Daman, the National Health Insurance Company, is Abu Dhabi's own government-linked health insurer, and one of the largest in the UAE by member count. We built this page so clinic staff and practitioners can grab its reimbursement form in one place instead of digging through Daman's own downloads section. If your clinic deals with Daman claims at all, bookmark this page!

Oryx Medical AI can generate this exact Daman reimbursement form automatically, pre-filled from a patient's own record, and does the same for 20+ other UAE insurers. More on that further down.

What's in the Daman reimbursement form

The form runs two pages and covers six sections: the cardholder's identity and contact details, wire transfer payment details for where the reimbursement should land, a set of yes/no questions on road traffic accidents, work-related injury, third-party liability, and double insurance, medical information filled in by the treating practitioner (visit date, medical history, diagnosis, treatment detail), an authorisation section letting Daman pull the member's records, and a final declaration the cardholder signs.

There's no separate Daman reimbursement form for dental treatment or for provider-submitted claims. One form covers the lot, and it's meant for the member to fill in and submit themselves after paying out of pocket, wherever direct billing isn't available at the clinic.

Common reasons Daman reimbursement forms get rejected

A rejected reimbursement form doesn't just delay the member, it means redoing the whole submission. The usual culprits:

  • Missing physician or dentist stamp, required alongside the signature on the medical information section.
  • Vague or missing clinical detail. A diagnosis and treatment description too thin for the claims reviewer to map it to a covered benefit gets sent back, not approved.
  • Incorrect diagnosis or procedure coding. Claims in the UAE are expected to follow DHA's coding standards: ICD-10-CM for diagnoses, CPT for medical procedures, and CDT for dental procedures. A code that doesn't match the documented treatment is one of the fastest ways to get flagged.
  • Missing original invoices to back up the total amount claimed.
  • Incorrect IBAN or bank details. Daman states plainly on the form that it isn't liable for a wire transfer sent to a wrong account number, so this section has to be exact.
  • Unanswered accident or third-party questions. Leaving the RTA, work-related, or double insurance questions blank instead of marking them "No" tends to stall review.

Most of these are quick to catch with a second look before the form goes out, but a reviewer trained to spot them catches what a busy front desk misses.

How Oryx handles it

Oryx Medical AI fills this form in automatically, pulling the diagnosis, treatment detail, and correct ICD-10-CM, CPT, or CDT codes straight from the patient's record, then adding the treating practitioner's signature and stamp. One click instead of a stack of paperwork.

A complete, correctly coded reimbursement form gets approved more often, and faster. That's a member who gets paid back on time instead of chasing a resubmission, and a clinic that isn't spending front-desk hours on it. Reach out if you'd like to see it running on your own Daman claims.

See every UAE insurer's reimbursement form in our complete list, or reach out if yours is missing.

Spot an outdated Daman reimbursement form, or need us to add a UAE insurer that isn't listed yet? Message us on WhatsApp and we'll get it sorted.