IOD WCA COMPENSATION FUND CLAIMS Stale Claims

 

1. COMPENSATION FUND CLAIMS SUBMITTED VIA MEDIKREDIT

With Immediate effect, the Stale Claim and Reversal Period applicable to Compensation Fund electronic claims submission will be lifted. MediKredit will deliver all old/stale as well as new/current claims received electronically to the Compensation Fund for electronic processing.

 

2. MASK CHECK

 

Member details will not be validated against the cardholder file; however the following mask checks will apply:

a) Workman’s Compensation Number/Claim Number /Membership Number

b) Member Surname

c) Patient First Name

d) Patient Initials

e) Date of Birth

f) Patient ID Number

 

3. STALE CLAIM PERIOD

Unlimited 

 

4. ON-LINE REVERSAL PERIOD

 Unlimited

 

 

 

 

5. MANDATORY FIELDS

 

If the following mandatory fields are not submitted, claims may be rejected by the Compensation Fund. Please

confirm with your Practice Management Software supplier that your system is ready to include these fields.

a) Employer Name

b) Employer Number

c) Employee ID Number

d) Date of Injury

e) Workman’s Compensation Number/Claim Number/Membership Number

 

 

6. CLAIM STATUS TRACKING AND SUBMISSION OF SUPPORTING DOCUMENTATION:

 

Medical service providers and employers registered on the Compensation Fund web site as web users can track the claim status and processing progress on the Compensation Fund web site within 60 days as from electronic claim submission: https://claimstatus.labour.gov.za/EnquiriesClaimStatusWeb/.

Claims can also be queried with the Compensation Fund call centre telephonically on 0860 10 53 50.

 

Medical service providers will be notified of the claim status via remittance advices distributed by the Compensation Fund. Supporting documentation can also be captured and submitted on the Compensation Fund web site.

 

SUBMITTING OPTION CODE

COMPENSATION FUND PHCY AND DISP DR DFPDD 619674
 

PLAN/OPTION OPTION CODE

COMPENSATION FUND HL P&C CFHGP 619682

 

 

Switchboard: 011 770 6000

Call Centre: 0860 932 273

Website: www.medikredit.co.za

10 Kikuyu Road, Sunninghill,

Sandton, 2157

Directors: Dr S C P Belamant; W J du Plessis; H G Kotzé

 

 

 

 

Brought to you by Medinol Medical Billing and Claims

 



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About Medinol:
Medinol is one of the few purpose-built practice management application to meet the unique needs of independent private healthcare providers. Today Medinol helps over 130 providers throughout South Africa run more efficient and profitable practices, while delivering outstanding patient care. As an on-premise software, Medinol and the data it manages, is fully under your control. This enhances your independence and privacy: what happens in your rooms, stays in your rooms. Medinol helps manage your patient information, generates your billings, submits your claims, control your outstandings, and get your accounts paid quickly. Medinol has been in operation since 1984 demonstrating its proven efficacy. Medinol’s mission is to help independent practices succeed in an ever-changing healthcare environment. More information can be found at http://medinol.co.za.

Contact:
Fudley Bezuidenhout Pr.Eng.
Founder and CEO
Email: info@medinol.co.za
Ph: 021-906-2296
Cell: 082-688-9610

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