SERVICE LEVEL AGREEMENT

Assessment Services For The Road Accident Fund

This Service Level Agreement (the "Agreement) is entered into on

BETWEEN:

Medsol Unlimited (Pty) Ltd, a company registered under the laws of South Africa (hereinafter referred to as the "Company")

AND

A registered

with HPCSA registration number:

With principal place of business at:

(hereinafter referred to as the "Service Provider")

(Collectively referred to as the "Parties")

1.  PURPOSE AND SCOPE

• The Company is a medicolegal service provider that assists patients with Road Accident Fund claims and other industrial injury claims requiring assessment and quantification of damages, including loss of income and earning capacity.

  The Service Provider specializes in industrial psychology assessments and reports for medico-legal purposes.

• This Agreement establishes the terms and conditions under which the Service

• Provider shall provide professional industrial psychology assessment services to patients referred by the Company, including the fee structure, performance standards, and value-based care initiatives.

2.  TERM AND RENEWAL

• This Agreement shall commence on:

and continue for a period of:

• The Agreement shall automatically renew for successive periods of:

unless either Party provides written notice of its intention not to renew at least

prior to the expiration of the then-current term.

3.  SERVICES TO BE PROVIDED

The Service Provider agrees to provide the following services:

• Comprehensive industrial psychology assessments for patients referred by the Company.

• Preparation of detailed medico-legal reports suitable for submission in Road Accident Fund and industrial injury claims.

• Assessment of functional capacity, vocational potential, and loss of Attendance at court proceedings or legal consultations as required.

• Participation in case conferences and multi-disciplinary meetings as scheduled by the Company.

• Re-assessments of patients when clinically indicated or required for legal purposes.

4.  FEE STRUCTURE AND PAYMENT TERMS

Global Fee and Retainer Model:

The Company shall pay the Service Provider a monthly retainer fee of

which shall cover the assessment of

per month ('Monthly Patient Threshold").

The retainer includes all standard assessment services, report

preparation, and one revision per report if required.

The Global Fee per assessment shall be calculated at

per assessment, which is incorporated into the monthly retainer for the agreed Monthly Patient Threshold.

Threshold Excess and Incentive Structure:

For each patient assessed beyond the Monthly Patient Threshold, the Service Provider shall be entitled to: a) A base fee of

per additional assessment; and b) A profit-sharing incentive calculated as

of the net recovery amount attributable to the industrial psychology assessment in successful claims.

The profit-sharing incentive shall be calculated and paid quarterly based on claims finalized during the preceding quarter.

Court Appearances and Additional Services:

Court appearances shall be charged at

per day or part thereof.

Preparation time for court appearances shall be charged at

per hour, with a cap of

hours per case.

Travel time and expenses for court appearances or case conferences shall be reimbursed according to Schedule A attached to this Agreement.

Payment Terms:

The monthly retainer shall be paid by the Company to the Service Provider by the

day of each month.

Additional fees for services beyond the Monthly Patient Threshold shall be invoiced monthly and paid within

5.  VALUE-BASED CARE IMPLEMENTATION

Quality Standards and Outcomes:

• The Service Provider commits to implementing value-based care principles in all assessments, focusing on: a)

• Comprehensive functional assessment using standardized measurement tools b)

• Evidence-based recommendations for rehabilitation and vocational planning c)

• Clear quantification of loss of income based on objective labour market data d)

• Patient-centered approach with focus on residual capacity and rehabilitation potential.

Performance Metrics:

• The following metrics shall be tracked to measure performance and value: a)

• Report acceptance rate (percentage of reports accepted without revision by legal representatives) b) Average time from assessment to report delivery c) Success rate in claims where the Service Provider's evidence was presented d) Patient satisfaction scores.

6.  BENEFITS OF THE GLOBAL FEE MODEL TO SERVICE PROVIDER

The Global Fee and Retainer Model provides the following benefits to the Service Provider:

• Predictable and sustained monthly income regardless of seasonal fluctuations in referrals.

• Reduced administrative burden through consolidated billing and payment processes.

• Long-term revenue security through the contractual commitment to a minimum number of referrals.

• Potential for increased earnings through the profit-sharing incentive for high-value assessments.

• Partnership approach that aligns the interests of both Parties in achieving optimal claim outcomes.

• Reduced accounts receivable management and improved cash flow.

• Preferential referral status for specialized assessments within the Company's referral network.

7.  RESPONSIBILITIES OF THE COMPANY

The Company shall:

• Provide complete and accurate referral information for each patient, including relevant medical records and claim details.

• Schedule patients efficiently to ensure the Monthly Patient Threshold is met.

• Provide administrative support for appointment scheduling and communication with patients and legal representatives.

• Process payments according to the agreed schedule.

• Provide feedback on report quality and case outcomes for continuous improvement.

8.  RESPONSIBILITIES OF THE SERVICE PROVIDER

The Service Provider shall:

• Maintain all necessary professional registrations, insurance, and qualifications required to provide industrial psychology services.

• Conduct assessments according to professional standards and best practices in industrial psychology.

• Complete and deliver reports within

working days of assessment unless otherwise agreed.

• Maintain patient confidentiality and comply with all relevant data protection regulations

• Participate in quality improvement initiatives as outlined in this Agreement.

• Notify the Company of any scheduling conflicts or capacity issues with at least

days' notice.

9.  CONFIDENTIALITY

• Both Parties shall maintain the confidentiality of all patient information and business information shared during the course of this Agreement.

• The Service Provider shall comply with all applicable healthcare privacy laws and professional ethical standards regarding patient confidentiality.

• This confidentiality obligation shall survive the termination of this Agreement.

• 
  

10.  INTELLECTUAL PROPERTY

• Reports and assessments produced by the Service Provider shall be jointly owned by both Parties for the purposes of the specific claims for which they were prepared.

• The Service Provider retains the right to use anonvmized data for research and professional development purposes.

11.  TERMINATION

• Either Party may terminate this Agreement with

days' written notice to the other Party.

• Either Party may terminate this Agreement immediately for material breach by the other Party, which is not remedied within

days of written notice of such breach.

• Upon termination, the Service Provider shall complete all assessments scheduled

12.  DISPUTE RESOLUTION

• The Parties shall attempt to resolve any dispute arising from this Agreement through good faith negotiation.

• If the dispute cannot be resolved through negotiation within

days, the Parties agree to submit to mediation before pursuing any other remedies.

• The mediator shall be appointed by mutual agreement of the Parties, and the costs of mediation shall be shared equally.

13.  GENERAL PROVISIONS

• This Agreement constitutes the entire understanding between the Parties and supersedes all prior agreements or understandings.

• Any modification to this Agreement must be in writing and signed by both Parties.

• This Agreement shall be governed by the laws of South Africa

• If any provision of this Agreement is found to be invalid or unenforceable, the remaining provisions shall remain in effect.

• Neither Party may assign this Agreement without the prior written consent of the other Party.

14.  NOTICES

All notices under this Agreement shall be in writing and delivered to:

For the Company: 

Medsol Unlimited (Pty) Ltd

Contact Person: Adelle Govender

Address: The Firs, Business Centre, Biermann Avenue, Rosebank, 2196

Phone Number: (+27) 078 296 4669

Email: info@medsol.org.za

For the Service Provider: 

SCHEDULE A: TRAVEL EXPENSES REIMBURSEMENT POLICY

SCHEDULE B: MONTHLY PATIENT THRESHOLD CALCULATION