The following must be indicated on a medical invoice in order to be processed by The Compensation Fund
| 1. |
The allocated Compensation Fund claim number |
| 2. |
Name and Identity number of the employee |
| 3. |
Name and Compensation Fund registration number of Employer, as indicated on the Employers Report of Accident (W.CL 2) |
| b. |
Date of service (From and to) |
| 5. |
Medical Service Provider BHF practice number |
| 6. |
VAT registration number of medical service provider: VAT will not be applied if a VAT registration number is not supplied on the invoice. |
| a. |
Tariff code applicable to injury/disease, are as published tariff gazettes. |
| b. |
Amount claimed per code, quantity and the total amount of the invoice |
| a. |
The tariff amounts published in the tariff guides exclude VAT. |
| b. |
All invoices for services rendered will be assessed without VAT. |
| c. |
VAT will be applied to VAT registered vendors (Medical Service Providers) without being rounded off |
| d. |
With the exception of the following: |
| i. |
"PER DIEM" tariffs for Private Hospitals that already are VAT inclusive |
| ii. |
Certain VAT exempted codes in the Private Ambulance tariff structure. |
| 9. |
All pharmacy or medication invoices must be accompanied by copies of the original script(s) |
| 10. |
Where applicable the referral letter from the treating practitioner must accompany the Medical Service Provider's invoice. |
| 11. |
All medical invoices must be submitted with invoice numbers to prevent system rejections. |
| 12. |
Duplicate invoices should not be submitted. |
| 13. |
The Compensation Fund does not accept submission of running accounts/statements. |
NOTE: The Compensation Fund will withhold payments if medical invoices do not comply with minimum submission and billing requirements as published in the Government Gazette.
Special Investigating Units and Special Tribunals Act, 1996
