Get your PCSE Online claims and statements by API

What you can build on PCSE Online

• Search GOS claims

  Build this

  Uses Search for Claim on the Ophthalmic Payments dashboard to find claims by claim type, claim status, performer, patient's surname or date.

  Takes

  Claim type, claim status (optional), performer's name (optional), date from, date to

  Returns

  Claim number, claim type, contractor, performer, patient's surname, claim status, date

• List payment statements

  Build this

  Opens Statement on the Ophthalmic Payments dashboard and searches by date range, up to three months at a time, and statement type.

  Takes

  Date from, date to, statement type (optional)

  Returns

  Reference number, statement type, statement date

• Get the claims on a statement

  Build this

  Opens one statement by its reference number, uses Expand All and reads every claim line in its line-by-line breakdown.

  Takes

  Statement reference number

  Returns

  Your reference, claim ID, patient's name, point of service date, amount submitted, amount to be paid

• Cancel a claim not yet accepted

  Build this

  Finds a claim with Search for Claim, selects Cancel claim, chooses the cancellation reason and confirms.

  Takes

  Claim type, claim number, cancellation reason

  Returns

  Claim number, claim status, confirmation message

Automate PCSE Online with a workflow

A workflow runs your methods as one process, with nobody at the screen. A schedule or a call from your own system starts it, the steps run in order, and the result arrives in your inbox or in the systems you already use.

• Claims waiting for the contractor signatory

  Build this

  Starts

  Every weekday at 16:00

  Step 1

  For each claim type, search the claims whose status shows they wait for the contractor signatory.

  Step 2

  Keep the claims that were already waiting on the last run.

  Step 3

  Email you the list with claim number, claim type, performer, patient's surname and date.

• New payment statement, claim lines to accounts

  Build this

  Starts

  Every weekday at 8:00

  Step 1

  List the payment statements dated in the last month.

  Step 2

  Keep the statements that were not there on the last run, and stop when there are none.

  Step 3

  Get the claim lines on each new statement.

  Step 4

  Post the statement reference and its claim lines to your accounting system's webhook.

• Weekly claim counts by performer and status

  Build this

  Starts

  Every Monday at 7:00

  Step 1

  For each claim type, search the claims dated in the previous seven days.

  Step 2

  Group them by performer and claim status.

  Step 3

  Email you the counts, one line per performer, with the claim numbers of claims not yet submitted.

You can run a workflow by hand on every plan, Free included. Schedules and webhook triggers come with the paid plans, from $29 a month.

Once built, one call from your code

Once you have built a method, it is one POST to /v1/runs from your backend, or a tool an AI agent calls over MCP. This is what “Search GOS claims” would look like.

curl https://api.fous.com/v1/runs \
  -H "Authorization: Bearer $FOUS_API_KEY" \
  -H "Content-Type: application/json" \
  -d '{
    "method": "secure.pcse.england.nhs.uk/search_gos_claims",
    "input": {
      "claim_type": "GOS1",
      "date_from": "2026-11-02",
      "date_to": "2026-11-06"
    }
  }'

{
  "status": "completed",
  "data": {
    "claims": [
      {
        "claim_number": "OPH-4471920",
        "claim_type": "GOS1",
        "contractor": "Acme Opticians",
        "performer": "A. Northwind",
        "patient_surname": "Globex",
        "claim_status": "Submitted",
        "date": "2026-11-04"
      }
    ],
    "count": 1
  }
}

An example with invented data, not a ready-made endpoint. The method exists in your organization once you build it, and its name, inputs and fields follow your request.

PCSE Online’s own options

Practices submit GOS1, GOS3, GOS4, GOS5 and GOS6 claims in PCSE Online, free of charge, or through a PMS provider's integrated eGOS solution. PMS users get support from their provider, and every user, PCSE Online or PMS, views statements in PCSE Online.

Read on November 12, 2026: Ophthalmic Payments, Move to online GOS claims, Using PCSE Online for Ophthalmic Payment services (user guide).

Signing in to PCSE Online

PCSE Online signs you in with your email address as the username and a password. Five wrong passwords lock the account until PCSE is contacted, and if you belong to more than one organisation you pick it after signing in. With Fous you sign in once through PCSE Online's own sign-in with your own account: the login is sealed with AES-256, and an expired session is signed back in.

Worth knowing

Statements in three-month windows

A statement search covers at most three months at a time, and a longer range shows an error. Statements go back seven years, including the current year, so a longer range is searched in three-month periods.

A statement follows your area's payment run

PCSE sends a notification when the payment run for your area is complete. Claims submitted close to a cut-off, or needing further action, may not appear on the current statement.

Accepted claims cannot be cancelled online

PCSE Online shows a cancel option only for a claim that has not been accepted. An accepted claim is cancelled through the Contact us form, and it shows as a deduction on your next statement.

Roles decide what an account sees

Statements need the OPHStatementView role, and only a user with the Contractor Signatory role can bulk sign and submit claims. Your organisation's user administrators assign roles, not PCSE.

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