HOW TO USE OF THIS FORM

By Post

Please Ensure all documents are included.

By Fax

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

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.