How to Update an NHS Claim

Sensei Cloud enables you to update existing NHS claims and to modify and resubmit an NHS claim that has already been settled.

To update a claim:

1. From the Patient tab, select NHS Claims. The patient's claims are displayed.
   Note: You can also access claims from the Location tab > NHS Claims > Claims Management.
2. Select the claim from the list. The Update NHS Claim window is displayed.
   
   Note:
   --The claim status must be Not Ready before you can update the details. Select Mark as Not Ready if you need to change it before continuing.
   --Click View Treatment Plan to navigate to the treatment plan. 
3. Select a category to display the values and entry fields.
   
   Note: Use the Clinical Data Set / DMF options to override generated claim values and/or set a Flexible Commissioning indicator. For more information, see How to Flag an NHS Claim with a Flexible Commissioning Indicator.
   Note: For customers in Wales, effective for NHS claims on or after 1 April, 2025, three additional options display under the Other Services section to meet CCN75 compliance requirements:
   -- DAP New Patient: Patient has registered via DAP (Dental Access Portal) for non-urgent treatment.
   -- New Urgent Patient Referral: Patient has been referred via DAP (Dental Access Portal) for urgent treatment.
   -- Did Not Attend: Patient has been referred via DAP (Dental Access Portal) for urgent treatment but has not turned up for any appointments.
4. Make the necessary changes to the claim details.
5. Click Update.

Resubmit a Previously Submitted NHS Claim

If you discover an issue with a claim that has already been submitted, or even paid, you can replace the previously submitted claim with a new one containing corrected data.

Note: You cannot access the resubmission options until you have received a response to a claim.

To resubmit a claim:

1. Select the claim, and then click Resubmission Options.
2. Select Create New Submission.
3. Select Replaces Scheduled Claim.
4. Make the necessary changes to the claim details.
5. Select Mark as Ready to Send.