Claim
Claims can be reported locally in Estonia and in Estonian
A claim may be reported by the patient, the patient’s representative, another entitled person or the insured healthcare provider.
Denis Europe OÜ receives the claim notification, helps explain the next steps where necessary, and forwards the information to the insurer or its authorised claims handler.
A claim should be reported as soon as possible. A patient or another entitled person must report the incident within four weeks of becoming aware of it. Where there is a valid health-related or other reason, the time limit is extended by the corresponding period.
After the claim has been reported, the insurer or its authorised claims handler may request additional documents and explanations. The indemnity decision is made on the basis of the policy, the insurance terms and conditions, and the law.