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 |
---|---|---|---|---|
On Transition Zone Colostomy-HPE Confirmation | HPE Proof | 10 to 14 Days | Definitive Procedures-Duhamel Procedure and Modification-Soave Endo Rectal Pull through Procedure-Trans Anal Endo Rectal Pull through Procedure | 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 |