A switching provider must comply with the following requirements:
| 1. |
Register with The Compensation Fund as an employer where applicable in terms of the COID Act 1993 |
| 2. |
Host a secure FTP (or SFTP) server to ensure encrypted connectivity with The Compensation Fund. This requires that they ensure the following: |
| a. |
Disable Standard FTP because is now obsolete....and use latest version and reinforce FTPS protocols and TLS protocols |
| b. |
Use Strong Encryption and Hashing. |
| c. |
Place Behind a Gateway. |
| d. |
Implement IP Blacklists and Whitelists. |
| e. |
Harden Your FTPS Server. |
| f. |
Utilize Good Account Management. |
| h. |
Implement File and Folder Security |
| i. |
Secure administrator, and require staff to use multi-factor authentication |
| 3. |
Submit a complete successful test file after registration before switching invoices. |
| 4. |
Verify medical service provider's registration with the Board of Healthcare Funders of South Africa. |
| 5. |
Submit medical invoices with gazetted COIDA tariffs that are published annually. |
| 6. |
Comply with medical billing requirements of The Compensation Fund. |
| 7. |
Single batch submitted must have a maximum of 150 medical invoices. |
| 8. |
Eliminate duplicate invoices before switching to the Fund. |
| 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. |
Only pharmacies should claim from the NAPPI file. |
NOTE: Failure to comply with the above requirements will result in deregistration/ penalty imposed on the switching house.
Copyright Act, 1978
