Disputed NHS Claims
When an NHS schedule is received, it may contain some disputed claims.
Disputed claims are different to NHS responses as the NHS are providing confirmation that the claim has earnt a different UDA or UOA value to what has been claimed, as such no action is required to alter the claim and no need to resend to the NHS.
Querying disputed claims
If you do need to query any disputed claims, please check with the appropriate dental Board as to why the claim/s are disputed if the reason on EXACT is not clear.
See: NHS Contact Details
You should include your contract, site numbers as well as examples of COT numbers when contacting the board.
Common reasons for disputed claims
- Duplicate claims (2 or more claims sent through within a short space of time for the same patient)
- Late submitted claims, The claim has been transmitted outside of the allowed period for contracts which have ended
- The claim has already been paid on a previous schedule
- The claim has been paid on a previous schedule to a different provider
- The claim was paid under a different contract number
- The Dental Board will also be able to advise on the action which needs to be taken for the claims to be paid
Viewing your disputed claims in EXACT
To list your disputed NHS claims you can run the NHS Claimed Versus Paid Report or go to Administration, NHS, Disputed Claims
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