Warning: session_regenerate_id(): Cannot regenerate session id - headers already sent in /home/sites/iclarityhub.co.uk/public_html/main.php on line 70
I-Clarity Hub - Knowledge Base - The i-Clarity EGOS Process

The i-Clarity EGOS Process

Email LinkBack
I-Clarity Version: i-Clarity
I found this useful!
I didn't find this useful!
Views: 124
 

English eGOS Claims follow this process through the i-Clarity system to the PCSE website

  1. Patient claim is created in i-Clarity
    This usually happens when the first signature is saved to the claim. For a GOS1 claim this will be the patient's signature for a GOS3 claim this will be the optometrist signature
  2. The claim is then linked to a payment in i-Clarity
    For claims to be submitted from i-Clarity to the PCSE website they must be linked to a payment. This means as claims are submitted deferred payments are automatically updated to the status ‘Not yet paid, submitted’
  3. The claim is finalised in i-Clarity
    All the necessary signatures and claim info is completed and checked.
  4. The claim is submitted from i-Clarity to the PCSE website.
    The submit button is clicked on the claim (or in deferred payments) and the claim is submitted to the PCSE Website
    1. Claim is successfully submitted
      A pop up appears to notify you that the claim has been successfully submitted. The claim will now be locked against editing, the submit button will have changed to a retract button and the payment linked to the claim will have been updated to the status ‘Not yet paid, submitted’ in deferred payments
    2. OR Claim is not submitted
      A pop up appears to advise the claim could not be submitted due to an error with the data on the form.Use the information provided on the error pop up to correct the claim
  5. The claim status is checked through i-Clarity
    Later that day or on future day of your choosing e.g. the next day the status of the claim is checked through i-Clarity. This can get done from deferred payments by clicking on the ‘Update claim status button’ on the ‘Not yet paid., submitted’ page. (This can also be done on an individual patient claim)
    1. Claim Marked as Accepted
      The claim status will show as accepted. No further action is required on this claim form
    2. OR Claim Marked as Rejected
      The claim has been rejected the reason must now be amended
      1. Claim Rejection Reason
        The claim that has been rejected is opened by double clicking on the patient name in the deferred payments list.
        Click on the get status button to see the rejection error code. Type this code into the ‘error code’ form to find out the rejection reason.
      2. The Claim is retracted
        Click the retract button on the claim to open the claim for editing. 
      3. The Claim is amended
        Amend the claim as directed by the error code information. And save the claim.
      4. The Claim is Submitted
        The submit button is clicked on the claim (or in deferred payments) and the claim is submitted to the PCSE Website
  6. Claim is successfully submitted
    The claim processed for payment on the PCSE website. This step requires not interaction and will happen automatically
  7. i-Clarity deferred payments crossed checked with your payment statement on the PCSE website
    Your statement will be available on the PCSE website. Cross reference this statement with your deferred payments in the status ‘Not yet paid, submitted’. Tick those payments shown as paid on your statement. Once complete click the button ‘Update selected records to paid’.

Back
I found this useful!
I didn't find this useful!