The following must be indicated on a medical invoice in order to be processed by the Compensation Fund
| 1. |
The allocated Compensation Fund claim number |
| 2. |
Name and ID number of the employee |
| 3. |
Name and Compensation Fund registration number of Employer, as indicated on the Employers Report of Accident (W.CL 2) |
| b. |
Date of service (From and to) |
| 5. |
Medical Service Provider BHF practice number |
| 6. |
VAT registration number of medical service provider: VAT will not be applied if a VAT registration number is not supplied on the invoice. |
| a. |
Tariff code applicable to injury/disease, are as published tariff gazettes. |
| b. |
Amount claimed per code, quantity and the total amount of the invoice |
| a. |
The tariff amounts published in the tariff guides exclude VAT. |
| b. |
All invoices for services rendered will be assessed without VAT. |
| c. |
VAT will be applied to VAT registered vendors (MSP's) without being rounded off |
| d. |
With the exception of the following: |
| i. |
"PER DIEM" tariffs for Private Hospitals that already are VAT inclusive. |
| ii. |
Certain VAT exempted codes in the Private Ambulance tariff structure. |
| 9. |
All pharmacy or medication invoices must be accompanied by copies of the original script(s) |
NB: All pharmaceuticals will be processed in accordance with Nappi file codes.
| 10. |
Where applicable the referral letter from the treating practitioner must accompany the medical service providers' invoice. |
| 11. |
All medical invoices must be submitted with invoice numbers to prevent system rejections. |
| 12. |
Duplicate invoices should not be submitted. |
| 13. |
Compensation Fund does not accept submission of running accounts/statements, but will reject upfront at switch level. |
PLEASE NOTE: The Compensation Fund will withhold payments if medical invoices do not comply with minimum submission and billing requirements as published in the Government Gazette.
Superior Courts Act, 2013
