Workers' Compensation Claim Reporting by Insurers

NOTICES​:

FROI/SROI Edit Matrix Change -- Social Security Number (DN0042):  Effective July 1, 2013, Montana will begin returning a TR (Transaction Rejected) for FROI and SROI submissions with invalid Social Security Numbers (SSN).  SSNs will be validated based on Social Security Administration guidelines.  Trading Partners will also be notified to provide the correct SSNs for previously reported claims.  This link ​contains the entire Not​ice.  (Posted 4/8/2013)

EDI Testing Procedures:  Montana has revised their EDI FROI and SROI testing requirements for established Value Added Networks (VANs).  The new requirements can be found in the FROI Reporting and SROI Reporting links.  (Posted 3/20/13)​

Electronic Data Interchange (EDI) affords insurers and the Employment Relations Division (ERD) a method of exchanging certain information electronically and thereby avoiding multiple entry of data into computer systems. EDI is fast, accurate, reliable and cost effective. Many insurers nationwide use EDI routinely and ERD has worked hard to make this service available for Montana's workers' compensation system.

Insurers who agree to send documents electronically sign a trading partner agreement with ERD. This agreement includes testing the reporting system to determine if the transmission mechanism is acceptable. Insurers must maintain ninety- five percent completeness in the data transmitted and must re-send any data that is incomplete or invalid.

The International Association of Industrial Accident Boards and Commissions (IAIABC) and the Montana Department of Labor and Industry's Employment Relations Division offer education on reporting workers' compensation data electronically (EDI).

Workers' Compensation Claims Assistance Bureau
Data Management Unit
Dave Elenbaas
daelenbaas@mt.gov

Wednesday, July 23, 2014

Related Links

 

 

EDI Formshttp://erd.dli.mt.gov/work-comp-claims/data-management/electronic-data-interchangeEDI Formshttp://erd.dli.mt.gov/work-comp-claims/data-management/data-management-forms#edi, EDI Forms
EDI Implementation Guidehttp://erd.dli.mt.gov/work-comp-claims/data-management/electronic-data-interchange/none-EDI Implementation Guidehttp://assets.dli.mt.gov/erd/wccdocs/dli-erd-wcc067.pdf, EDI Implementation Guide--
First Report of Injury (FROI Reporting)http://erd.dli.mt.gov/work-comp-claims/data-management/electronic-data-interchange/froi-reportingFirst Report of Injury (FROI Reporting)
Subsequent Report of Injury (SROI Reporting)http://erd.dli.mt.gov/work-comp-claims/data-management/electronic-data-interchange/sroi-reportingSubsequent Report of Injury (SROI Reporting)

 
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