Frequently Asked Questions

Over five years of focused experience in IOD and COID claims administration.

Pretoria. Our office is at Building 2, Walker Creek Office Park, 90 Florence Ribeiro Avenue, Brooklyn, Pretoria. We serve healthcare providers across South Africa.

NovelMed is 100% Black-owned.

NovelSwitch is our digital platform for submitting and tracking IOD claims. You upload claims once, and we route them to COID, RMA, or FEM with the right documents. You see live status updates and can pull reports any time.

No. NovelSwitch makes things easier, but you can also send claims to us by email or through your current system. We work the way you work.

Yes. NovelSwitch supports bulk uploads at no extra cost.

Yes. All data is encrypted in transit and at rest, and access is controlled by user. We follow POPIA on all patient and provider information.

A doctor treating an Injury on Duty patient claims from the Compensation Fund by submitting the First Medical Report (W.Cl.4), Progress/Final Medical Report (W.Cl.5), an invoice with the correct tariff and ICD-10 codes, and supporting documents through CompEasy. The employer must have reported the injury and registered the claim. NovelMed handles all of this on behalf of the doctor.

1. Employer reports the injury to the Compensation Fund within 7 days. 2. Claim is registered on CompEasy and a claim number is issued. 3. Doctor treats the patient and submits medical reports. 4. Doctor submits an invoice with correct codes and supporting documents. 5. The Fund processes the claim. 6. Payment is made to the doctor.

Log into CompEasy with your provider credentials, find the claim by claim number, and the status appears in the claim record. NovelMed clients see live status without needing to log in.

First Medical Report (W.Cl.4); Progress or Final Medical Report (W.Cl.5); Invoice with correct ICD-10 and tariff codes; Employer's Report of the Accident (W.Cl.2) - submitted by the employer; Patient ID (or certified copy); Claim number from the Fund.

The average turnaround is around 90 days from claim acceptance to payment. Some claims are paid faster. Many are paid slower because of incomplete information, queries, or system delays. NovelMed actively follows up to keep claims moving.

The most common reasons are: claim not registered by the employer, wrong tariff or ICD-10 codes, missing W.Cl.4 or W.Cl.5 reports, late submission, invoice errors, and submission outside the system. NovelMed checks for all of these before submission.

We analyse the rejection reason, correct the issue, and resubmit. Most rejections can be turned around within 5-10 working days if the underlying issue is fixable.

Yes. The Compensation Fund pays reasonable medical expenses for injuries and occupational diseases for up to 2 years from the date of the accident or diagnosis. Longer periods can be approved by the Commissioner.

Yes. We can take over your existing claim portfolio, including claims that are stuck, queried, or pending payment.

COID (the Compensation Fund) is run by the Department of Employment and Labour and covers most South African workers. RMA (Rand Mutual Assurance) is a private administrator that handles claims for the mining and iron/steel sectors. FEM (Federated Employers Mutual) handles claims for the construction sector. All three operate under the same COID Act.

We handle all three. The systems are different, but the principle is the same.

We charge a once-off onboarding fee and a percentage of every claim we successfully recover. The percentage depends on your claim volume and provider type. There are no hidden fees. Training and support are free for active clients.

The onboarding fee is paid before we start. The recovery percentage is invoiced after the Fund pays your claim. You only pay when you get paid.

No. Training, support, and reporting are included for active clients.

All patient and provider data is handled under POPIA. We use encrypted storage, access controls, and we only collect what is needed for the claim. Patient details are never shared outside the claim process.

Email info@novelmed.co.za and your query will be routed to our Information Officer.

Only with the relevant funder (COID, RMA, or FEM) and only what is required for the claim. Nothing else.

HealthCare Provider contact details, basic incident details (date and a short summary), and patient initials only. Full patient names are not needed at the referral stage.

Either through a referral, or by contacting us directly. We run a short discovery call to understand your practice, then onboard you with a clear agreement and a setup process that takes about a week.

Usually 5-10 working days, depending on how many existing claims need to be migrated.

A weekly snapshot of all claim activity and a full monthly reconciliation. Custom reports are available on request.

Email info@novelmed.co.za or call +27 12 880 5640. Demos take about 30 minutes.