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Ophthalmic Payments

Ophthalmic Payments. National User Group Meeting 16 th January 2014. Presented by Mark Green & Mark Hillman. Ophthalmic Payments Service. Central Ophthalmic Payments system continues to use old PCTs as the organisational structure within England Local Code to indentify a Contractor

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Ophthalmic Payments

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  1. Ophthalmic Payments National User Group Meeting 16th January 2014 Presented by Mark Green & Mark Hillman

  2. Ophthalmic Payments Service • Central Ophthalmic Payments system continues to use old PCTs as the organisational structure within England • Local Code to indentify a Contractor • Constrained by Organisation Code to provide unique code per contractor • No changes

  3. Ophthalmic Payments Service • No longer doing a full PCT migration: • Minimise risk • Continuity of service • eGOS practices remain operational • Large effort • Small benefit • Focus will be on reconfiguring the organisation hierarchy within the central Ophthalmic Payments system

  4. Current Organisation Hierarchy

  5. Possible Organisation Hierarchy

  6. Ophthalmic Payments Service • PCSS offices can decide to re-structure • Support log will be required • Provide new structure for organisations • Change to be implemented by HSCIC between payment cycles • You will be able to log into all responsible organisations using one Open Exeter account

  7. Ophthalmic Payments Service • Grouping of organisations for payments can be changed or remain the same as today • Local Contractor codes remain unchanged • No additional work required for PCSS staff • But update your organisations from PCTs

  8. Electronic Statements • Background • Setup • Sending electronic statements • Available downloads • NHS Ophthalmic Decrypt Utility

  9. Electronic Statements • Background • Payment system makes over 81,000 payments • Covers 9,849 contractors • eStatements has been identified to help reduce costs • 1,400 enabled to use eStatements • New report to list eStatements details

  10. Print Optician Email Statement Settings Report

  11. 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)

  12. Electronic StatementsSending email address

  13. Electronic StatementPractice email & password

  14. Electronic StatementsSending emails

  15. Electronic Statements • NHS Ophthalmic Encryption Utility (Version 1.5) • All electronic statements are encrypted for non NHS.NET email accounts • A practice can use our decrypt utility for free but must • Agree to terms & conditions of use

  16. Electronic Statements • Available downloads • Data File Formats for Electronic Submission of Contractor Claims • User guide & FAQs • NHS Ophthalmic Payments Decrypt Utility Overview & file (Version 1.5) • NHS Ophthalmic Payments Decrypt Utility terms & conditions of use

  17. Electronic Links (eGOS) • Activity Details • 399 active stores • 261 Specsavers stores • 93 practices using the Optix system • 24 Vision Express stores use Ocuco • 21 Independents • 125 PCT/LHBs over 54 payment agencies

  18. Electronic Links (eGOS) • Claim Volumes from May 2007 • 9,289,327 GOS 1 • 8,705 GOS 3 • 1,581 GOS 4 • 3 GOS 5 • 84 GOS 6

  19. Non CR deliverables • ISFE / regulation work • Performance improvements • Re-platforming Ophthalmic Payments system • Options for Organisation Migration

  20. Completed Change Requests

  21. Open Change Requests

  22. Open Change Requests

  23. Service Performance - targets 98% of reported support calls to be responded to within target 90% of reported support calls to be resolved within the target

  24. Service Performance - achievement

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