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How to deal with Scottish NHS Ortho Transfer Cases
How to deal with Scottish NHS Ortho Transfer Cases

🏥 NHS SC only - Instructions for processing NHS Scotland orthodontic transfer cases.

Amber Morris avatar
Written by Amber Morris
Updated over 3 weeks ago

Orthodontic Transfer Cases 🏴󠁧󠁢󠁳󠁣󠁴󠁿

A transfer case occurs when treatment is started under one list number at one practice location and completed under another list number at a different practice location.

💡 Top Tip - For full details refer to the to the NHS Guidance here.


Finalise the original Dentist’s Claim

Dentist 1 (Practice A)

  • For completed treatments:

    • Submit a Final Payment Claim for all completed work.

  • For partially completed treatments:

    • Submit a Discontinued Fee Request for any appliances fitted but not completed.

    • Once approved, submit a Final Payment Claim including the codes/fees returned by the NHS for the discontinued appliances.

  • Examination Only Claim

    • If you have only carried out the examination and any diagnostic codes (for example, models, radiographs, and photographs) and will not be starting the active treatment, do not submit a discontinued fee request. You should only submit an examination claim.


Submitting the New Dentist’s Claim

Dentist 2 (Practice B - different practice location)

  1. Submit a Prior Approval Request:

    • Include code 386101 (or 329185 for claims with acceptance dates on or after 01 November 2023).

    • Add relevant observations:

      • Detail the treatment still to be completed.

      • Include evidence such as records, the original OPT, and any relevant NHS references.

  2. Submit the Final Payment Claim:

    • Once treatment is completed, submit a claim for:

      • Any treatments started and completed by the new dentist.

      • Code 386101 (or 329185 for claims with newer acceptance dates).

      • The balance of fees returned by the NHS.


Important Reminders

  • Always use the same date of acceptance across all claims to reflect a single course of treatment.

  • Submit parts in the correct sequence and allow sufficient time (minimum one day) between submissions to prevent rejections.

  • Avoid adding unnecessary details to the Observations field; use the appropriate claim fields instead.

  • For further guidance, visit the NHS Guidance webpage.


For additional support, consult NHS Practitioner Services or your local NHS Board.

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