• Do I need prior approval to carry out orthodontic treatment on the NHS?
• What is the process for claiming the initial payment?
• What do is the process of creating a COT in EXACT for Orthodontic treatment?
• How do I finish the COT?

Do I need prior approval to carry out orthodontic treatment on the NHS?

There is no prior approval needed for NHS Ortho in Northern Ireland. If the IOTN is 3.6 or above it is automatically approved. This is recorded on the initial HS45 paper form.

What is the process for claiming the initial payment?

The initial payment of £200 has to be claimed on paper as EXACT does not have the facility to do this.

What do is the process of creating a COT in EXACT for Orthodontic treatment?

If you would like to claim the interim payment of £200, click on the exemption relating to orthodontics when opening an NHS course of treatment.

Then chart services including full case assessment, x-rays, study models, pictures and then send that claim on paper.

This will need to be stated on the observations section of the paper form to claim the interim payment. If this is not done, you will get the fees for the items they have completed. This can all be sent off at the end of the course of treatment.
The active treatment goes on a separate COT, i.e fixed or removable appliances.

At this point the Full Case Assessment can be sent to the board and everything else that may have been added if not already claimed for.

How do I finish the COT?

The claim goes at the end of active treatment. i.e. at de-bond stage. You can then start and new COT and claim for retention separately.

This further COT is made for the retention and sent off after the retainers are fitted.