eGOS Claim Reports

Claims should be updated using Refresh Claims in Business intelligence, (* CSV from PCSE statement imported), before checking the Reports below.

There are various Popular Searches to check claims ;

- List where Invoices show Claim, but no eGOS claim found (missing eGOS)
- List where eGOS  - but no Invoice found showing Claim (missing Voucher in Till)
- Unfinished Claims, need sorting (not yet sent or Accepted)
- Finished Claims (Paid or Going to be paid)  **
- Gos3/4 Paid value not same as Claimed amount (under or overpaid) **

Also,  In Reporting ;

-  you can look for Claims by specific Status or Status’s -  then Print these out.

Time Limits for Claims list at bottom of page.

More Details on these under each Heading below.

** If looking to check Payments  rather than Status - Ensure Claims payments in Flex are up to date before running these reports. see below for this :-

   To check payments, download PCSE statement, as an Expanded CSV 

 and Import this into Flex using button in Bus Intelligence- eGOS - as below :-
        Do this Each month, to update payment status and payment amounts.  

    PCSE Statement can be given to your Accountant.



Data Mining > Popular Search  - for Finished or Unfinished Claims 

 
Here you choose Dates and generate CSV to go through and check Claims from past..

Business Intelligence -> Popular Search -> Business Intelligence

 Choose Dates then - Finished or Unfinished (not accepted/paid ) Claims

-Unfinished are Claims that need you to finish or Submit, they are NOT completed with PCSE yet.

for a list, chose Export,  using the small > button for this as below :-
 

the List can then be printed or Saved for future reference.
 

Data Mining > Popular Search - Till Vouchers w/o eGOS claims started

Choose Dates and generate CSV to go through and check..

This search checks to see if eGOS claims were started, where Invoice for Patient had Voucher on it.

ie - eGOS exists , but Till payment for voucher/NHS Test missed ?

 

Data Mining > Popular Search -   eGOS claims started w/o Till Vouchers 

Choose Dates and generate CSV to go through and check..

This search checks to see if Invoice shows Voucher amount, where eGOS has been found for Patient.

ie - showing in Till but eGOS missed ?
 

Data Mining > Popular Search -   Claims value different to Amount paid 


This option will check  all  Claims ever made, and list those where the amount Paid (as updated with CSV from PCSE) is not the same is the amount Claimed when submitted.

Allows finding of under paid claims, also shows overpaid claims.

Business Intelligence -> Reporting  (Print Out) 

* This option may need adding to Staff Type within Setup of Flex *

Business Intelligence > Reporting, then

- Click on eGOS at top of screen, Then choose Dates and Claim Status types.

Can find any Rejected..
All other Status but Accepted/ Paid = unfinished claims that need sorting out..

(Accepted + Paid) = finished claims.

those found  can be printed out for Reference.

Time Limits on Claims, as specified by NHS

As of 1/1/2024  - 3 Months is the claim time limit.

to check and chase up Claims practice can  be found -

Pop Search - Bus Intell - Unfinished claims

check up to 2/3 months ago and chase up patients for egos3 especially - "come and collect!".

Uncollected Claims can be written off, call for help with this if needed.

For any further help - call 0800 3102400