ophthalmic payments
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Ophthalmic Payments
National User Group Meeting 27th January 2011
Electronic Links
• Opticabase
– accredited for GOS 1 during September 2010
– accredited for GOS 3, GOS 4, GOS 5 & GOS 6 during November 2010
Electronic Links
• Opticabase pilot at LASCA– 200 GOS 1 submitted
• now on automatic processing
– 102 GOS 3 submitted (manual)
– 13 GOS 4 submitted (manual)
– 3 GOS 5 submitted (manual)
– 2 GOS 6 submitted (manual)
– 2nd practice to start at LASCA during February 2011
Electronic Links
• Activity Details– 259 active stores
• 203 Specsavers stores• 43 practices using the Optix system• 11 Vision Express stores use Ocuco• 2 Independent (Ocuco & Opticabase)
– 6 outstanding activation requests– 141 stores using automatic process– 94 PCT/LHBs over 43 agencies
Electronic Links
• GOS1 Claim Volumes
– Period May 2007 – Jan 2011• 1,627,633 manual approvals• 1,842,597 automatic approvals
• 3,470,230 total claims
Web-based transmissions of GOS forms
• Ophthalmic User Group (OPUG) to investigate the potential take-up by contractors and agencies, before any commitment to develop Open Exeter as an alternative to the existing electronic claims system
Completed Change Requests
3932 ASP, Monthly Expenditure Report levy switch
23rd July (OPUG High 2)
3340 & 3341 Suffolk, System check if more than 2 high rates are entered
30th July
4001 WYCSA, User defined upper limit on adjustment values
3rd August
3971 BSC Mid & West Wales, add KOD on Enhanced Services input screen
12th August
Completed Change Requests
3883 North Yorkshire, contractor selection list box preserves last position on the NHS batch input screen
17th August
3973 BSC Mid & West Wales, A general note field included on the patient record within the Pre-Notification module
18th August
3975 Kent, The Enhanced Services Payment Analysis report now includes Hospital Referral information
24th August
Completed Change Requests
4047 LASCA, Include email address on Opticians Details Report
6th September
4069 Sheffield, The General Purpose Audit report now includes the beneficiary details
28th September
4083 East Sussex, Inconsistent/Duplicate report now includes the option to select GOS 1 or GOS 6 or both
1st October
Completed Change Requests
4033 LASCA, Performer details now include optician's GOC registration date. This information and the optician's date of birth are now included on the Performer List report
1st October
3927 LASCA, All the individual GOS input screens and the Enhanced Services input screen display an amendment history. Claim notes facility is now included on the Enhanced Services input screen
26th October
Completed Change Requests
4114 LASCA, Opticians List report includes the contractor's fax number
27th October
3939 Herts, Batch method to update contractor code on selected incorrectly entered individual GOS claims
4th November (OPUG High 3)
4113 Worcester, The Post Payment Checks patient exemption letters now have the facility to allow some user defined text to be included on the letter
19th November
Completed Change Requests
4144 LASCA, The electronic transfer to Exeter BACS payments report can be re-printed prior to the monthly clear down
23rd November
4156 BSC Mid & West Wales, Transfer the substitute date from the Pre-Notification Details screen onto the GOS 6 claim screen
1st December
Completed Change Requests
4140 Kent, The claims list screens can display different columns
3rd December
4163 LASCA, Processing flags now prevent the GOS claims from being entered
14th December
4155 BSC Mid & West Wales, Updates permitted on patient records listed as possible dups within the Pre-Notification module
17th December
Completed Change Requests
4061 Sheffield Withdrawn, already existing function
4068 Kent Withdrawn, as support log raised
4177 Kent Withdrawn, already existing function
4235 LACSA Rejected, as outside our remit
Open Change Requests3532 Bromley
Include patient search when processing electronic claims
(currently in peer test)
3815 WYCSA
Batched GOS3/GOS4 claims (currently in pilot at WYCSA)
4048 South Staffordshire
Include Levy payment within Exeter BACS facility
4194 LACSA Contractor type:- update the OO entry to GOS or if this is not possible, amend the entry to GOS/OO (see screen picture)
CR 4194 - Contractor type
Open Change Requests4215 BSC Wales
Pagination on Daily Input Lists reports
(currently in peer test)
4237 BSC Wales
WECI information required on WECE & PEARS additional service claims to include exemption reason & outcome
4257 LASCA Include the batch input enhanced services values onto the patient enhanced services statement & analysis report
Open Change Requests4258 LASCA Reference table to define enhanced
services local codes
4259 LASCA Report to show paid batched sight test & domiciliary, enhanced services and GOS3/GOS4 claims
(currently in development)
4260 LASCA Batched enhanced services screen not to include closed fee rates
4270 Anglia Access grid, as available within the Exeter system
Health Bill issues for Ophthalmics
• Information on the closure of SHAs and PCTs, and establishment of NHS Commissioning Board and GP Consortia
• The NHS Commissioning Board is responsible for the provision of GOS throughout England
Health Bill issues for Ophthalmics
• No information yet on new GOS Regulations and their impact on Ophthalmic Payments service within England
• Business as usual
Electronic Statements
• Setup
• Sending electronic statements
• NHS Ophthalmic Decrypt Utility
• Available downloads
Electronic Statements
• Setup– Sending email address
• Set email address for your Payment Authority
– Practice email address & password• Practitioner electronic claims settings
• Sending payment statements– All statement reports (email option)
Electronic StatementsSending email address
Electronic StatementsPractice email & password
Electronic StatementsSending emails
Electronic Statements
• NHS Ophthalmic Decrypt Utility
– All electronic statements are encrypted
– A practice can use our decrypt utility for free but
– Agrees to terms & conditions of use
Electronic Statements
• Available downloads
– User guide– FAQs– NHS Ophthalmic Payments Decrypt
Utility Overview & file– NHS Ophthalmic Payments Decrypt
Utility terms & conditions of use
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