NWCDN Members regularly post articles and summary judgements in workers’ compensations law in your state.
Select a state from the dropdown menu below to scroll through the state specific archives for updates and opinions on various workers’ compensation laws in your state.
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If you have questions
about the Division’s new EDI data collection agent and the billing registration
process, you’re not alone. Insurance carriers have so many questions that the
Division is hosting a Zoom call to address them. The call comes in the wake of
the Division’s announcement that it is changing the process by which insurance
carriers must report claim data through electronic data interchange
(EDI).
Currently, carriers are required to report EDI claim data using an antiquated
standard – to be precise, International Association of Industrial
Accident Boards and Commissions (IAIABC) Release 1.0. But beginning July 26,
2023, the Division will be requiring carriers to use the current standard,
IAIABC Release 3.1.4. This and other requirements are set out in new Division
rules 124.100 - 124.108.
As part of the conversion, the Division designated a private contractor,
Verisk, as its data collection agent for claim EDI release 3.1 data. Verisk
will bill insurance carriers, other than governmental entities, for the cost of
data collection. Accordingly, insurance carriers were required to register
their billing contact information with Verisk by June 13, 2022.
Also, as part of the conversion, each insurance carrier will be required to
designate one person as its claim EDI compliance coordinator and provide that
person’s contact information to the Division. Carriers can report this
information to the Division on new Form EDI-03.
Bonus cocktail party trivia:
According to its website, the IAIABC was founded in 1914 and is an association
of workers’ compensation jurisdictional agencies from around the world, as well
as private organizations involved in the delivery of workers’ compensation
benefits and services. It works to identify best practices, develop and
implement standards, and provide education and information sharing.
Copyright 2022, Stone Loughlin & Swanson, LLP