Ophthalmic Payments

National User Group Meeting 22nd January 2009

Closed Change Requests2909, Highlight if SOL/OPL optician is registered on another country’s list

14th October 2008

2926, Show Trading Name on input screens

14th October 2008

2949, Report to show contractors who have not been linked to Exeter BACS for payment

17th October 2008

2871, Monthly payment report, like FIS 3 report

29th October 2008

Closed Change Requests2943, Suppress Contractor’s Uniform List Number on Statements

7th November 2008

2816, PPC letters ‘payable to’

18th November 2008

2941, Performer List to record contract as ‘Currently Registered’ or ‘Conditionally Registered’ & include details

3rd December 2009

Closed Change Requests2959, Contractor Administration and Claim User roles

15th January 2009

2648, Global delete button for selected PPC audit records. Withdrawn

18th September 2008

Open Change Requests

2740 Stockport (High) Permit practitioner name reuse

Currently in peer testing

2742 Dorset (on hold for discussion today)

Batched Additional Services claims

2838 Kent (High) Facility to email electronic statements

Currently in development

Open Change Requests2851 Hampshire (Medium)

Improve linking of pre-notification lists to residential homes

Currently in peer testing

2981 Newcastle (New) CSV option on PPC School/DSS and Evidence checks

Currently in development

2986 Dudley Preset list box for domiciliary visit reasons on Pre Notify Visits

Electronic Links Project

• Activity Details

– 150 activation requests processed– 146 active stores– 84 stores using automatic process– 54 PCTs– 26 payment agencies

Electronic Links Project

• Claims Volumes

– Period May 2007 – Jan 2009• 399,639 manual approvals• 450,051 automatic approvals• 849,690 total claims

Possible Duplicates

• More individual GOS1 claims stored

• More possible duplicate claims identified

• Raised questions regarding the GOS Regulations when a patient is tested and advised otherwise on their previous sight test date

Electronic Links Project Phase II

• Current activity

– Validation rules being tested for GOS3, GOS4 and GOS5

– Electronic statements being tested

Back Pay - England

• 2008 ST & Domiciliary fees agreed

• Available now (from 21st Jan 2009)

• See bulletin board for details

– Calculated for all, including closed practices

– Statements will be generated for all closed practices

Back Pay - Wales

• No indication from Welsh Assembly when 2008 ST & Domiciliary fees available

• See bulletin board for further information

Point of Service - England

• From April 2008

• Increased to £0.05 per GOS3 and GOS4

• Available now (from 22nd Jan 2009)

• Outstanding back payment

Work Force 2008

• English return– Performers up-to-date – Contractors up-to-date

• Welsh return– Supplementary up-to-date– Work force detail records up-to-date

• Collected centrally by Information Centre

Activity in December 2008

• 813,663 GOS1 claims processed in December 2008

• £15,513,187 for GOS1 in December 2008

• 92, 702 Schedule D searches in December 2008

• 20.59% GOS1 claims were individually entered during December 2008