Dear partners,

Greeting from MDINDIA Health INSURANCE (TPA )PVT LTD,

With effect from 04.12.2019 ECG Test is mandate before TMT Test Only for Star Union
Dia-chy Life Insurance company. (Not for other ICs)

As per Mdindia agreed rates ECG Charges will be paid by Mdindia Health Insurance TPA Pvt
Ltd.
Please follow below Guidelines for further.
Guide lines for ECG and CTMT reports:
1. ECG
• Complete 12 lead ECG to be provided.
• Proper placement of the leads.
• No wondering baseline.
• Proper and complete scan of the ECG.
• Name and Age of the client.
• Denote values of the ECG.
• Doctor interpretation required.
• Cardio Doctor’s stamp and sign with reg.no.to be affixed on the ECG
• Medical center stamp to be affixed on the ECG.
• Signature of client is mandatory on ECG tracing & summary page of TMT.
• Complete Name of the client , Age , M/F & Date to be mentioned on ECG & TMT
• Reporting to be Symptom based and not THR based

2. TMT
• Complete summary page mentioning all stages, Heart Rate, BP, grades and Mets.
• Complete ECG of every stage.
• Proper impression or result.
• Clear and complete scan of CTMT with recovery stages to be provided.
• MD (Medicine/ Cardiologist) stamp and sign with reg.no. to be affixed.
• Medical center stamp to be affixed on CTMT.
• Drugs if used to be disclosed before TMT

3. Please follow the below pattern for CTMT report

SUMMARY PAGE

ECG PAGES OF EVERY STAGES-

• SUPINE
• STANDING
• HYPERVENTILATION(NOT MANDATORY)
• WAIT FOR EXERCISE(NOT MANDATORY)
• STAGE 1
• STAGE 2
• STAGE 3
• PEAK EXERCISE
• RECOVERY 1
• RECOVERY 2

FINAL IMPRESSION OR FINAL INTERPRETATION.

Thanks and Regards,
PIMS Team - MDIndia

18th Asia Insurance Industry Awards 2014: Service Provider of the Year
The Indian Insurance Awards: Best TPA Award 2013 & 2014

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