DE­NIS

Africa Outlook - - Healthcare -

Boni­tas’ den­tal part­ner of choice since 2005

As a spe­cialised man­aged care com­pany DE­NIS har­nesses its ex­per­tise to nav­i­gate the com­plex­ity of the den­tal dis­ci­pline. We pro­vide our clients with a world-class den­tal man­aged care pro­gramme and de­liver in­no­va­tions that en­hance their den­tal of­fer­ing to 3.2 mil­lion lives.

Range of ser­vices of­fered by DE­NIS

Den­tal ben­e­fit man­age­ment with den­tal claims as­sess­ing and com­pre­hen­sive claims man­aged care: The unique DE­NIS Tooth Chart sys­tem – a key DE­NIS in­no­va­tion - pro­vides the cor­ner­stone of how we man­age den­tal ben­e­fits.

This proac­tive ap­proach en­ables us to fo­cus on elim­i­nat­ing un­nec­es­sary and waste­ful ex­pen­di­ture while it also en­sures that all treat­ment ren­dered, is clin­i­cally ap­pro­pri­ate.

Data an­a­lyt­ics and fraud de­tec­tion: DE­NIS fo­cuses on fraud preven­tion, and shares in­dus­try lead­ing ex­per­tise and re­sources with key stake­hold­ers to en­sure that eth­i­cal prac­tices are fol­lowed and fraud­u­lent prac­tices elim­i­nated.

Net­work man­age­ment ser­vices: DE­NIS man­ages three den­tal net­works which con­sist of more than 55 per­cent of all claim­ing den­tal providers in South Africa. Net­work prac­ti­tion­ers are en­cour­aged to pro­vide clin­i­cally ap­pro­pri­ate treat­ment that ad­dresses the needs of well-in­formed mem­bers.

“Not only does this lead to mem­ber sat­is­fac­tion, it also im­proves the oral health well-be­ing of those mem­bers.”

Pre-autho­ri­sa­tion ser­vices for spe­cialised den­tistry and in hospi­tal case man­age­ment, clin­i­cal ad­vi­sory and ben­e­fit de­sign ser­vices, and call cen­tre ser­vices

“Our ap­proach is mem­ber cen­tric to en­sure that we have happy mem­bers and providers, while al­ways en­sur­ing sus­tain­abil­ity for our med­i­cal scheme clients.”

T +27 21 528 5300 www.de­nis.co.za

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