‘Serious consequences’: Compensation Fund backlog allegedly threatens doctors’ claims in Gauteng
The fund has been rocked by allegations of procurement irregularities, governance failures and delays in paying claims.
The Compensation Fund's Gauteng branch is allegedly struggling with massive backlogs in approving medical service providers, which could leave doctors treating injured workers unable to submit claims for payment. According to internal sources, only 109 doctor profiles were approved in Gautang over a six-month period, a figure described as inadequate given the number of providers and the growing volume of outstanding claims.
Senior officials told The Citizen that this maladministration could have serious consequences for injured workers, potentially causing doctors to stop treating Compensation Fund patients due to the fund's failure to approve doctor profiles. The Compensation Fund disputes these allegations, stating that the problem is due to system-related interruptions affecting the transmission of applications nationwide, not just in Gautang.
They claim that only 109 medical service provider profiles were approved, not doctor profiles, and that the issue was resolved by September 7. Internal correspondence shows repeated attempts to seek assistance from Gautang officials have yielded little progress, leading to calls for the province's office to be placed under administration to improve oversight and accountability.
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