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.