When completing an FP17O, follow the guidance on completing the form to prevent any claiming issues or rejections.
A step-by-step guide on completing the FP17 or FP17O is available on our website.
Date of Assessment (DoA) same on Appliance fit, Course of Treatment (CoT) the same as DoA on Assess and Review CoT
If the DoA on the initial Assess and Review claim matches the date on the active treatment, the claim will fail validation.
You must either delete the initial 'Assess and Review' claim or change the DoA on the active treatment claim, if applicable.
Patient charge showing incorrectly on a claim
This may be due to the patient being on a waiting list for active treatment and has turned 18 years old before treatment can commence.
Contact your Commissioner to discuss the removal of the patient charge.
Submitting more than one active CoT
If you've submitted more than one active CoT without a Treatment Complete claim in between, this will cause the claim to reject.
Date of Referral
The 'Date of Referral' is mandatory if 'Date of Assessment' is 1 April 2019 or later.
Commissioner approval when a patient is aged 18 or over
When submitting a claim for a patient who's aged 18 or over. at the 'Date of Referral' there is a yes or no box to complete.
If this has been approved by the Commissioner and 'Yes' is entered on claim, this will be translated to code 9177 on the FP17O.
IOTN and Aesthetic Component
An IOTN score is mandatory on all abandoned, discontinued, or treatment complete claim forms.
Aesthetic Component became mandatory for all claims submitted after 1 April 2019.