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How to submit an additional support needs capitation claim?

🏴󠁧󠁢󠁳󠁣󠁴󠁿SC NHS Only - submit additional support needs capitation claims successfully by enabling the special needs toggle in the patient’s record.

Amber Morris avatar
Written by Amber Morris
Updated over a week ago

When submitting a capitation claim for a patient with additional support needs, Dentally will apply the correct NHS marker - 'Section X - Additional Payments' code 10-(b) for additional support needs capitation payment.

For Dentally to be able to add this market there is one step you MUST have done on the patients record for the claim to be sent correctly.

Step 1 - Enable the special needs marker on the patients record

  1. Open the patient’s record.

  2. Navigate to the 'Medical' tab.

  3. Click the 'Toggle special needs icon' button shown below.

Step 2 - Sending the claim

Once the special needs toggle is enabled, Dentally will automatically add the correct marker to the patient’s claim. This tells the NHS that the capitation payment should be processed as an Additional Support Needs Capitation claim.

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