OUR APPROACH

Dental insurance is different to most insurance in that instead of the typical “one-off” disaster claim every now and then, there is a steady flow of insured events right throughout the year. Administration of such claims is an active business in that there are many queries and often numerous pieces of paper that need to be collated and processed. In addition to that there is the complex clinical matter of dental treatments performed, which must be adjudicated and mapped to benefit structures, subject to a variety of rules.

Risk Management Administration complexity notwithstanding, the reason for the spectacular losses experienced by some dental insurance schemes particularly national, government funded schemes, is the failure to include risk management as part of the already complicated administration process.

Dentistry is a service which is driven primarily by the provider and in a world when science has advanced far more rapidly than the global economy, insurance premiums for "full cover" plans simply cannot keep pace – evidence of this is seen around the globe. Denis has specialised in the risk management of dental claims for over 15 years and has a track record of bringing errant schemes back within budget parameters and keeping them there.

Dental Wellness

Our focus is on the insured patient as well as the dentist and the powerful Denis clinical rules engine manages claims as well as treatment requests and authorisations. Included in the claims process is a clinical information program designed to assist the patient in making informed treatment decisions, further managing clinical risk.

Denis provides an holistic approach to managing dental risk.