Authorisation is the formal approval obtained from a Medical Aid to confirm that a specific treatment, procedure, or service for a Patient is covered and may proceed.
The Practice and/or Patient is responsible for contacting the Medical Aid to request approval. Upon confirmation, an authorisation number will be provided. This number must be submitted with the claim to ensure correct processing and payment.
Documenting the Authorisation number on the Patient file ensures proof of approval, prevents claim rejections, protects the Practice financially, and supports compliance and audit requirements.
Web App:
Roadmap 1: NW > MOD Debtors - S Debtors > Select Debtor - SB Debtor > B Debtor Edit - S Debtor Details - SE Patients > B Authorisation - S Clinical Information
Roadmap 2: NW > MOD Diary - S Diary > Booking - SB Diary > B Debtor Edit - S Debtor Details - SE Patients > B Authorisation - S Clinical Information