How do I claim for incomplete work?
If a course of treatment is not completed, you can still receive full payment for all Care Packages that have been started. Dentally will automatically identify whether all treatment items in a Care Package are complete or not, and mark the claim as including incomplete work if applicable. For most Care Packages, if no item in the package has been completed, then the package cannot be claimed.
This is not true in cases where prep work has been completed but the patient doesn't return to have the item fitted. We have NHS Treatment Categories:
Crowns (Prep only) - this covers prep work for everything within this Care Package, including crowns, bridges, inlays and veneers
Dentures (Prep only)
Anterior RCT (Prep only)
Posterior RCT (Prep only)
Completing a treatment that is linked to one of these categories will automatically make the corresponding Care Package eligible for charging and claiming. The default Impression & Prep treatments all reflect these categories automatically. If you have created custom ones previously, you'll need to update them to use these categories, so you don't have to chart a new treatment every time. Any Care Packages containing them will then automatically become eligible to be claimed as soon as the prep work is completed.
π Please note: An incomplete Extensive Restorative package cannot be claimed unless work has been completed on more than 4 teeth. A Simple Restorative Care Package will show on the claim screen instead.