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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

Implant Requirements

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

Orthodontic Requirements

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.

Click to view the DAI INDEXV5.pdf

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

Periodontic Requirements

The following are required for periodontic pre-authorisations:

  • A full periodontic chart of CPITN-scoring
  • A full treatment plan
  • X-rays
  • A detailed maintenance plan for the remainder of the benefit year

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

In-hospital Requirements

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

Conscious Sedation

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

Denture Requirements

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

  •     For partial dentures, the missing tooth numbers
  •     For full dentures, an indication of the applicable jaw


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

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