The trick is knowing when those lower rates apply to specific medical items. Monitoring country by country legislation and compliance practices is more than most selling or procuring organizations can manage without automation.
There are at least four complicating factors:
1. Constantly evolving medical technology and healthcare practices
2. Transaction party complexity
3. Country specific technical qualifications to apply reduced or zero rates
4. HSN/CN classification codes drive accurate results
Source: www.vertexinc.com