How to Claim

​Important information about payment of claims

  • Dental benefits and cover differ between the medical schemes and options managed by DENIS; the DENIS Benefit Guide shows detailed benefit tables for each scheme.
  • DENIS reserves the right to request clinical records and radiographs to process and assess claims.
  • Payment of claims is subject to and governed by the registered scheme rules. In the event of a dispute, the registered scheme rules will prevail.
  • Payment of valid claims is subject to the membership contributions being up to date on receipt of the claim. Payment of these contributions is regarded as acknowledgement that the member and beneficiaries are bound by the registered rules of their scheme.
  •  Payment of claims will only be made when DENIS has the member's valid bank details on our system, as cheque payments have been phased out​.
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