Medical service providers treating COIDA patients must comply with the following requirements before submitting medical invoices to the Compensation Fund:
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Medical Service Providers must register with the Compensation Fund as a Medical Service Provider. |
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Medical Service Providers must register with the Compensation Fund as a system user for loading of medical invoices and medical reports. |
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Submit Proof of registration with the Board of Healthcare Funders of South Africa. |
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Submit SARS Vat registration number document on registration. |
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A certified copy of the MSP's Identity document not older than three months. |
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Proof of address not older than three months. |
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Submit medical invoices with gazetted COIDA medical tariffs, relevant ICD10 codes and additional medical tariffs specified by the Fund when submitting medical invoices. |
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All medical invoices must be submitted with invoice numbers exclude duplicates. |
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Submit medical reports and medical invoices through the Compensation Fund Medical service provider application on or before submission/switching of medical invoices. |
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Provide medical reports and invoices within a specified time frame on request by the Compensation Fund in terms of Section 74(1) and (2). |
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The name of the switching house that submit invoices on behalf of the medical service provider must be indicated on Medical service provider letterhead. The Fund must be notified in writing when changing from one switching house to another. |
All medical service providers will be subjected to the Compensation Fund vetting processes.
The Compensation Fund will reject all invoices that do not comply with billing requirements as published in the Government Gazette.
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