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