Pre-Auth QueuePRU-PA-2026-001142
Adjudication workspace· PRU-PA-2026-001142

Vinod Sharma · Phacoemulsification with monofocal IOL — right eye

Age-related nuclear cataract, right eye (H25.11) at Fortis Memorial Research Institute · Admission 01 Sept 2026 · 1-night stay
Draft
Estimate
₹60,000
Approve with conditionsRecommended action
Cataract diagnosis is clinically consistent

Ophthalmologist notes show reduced visual acuity, glare while driving at night, and slit-lamp findings consistent with age-related nuclear cataract in the right eye.

Amount
₹40,000
Against ₹60,000 hospital estimate
Confidence90%
Exceptions
1
items need attention
10
Pass
1
Warn
0
Fail
Patient
Vinod Sharma
67 · Male · Father
PRU-M-00018821-5
Hospital
Fortis Memorial Research Institute
Sector 44, Gurugram
NetworkNABHJCI
Treating doctor
Dr. Kavita Rao
Ophthalmology
DMC-R-23876
Diagnosis & plan
H25.11 · Age-related nuclear cataract, right eye
Planned Planned · 1 nights · Shared
AI Assist · Adjudication recommendation
Automated clinical + financial review, grounded in policy wording
APPROVE WITH CONDITIONS90% confidence
Suggested approved amount
Model: prudential-adjudicator-v2.3 · 1.4s runtime
₹40,000
of ₹60,000 billed
Reasoning chain
  1. 1
    Cataract diagnosis is clinically consistent

    Ophthalmologist notes show reduced visual acuity, glare while driving at night, and slit-lamp findings consistent with age-related nuclear cataract in the right eye.

    94%
  2. 2
    Day-care eligibility is clean

    Fortis Memorial is a cashless network hospital, cataract with IOL is a listed day-care procedure, and the waiting period is satisfied.

    95%
  3. 3
    Cataract sub-limit caps approval

    Policy pays up to ₹40,000 per eye for cataract. The quoted package is ₹60,000, so the family should expect roughly ₹20,000 at discharge.

    91%
  4. 4
    Lens upgrade must remain transparent

    Base monofocal IOL is admissible within the package. Multifocal or toric premium lens upgrade, if selected, is payable by the family beyond the cataract cap.

    88%
Clinical notes (extracted)
  • Visual acuity: right eye 6/24, improves poorly with refraction.
  • Slit-lamp: nuclear sclerosis grade III, right eye.
  • No diabetic retinopathy noted.
  • Monofocal IOL package selected; premium lens upgrade discussed separately.
Cited policy clauses
Sec 3.2(d) — Cataract Day-care Benefit

Cataract surgery with intraocular lens is covered as a day-care procedure subject to the per-eye sub-limit stated in the policy schedule.

Sec 5.8 — Cataract Sub-limit

The maximum payable for cataract treatment is ₹40,000 per eye, inclusive of surgery, standard IOL, OT, medicines and day-care charges.

Sec 6 — IRDAI List-I Non-Medical Expenses

Items such as admission kits, attendant charges, registration fees and certain consumables are not payable under standard indemnity.

Eligibility & Rule Engine
Deterministic checks against policy wording, network and regulatory rules
10 pass 1 warn
Policy5
  • Policy active on date of admissionPASS

    Policy PRU-FF-2025-008821 active 2025-04-01 → 2026-03-31.

    Ref: Policy schedule, Sec 1
  • Member covered under policyPASS

    Vinod Sharma is listed as father on Rohan's family floater. UHID match verified.

  • Initial 30-day waiting periodPASS

    Policy inception 2025-04-01; admission > 30 days later.

    Ref: Policy wording Cl. 4.1
  • Specific-disease 24-month waiting — cataractPASS

    Cataract is subject to a 24-month waiting period. Continuous cover is satisfied through senior-care add-on underwriting and declared eye history.

    Ref: Policy wording Cl. 4.2(d)
  • Pre-existing disease (PED) checkPASS

    No prior cataract surgery or eye trauma declared. Age-related cataract was first documented at this OPD consult.

    Ref: Proposal form Sec 6
Network1
  • Hospital in network (cashless enabled)PASS

    Fortis Memorial Research Institute — Network hospital, NABH + JCI accredited.

Clinical2
  • Day-care procedure admissiblePASS

    Cataract surgery with IOL is a listed day-care procedure and does not require 24-hour admission.

    Ref: Policy wording Cl. 3.2(d)
  • Procedure admissible under IP benefitsPASS

    Phacoemulsification with monofocal IOL (ICD-10 H25.11) is a listed cataract day-care benefit.

Financial2
  • Cataract sub-limitWARN

    Policy caps cataract at ₹40,000 per eye. Hospital estimate is ₹60,000, so ₹20,000 remains payable by the family unless package is reduced.

    Ref: Policy wording Cl. 3.2(d)
  • Estimate within sum insured availablePASS

    Estimate ₹60,000 vs. cataract sub-limit ₹40,000 per eye. Available floater SI remains adequate.

Fraud1
  • Fraud / abuse signalsPASS

    No duplicate-claim signal. No provider outlier billing. Member's claim velocity nominal (1st claim in 22-month history).

Estimate breakdown
8 line items · submitted by hospital TPA
₹60,000
CodeDescriptionCategoryQtyUnitTotal
DAYCARE-BEDDay-care recovery bed and nursingROOM1₹6,000₹6,000
SUR-PHACOPhacoemulsification cataract surgery — surgeon feeSURGERY1₹22,000₹22,000
IOL-MONOMonofocal intraocular lens packageCONSUMABLE1₹12,000₹12,000
OT-EYEOphthalmic OT and microscope chargesOT1₹9,000₹9,000
ANES-TOPTopical anesthesia and monitoringANESTHESIA1₹3,000₹3,000
INV-EYEVisual acuity, slit-lamp and biometry workupINVESTIGATION1₹4,000₹4,000
DRG-EYEEye drops and post-op medicinesDRUGS1₹2,000₹2,000
MISC-REGRegistration and admission kitMISC1₹2,000₹2,000
Total billed₹60,000
ROOM
₹6.0K
SURGERY
₹22.0K
CONSUMABLE
₹12.0K
OT
₹9.0K
ANESTHESIA
₹3.0K
INVESTIGATION
₹4.0K
DRUGS
₹2.0K
MISC
₹2.0K
Claim activity
Events, decisions, and operational handoffs
Live
Policy snapshot
Policy
PRU-FF-2025-008821
Case ID
PRU-PA-2026-001142
Procedure code
66984
Admission date
01 Sept 2026
Stay
1 nights
Room
Shared