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Compensation for Occupational Injuries and Diseases Act, 1993 (Act No. 130 of 1993)

Scale of Fees

Annual Increase in Medical Tariffs for Medical Service Providers - 2025

Social Worker & Psychology Gazette 2025

General Information

6. Billing Requirements for medical services provided to Injured/Diseased Employees

 

6.1. Medical Reports:

 

In terms of Sec 74(1)(2)(3)(4) and (5) of COID Act, Submission of Medical Report; Medical Service provider are advised to take note of the following:

 

6.1.1. The first medical report (W. CL 4), completed after the first consultation must confirm the clinical description of the injury/disease. It must also detail any procedure performed and any referrals to other medical service providers where applicable.
6.1.2. All follow up consultations must be completed on a Progress Medical Report (W.CL5).  Any operation/procedure performed must be detailed therein and any referrals to other medical service providers where applicable.
6.1.3. A progress medical report is considered to cover a period of 30 days, with the exception where a procedure was performed during that period, then an additional operation report will be required.
6.1.4. Only one medical report is required when multiple procedures are done on the same service date.
6.1.5. When the injury/disease being treated stabilises a Final Medical Report must be completed (W.CL 5F).
6.1.6. Medical Service Providers are required to keep copies of medical reports which should be made available to the Compensation Commissioner when requested.

 

NB: Hospitals will be required from the 1st April 2025 to provide patient records when submitted medical invoices for services provided.