AI NHS Claim Automation

Let AI Handle Your
NHS Claims
— End-to-End

From claim submission to rejection recovery, CareStack's AI ensures every UDA counts.

Forgot to submit? We'll catch it.

Rejections, Delays, and Lost UDAs
— All Too Common

The current NHS claim process is riddled with inefficiencies that cost practices time and revenue

180+
NHS Rejection Codes
Hard to track manually
10
UDAs per Site
Lost to rejections
18
Missed Claims/Month
Forgotten submissions

Claim Workflow Comparison

Claim Workflow Today
Manual claim entry
High rejection rates
Manual error correction
Missed claim deadlines
Lost UDAs and revenue
Claim Workflow with AI
Automated claim validation
Smart rejection recovery
Auto-correction & resubmission
Proactive claim capture
Maximized UDA recovery

How It
Works

Three intelligent AI touchpoints that transform the NHS claim lifecycle

Claim Submission Validator

AI checks all submitted claims for completeness and flags missing data or inconsistencies before submission to prevent rejections.

Real-time validation checks
Missing data detection
Pre-submission error prevention
Claim Check

"Missing patient NHS number"

AI Validation

"Auto-populate from patient record"

Ready to Submit

"All fields validated ✓"

Rejected Claim Recovery Bot

Understands all 180+ NHS rejection codes and automatically suggests corrections, then resubmits claims using CareStack APIs.

180+ rejection code understanding
Automatic correction suggestions
API-powered resubmission
Rejection Detected

"Code 1234: Missing clinical notes"

AI Analysis

"Auto-generate clinical notes from treatment plan"

Auto-Resubmit

"Claim corrected and resubmitted ✓"

Follow-Up Automation

Detects patients who haven't returned and alerts staff to claim for completed work, with bulk action interfaces for efficiency.

Patient return detection
Completed work alerts
Bulk claim management
Patient Alert

"Sarah Johnson - Treatment completed 3 days ago"

Claim Reminder

"No claim submitted - Generate FP17?"

Bulk Action

"12 claims ready for submission"

Real Workflows
Powered by AI

See how AI transforms every step of the NHS claim process

Automated Claim Submission

Zero manual entry required. AI validates and submits claims automatically with complete accuracy.

Smart Rejection Recovery

AI understands rejection codes and automatically corrects and resubmits claims without intervention.

Interactive Validation

When AI needs human input, it provides clear checklists and validation prompts for dentist review.

Lapsed Treatment Detection

Automatically detects completed treatments without claims and prompts for immediate submission.

UDA Quota Management

Tracks UDA progress and suggests optimal claim strategies for remaining time periods.

Claim Flow Visualization

Real-time tracking of claims through the NHS system with status updates and progress indicators.

Never Miss a
Claim Again

Transform your NHS claim process and maximize every UDA opportunity

Automate FP17 Lifecycle

Complete automation from treatment completion to claim approval with zero manual intervention.

Lower Rejection Rates

Reduce UDA losses from 10 to 2 per site through intelligent validation and error prevention.

Improve UDA Adherence

Achieve 100% UDA target compliance through proactive claim management and recovery.

Reduce Admin Burden

Eliminate 80% of manual claim processing tasks, freeing staff for patient care.

Secure Revenue

Ensure every completed treatment is properly claimed and paid for by the NHS.

Real-time Monitoring

Track claim status, rejection patterns, and UDA progress with live dashboards.

Launching in Q2 2026

Currently being planned, targeting beta pilots in early 2026.

Product Development
Beta Pilots
Q2 2026 Launch