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We will be introducing two new electronic options for securely submitting GOS claims, as well as launching an online service to track claims and view statements via PCSE Online.

Click here to read more.

Ophthalmic payments

PCSE’s ophthalmic payments service includes administrating monthly payments of GOS forms, processing Continuing Education and Training (CET) payments, deducting Local Optical Committee levies, and managing refunds to patients where appropriate.

Submitting GOS claim forms

Submitting GOS claim forms

1

Using submission headers

All opticians should have now received, and be using, the new tailored submission headers. Click here to see an example new header for GOS1, GOS3, GOS4, GOS6.

2

Sending your GOS forms to PCSE

All opticians should send GOS claim forms to the Customer Support Centre at:

Primary Care Support England

PO Box 350

Darlington

DL1 9QN

 

If you would like to courier forms to us, there is a separate address courier firms should use:

Capita Intelligent Communications

Building 17, Units 2 & 6

Lingfield Point

McMullen Road

DARLINGTON

DL1 1RW

Anyone who uses a courier service to send GOS forms to PCSE should use this  address for all deliveries.

3

For any queries on payments, email us at PCSE.Optical@nhs.net. This will ensure your enquiry gets to the right team as quickly as possible who will log, review and respond to your query.

If you are emailing about an existing case, please can you include your case number in the email subject line, to allow us to automatically link your email to your original query. Please can you also include your Area Code – Optician Code (as per your GOS Batch Headers) in the body of your email, to help us clearly identify your practice.

 

Avoiding rejected GOS claims

To ensure GOS claims can be processed and avoid forms being rejected, please ensure all mandatory information is included on GOS claims before they are submitted and that the correct declaration is signed on sight test claims. 

Top 5 reasons GOS claims are rejected:

  1. Date of last sight test is left blank on a GOS1 or GOS6.
  2. Contractors who are also Performers have signed a GOS1 or GOS6 in the Performer’s declaration section only, rather than the claim section at the bottom as specified on the form.
  3. Date of prescription missing on a GOS3.
  4. Values not entered in the relevant boxes in the claim section on a GOS3.
  5. In forms that have been signed by a patient’s parent/guardian/carer, they have not entered their name below their signature. 

Contractors are reminded that claim forms must be signed in all the relevant places and all signatures must be dated, otherwise the claim will be rejected. 

Please click below for best practice examples which highlight the other mandatory fields on the most common forms and to confirm what information is acceptable when completing certain fields.

GOS1

GOS3

GOS4

GOS6

Guidance on Filling and Signing GOS forms can also be found in Section 5 of Making Accurate Claims.

Please also see our FAQ below for the process for submitting previously rejected GOS forms.

FAQs

For further FAQs, visit our help page.

What should I do with domiciliary notifications?

Domiciliary notifications can be emailed (from an nhs.net email address or as an encrypted email from a non nhs.net email address).

Please email notifications to:

 

 

Are there changes to the way GOS 3 and 4 forms are processed?

PCSE returned to individual processing of GOS 3 and 4 forms in all areas in summer 2017.

This process began with practices in certain areas in February 2017 and was rolled out across the country by August 2017.

All practices now receive itemised statements for GOS3 and 4 claims, allowing for easier reconciliation. 

GOS 1 forms will continue to be batch processed for all areas as they have been historically.

When are the claim form submission dates for each area?

Please see our list of claim form submission dates.

  • Separate any previously rejected GOS forms from your normal/new GOS form submissions
  • Put a cross (X) in the top right hand corner of each previously rejected form
  • Batch them together using a separate batch header for each GOS form type
  • Write clearly on the batch header/s ‘PREVIOUSLY REJECTED’ underneath the name and address for payment box and securely fasten each batch together
  • Return the rejected forms to PCSE along with your normal GOS submissions to the usual addresses: Post to Primary Care Support England, PO Box 350, Darlington, DL1 9QN or courier to Capita Intelligent Communications, Building 17, Units 2 & 6, Lingfield Point, McMullen Road, DARLINGTON, DL1 1RW.

In order for PCSE to set up new contractors with tailored batch headers, firstly PCSE requires a new contract notification from the NHS England local office to confirm the contractor is approved to undertake NHS work in that area. 

Once we receive this notification, tailored GOS headers can be created to enable you to submit claims for NHS work undertaken. 

Please speak to your relevant NHS England Local Team to gain approval to undertake NHS work.