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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.

News

eClaims Overview

The Board has completed upgrading the International Association of Industrial 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 R3.1 is a national standard for trading partners to electronically submit employer claims data.

Most national insurance 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 of success.

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 percent target acceptance rate. Electronic claims filing supports the Board's continuing effort to improve services to New York's injured workers and their employers.

Questions?

Contact the eClaims team at eclaims@wcb.ny.gov.

Process for Section 21-a and Claims Paid Without Liability

Latest eClaims News

June 22, 2022

eClaims Change Log: Element Requirement Table, Change Log, Edit Matrix-Population Restriction Table, Event Table and 02 chart. The updates are summarized on the eClaims Change Log under Items ID#321-337 posted on the NY Requirement Tables - EDI R3.1 page.

  • Effective 12/15/2022, EDI 3.1 FROI/SROI Change 02 Chart has been updated 0031 I to J (Update),0146 and 0290 I to K (Add/Update/Remove), 0204 and 0205 K to J (Add/Update/Remove) and the abbreviation key has been updated to add J - "Required change on SROI if accepted; otherwise, change on FROI".
  • Effective 06/22/2022, removed SROI-ER event for Z = Net to Zero.
  • Effective 12/15/2022, modified the FROI-02 and SROI-02 Reportable Change Codes for Update from 'I' to 'J' on DN0031 (Date of Injury).
  • Effective 12/15/2022, modified the FROI-02 and SROI-02 Reportable Change Codes for Add, Update and Remove from 'I' to 'K on DN0146 (Death Result of Injury Code) and DN0290 (Type of Loss Code).
  • Effective 12/15/2022, modified the FROI-02 and SROI-02 Reportable Change Codes for Add, Update and Remove from 'K' to 'J on DN0204 (Work Week Type Code) and DN0205 (Work Days Scheduled Code).
  • Effective 06/22/2022, clerical update made to Industry Code 0025-111
  • Effective 05/19/2022, update element error text on Date of Injury (DN0031-064 I).
  • Effective 12/15/2022, modified Population Restrictions for Date of Injury Code (0031-064 F), 0031-031 G) and 0031-064 H) by changing the applicable MTC from FROI-02 to 02.
  • Effective 12/15/2022, relaxed Population Restriction for Date of Injury Code (0031-064 I).
  • Effective 05/19/2022, relaxed Population Restriction for Part of Body Injured Code (DN0036-064 B) to exclude 10 (Multiple Head Injury) and 20 (Multiple Neck Injury).
  • Effective 05/19/2022, update element error text on Date Claim Administrator Had Knowledge of Injury (DN0041-064 B).
  • Effective 06/22/2022, clerical update to element error text on Benefit Credit Code (DN00126-064 A) by adding "both".
  • Effective 12/15/2002, modified Population Restrictions for Death Result of Injury Code (0146-064 D), 0146-064 E) and 0146-064 F) by changing the applicable MTC on 0146-064 D) and 0146-064 F) from 02 to FROI-02 and 0146-064 E) from SROI-02 to FROI-02.
  • Effective 4/29/2022, clerical update made to the element error text for Employee ID Assigned by Jurisdiction (DN0154-117).
  • Effective 12/15/2002, modified Population Restrictions for Work Week Type Code (0204-064 A), 0204-064 B) and 0204-064 C) by changing the applicable MTC from FROI-02 to 02.
  • Effective 12/15/2002, modified Population Restriction for Type of Loss Code (0290-064 A).
  • Effective 12/15/2002, modified Population Restrictions for Type of Loss Code (0290-064 B). Changed the applicable MTC on 0290-064 B) from 02 to FROI-02 and removed DN0040 (Date Employer Had Knowledge of the Injury) and DN0041 (Date Claim Administrator Had Knowledge of Injury) from the Population Restriction.

These updates will be presented at the August eClaims Trading Partner Webinar.

April 28, 2022

The April webinar recording and slide deck is now available on the eClaims Presentation page.

April 18, 2022

An update to DN0059 (Manual Classification Codes) has been posted to the Board's website.