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  1. From the ‘Administration’ menu select the NHS sub menu, then choose ‘Payment Schedules…’
    The dialog window shown below will appear:

    Each time the List of Payment Schedules is opened a prompt will appear to specify a date range. Schedules received during this date range will then be displayed in the list. The date range defaults to the previous 3 months, but may be changed as required. A particular dentist’s schedule can also be viewed.

  2. Enter a date range or accept the default dates.
  3. Enter a dentist or leave blank to view all dentists’ schedules.
  4. Click the ‘OK’ button and EXACT may take a few moments to display the list. On completion, a window similar to the following will appear:

    Payment Schedule List example

  5. The ‘Payment Schedule List’ window has the following columns of information:

    Schedule

    The Schedule number.

    Date

    Schedule Date.

    Provider

    The provider to whom the Schedule relates.

    NHS Contract Number

    This shows the NHS Contract number for the provider.
    (England and Wales only)

    Contract Number

    This is the number of the individual Provider’s contract with the NHS.

    DSD UDA/UOAs

    This column shows the contracted UDAs/UOAs.

    DSD Patient

    The Patient Amount, the patient contribution for all Claims within a Schedule, according to NHS Dental Services. This should match the Patient Amount shown in the paper schedule.

    Net Paid

    (Scotland and Northern Ireland only)

    If you are in Northern Ireland and Scotland this will display the total contributions you received from the board and your patients.
    In England and Wales this column will not be displayed for treatment provided after 1st April 2006 since NHS Dental Services no longer pay fees.

    EXACT
    UDA/UOAs

    The details in this column are not transmitted in the schedule reconciliation EDI files so they will not be automatically reconciled. The information is contained in the paper schedule to allow a manual reconciliation.

    EXACT Patient

    This is the Patient Amount (the patient contribution for all claims within the schedule) that EXACT has calculated.

    UDA\UOAs Difference

    If you are in Northern Ireland or Scotland this will show the amount that you still need to reconcile.
    If you are in England and Wales this column should not show a value for treatment provided after 1st April 2006 since NHS Dental Services no longer pays fees.

    Patient

    This amount is calculated by determining the band for the most recent claim for the course and then applying any schedule adjustments for the course to that value. The value is the difference between the EXACT Patient amount and NHS Dental Services Patient amount.



  6. The Payment Schedule List window also has the following controls:


    (Scotland and Northern Ireland only)

    Process the NHS Payment .
    This allocates the NHS BACS payment to the Invoices on the schedule. This should only be done after checking the schedule and adding any negative items (see section on Negative Items). Once a schedule has been processed the open amounts in the List COT screen will decrease.


    (Scotland and Northern Ireland only)

    This button reverses the Process Payment , and will be 'greyed out' (unavailable) unless you select a schedule which has previously been processed.

    This button allows access to a different schedule, rather than having to go back through the menu.

    Edits the current payment schedule. Alternatively double-click on a schedule.


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  1. Double-click on any schedule (or click the button when a schedule is highlighted) to display the ‘Payment Schedule Detail’ window similar to the following example:

    Payment Schedule Detail window

  2. The Payment Schedule Detail window has the following columns of information:

    checkbox

    The checkbox allows an entry to be ‘checked off’ so that it disappears from view. You can still gain access to these items by selecting the ‘Only Show Differences’ radio button at the bottom of the screen.

    Name

    This is the patient’s last name and initial.

    D.O.B.

    This is the patient’s date of birth for reference.

    Sex

    This is the patient’s gender (F or M), for reference.

    COT

    The course of treatment number.

    Resubmit column

    If the COT has been resubmitted, a resubmitted icon will be displayed in this column.

    Exemption column

    If the patient has an Exemption, a exempticon icon will be displayed in this column.

    Note column

    If a Claim Note has been created and saved against this COT, a 'Note present' icon icon will be present in this column. Hover your mouse cursor over the icon to read the note. Right-click on the line and select "Add Note" from the drop-down menu to add a note or read or edit an existing note.

    DSD UDA/UOAs

    The number of UDAs and/or UOAs claimed from NHS Dental Services.

    Patient

    The amount that NHS Dental Services has determined that patient should pay. If amount is on same line as Scale Fee - the patient has to pay. If on lower line then the patient is exempt and this is merely an indication of what the patient charge would have been.

    EXACT UDA/UOAs

    This is the number or UDAs or UOAs that have been claimed for this COT.

    Patient

    The Patient Charge for this COT as calculated by EXACT.

    Difference UDA/UOAs

    This is the number of UDAs or UOAs that were credited for the work, and applies only to England and Wales

    Patient

    The difference, if any, between NHS Dental Services and EXACT Patient Charge

    (Comments)


    These are comments from NHS Dental Services and will match those shown on the Paper Schedule. They may provide clues as to the discrepancies in amount paid vs. amount claimed.


  3. Double-click on any line in the Payment Schedule to open the ‘View Courses of Treatment’ window, with the details for the current COT displayed.
  4. At the bottom of this screen you have two radio buttons: one called ‘Show Only Differences’ and the other called ‘Show All’. When you have ‘Show Only Differences’ selected this will display those claims that are discrepancies and that you may need to resolve with the board. If you accept the discrepancy and you have made any necessary adjustments you can tick the box to the left of this claim. This claim will then disappear from this view.
    If you select ‘Show All’ then this will display all of the claims included in this schedule.
  5. With all details showing, the ‘Payment Schedule Detail’ window has the following controls:

    Open the View COT window. Further information about a claim may be obtained here. Alternatively double-clicking on a claim will produce this window also. The View COT window is covered in detail later on in this tutorial.

    Print a List of Payment Schedule Items, option to include or exclude resolved claims. It is not necessary to print this report in order to complete the Schedule Reconciliation.

    Note icon

    Click this button to view, edit or create claim notes for a course of treatment.

    Dispute the amount paid by returning the claim to the Patient chart for amending.

    FP17 button

    View the FP17 Form for the claim.

    Accept a difference (between amount claimed and paid patient amount).

    Add a Negative Item. These items are shown on the printed schedule but not transmitted in the electronic schedule.

    Delete a previously added Negative Item.

    Edit a patient record.


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If you delete a Course of Treatment that has been resubmitted to the chart, even though that course of treatment has already been transmitted to NHS Dental Services, this can cause a problem when trying to work out end of year UDA values. This is because NHS Dental Services will have paid UDAs for the COT whereas EXACT will not be expecting the payment.

This problem is resolved within EXACT as follows:

  1. COTs that have been transmitted are now prevented from being deleted. If you no longer wish to claim for a course that you have previously sent to NHS Dental Services, you must send it back to NHS Dental Services with an observation that explains what you want to happen.
  2. There is a report - “Overpaid UDAs” - that identifies where a course has been resubmitted to the chart, but not re-sent to NHS Dental Services.

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Each NHS Course of Treatment has one of the following statuses set within EXACT: Planned, TC'd, Transmitted, Confirmed, Disputed.

The status of Disputed is assigned to a COT when it has appeared on a schedule but the number of UDAs assigned differs from what is expected. If you mark the disputed claim as ‘Accepted’ by ticking the schedule line, then its status will become Confirmed. Even though the UDA allocation from NHS Dental Services has a status of Disputed, the UDAs received are still real, so they are counted as confirmed UDAs everywhere in EXACT.

The Confirmed status occurs after a claim has been received on a schedule in EXACT and the UDAs match or you accept the difference.

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