| TN 0416 HEMOPHILIA INCLUDING VON WILLE BRAND'S | ||||||
|---|---|---|---|---|---|---|
| PREAUTH | CLAIMS | |||||
| MIN. CLINICAL SYMPTOMS | MIN. REQUIRED | CRITERIA | DETAILS | % breakup amount - claims | WEIGHTAGE(%) IN CLAIMS AMOUNT | SPECIAL MENTION |
| BLEEDING DIATHESIS, HEMARTHROSIS | CLINICAL PHOTO, COAGULATION PROFILE | TOTAL BED DAYS | > 5 | 20 | ||
| DAYS IN ICU | discretion of treating doctor | |||||
| DAYS UNDER VENTILATOR SUPPORT | ||||||
| INVESTIGATIONS | GENERAL WORK UP | 30 | ||||
| COAGULATION PROFILE | MANDATORY | |||||
| XRAY IF NEEDED | ||||||
| FACTOR 8 ASSAY | MANDATORY | |||||
| TREATMENT | SUPPORTIVE CARE | 50 | MANDATORY | |||
| BLOOD/PRBC TRANSFUSION | ||||||
| FFP TRANSFUSION | ||||||