Some doctors refuse to treat injured steel workers during RMA compensation fund privatisation from the DOL CF.
From Dr JV Salcedo; Regarding injury on duty (IOD) RMA compensation fund privatisation, you posted a year ago, under ‘DOL privatises steel compensation to Rand Mutual Assurance’, that RMA was taking over claims from the DOL Compensation Fund.
[SEE A RESPONSE FROM RAND MUTUAL ASSURANCE IN THE POST; RMA responds to metals compensation snags’, including this assurance; “The company prides itself on prompt and efficient claims management and payment through the personalised service of their experienced staff and a market-leading IT system… medical service providers, were adequately prepared and informed on the new claim submission process… since December 2014.”]
Dr Salcedo initially wrote; RMA circulated a reassuring letter to service providers regarding prompt claim handling, however it seems we are facing another compensation fund chaos.
It seems many industries were not properly and timely advised on the change from CF to RMA compensation fund, therefore they have to re-submit their claims in the respective RMA forms.
Interaction with the RMA online for registration is a closed circle, and even worse for the submission of a claim for processing and payment.
Local service providers are completely ignorant of the process to follow, and we have not found one provider who actually has succeeded in submitting the claims and receiving payment within the timeline advertised.
RMA has programmed presentations in 2015 regarding the claims submissions by providers. For Port Elizabeth it is scheduled for August, if they stick to their word.
But meanwhile, due to insecurity generated by this situation, providers from GPs to specialists have decided not to accept patients belonging to RMA compensation fund, and are therefore sending the patients to state hospitals, with all the known deficiencies and backlog they have.
If you have new information on the RMA compensation fund privatisation matter, would you be kind to share it with us?
Meanwhile, the DOL Compensation Fund situation has not shown any improvement since the firing of the previous heads, and promises of quick solutions to reduce their backlog. -Dr JV Salcedo, Port Elizabeth.
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