DETAILS REQUIRED
ON YOUR CLAIM
• Name and date of birth of the person
treated
• Membership number of member if you
are a dependent
• Name and practice number of the
service provider
• Date of service
• Amounts charged
• The consultation or procedure code
and ICD10 code
• A separate dental laboratory account,
if appropriate/applicable
• Proof of payment if you have paid the
account
• Details of the injury if treated for an
injury - domestic or otherwise
SENDING YOUR CLAIM BY EMAIL
• Do not write any information pertaining to the claim
in the body of the email; everything should be written
directly on the claim.
• Ensure that all details on the scanned copy are clear
- codes, dates etc., and take care not to obscure any
relevant data printed on the claim.
• Claim images must be clear and legible and should be
scanned in black and white using TIF, PDF, JPG or JPEG
formats.
• Membership number must be quoted on the invoice,
and not just on the email header. If your membership
number is not printed on the invoice, please handwrite it
and sign next to it.
• Write any additional information you want to include
clearly on the claim, and not in the email body. Note
that alterations to the printed detail on the claim cannot
be accepted e.g., tariffs, ICD10 codes or names.
• Scan your proof of payment and send as a separate
attachment with the relevant claim.
If your medical
aid number is
not visible on
the invoice or
is incorrect, the
claim cannot
be processed or
followed up.
