| TN O423 Necrotising Enterocolitis, Clinical Sepsis Non-Ventilated hyper-bilirubinemia |
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| PREAUTH | CLAIMS |
| MIN. CLINICAL SYMPTOMS | MIN. REQUIRED | CRITERIA | DETAILS | % breakup amount - claims | WEIGHTAGE(%) IN CLAIMS AMOUNT | SPECIAL MENTION |
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| ABD DISTENSION, LETHARGY, JAUNDICE+- | CLINICAL PHOTO, CBC, ABD XRAY | TOTAL BED DAYS | > 5 | 20 | | |
| | | DAYS IN ICU | | | | discretion of treating doctor |
| | | DAYS UNDER VENTILATOR SUPPORT | | | | |
| | | INVESTIGATIONS | GENERAL WORK UP + CBC + ELECTROLYTES +S.Bilirubin | 30 | MANDATORY | |
| | | | COAGULATION PROFILE | | | |
| | | | LFT + RFT | | | |
| | | | CT SCAN ABDOMEN | | | |
| | | | ABD XRAY | | | |
| | | | USG ABDOMEN | | MANDATORY | |
| | | | BLOOD CULTURE | | | |
| | | TREATMENT | SUPPORTIVE CARE | 50 | | TO RESTORE FLUID AND ELECTROLYTE BALANCE |
| | | | GASTRIC DECOMPRESSION AND INTERMITTENT SUCTION | | MANDATORY | |
| | | | PROMPT ANTIBIOTICS | | MANDATORY | |
| | | | OTHER MEDICATIONS | | | |
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