The electronic process, prescribed by the Chair, requires payers to partner with at least one Board-approved XML submission partner to transmit and accept health care provider medical bills via Electronic Data Exchange (EDI), or another format agreed upon with the XML submission partner, by October 1, 2021. Payers must designate with the Board, the XML submission partner(s) from whom they will accept medical bills by October 30, 2021. Payers' Medical Portal Online Administrators must keep XML submission partner information accurate and update the online administrator application with any changes within three (3) business days.
A list of approved XML submission partners for the CMS-1500 is posted on the XML Forms Submission section of the Board's website and is updated after each entity successfully completes testing and executes an XML Submission Partner Agreement with the Board.
Please contact the WCB Customer Support Unit if you have any technical questions about this page.