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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Submit Proof of registration with the Board of Healthcare Funders of South Africa. |
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Submit an applicable dispensing licence on registration as a medical service provider. |
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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 to prevent system rejections. Duplicate invoices should not be submitted. |
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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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Submit the following additional information on the Medical Service Provider letterhead, Cell phone number, Business contact number, Postal address, Email address. The Fund must be notified in writing of any changes in order to effect necessary changes on the systems. |
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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 withhold payments if medical invoices do not comply with minimum submission and billing requirements as published in the Government Gazette.
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