| TN 0398 MENINGITIS/ ENCEPHALITIS (NON VENTILATED) |
|---|
| PREAUTH | CLAIMS |
| MIN. CLINICAL SYMPTOMS | MIN. REQUIRED | CRITERIA | DETAILS | % breakup amount - claims | WEIGHTAGE(%) IN CLAIMS AMOUNT | SPECIAL MENTION |
|---|
| ALOC, FEVER, SEIZURES, RESP DISTRES, STATUS EPILEPTICUS+- | CLINICAL PHOTO, CBC | TOTAL BED DAYS | > 5 | 20 | | |
| | | DAYS IN ICU | | | | discretion of treating doctor |
| | | DAYS UNDER VENTILATOR SUPPORT | | | | |
| | | INVESTIGATIONS | GENERAL WORK UP + CXR | 30 | MANDATORY | |
| | | | CSF ANALYSIS | | MANDATORY | |
| | | | CT BRAIN | | | |
| | | | | | | |
| | | | BLOOD CULTURE / CSF CULTURE | | | |
| | | | | | | |
| | | TREATMENT | SUPPORTIVE CARE | 50 | MANDATORY | |
| | | | IV ANTIBIOTICS | | MANDATORY | |
| | | | ANTIEPILEPTICS | | MANDATORY | |