EDI Notice testing

EDI Notice Stopping Temporary (LIBC-502) (BWC EDI testing procedures)

We continue a series of posts regarding Commonwealth of Pennsylvania Department of Labor & Industry (BWC) EDI testing procedures. Find below guidelines for Generation of EDI Notice Stopping Temporary Compensation Payable (LIBC-502).

The purpose of this process is to verify if the Claim Administrator has implemented the changes that would result in the generation of the Notice Stopping Temporary Compensation Payable (LIBC-501) based on the following EDI transaction/maintenance type codes:

  • SROI 04
  • SROI PD

SROI 04

  1. The Claim Administrator must submit a FROI 00 to create a new test claim.
  2. The Claim Administrator must submit an IP transaction with Agreement to Compensate Code (DN0075) ‘W’.
  3. The Claim Administrator follows up with a SROI 04 with Full Denial Reason Code (DN0198) ‘4.A.’

SROI PD

  1. The Claim Administrator must submit a FROI 00 to create a new test claim.
  2. The Claim Administrator must submit a PY transaction with Agreement to Compensate Code (DN0075) ‘L’ and Claim Type code (DN0074) “M”.
  3. The Claim Administrator must submit an IP transaction with Agreement to Compensate Code (DN0075) ‘W’.
  4. The Claim Administrator follows up with a SROI 04 with Full Denial Reason Code (DN0198) ‘5.A.’

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

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