Medinol Practice Management | Medical Billing Software South Africa
We Empower Healthcare Professionals Through IT
2020 08 05

IOD WCA COMPENSATION FUND CLAIMS Stale Claims

admin Dental Practices, Medical Aid, Medical Practices, Practice Management, Uncategorized

IOD WCA COMPENSATION FUND CLAIMS Stale Claims

 

Date: 23 Feb 2018

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

 

FOR THE 2020 IOD WCA GENERAL PRACTITIONER RATES CLICK HERE

 

Brought to you by Medinol Medical Billing and Claims

 

 

Incoming search terms:

  • check status claim for compensation fund (2)
  • IOD claim status (2)
Medical Aids Administered by Universal – 2018 Foodmed EDI Routing code

Related Posts

Uncategorized

Black doctors to launch class action law suite against Discovery, GEMS and Medscheme

Medical Aid, Practice Management

Steep medical aid price increases in 2017

Medical Aid, Medical Practices

2016 GEMS GP Tariffs (SAPPHIRE & BERYL)

Search for

2021 Dental Tariffs

RECENT POSTS

Black doctors to launch class action law suite against Discovery, GEMS and Medscheme

Steep medical aid price increases in 2017

2016 GEMS GP Tariffs (SAPPHIRE & BERYL)

Medscheme Member Benefit Verification

2019 Discovery Health Medical Aid Fees

Twitter feed @medinol

Medinol SoftwareFollow

Medinol Software
MedinolHqMedinol Software@MedinolHq·
31 Mar

http://medinol.co.za/coding-for-covid-19-patients/

Reply on Twitter 1244953229986795521Retweet on Twitter 1244953229986795521Like on Twitter 1244953229986795521Twitter 1244953229986795521
MedinolHqMedinol Software@MedinolHq·
21 Nov 2019

What is Wrong with EMR? James J. Cimino, M.D., Columbia University Jonathan M. Teich, M.D., Ph.D., Partners Healthcare System Vimla L. Patel, Ph.D., DSc. - ppt download https://slideplayer.com/slide/4924027/#.XdXrpneYvOg.twitter

Reply on Twitter 1197329570879410176Retweet on Twitter 1197329570879410176Like on Twitter 1197329570879410176Twitter 1197329570879410176
MedinolHqMedinol Software@MedinolHq·
19 Nov 2019

What is WEBDesk? Web based claims management tool Accessible from Detailed view on all claims submitted through MediSwitch Various. - ppt download https://slideplayer.com/slide/9168102/#.XdO2rploIWs.twitter

Reply on Twitter 1196722967545290752Retweet on Twitter 1196722967545290752Like on Twitter 1196722967545290752Twitter 1196722967545290752
Load More...

Internal Links

  • Old mutual staff medical scheme
  • Tfg medical aid scheme
  • Old mutual medical aid contact number
  • Old mutual medical scheme
  • Discovery medical aid
  • Prime cure consultation fee
  • Discovery - 2020 medical aid dental tarrifs and codes
  • Who funds gems medical aid
  • Gems 2020 member contributions
  • Opmed
Loading
Medinol Practice Management | Medical Billing Software South Africa
  • Dept of Health
  • Board of HealthFunders
  • Medical Schemes
  • Contact Medinol
© Medinol Practice Management | Medical Billing Software South Africa 2021
Powered by WordPress • Themify WordPress Themes