What is required to request Specialist authorisation?
Contact the call centre or email casemanager@primecure.co.za and supply the following information:
Name and surname of the Insured Party requiring the authorisation.
Your Policy number.
The name and practice number of the referring Doctor (GP) if applicable.
Name and practice number of the Specialist.
Banking details of the Specialist.
ICD-10 code or diagnosis from the Specialist if not supplied by a referring Doctor.
The authorisation is valid for one month. Most Specialists are not contracted and you will be required to pay upfront and then claim back from Prime Cure. Any account in excess of the Agreed Rate will be the responsibility of the Policyholder.