, AP VIEW FOR BOTH HIPS , FRACTURE SOF XRAY FEMUR- AP,LAT | 4 DAYS | POST OP XRAY- AP,LAT | 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 |