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National Gazette No. 43139, 25 March 2020, Vol 657, Page 5

20200325 - National Gazette No 43139 of 25-March-2020, Volume 657, page 5

Page	5 of 40
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

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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