Download DRC Rates and Authorization Forms

If you are a Network dental service provider, and have a patient requiring care that needs authorisation from us, please download the appropriate authorisation form, complete it, and fax to us 086 687 1285

Authorisation form for Basic Dentistry 514 kb
Authorisation for Specialized Dentistry
2019 Medihelp rates - Practice 54
2019 Medihelp rates - Practice 62
2019 Medihelp rates - Practice 64
2019 Medihelp rates - Practice 92
2019 Medihelp rates - Practice 93
2019 Medihelp rates - Practice 94
2019 Medihelp rates - Provider 95
2019 Medihelp rates - Practice 113