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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 - 2022Ambulance Gazette 2022CompEasy Electronic Invoicing File Layout |
COMPEASY ELECTRONIC INVOICING FILE LAYOUT
Field |
Description |
Max length |
Data type |
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) |
10 |
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 |
Field |
Description |
Max length |
Data type |
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 |
Field |
Description |
Max length |
Data type |
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)[MANDATORY] |
8 |
Date |
65 |
Treatment Time (HHMM) |
4 |
Numeric |
66 |
Treatment Date to (CCYYMMDD)[MANDATORY] |
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 |