REF: COUNTER-REJECTION CHASSIS

Clinical authorisation platforms for South Africa.

FlowSuite is a family of clinical authorisation platforms built for South African medical aids. One shared engine. Four specialties. Built to turn "cosmetic exclusion" into "reconstructive necessity" — automatically.

PlastFlow
RECONSTRUCTIVE SURGERY · CAPE TOWN
CASE
2026-0610-0001
3.4 · Reduction Mammoplasty
ICD-10 · M54.2
ICD-10 · L30.4
Declined
COSMETIC EXCLUSION
ICD-10 // THE GAP

South African medical aid authorisation is a language game. We speak it fluently.

In South Africa, prior authorisation requests for reconstructive, urological, dental, and orthopaedic procedures are routinely declined on the same handful of grounds: "cosmetic exclusion", "not medically necessary", "conservative treatment not exhausted", or "not a Prescribed Minimum Benefit".

The clinical reality is often the opposite — gigantomastia causing spinal pathology, chronic sinusitis with documented antibiotic failure, a Cobb angle that's progressed past the threshold for funding. The evidence exists. It's just not framed in the language the scheme's review process is built to recognise.

That's the gap FlowSuite closes.

Cosmetic ExclusionNot Medically NecessaryConservative Treatment Not ExhaustedNot a PMB
CASE-CHASSIS-CORE

One clinical authorisation engine: DentaFlow, UroFlow, PlastFlow & OrthoFlow.

Every FlowSuite product runs on the same Counter-Rejection Chassis — three components that work together to build a case the scheme can't dismiss.

MODULE 01
Functional Evidence Matrix

Procedure-specific checklists that capture the objective data schemes require: resection weights, NOSE scores, Cobb angles, audiology results.

MODULE 02
AI Narrative Engine

Strips aesthetic language. Reframes every case around pathology, function, and guideline thresholds — automatically.

MODULE 03
Appeal Generator

When a rejection lands, builds a Level-2 appeal that cites the scheme's own rejection reason back at them, plus the relevant CMS Circular or Medical Schemes Act section.

Counter-RejectionChassisCORE · 3 MODULES🦷DentaFlow💧UroFlow📐PlastFlow🦴OrthoFlow
MODULES // 01–04

DentaFlow, UroFlow, PlastFlow & OrthoFlow — clinical authorisation by specialty.

🦷
DentaFlow
Dental Practice OS
01

"The foundation. Every dental authorisation, mapped from first exam to final crown."

Manages patient profiles and clinical histories. Generates itemised, SADA-coded treatment plans — implants, prosthodontics, periodontics — with clean letterhead and signature layouts ready for submission.

Visit DentaFlow
💧
UroFlow
Urology Authorisation OS
02

"Watertight motivations for the highest-stakes urological interventions."

Builds defensible justification letters for procedures like Rezūm water vapour therapy and radical prostatectomy. A 6-stage Kanban tracker advances each case automatically the moment a motivation or appeal is finalised.

Visit UroFlow
📐
PlastFlow
Reconstructive Surgery OS
03

"Built to defeat the 'cosmetic exclusion' algorithm — for good."

Maps primary pathologies like macromastia to the secondary functional diagnostics that prove medical necessity — cervicalgia, intertrigo, spinal loading. Generates data-driven motivations and Level-2 appeals that cite CMS Circular 40 of 2014 directly.

Visit PlastFlow
🦴
OrthoFlow
Orthopaedic Authorisation OS
04

"Forces the conservative-treatment-first stall tactic into a documented timeline — then closes it."

Captures multi-month records of failed physiotherapy, bracing, and pharmaceutical protocols, anchored to objective markers like Cobb angle and joint space narrowing — turning the scheme's own delay tactic into the strongest argument for immediate funding.

Visit OrthoFlow
BHF // HPCSA // CMS

Clinical authorisation in South Africa, built for the schemes you deal with.

FlowSuite is built around the real prior-authorisation workflows of South Africa's major medical aid schemes. Every motivation and appeal references the regulatory framework that governs them — the Medical Schemes Act 131 of 1998, CMS Circulars, and each scheme's own benefit and exclusion codes — so your team isn't writing from scratch, and the scheme can't claim it wasn't told.

MSA 131 of 1998CMS Circular 40BHF Practice No.HPCSA Reg.ICD-10Benefit Code 3.4
FAQ // 01–09

Clinical authorisation in South Africa — answered.

Clinical authorisation is the process where a medical specialist obtains pre-approval from a medical aid scheme before performing a procedure, surgery, or treatment. In South Africa, this is mandatory for high-cost items like reconstructive surgery, urological interventions, orthopaedic procedures, and advanced dental work. FlowSuite automates the motivation letters and appeals required to secure this authorisation.

PRACTICE NO: 01

Cape Town clinical authorisation software, built for South African practices.

FlowSuite is developed by TechApps, a Cape Town-based software studio building practical, premium software for South African businesses.

We work directly with practice managers and clinicians to keep every checklist, code, and letter template current with how medical aids actually behave — not how their policy documents say they behave.

All patient and clinical data entered into FlowSuite products stays within your practice's own secure workspace, handled in line with the Protection of Personal Information Act (POPIA).

Stop fighting South African clinical authorisation rejections alone.

Tell us which specialty you're in. We'll show you the chassis in action.