What does this error mean?
'Inappropriate treatment code used' means that there is something on the claim that is not expected.
How to resolve?
One common example we often encounter...
Is when a Band 4 claim has been submitted but includes an incomplete item as part of the claim. In this specific scenario you would need to mark item as complete or remove the item if it is not required and resend the claim.
Other ways to resolve...
NHS guidelines also state these 2 reasons and resolutions as ways to fix this claim error:
Ethnic origin quantity that does not equate with 01-16 or 99 - In this scenario remove or amend appropriate ethnic origin entry.
If an incorrect value is entered -
Referral for AMS 1-3 allowed
NICE guidance recall interval 1-24 allowed
FP17O IOTN 1-5 allowed
Aesthetic component 1-10 allowed
You can view the full NHS error code guidance on their website here. Simple search for 'Dental Activity Error Codes' to find the most up to date documentation.
If you are having issues discerning the cause of the error get in touch with support chat and ask to speak with out team. Please note, if we are unable to find the cause we will direct you to speak to NHS EDI support directly.