Get Bupa Dental Claim 2020-2026

Filing a claim with Bupa Dental can be a straightforward process when you follow the proper steps. This guide will assist you in completing the Bupa Dental Claim form online, ensuring that you provide all necessary information accurately and efficiently.

Follow the steps to complete your Bupa Dental Claim form

1. Click ‘Get Form’ button to obtain the Bupa Dental Claim form and open it for completion.
2. In the 'A Membership details' section, provide your Bupa Dental membership number, company name, and the scale of cover. Double-check that all details are correct.
3. Proceed to the 'B Employee/member details' section. Here, fill in your title, home address, surname, forename(s), preferred telephone number, gender, date of birth, and postcode.
4. If the patient is different from the member, complete section 'C Patient details' with the patient's title, surname, forename(s), gender, and date of birth.
5. In section 'D Dental treatment details and dentist's declaration', your dentist will transfer the treatment codes and corresponding details. Ensure that they specify the procedure codes, treatment dates, number of treatments, and total patient’s charges.
6. If your treatment was performed under the NHS, complete the NHS banding box by indicating the treatment band given.
7. Complete section 'E' to provide details about the treatment if it was a result of a dental injury. Include any specifics if applicable.
8. In section 'F', fill out the solicitor's details if relevant, including the name, reference number, address, and accident date.
9. Section 'G' requires filling out information about any other insurance policy that covers dental treatment, mentioning the insurer's name and policy number.
10. Finally, in section 'H', indicate the total treatment costs and the number of receipts enclosed. Ensure you have both the dentist and patient signatures in the declaration to confirm the truthfulness of the information provided.
11. After completing all sections and attaching the necessary original receipts, save changes to your document. You can then download, print, or share the finished claim form as needed.

Start your claim process by filling out the Bupa Dental Claim form online today.