Ophthalmic Payments API

Overview

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:

GOS2 claims

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.

Documentation

Ophthalmic Payments API documentation

Endpoint

https://digital.nhs.uk/developer/api-catalogue/ophthalmic-payments

Contact

https://digital.nhs.uk/developer/help-and-support