Compensation for Occupational Injuries and Diseases Act, 1993 (Act No. 130 of 1993)RegulationsRegulation for the Registration of Third Parties that are transacting with the Compensation Fund6. Terms and Conditions for Transacting with the Fund |
| (1) | The Commissioner reserves the right to register only a third party that fully meets the requirements as set out in regulation 3 and/or 4 above. |
| (2) | The Commissioner may after giving a third party a notice, suspend or terminate the registration if a registered third party does not comply with the provisions of Act or its regulations. |
| (3) | A Medical Service Provider who treated an occupational injured or diseased employee is legally accountable for all medical claims and reports submitted to the Commissioner on their behalf by a third-party. As such the Commissioner reserves the right to contact the Medical Service Provider directly in relation to any claims that have been lodged or submitted to the Commissioner by a third-party. |
| (4) | An employer, employee or Medical Service Provider is legally accountable to the Commissioner for any claim or assessment documents or records submitted on their behalf by a third party. As such the Fund reserves the right to contact the employee, employer or Medical Service Provider directly in relation to any claim that have been lodged or submitted to the Fund by a third-party. |
| (5) | Prior to submitting invoices, a third party must ensure that medical service providers contracted to it are registered and compliant with the relevant statutory and health professional organizations, during the period(s) of service for which they are submitting invoices. Medical invoices of Medical Service Provider who is not in good standing with their relevant statutory health professional organization shall not be processed by the Fund. |
| (6) | The Fund shall not provide or disclose any information for services rendered by the Medical Service Provider prior to the commencement of a contract between Medical Service Provider and a third-party, unless appropriate consent and authorization have been granted by the Medical Service Provider for such disclosure. |
| (7) | The Commissioner may, after giving notice to a third-party, cancel a third-party’s registration where it no longer complies with the registration requirements. |
| (8) | The third-party must keep such records in their original state as received from employees, employers or Medical Service Providers and must furnish the Commissioner with such documents on request. |
| (9) | A third party may not be allowed to receive payment for the fees due to the employee, employer or medical services provider by the Commissioner unless such a third party is registered and authorized to handle the finances of another person. |