The following are required for periodontic pre-authorisations:
- A full periodontic chart of CPI-scoring
- A full treatment plan
- A detailed maintenance plan for the remainder of the benefit year
- 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.
Fax: 0866 770 336
Post: Private Bag X1, Century City, 7446