NHS Orthodontic Response Codes
Responses to claims are sent by the NHS when there is a query relating to a claim or course of treatment. The NHS are best equiped to answer any queries you may regarding these responses.
For the most up to date contact details please view the NHS website www.nhsbsa.nhs.uk/contact-us.NHS Dental ServicesPhone: 0300 3301348
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We have compiled a list of information and questions to ask the NHS if you are to contact them regarding any responses you may have received.
- Contract number
- Performer number
- CRN/COT number
- Response
Questions to ask:
- Provide the background of the claim (eg. what type of claim this relates to such as a continuation/rejection etc.
- What is incorrect in the claim?
- What is requried to get the claim accepted and proccessed?
- More clinical information can be requested if required.
Common Responses
A list of common responses, their meanings and resolutions can be viewed as a PDF on the NHS Guidance for eDental website or a list of common responses can be found as a PDF here.
All of this information can be found by logging into Compass, navigate to Activity - Error Code List.
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115 |
The practice has sent off a claim for assess & review or assess and refuse and it contains the 9415 ‘treatment proposed’ code which is not applicable with this claim type the practice will need to resubmit and correct this then send the claim again. |
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334 |
The board have not received an email address, contact number or patient declined indicator. In Exact if there is a form of contact showing on the exemptions screen the respective tick boxes MUST be checked. If the patient does not want to provide this information both fields (email and mobile) must be left empty for the patient declined indictor to be sent. The practice will need to resubmit and correct as necessary on the exemptions window. (If the practice state the board have told them the 9175 or 91763 codes are missing it will be because they haven’t received the email address, mobile number or the patient declined indicator) |
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335 |
If the patient is over the age of 18 the age of 18 at the age of the date of referral and its or an assessment the ‘commissioners approved’ box must be present (This will be for all claims) |
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336 |
The claim is for an assessment or to end treatment must include IOTN o IOTN NA. If this has not been entered they will need to resubmit and fill I the IOTN on the FP17O
The IOTN (Index of Orthodontic Treatment Need) can occur with any claim type – if it is IOTN NA e.g. because the patient transferred mid treatment from another practice to a new provider value of 0 should be entered. |
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337 |
The date of referral has not been entered this is a mandatory field for any claim started on or after 01/04/2019. |
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338 |
It is mandatory for claims started on or after 01/04/2019. The only acceptable values for the NHS number fields is a full 10 digit NHS number, 10 zeros or 1 zero. |
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The practice have sent the FP17O with the commissioners approval box checked and the patient was under 18 on the date of referral. They will need to resubmit the claim and remove the check from the box on the FP17O. |
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The ‘Aesthetic Component’ on the FP17O is not filled in they need to resubmit and correct on the FP17. The Aesthetic Component is mandatory where the date of assessment is 01/04/2019 or after and the IOTN is 3 – it should be a numeric value between 1 and 10 |
as of May 2019
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