We have been gathering details of the new error messages on the NHS Business Services WebEDI system and how they can be resolved within DentalPlus.
This is the list gathered so far and will be added to / amended when we gather more info.
The bold text in quotes is the error message returned by the EDI system.
EDI = Electronic Data Interchange (electronic FP17 forms)
SQ Ind = Schedule Query Indicator, the three options for claim types Initial, Replacement, Delete
Schedule Queries
If an FP17 is submitted with the Schedule Query Indicator present as replacement or deletion, a validated FP17 with the same contract number and claim reference number must be present on Compass. If Compass is unable to locate the FP17 that is either being replaced or deleted, the submission will reject with error code @330, @331 or @332.
"Age exemption claimed on an EDI claim but patient is 18 or over (16 or over on Isle of Man claim)"
Problem: Exemption of Under 18 remains on patient who is over 18
Solution: Load the patient record, change the exemption and resubmit the claim ticking the “Replacement” option
"Claim Deleted at your request"
Problem: The claim has been deleted on Compass by the user
Solution: If the claim is valid, resubmit the claim ticking the “Initial” option
"Claim overlaps/duplicates an existing claim for the same patient the same contract or performer"
Problem:
Solution:
"EDI claim where original is already present (based on Perf Det Id and Claim Reference Number)"
Problem:
Solution:
"Free Repair/Replacement Within 12 Months invalid"
Problem: The claim has been sent with a guaranteed replacement item but no claim has been sent within the past 12 months for the original item being replaced.
Solution: The treatment should be done as a standard banded charge.
"Further Treatment Within 2 Months invalid"
Problem: Claim has been sent as continuation but there is no previous claim.
DentalPlus looks for previous claims within 60 days as if there is one present, will set the new claim as a continuation. In this case, there is either no previous claim, or the previous claim was not accepted.
Solution: Load the previous course of treatment, click the FP17 button and check for a claim number. If there is none, send the claim off. If there is a claim number, you will need to find the claim in the sent batches from the time the treatment was completed and correct the previous claim.
Once corrected, load the latest course and send the claim with the "Replacement" option
"Inappropriate Free Exam exemption"
Problem: Patient has "Free Exam" exemption on their record but has more than an exam on the treatment plan.
Solution: Remove the exemption from the patient details page and resubmit the claim with the "Replacement" option
"Invalid Date of Acceptance or Completion"
Problem: One of the following is invalid or not present on a FP17:
Date of acceptance or date of completion *NOTE* Date of completion/ Last Visit is now a mandatory field
Solution: Enter the intended date or dates in the format DD/MM/YY.
"Invalid EDI exemption code or not valid for the country concerned"
Problem: The exemption code on the patient is not valid for your country, or a code has changed
Solution: Check and correct the exemption on the patient details page and resubmit the claim with the "Replacement" option
"No age exemption claimed on an EDI claim for a patient aged under 18 (under 16 in the Isle of Man)"
Problem: Patient is under 18 (under 16 on IOM) but the exemption is missing of the patient record
Solution: Check and correct the exemption on the patient details page and resubmit the claim with the "Replacement" option
"No significant treatment on an EDI claim"
Problem: No treatment data was sent with the claim
Solution: Check the treatment is valid NHS treatment, if it is please contact support
"parsing error: maxLength constraint failed.
The attribute: 'pc' has an invalid value according to its data type."
Problem: The patient's postcode is invalid
Solution: Correct the postcode and resubmit the claim with the "Initial" option
"parsing error: pattern constraint failed.
The attribute: 'datcp' has an invalid value according to its data type."
Problem: There is a problem with the completion date of the claim
Solution: Check the start and completion date after clicking the FP17 button in the treatment section and resubmit the claim with the "Initial" option. If you are unsure please contact support.
"Remission or exemption box error"
Problem: There is a problem with the exemption details
Solution: Check and correct the exemption on the patient details page and resubmit the claim with the "Replacement" option
"SQ Ind claim where original cannot be found"
Problem: The claim has been sent with the "replacement" option, but no claim exists
Solution: Resend the claim with the "initial" option
"SQ Ind claim where original has already been deleted"
Problem: The previous claim has been deleted and the new claim has been sent with the "replacement" option
Solution: Resend the claim with the "initial" option
"Treatment code not valid according to the claim date"
Problem: A treatment item on the plan is invalid
Solution: Please contact support as we'll need to check the database
"Inappropriate patient's charge accompanying Reg 11 (Reg 9 in Isle of Man) claim"
Problem: A claim has been sent with a Reg 11 and a normal banded treatment
Solution: Delete the Reg 11 from the plan and send the plan off again as an initial claim.
Add the Reg 11 to a new plan and send this off as an initial claim