Compensation for Occupational Injuries and Diseases Act, 1993 (Act No. 130 of 1993)

Field

Description

Max length

Data type

Mandatory

BATCH HEADER

1

Header identifier = 1

1

Numeric

*

2

Switch internal Medical aid reference number

5

Alpha

3

Transaction type = M

1

Alpha

4

Switch administrator number

3

Numeric

5

Batch number

9

Numeric

*

6

Batch date (CCYYMMDD)

8

Date

*

7

Scheme name

40

Alpha

*

8

Switch internal

1

Numeric

DETAIL LINES

1

Transaction identifier = M

1

Alpha

*

2

Batch sequence number

10

Numeric

*

3

Switch transaction number

10

Numeric

*

4

Switch internal

3

Numeric

5

CF Claim number

20

Alpha

*

6

Employee surname

20

Alpha

*

7

Employee initials

4

Alpha

*

8

Employee Names

20

Alpha

*

9

BHF Practice number

15

Alpha

*

10

Switch ID

3

Numeric

11

Patient reference number (account number)

10

Alpha

*

12

Type of service

1

Alpha

13

Service date (CCYYMMDD)

8

Date

*

14

Quantity / Time in minutes

7

Decimal

*

15

Service amount

15

Decimal

*

16

Discount amount

15

Decimal

*

17

Description

30

Alpha

*

18

Tariff

10

Alpha

*

19

Service fee

1

Numeric

20

Modifier 1

5

Alpha

21

Modifier 2

5

Alpha

22

Modifier 3

5

Alpha

23

Modifier 4

5

Alpha

24

Invoice Number

10

Alpha

*

25

Practice name

40

Alpha

*

26

Referring doctor's BHF practice number

15

Alpha

27

Medicine code (NAPPI CODE)

15

Alpha

*

28

Doctor practice number  -sReferredTo

30

Numeric

29

Date of birth / ID number

13

Numeric

*

30

Service Switch transaction number - batch number

20

Alpha

31

Hospital indicator

1

Alpha

*

32

Authorisation number

21

Alpha

*

33

Resubmission flag

5

Alpha

*

34

Diagnostic codes

64

Alpha

*

35

Treating Doctor BHF practice number

9

Alpha

36

Dosage duration (for medicine)

4

Alpha

37

Tooth numbers

Alpha

*

38

Gender (M, F)

1

Alpha

39

HPCSA number

15

Alpha

40

Diagnostic code type

1

Alpha

41

Tariff code type

1

Alpha

42

CPT code / CDT code

8

Numeric

43

Free Text

250

Alpha

44

Place of service

2

Numeric

*

45

Batch number

10

Numeric

46

Switch Medical scheme identifier

5

Alpha

47

Referring Doctor's HPCSA number

15

Alpha

*

48

Tracking number

15

Alpha

49

Optometry: Reading additions

12

Alpha

50

Optometry: Lens

34

Alpha

51

Optometry: Density of tint

6

Alpha

52

Discipline code

7

Numeric

53

Employer name

40

Alpha

*

54

Employee number

15

Alpha

*

55

Date of Injury (CCYYMMDD)

8

Date

*

56

IOD reference number

15

Alpha

57

Single Exit Price (Inclusive of VAT)

15

Numeric

58

Dispensing Fee

15

Numeric

59

Service time

4

Numeric

60

61

62

63

64

Treatment Date from (CCYYMMDD)[MANDATORY]

8

Date

*

65

Treatment Time (HHMM)

4

Numeric

*

66

Treatment Date to (CCYYMMDD)[MANDATORY]

8

Date

*

67

Treatment Time (HHMM)

4

Numeric

*

68

Surgeon BHF Practice Number

15

Alpha

69

Anaesthetist BHF Practice Number

15

Alpha

70

Assistant BHF Practice Number

15

Alpha

71

Hospital Tariff type

1

Alpha

72

Per diem (Y/N)

1

Alpha

73

Length of stay

5

Numeric

*

74

Free text diagnosis

30

Alpha

TRAILER

1

Trailer Identifier = Z

1

Alpha

*

2

Total number of transactions in batch

10

Numeric

*

3

Total amount of detail transactions

15

Decimal

*