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Submit General Ophthalmic Service (GOS) payment claim forms to Primary Care Support England (PCSE).
This specification is a work in progress
We'll be adding the missing details over time.
Use this API to submit the General Ophthalmic Service (GOS) payment claims to Primary Care Support England (PCSE). Electronic claims are submitted via Practice Management Systems (PMS) and paper based claims are submitted via a bulk scanning facility, provided by Capita Intelligent Communications (CIC).
Activity data about NHS sight tests, optical vouchers, repairs and replacement are collected via a series of GOS payment claim forms.
GOS1 – Application for an NHS funded sight test
GOS3 – NHS optical vouchers and patient statement
GOS4 – NHS optical repair/replacement vouchers application form
GOS5 – Private sight tests with partial help towards the full costs
GOS6 – Application for a mobile NHS funded sight test
You can electronically:
submit GOS1 claims from PMS and bulk scanning facility to PCSE
submit GOS3 claims from PMS and bulk scanning facility to PCSE
submit GOS4 claims from PMS and bulk scanning facility to PCSE
submit GOS5 claims from PMS and bulk scanning facility to PCSE
submit GOS6 claims from PMS and bulk scanning facility to PCSE
submit GOS6 pre-visit notifications from PMS to PCSE
submit and retrieve GOS3 voucher only between PMS and PCSE
submit a status request to PCSE
You cannot submit:
health cost 5 (HC5) refund claims
pre-registration training (PRT) grant claims
continuing education and training (CET) claims
A single GOS message can contain multiple claims for payment of a single GOS claim type, i.e. batch submission is allowed. A message cannot contain a mix of different GOS claim types.
You can also submit GOS payment claims via PCSE Online. For further information, see Ophthalmic payments.
Who can use this API
This API can only be used where there is a legal basis to do so. Make sure you have an ophthalmic contract before you go too far with your development.
You must do this before you can go live (see ‘Onboarding’ below).