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Access the schedule close dates, and customer administration and prior approval timescales

Published on 06 December 2022

The information below highlights payment dates, cut-off dates for claim submission and details of any additional payments.

November (paid December 2022)

  • eDental and eOrthodontic: Sunday 4 December 5pm
  • Payment date: Tuesday 20 December

GP21a’s must be received by Friday 2 December at 5pm and we will aim to process these for the November paid December schedule.

We cannot carry out any changes within the payment system including resigning or setting up new list numbers, carrying out bulk transfers, adjustments etc from Friday 2 December until after midday on Monday 12 December, while the payment schedule is being processed.

October (paid November 2022)

  • eDental and eOrthodontic: Thursday 3 November 5pm
  • Payment date: Friday 18 November

GP21a’s must be received by Thursday 3 November at 5pm and we will aim to process these for the October paid November schedule.

We cannot carry out any changes within the payment system including resigning or setting up new list numbers, carrying out bulk transfers, adjustments etc from Thursday 3 November until after midday on Friday 11 November, while the payment schedule is being processed.

September (paid October 2022)

  • eDental and eOrthodontic: Monday 3 October 5pm
  • Payment date: Thursday 20 October

GP21a’s must be received by Monday 3 October at 5pm and we will aim to process these for the September paid October schedule.

We cannot carry out any changes within the payment system including resigning or setting up new list numbers, carrying out bulk transfers, adjustments etc from Monday 3 October until after midday on Thursday 13 October, while the payment schedule is being processed.

August (paid September 2022)

  • eDental and eOrthodontic: Sunday 4 September 5pm
  • Payment date: Tuesday 20 September

GP21a’s must be received by Friday 2 September at 5pm and we will aim to process these for the August paid September schedule.

We cannot carry out any changes within the payment system including resigning or setting up new list numbers, carrying out bulk transfers, adjustments etc from Monday 5 September until after midday on Monday 12 September, while the payment schedule is being processed.

Customer Administration Timescales

Within our customer administration team, the majority of the turnaround periods are 20 working days from receipt except for GP21a, GP208/GP209 and GP200.

GP21a and GP208/GP209 – we aim to turn them around within 2 - 4 working days from receipt.

GP200 – because of the volumes and in view of withdrawal dates on the GP200 forms, we aim to process withdrawals within the first available schedule closest to the withdrawal date. For instance, if we were to receive a withdrawal date of 12 December 2022 in early November 2022, we would aim to withdraw this patient in the December 2022 schedule. Please note that this also depends on when the GP200 has been received. If it has been received at the close of schedule, then the patient may not be withdrawn until the next schedule.

There are periods when the payment schedules for Dental and Ophthalmic are being run, when some tasks cannot be actioned, so during this time the turnaround periods will vary.

Prior Approval Timescales

Within our Prior Approval team, the turnaround period for Approval requests are 2 months for General Dentistry and 3 months for Orthodontics.

Valid payment claims are processed in the first available schedule. Rejections within MIDAS are dealt within 20 working days, however they normally clear at the end of each schedule.

The information below details the submission dates we are currently reviewing for prior approvals.

General prior approval

  • Awaiting Dental Adviser review: 31 October 2022
  • Awaiting Prior Approval Officer review: 2 December 2022

Orthodontic prior approval cases

  • Awaiting Dental Adviser review: 27 October 2022
  • Awaiting Prior Approval Officer (PAO) review: 3 November 2022
  • Awaiting Physical evidence 21 October 2022