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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Ear Pain, HOH | X-Ray Mastoid, X-Ray PNS, PTA, Impedance | 3 | Adenoidectomy with Gromety insertion | 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 |