EDI errors

EDI Errors (BWS ACK files) Find some insights as for the errors in EDI documents and steps to resolve these errors. The information below details the description of errors reported in the EDI ACK file and/or WCAIS EDI Web portal application and how to correct the error. Code/ID Invalid, Not Statutorily Valid, Must be Valid Content, or Must be>=Date of Injury etc…. Filer Read More →

edi testing

EDI Generation of Notice of Compensation Denial (LIBC-496) The purpose of the LIBC-496 process is to verify if the Claim Administrator has implemented the necessary changes to their system that would trigger the generation of the Notice of Compensation Denial (LIBC-496) based on the following EDI transaction/maintenance type codes: FROI 04 SROI 04 FROI 02 SROI 02 FROI 04 The Read More →

edi testing

EDI Schedule Test Period (BWС EDI Testing Phases) Each test submitter is required to contact the BWC EDI Test Coordinator to schedule a test period. The BWC EDI Test Coordinator will review testing guidelines with the test submitter, address any questions and confirm the scheduled time frames in which each direct-filing Trading Partner/EDI Transaction Partner will submit test Read More →

Test Plan Procedures

Test Plan Procedures (BWC Direct-filing Trading Partners and/or EDI Transaction Partners) Test Plan Procedures set by BWC include six steps in the BWC testing process: 1. Schedule Test Period 2. Generation of Notice of Compensation Denial 3. Generation of Notice Stopping Temporary Compensation Payable 4. Generation of Notice of Temporary Compensation Payable 5. Generation of Notice of Read More →

EDI testing

BWC EDI Testing (The Bureau of Workers’ Compensation) During the testing period all EDI Transaction Partners will verify that each Trading Partner is able to meet the BWC Claims EDI requirements. Direct filing Trading Partners will complete their own verification to meet the requirements set forth within the updated BWC Claims EDI Implementation Guide. Although approved EDI Transaction Read More →

BWS EDI Claim

BWS EDI Claim Administrator-specific Match Data Elements BWS EDI Claim Administrator FEIN (DN0187) must be in a valid format & belong to a valid, PA-registered, Third Party Administrator or a PA-licensed Insurer. Insurers who are not registered to administrate on behalf of another Insurer should not have their FEIN in this field if their FEIN is not also Read More →

EDI Information

EDI Information and Data Reporting Guidelines (Commonwealth of Pennsylvania) For Date of Injury, if the employee or other relevant individual providing the data is uncertain about the exact date, use the earliest date about which there is some degree of certainty or the date that you received notice of the accident, whichever is earlier. For Read More →

EDI Reporting Rules

EDI Reporting Rules (BWC – Commonwealth of Pennsylvania) BWC uses IAIABC Claims Release 3.0 standards for all EDI submissions. Data format must be in compliance with the standard data format described in the Systems Rules. Required BWC requires the electronic submission of injury reports as part of its EDI Implementation. For all data and information Read More →

EDI Claims Implementation

Commonwealth of Pennsylvania EDI  Claims Implementation EDI Claims Release provides the electronic transfer of comprehensive injury data and gives significant benefits for Trading Partners and stakeholders. Data submitted through EDI transactions will be integrated with the Workers’ Compensation Automation and Integration System (WCAIS). The WCAIS system provides the Commonwealth of Pennsylvania with the technology to efficiently Read More →

Ship to-Mark PO

EDI Direct Ship Orders And “Ship to Mark for” Orders A Purchase Order (850) may be an original, or it may be an update or confirmation of one already communicated to the seller or broker. It may also be used to express distribution requirements for receiving location(s), such as a Direct Ship Order. Direct Ship Read More →