A switching provider must comply with the following requirements:
1. | Register with The Compensation Fund as an employer where applicable in terms of the COID Act 1993 |
2. | Host a secure FTP (or SFTP) server to ensure encrypted connectivity with The Compensation Fund. This requires that they ensure the following: |
a. | Disable Standard FTP because is now obsolete....and use latest version and reinforce FTPS protocols and TLS protocols |
b. | Use Strong Encryption and Hashing. |
c. | Place Behind a Gateway. |
d. | Implement IP Blacklists and Whitelists. |
e. | Harden Your FTPS Server. |
f. | Utilize Good Account Management. |
h. | Implement File and Folder Security |
i. | Secure administrator, and require staff to use multi-factor authentication |
3. | Submit a complete successful test file after registration before switching invoices. |
4. | Verify medical service provider's registration with the Board of Healthcare Funders of South Africa. |
5. | Submit medical invoices with gazetted COIDA tariffs that are published annually. |
6. | Comply with medical billing requirements of The Compensation Fund. |
7. | Single batch submitted must have a maximum of 150 medical invoices. |
8. | Eliminate duplicate invoices before switching to the Fund. |
9. | File name must include a sequential batch number in the file naming convention. |
10. | File names to include sequential number to determine order of processing. |
11. | Only pharmacies should claim from the NAPPI file. |
NOTE: Failure to comply with the above requirements will result in deregistration/ penalty imposed on the switching house.