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Ophthalmic Payments. National User Group Meeting 7 th July 2011. Electronic Links. Optix Accredited for GOS 3, GOS 4, GOS 5 & GOS 6 during February 2011 Pilot scheduled for 4 th July 2011. Electronic Links. Ocuco Accredited for GOS 3 in March 2011 Accredited for GOS 4 in April 2011 - PowerPoint PPT Presentation
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Ophthalmic Payments
National User Group Meeting 7th July 2011
Electronic Links
• Optix
– Accredited for GOS 3, GOS 4, GOS 5 & GOS 6 during February 2011
– Pilot scheduled for 4th July 2011
Electronic Links
• Ocuco
– Accredited for GOS 3 in March 2011
– Accredited for GOS 4 in April 2011– Accredited for GOS 5 in May 2011
– Pilot commenced on 15th May 2011 for GOS 3, GOS 4 & GOS5 claims
Electronic Links
• Optisoft
– Accredited for GOS 1 in April 2011
– Pilot practice to be confirmed shortly
Electronic Links
• Activity Details– 285 active stores
• 205 Specsavers stores• 57 practices using the Optix system• 19 Vision Express stores use Ocuco• 4 Independent (Ocuco & Opticabase)
– 27 outstanding activation requests– 169 stores using automatic process– 109 PCT/LHBs over 51 agencies
Electronic Links
• Claim Volumes
– 4,214,299 GOS 1– 443 GOS 3– 55 GOS 4– 2 GOS 5– 4 GOS 6
Practice wishing to use links
• Check for accredited supplier at the practice
– If yes, follow usual activation process found on the Bulletin Board
– If no, then pass on the URL for the NHS CfH Ophthalmic payments electronic links website & ask the practice to forward it to their system supplier
– http://www.connectingforhealth.nhs.uk/systemsandservices/ssd/prodserv/ecophthalmics
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
4194 LASCA, Update the Contractor Type
16th February
4295 BSC Centre, Move the ‘Notes’ field on the pre notification patient screen
17th February
4215 BSC Centre, Daily Input List reports user option for pagination
23rd February
Completed Change Requests
3532 Bromley, Patient Search audit report
10th March
4324 WYCSA, Electronic statements to use multiple address and remove encryption for NHS.NET email accounts
17th March
4329 Kent, Evidence Not Seen Post Payment Checks module can now exclude claims where evidence has been seen
18th March
Completed Change Requests
4260 LASCA, Batched Enhanced Services screen highlights entries where an expired fee has been selected
8th April
4259 LASCA, Print Historic Batched and Individual Claims added to the Historic Payments Reports area
14th April
4389 Hull, PPC to export the patient's surname and forenames as separate fields
12th May
Completed Change Requests
4237 BSC Centre, Patient eligibility & outcome recorded on WECE & Pears services
18th May
4257 LASCA, Enhanced Service Patient Statement & Payment Analysis reports include batched enhancement service totals
18th May
4258 LASCA, Local service description for the 20 Enhanced Service Local types
18th May
Completed Change Requests
4449 BSC Centre, Patient eligibility & outcome marked as mandatory for Welsh WECE & Pears claims
15th June
4048 Stafford, BACS transfer for all Levy payment values
16th June
4313 LASCA, Duplicate claims checks to use first part of patient's forename (switchable)
16th June
Completed Change Requests
4367 SBS, CRB disclosure number & date added to performer list
22nd June
4356 BSC Centre, Original date on list added to supplementary list
22nd June
4492 SBS, Check Voucher and Repair Totals reports now include the number of claims processed
23rd June
Rejected/Withdrawn Change Requests
4270 ASP, Security Matrix feature for access roles
Rejected by OPUG 27th January
4357 BSC Centre, Automatic check on GOC number
Rejected 3rd May
4421 LASCA Specsavers internal system request
Withdrawn 10th May
Open Change Requests3815 WYCSA Batched GOS3/GOS4 claims
(currently in pilot at WYCSA)
4316 BSC Centre
Electronic statements to be ‘zipped’ together for each contractor
(currently in peer test)
4361 Wolverhampton
Electronic input for enhanced service claims
4373 ASP Amend contractor code utility for Pre Notification detail records
Open Change Requests4402 Hull PPC DSS audit reports to include
actual payment value(s)
4439 Newcastle
Allow multiple fees for batched enhanced service claims
4450 BSC Centre
To have one Daily Input List report, to include all claim types
4491 TVPCA Utility to remove unprocessed Pre Notification patient records
(currently in peer test)
4499 TVPCA Indicator on Pre Notification Patient records to ensure a re-test code is provided on the subsequent GOS 6
Electronic Statements
• Setup
• Sending electronic statements
• NHS Ophthalmic Decrypt Utility (Version 1.3)
• 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 (Version 1.3)
– All electronic statements are encrypted for non NHS.NET email accounts
– 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 (Version 1.3)– NHS Ophthalmic Payments Decrypt
Utility terms & conditions of use
NHS Ophthalmic Decrypt Utility
• Version 1.3 was released 21st June 2011
– ‘How to’ help has been updated
Sight Test & Domiciliary fees 2011/2012
• England
– Confirmed no increase in fees– Back pay not required
• Wales
– to be confirmed by Welsh Assembly
On-line Help
• Most individual screen help has been updated
• Main on-line help is currently being updated
• Please refer to on-line help to resolve questions etc