The switching provider must comply with the following requirements:
| 1. |
Registration requirements as an employer with the Compensation Fund. |
| 2. |
Host a secure FTP server to ensure encrypted connectivity with the Fund. |
| 3. |
Submit and complete a successful test file before switching the invoices. |
| 4 |
Validate medical service providers' registration with the Health Professional Council of South Africa. |
| 5 |
Validate medical service providers' registration with the Board of Healthcare Funders of South Africa. |
| 5. |
Ensure elimination of duplicate medical invoices before switching to the Fund. |
| 6. |
Invoices submitted to the Compensation Fund must have Gazetted COIDA Tariffs that are published annually and comply with minimum requirements for submission of medical invoices and billing requirements. |
| 7. |
File must be switched in a gazetted documented file format published annually with COIDA tariffs. |
| 8. |
Single batch submitted must have a maximum of 100 medical invoices. |
| 9. |
File name must include a sequential batch number in the file naming convention. |
| 10. |
File names to include sequential number to determine order of processing. |
| 11. |
Medical Service Providers will be subjected to Compensation Fund vetting processes. |
| 12. |
Provide any information requested by the Fund. |
| 13. |
The switching provider must sign a service level agreement with the Fund. |
| 14. |
Third parties must submit power of attorney. |
Failure to comply with the above requirements will result in deregistration of the switching house.
Copyright Act, 1978
