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.