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2019/11/25 – Denis 2019 Year End Communication

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Thank you for your continued support in 2019.
We have enclosed the following documents for your perusal:
· 2019 DENIS Year End Provider Newsletter (containing important benefit information for 2020, the year-end pay run dates as well as the contact centre hours for the year-end period)
· 2020 Dental Tariff Increase Letter.
If you have any questions please contact our contact centre on the numbers supplied.
Network and Provider Relations Department
Dental Information Systems (Pty) Ltd
Tel: +27 (861) 033 647 | fax: 0866 770 336

Medical Tariff Codes and Fees for 2021

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While the focus of your practice will always be providing exceptional care for your patients, there is no way to get around the demands of running the business of a private practice. In fact, it may often feel like a push-pull scenario between the day-to-day care of patients and the day-to-day reality of record keeping, billing and business duties.

How do you stay on track and help your practice live up to its potential?

What is important to focus on as your practice navigates the new era of COVID-19 era?

Coding correctly for billing and claims is a good place to start.

Get up-to-date with your Codes and Fees for 2021.

It will provide a positive contribution to helping you reach your goals.

 

Dental Practitioners:

https://dentaltariffs.co.za

 

 

Medical Practitioners:

https://medicaltariffs.co.za

 

 

 

Better Practice Management

 

 

 

2019/12/19 – Denis Denture pre-authorisations

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Denture Requirements

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

DENIS Denture Pre-auth List 2020.pdf  DENIS Denture Auth Request 2020_V1.docx   Medshield Denture Auth Request 2020_V1.docx​

Email the complete Pre-authorisation form to customercare@denis.co.za

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

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

2019/12/19 – Denis Conscious Sedation pre-authorisations

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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
  • Clear x-rays of the impactable teeth are required

    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​

2019/12/19 – Denis Orthodontic pre-authorisations

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Orthodontic Requirements

The following are required for orthodontic pre-authorisations:

  • A cephalometric analysis
  • 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​

2019/12/19 – Denis Periodontic pre-authorisations

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Periodontic Requirements

The following are required for periodontic pre-authorisations:

  • A full periodontic chart of CPI-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​

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