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National Gazette No. 43139, 25 March 2020, Vol 657, Page 5
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Gazette
National Gazettes
, No
43139
, from 25 March, 2020
Department
Labour
Notice
Page No. 3 of 38,
Notice No. 201,
Compensation for Occupational Injuries and Diseases Act (130/1993), as amended » Annual increase in medical tariffs for medical services providers » Dental Gazette
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STAATSKOERANT, 25 MAART 2020 No. 43139 5 Please note that from 1 January 2004 a certified copy of an employee's identity document will be required in order for a claim to be registered with the Compensation Fund. If a copy of the identity document is not submitted the claim will not be registered but will be returned to the employer for attachment of a certified copy of the employee's identity document. Furthermore, all supporting documentation submitted to the Compensation Fund must reflect the identity number of the employee. If the identity number is not included such documents can not be processed but will be returned to the sender to add the ID number. The tariff amounts published in the tariff guides to medical services rendered in terms of the Compensation for Occupational Injuries and Diseases Act do not include VAT. All accounts for services rendered will be assessed without VAT. Only if it is indicated that the service provider is registered as a VAT vendor and a VAT registration number is provided, will VAT be calculated and added to the payment, without being rounded off. The only exception is the "per diem" tariffs for Private Hospitals that already include VAT. Please note that there are VAT exempted codes in the private ambulance tariff structure. CLAIMS WITH THE COMPENSATION FUND ARE PROCESSED AS FOLLOWS 1. New claims are registered by the Employers and the Compensation Fund and the employer views the claim number allocated online. The allocation of a claim number by the Compensation Fund, does not constitute acceptance of liability for a claim, but means that the injury on duty has been reported to and registered by the Compensation Commissioner. Enquiries regarding claim numbers should be directed to the employer and not to the Compensation Fund. The employer will be in the position to provide the claim number for the employee as well as indicate whether the claim has been accepted by the Compensation Fund 2. If a claim is accepted as a COIDA claim, reasonable medical expenses will be paid by the Compensation Commissioner. 3. If a claim is rejected (repudiated), medical expenses for services rendered will not be paid by the Compensation Commissioner. The employer and the employee will be informed of this decision and the injured employee will be liable for payment. 4. If no decision can be made regarding acceptance of a claim due to inadequate information, the outstanding information will be requested and upon receipt, the claim will again be adjudicated on. Depending on the outcome, the invoices from the service provider will be dealt with as set out in 2 and 3. Please note that there are claims on which a decision might never be taken due to lack of forthcoming information.
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