Pre-Authorisation Requirements

Crown & Bridge Requirements

The following are required for crown and bridge pre-authorisations:

An x-ray clearly showing the entire clinical crown, the neck and the upper part of the alveolar bone; typically a peri-apical for anterior teeth or a bite wing would suffice
The tooth number in FDI format ( i.e. two-digit numbering)
The major clinical code to be used: e.g. 8409 (crown – porcelain/ceramic); 8411 (crown – porcelain with metal). If a post is envisaged, please tell us the primary code for the post and/or core
A detailed laboratory quote
In the case of a bridge, information about any further planned treatments is required along with the above information. For example, this could be a short description about what is planned for other missing or damaged teeth

Note: Further clinical information may be requested to support an authorisation request.

Email: crowns@denis.co.za
Fax: 0866 770 336
Post: Private Bag X1, Century City, 7446

The following are required for implant pre-authorisations:

A full treatment plan and quote including prosthodontic phase (i.e. all 3 phases)
X-rays
Additional motivation

Email: ortho@denis.co.za
Fax: 0866 770 336
Post: Private Bag X1, Century City, 7446

The following are required for orthodontic pre-authorisations:

An orthodontic treatment plan
A panoramic x-ray
Pre-treatment photographs showing the bite in occlusion: the front view, left-side view and right-side view
Pre-treatment photographs showing a full occlusal view of the mandibula and the maxilla
A cephalometric x-ray

Note:

Please submit clear copies of documents and radiographs to ensure authorisation requests are processed as fast as possible.
Further clinical information may be requested to support an authorisation request.

Email: ortho@denis.co.za
Fax: 0866 770 336
Post: Private Bag X1, Century City, 7446

The following are required for periodontic pre-authorisations:

Please submit clear copies of documents and radiographs to ensure authorisation requests are processed as fast as possible.
Further clinical information may be requested to support an authorisation request.

Email: perio@denis.co.za
Fax: 0866 770 336
Post: Private Bag X1, Century City, 7446

The following are required for in-hospital pre-authorisations:

Hospital practice number
Anaesthetist practice number
Treating clinician
Hospital admission date
Procedure code(s) with ICD10 code(s) and where relevant the applicable tooth numbers
Main complaint
If applicable, medical report of special medical conditions
X-rays are needed if a 54 practice applies for the removal of impactions
X-rays are needed if a 62 practice applies for two or fewer impactions

Note:

Please note that all hospital cases are assessed individually.
Further clinical information may be requested to support an authorisation request.

Email: hospitalenq@denis.co.za
Fax: 0866 770 336
Post: Private Bag X1, Century City, 7446

The following are required for conscious sedation pre-authorisations:

Anaesthetist practice number
Treating clinician
Proposed treatment date
Procedure code(s) with ICD10 code(s) and where relevant the applicable tooth numbers
Main complaint
If applicable, medical report of special medical conditions
X-rays are needed if a 54 practice applies for the removal of impactions
X-rays are needed if a 62 practice applies for two or fewer impactions

Note:

Please note that all sedation cases are assessed individually.
Further clinical information may be requested to support an authorisation request.

Email: hospitalenq@denis.co.za
Fax: 0866 770 336
Post: Private Bag X1, Century City, 7446

The following are required for plastic and partial metal frame denture pre-authorisations:

Tel : 0861 033 647
Email: customercare@denis.co.za
Fax: 0866 770 336
Post: Private Bag X1, Century City, 7446

Block D, The Forum,
Northbank Lane, Century City, Cape Town, South Africa, 7441
Private Bag X1,
Century City, 7446

0860336346
Mon - Fri 8am - 17:00 & Sat 8am - 12pm

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