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Workers’ Compensation Board

WCB Information Related To Novel Coronavirus (COVID-19)

eClaims

eClaims is claim information reported by Claim Administrators through the First Report of Injury (FROI) and Subsequent Report of Injury (SROI) using the International Association of Accident Boards and Commissions (IAIABC) Electronic Data Interchange (EDI) standard.

Release Versions News

eClaims Overview

The Board is in the process of upgrading from the International Association of Accident Boards and Commissions' (IAIABC) Claims Electronic Data Interchange (EDI) Release 3.0 (R3.0) to the IAIABC's Claims EDI Release 3.1 (R3.1). The IAIABC's Claims EDI is a national standard for Trading Partners to electronically submit employer claims data. Currently, six states have adopted Claims EDI R3.1, and another seven states are scheduled for adoption through 2022. The implementation date has been postponed until later in 2021, but no earlier than July 2021, for Trading Partners to transition from R3.0 of the standard to R3.1 for submissions to New York State. An exact date will be communicated to Trading Partners as soon as possible.

In keeping with the IAIABC guidelines, the eClaims EDI R3.1 Requirement Tables and Implementation Guide are provided on the eClaims website. The Board is also conducting monthly webinars to provide eClaims EDI R3.1 updates to Trading Partners. For more information, see the Trading Partners Webinars.

More about the project:

Most national carriers already use the Claims EDI R3.1 standard in the jurisdictions that have adopted it. The technology is recognized as the national best practice for First Report of Injury/Subsequent Report of Injury (FROI/SROI) and has a proven track record.

The Board continues to collaborate with Trading Partners in the workers' compensation industry to confirm that their electronic filings are accurate and meet the established 90% target acceptance rate. Electronic claims filing supports the Board's continuing effort to improve services to injured workers of New York and their employers.

Additional updates on the status of the Board's upgrade from Claims EDI R3.0 to R3.1 will be provided on this site. If you would like to receive email notifications regarding these updates, please sign up through WCB Notifications.

Questions? Contact the eClaims team at eclaims31@wcb.ny.gov.

eClaims Release Versions

Process for Section 21-a and Claims Paid Without Liability

Current News

October 22, 2020

The Summary of Changes 3.0 to 3.1 has been updated and posted on the New York Requirements Table page with the following modifications:

  • Element Requirement and Edit Matrix changes as stated in the eClaims Change Log (9/15/2020)
  • Reformatted to assist senders

October 19, 2020

Additional time will be required to accurately implement Claims EDI R3.1. As a result, the Board has decided our March 15, 2021 implementation date will be postponed until later in 2021, but no earlier than July 2021. This extension will allow the Board to perform an accurate and successful implementation of Claims EDI R3.1, while providing additional time for all Trading Partners to complete preparations for the R3.1 transition.

The new go-live date will be communicated as soon as possible. If you have questions, please email eclaims31@wcb.ny.gov.

October 19, 2020

The Chart of DNs Triggered on 02 has been revised on the New York Requirements Table page with the following modifications:

  • Removed the Accident/Injury Description Narrative (DN0038) as deletes on this data element are not allowed, as stated in the eClaims Change Log (9/15/2020) under ID#27
  • Reformatted to assist senders

October 8, 2020

The following Requirement Tables have been updated:

More information will be provided during the October 20 eClaims webinar. If you have any questions, please contact us at eclaims31@wcb.ny.gov.

In addition, the September 15 webinar slide deck and video recording are now available on the eClaims Presentation page. The Agenda for September’s webinar included:

  • eClaims EDI R3.0 News
  • eClaims EDI R3.1 News
  • IAIABC Table Changes
  • eClaims EDI R3.1 Change Log
  • eClaims EDI R3.0 to R3.1 Cutover Dates