Continuation of Treatment
Under the NHSBSA guidelines, claims can be sent as a continuation of treatment if work of the same band or higher WAS carried out and claimed for the patient under the same NHS contract within the previous 2 months. The higher previous band means that this lower band can be sent as a continuation.
This means the patient will not be charged for the treatment, but the UDA value will still be received.
To send a claim as Continuation of Treatment, submit as normal and select Continuation on the second Submit screen.
For this to pass validation with the NHSBSA, there must have been a same band or higher claim submitted under the same contract for the patient with a completion date within 2 months of the start date of this continuation claim.
Treatment on Referral
Work carried out on referral awards the UDAs to your contract but removes the patient’s charge as this will have been paid elsewhere.
To send a claim as Treatment on Referral, submit as normal and select Treatment on Referral on the second Submit screen.
Regulation 11 Claims
Regulation 11 refers to the replacement of NHS dental or orthodontic appliances, where the original has been lost or broken due to an act or omission by a patient.
The appliances that are covered by Regulation 11 are:
Dentures
Bridges
Obturators
Orthodontic appliances
The practice will still receive the 12 UDAs as normal, but the patient will have to pay either 30% or 60% of the Band 3 charge to cover the replacement cost.
There are two ways to mark a claim as regulation 11 both require you to chart the Band 3 claim as usual. Then you can either:
Go to the 'Treatment Settings' - Cog at the bottom of the treatment plan, then set the 'Regulation 11' dropdown to either 30% or 60% as needed; click 'Save'.
Or
Once you click 'Submit Claim' find the 'Regulation 11' drop down on the submission screen and choose either the 30% or 60% as needed. Then proceed with the claim submission.
