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 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 your administrator, and require staff to use multifactor authentication. |
| 3. | Submit a complete successful test file after registration before switching the 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. |
PLEASE NOTE:
Failure to comply with the above requirements will result in deregistration / penalty imposed on the switching house.
