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R 385
Compensation for Occupational Injuries and Diseases Act, 1993 (Act No. 130 of 1993)Scale of FeesAnnual Increase in Medical Tariffs for Medical Service Providers - 2024Dental Services Gazette 2024CompEasy Electronic Invoicing File Layout |
COMPEASY ELECTRONIC INVOICING FILE LAYOUT
* Mandatory fields
Field |
Description |
Max length |
Data type |
Mandatory |
BATCH HEADER |
||||
1 |
Header identifier = 1 |
1 |
Numeric |
* |
2 |
Switch internal Medical aid reference number |
5 |
Alpha |
|
3 |
Transaction type = M |
1 |
Alpha |
|
4 |
Switch administrator number |
3 |
Numeric |
|
5 |
Batch number |
9 |
Numeric |
* |
6 |
Batch date (CCYYMMDD) |
8 |
Date |
* |
7 |
Scheme name |
40 |
Alpha |
* |
8 |
Switch internal |
1 |
Numeric |
|
DETAIL LINES |
||||
1 |
Transaction identifier = M |
1 |
Alpha |
* |
2 |
Batch sequence number |
10 |
Numeric |
* |
3 |
Switch transaction number |
10 |
Numeric |
* |
4 |
Switch internal |
3 |
Numeric |
|
5 |
CF Claim number |
20 |
Alpha |
* |
6 |
Employee surname |
20 |
Alpha |
* |
7 |
Employee initials |
4 |
Alpha |
* |
8 |
Employee Names |
20 |
Alpha |
* |
9 |
BHF Practice number |
15 |
Alpha |
* |
10 |
Switch ID |
3 |
Numeric |
|
11 |
Patient reference number (account number) |
11 |
Alpha |
* |
12 |
Type of service |
1 |
Alpha |
|
13 |
Service date (CCYYMMDD) |
8 |
Date |
* |
14 |
Quantity / Time in minutes |
7 |
Decimal |
* |
15 |
Service amount |
15 |
Decimal |
* |
16 |
Discount amount |
15 |
Decimal |
* |
17 |
Description |
30 |
Alpha |
* |
18 |
Tariff |
10 |
Alpha |
* |
19 |
Service fee |
1 |
Numeric |
|
20 |
Modifier 1 |
5 |
Alpha |
|
21 |
Modifier 2 |
5 |
Alpha |
|
22 |
Modifier 3 |
5 |
Alpha |
|
23 |
Modifier 4 |
5 |
Alpha |
|
24 |
Invoice Number |
10 |
Alpha |
* |
25 |
Practice name |
40 |
Alpha |
* |
26 |
Referring doctor's BHF practice number |
15 |
Alpha |
|
27 |
Medicine code (NAPPI CODE) |
15 |
Alpha |
* |
28 |
Doctor practice number -sReferredTo |
30 |
Numeric |
|
29 |
Date of birth / ID number |
13 |
Numeric |
* |
30 |
Service Switch transaction number - batch number |
20 |
Alpha |
|
31 |
Hospital indicator |
1 |
Alpha |
* |
32 |
Authorisation number |
21 |
Alpha |
* |
33 |
Resubmission flag |
5 |
Alpha |
* |
34 |
Diagnostic codes |
64 |
Alpha |
* |
35 |
Treating Doctor BHF practice number |
9 |
Alpha |
|
36 |
Dosage duration (for medicine) |
4 |
Alpha |
|
37 |
Tooth numbers |
Alpha |
* |
|
38 |
Gender (M, F) |
1 |
Alpha |
|
39 |
HPCSA number |
15 |
Alpha |
|
40 |
Diagnostic code type |
1 |
Alpha |
|
41 |
Tariff code type |
1 |
Alpha |
|
42 |
CPT code / CDT code |
8 |
Numeric |
|
43 |
Free Text |
250 |
Alpha |
|
44 |
Place of service |
2 |
Numeric |
* |
45 |
Batch number |
10 |
Numeric |
|
46 |
Switch Medical scheme identifier |
5 |
Alpha |
|
47 |
Referring Doctor's HPCSA number |
15 |
Alpha |
* |
48 |
Tracking number |
15 |
Alpha |
|
49 |
Optometry: Reading additions |
12 |
Alpha |
|
50 |
Optometry: Lens |
34 |
Alpha |
|
51 |
Optometry: Density of tint |
6 |
Alpha |
|
52 |
Discipline code |
7 |
Numeric |
|
53 |
Employer name |
40 |
Alpha |
* |
54 |
Employee number |
15 |
Alpha |
* |
55 |
Date of Injury (CCYYMMDD) |
8 |
Date |
* |
56 |
IOD reference number |
15 |
Alpha |
|
57 |
Single Exit Price (Inclusive of VAT) |
15 |
Numeric |
|
58 |
Dispensing Fee |
15 |
Numeric |
|
59 |
Service time |
4 |
Numeric |
|
60 |
||||
61 |
||||
62 |
||||
63 |
||||
64 |
Treatment Date from (CCYYMMDD) |
8 |
Date |
* |
65 |
Treatment Time (HHMM) |
4 |
Numeric |
* |
66 |
Treatment Date to (CCYYMMDD) |
8 |
Date |
* |
67 |
Treatment Time (HHMM) |
4 |
Numeric |
* |
68 |
Surgeon BHF Practice Number |
15 |
Alpha |
|
69 |
Anaesthetist BHF Practice Number |
15 |
Alpha |
|
70 |
Assistant BHF Practice Number |
15 |
Alpha |
|
71 |
Hospital Tariff type |
1 |
Alpha |
|
72 |
Per diem (Y/N) |
1 |
Alpha |
|
73 |
Length of stay |
5 |
Numeric |
* |
74 |
Free text diagnosis |
30 |
Alpha |
|
TRAILER |
||||
1 |
Trailer Identifier = Z |
1 |
Alpha |
* |
2 |
Total number of transactions in batch |
10 |
Numeric |
* |
3 |
Total amount of detail transactions |
15 |
Decimal |
* |