Understanding Medical Reports

It is important to understand the different medical reports that are required at the various stages of treatment for an injured employee, because these reports inform the extent of the injury or disease and what treatment and benefits are required. The treating doctor usually submits the medical reports directly to us, but there are instances when they submit these reports to you as the employer or to the injured employee, when this occurs you need to ensure that these reports are uploaded onto the online client portal as part of your supporting documents.

Types of Medical Reports

The treating doctor will submit a First Medical Report directly to us after the treatment. This report explains the extent of the injury or disease and what treatment and benefits are required. In most cases the injured employee will need additional treatment until their injury stabilises, and the treating doctor will submit a Progress Medical Report for each consultation and treatment.

If the injured employee is referred to a network health professional such as a physiotherapist, chiropractor, occupational therapist, biokineticist or dietician we will need the a treatment plan which must be pre-authorised and a medical report from the allied professional at the beginning and end of the treatment regime.

A Final Medical Report is submitted by the treating doctor once the injured employee has reached a state where their condition cannot be improved any further, or when a treatment plateau is reached in their healing process.

It is important to remember that if we have not received the medical reports, the healthcare provider’s medical invoice cannot be paid for that service date and we are unable to determine the extent of the injury or disease and what treatment and benefits are required and for how long. This can leave injured employees out of pocket due to payment delays and could cause Healthcare providers to turn away injured employees in future because of payment delays.

Uploading Medical Reports online

Step 1:
Log into the portal HERE
Step 2:
Click on the Documents tab.
This will give you two options:
A.) Document list – enables you to check documents that have already been uploaded
B.) Upload documents – click on this option to upload new documents/medical reports
Step 3:
Once you have clicked on “upload documents”, a pop-up form will appear that you need to complete regarding the details of the document/medical report.
Step 4:
Click on the browse button to upload the document/medical report.
Step 5:
Click submit after capturing and uploading the relevant document/medical report. If the upload was successful, a “file successfully uploaded” pop-up message will display.
Step 6:
To verify that the document has been uploaded successfully or to check the status of the document, you can check it on the document list.
If you do not have access to the online portal, you can email the documents to:
RMAScannings@randmutual.co.za

Please refrain from duplicating the documentation, and only submit online OR by email.