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The National Health Service (General Ophthalmic Services) (Scotland) Regulations 2006

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Changes and effects yet to be applied to Schedule 1 Paragraph 13:

PaymentsS

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13.—(1) Any claim by a contractor for fees in respect of the provision of general ophthalmic services shall be made by completing or securing the completion of an eye examination form and sending it to the Agency within 6 months after the date of completion of such provision of the services.

[F1(1A) Any such claim shall be submitted in accordance with F2... sub-paragraphs (3A) and (3B)].

F3(2) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

F3(3) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

[F4(3A) The claim shall be submitted by electronic communication and—

(a)if the service was provided on behalf of a contractor by a deputy or employee who is also a contractor, the claim shall contain the PIN allocated to that deputy or employee;

(b)if the service was provided on behalf of a contractor by a person whose name is included in the second part of the Ophthalmic List, the claim shall contain the PIN allocated to that person; and

(c)in all other cases, the claim shall contain the PIN allocated to the contractor providing the service.

(3B) When submitting a claim F5... under sub-paragraph (3A) [F6or (4A)] a person shall make use only of such computer programme as the Agency has approved as suitable for that purpose.

(3C) In this paragraph, “PIN” means the personal identification number allocated by the Agency.]

(4) Where an eye examination is undertaken by an ophthalmic medical practitioner or optician who assists the contractor in the provision of general ophthalmic services that ophthalmic medical practitioner or optician shall complete a claim for remuneration in respect of that eye examination which–

(a)is separate from any claim form in respect of eye examinations given by the contractor personally; and

(b)identifies the ophthalmic medical practitioner or optician who undertook the eye examination and his or her status as an ophthalmic medical practitioner or optician who assists the contractor in the provision of general ophthalmic services.

[F7(4A) The claim referred to in sub-paragraph (4) must be submitted to the Agency by electronic communication and must contain the PIN allocated to the ophthalmic medical practitioner or optician who assists the contractor in the provision of general ophthalmic services.]

(5) Except as provided in the regulations, in the Statement, or in the National Health Service (Charges for Overseas Visitors) (Scotland) Regulations 1989 M1, F8... a contractor shall not demand or accept or cause to be demanded or accepted from any patient or from other persons the payment of any fee or other remuneration in respect of the provision of general ophthalmic services.

F9(6) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

F9(7) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Textual Amendments

Marginal Citations

M1S.I. 1989/364, amended by S.I. 1992/411, 1994/1770, 1998/251, S.S.I. 2004/369, and S.S.I. 2006/141 with effect from 1st April 2006.

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