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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 NewsThe Board is in the process of upgrading from 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 is a national standard for trading partners to electronically submit employer claims data. Currently, six states have adopted Claims EDI R3.1, with another seven states scheduled to adopt the standard by the end of 2022. The Board has targeted January 24, 2022, as the date by which trading partners must transition to Claims EDI R3.1 for submissions to New York State.
The original target date for this transition was March 15, 2021. The date change will allow the Board to perform an accurate and successful implementation of Claims EDI R3.1. As it has throughout the transition, the Board remains committed to data quality and the success of the upgrade.
In keeping with the IAIABC guidelines, the eClaims EDI R3.1 Requirement Tables and Implementation Guide are provided on the eClaims website. Please note that the Implementation Guide is currently being updated and will be re-posted soon. The Board is also conducting bi-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 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% 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 eclaims31@wcb.ny.gov.
The March webinar slide deck is now available on the eClaims Presentation page. The Agenda for March's webinar included:
The NYS FROI-SROI 02 Transaction Processing in Claims EDI R3.1 document has been updated, and available on the NY Requirements Tables – EDI R3.1 page.
The Claims EDI R3.1 Change Log has been updated and posted on the NY Requirement Tables – EDI R3.1 page. The updates are summarized on the Claims EDI R3.1 change log under items #78-165, and include updates to the following documents:
These changes will be presented at the March 16, 2021 eClaims trading partner webinar. Updates to the NYS FROI-SROI 02 Transaction Processing in Claims EDI R3.1 document are pending, but will be updated prior to the March 16, 2021 webinar.
