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HOW TO USE OF THIS FORM

 

1. General Claim Form

2. Accident Claim Form

By Post

Please Ensure all documents are included.

Denis Insurance Administrators
PO Box 114
Century City
7446
By Fax

The claim form should be page 1 of the fax. Use capitals and black pen.

Fax to 021 528 5861
By Email

Scan your claims and attach them plus the claim form to an email addressed to

claims@denisinsurance.com

Check claims and ensure the relevant details are correct:
  • Is the dental practice number displayed on claim?
  • Is your name on the account or treatment plan?
  • Have you named each dependent for whom a claim is attached?
  • Are you claiming for an accident benefit?
  • Please refer to your policy document when filling in the claim form.