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 and accurately manage its workers’ compensation responsibilities into the future.

Claims EDI transactions for both FROI and SROI were required for all claims as of the project go-live. Commonwealth of Pennsylvania adopted the EDI standard established by the IAIABC with Claims Release 3.0 standard and replaced and supplemented the data collection previously performed by BWC’s compensable and subsequent paper forms with this standard. Some organizations already had significant experience with EDI and transmitting data to workers’ compensation agencies in many states. While national EDI standards have been adhered to, Pennsylvania’s implementation does have minor differences from other states. Find more EDI implementation data in the following posts.

To learn more about EDI and become a certified  EDI Professional please visit our course schedule page.

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