If you’re an NHS practice in England or Wales, you can set your unique treatment items to raise the correct NHS claim Band and Category when claiming.
Why the correct data set matters on NHS claims?
Every NHS treatment must have both a 'Band' and a 'Treatment Category' that help make up the clinical data set of your claim. Without these, the treatment won’t form part of your claim!
You cannot add or edit treatment item settings at the point of claim submission so having the correct configuration ahead of time ensures UDAs and patient charges are applied properly when submitting your claims.
How do 'Treatment Categories' work?
Treatment Categories come directly from NHSBSA and are updated by them.
Some older categories may still appear, so you can finish claims started before they were removed. These will NOT be sent on any new claims.
The Clinical Data Set (shown at the top of your claim) confirms exactly what will be sent, this gives you the opportunity to check the information being sent.
How to edit the 'Treatment Category' of an NHS treatment item?
Make sure you are logged in as a level 4 admin user to edit your treatment item
Navigate to 'Settings' > 'Treatments & Plans'
Find and click on the code you wish to edit
Go to 'Details' and scroll to the 'NHS Options' section.
Select the appropriate 'NHS Treatment category' from the available list
Select the appropriate 'NHS UDA Band' from the list
Click 'Save' to apply changes
What are the different Bands you can set on NHS treatments?
NHS Treatments must be set as one of the following to be successfully claimed for:
Band 1 - 1 UDA
Band 2 - 3 UDAs
Band 3 - 12 UDAs
Band 4 (Urgent) - 1.2 UDAs
Band 0 - for specific non banded treatments such as Denture Repair where the weighting is applied by the NHS Treatment Category selected.
💡 Top Tip - Mark a treatment as 'Urgent' during charting to override its default banding - Dentally will apply Band 4 automatically to items ticked as 'Urgent'
