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