Accepting Discrepancy Claims

When the NHS provides a different UDA value and/or Patient Charge than what you submitted in your claim, the claim goes to a Discrepancy status. In Dentrix Ascend, you can accept the discrepant claim. Accepting the discrepancy allows for Units of Dental Activity (UDAs) to be reflected accurately in reports, including the UDA Tracking and Analysis Report.

Note: Accepting a discrepant claim does not automatically correct invoicing or modify the patient's account balance. You must manually reconcile the claim charge in the corresponding patient's record.

To transition a claim to 'Accepted Discrepancy' status

Select a claim with a Discrepancy status on one of the following pages:

1. • On the NHS Claims tab of a patient's clinical record.

     

   • On the NHS Claims Central page.

     

   Tip: To help you quickly locate a claim, you can filter the list of claims by Performer, Status and Search Bar

   Click into a 'Discrepancy' claim

   You'll notice that NHS will have provided a different Patient Charge and/or UDA value, which caused this Claim to go into a Discrepancy status.

2. 

   In the above example, we have a claim submitted for a band 2, and patient charge invoice for
   £62.10

   The purple Info boxes show the NHS has paid 1 UDA and stated the patient charge is £22.70

    

   

   To accept the Discrepancy, there is a 'Discrepancy' status on the top right corner

   

   Click the dropdown arrow

   Click the Transition to -> Accepted Discrepancy option

   The Accepted Discrepancy Claim message appears and displays the allowed NHS patient charge and UDA value, for your reference.

   

   Click (or tap) I understand to save the claim as Accepted Discrepancy or Click (or tap) Cancel to keep the Discrepancy status and keep any changes you have made to the claim window

The Accepted Discrepancy status looks like this:

Because accepting a discrepant claim does not automatically correct invoicing or modify the patient's account balance, you must manually reconcile the claim charge in the patient's record.

To update the patient charge:

To go to the patient's ledger, click the patient's name on the claim

The patient will be selected in the search box, and you can either use the link on the quick view of the patient, or the patient menu dropdown to go to the ledger

or

From the ledger, create a credit adjustment. In this example, the patient paid £62.10, but should have paid £22.70, so they are in credit for £39.40.

NOTE: You may not have access to making changes to the ledger.

The next time the patient goes to pay, the credit can be applied to new treatment

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