Table 1.
Available documentation for the index claim
| Type of documentation | Count of claims | Percent | ||||
|---|---|---|---|---|---|---|
| Both | Public | Private | Both | Public | Private | |
| Invoice (bill) | 50 | 25 | 25 | 100% | 100% | 100% |
| Checklist for Unlisted Regimen Palliative Chemotherapy | 50 | 25 | 25 | 100% | 100% | 100% |
| Chemotherapy details | 50 | 25 | 25 | 100% | 100% | 100% |
| Pre-authorization form1 | 49 | 25 | 24 | 98% | 100% | 96% |
| Consent form | 49 | 24 | 25 | 98% | 96% | 100% |
| Biopsy report | 48 | 25 | 23 | 96% | 100% | 92% |
| Complete blood count report | 23 | 23 | 0 | 46% | 92% | 0% |
| Biochemistry report | 20 | 20 | 0 | 40% | 80% | 0% |
| Registration form | 19 | 19 | 0 | 38% | 76% | 0% |
| Any radiodiagnosis2 | 14 | 13 | 1 | 28% | 52% | 4% |
| Ultrasound report | 9 | 8 | 1 | 18% | 32% | 4% |
| Computer Tomography (CT Scan) report | 7 | 7 | 0 | 14% | 28% | 0% |
| Counselling form | 5 | 5 | 0 | 10% | 20% | 0% |
| Fine Needle Aspiration Cytology (FNAC) | 5 | 0 | 5 | 10% | 0% | 20% |
| Ration card | 4 | 4 | 0 | 8% | 16% | 0% |
| Chest x-ray | 3 | 3 | 0 | 6% | 12% | 0% |
Notes: Sorted in order of “percent both”. Bold-faced rows are required documentation for this package
1Includes registration details, consent and counseling of patient and guardian
2Radiodiagnosis includes chest x-ray, CT-scan and/or ultrasound