Iowa DWC EDI Partnership Basic Requirements
Iowa DWC EDI Partnership program includes a Request for Proposal (RFP) process to contract for a Vendor (DWC Vendor) to facilitate EDI Claims filing for Iowa’s workers’ compensation carriers and self-insured employers and/or their claims administrators. In the context of EDI, claims administrators, carriers, self-insured employers, and/or their contracted vendors may be trading partners.
ISO’s Workers Compensation Solutions division has been selected as the DWC Vendor. ISO will manage the technical aspects of data submittal, be your main contact for implementation, technical requirements, and other questions you may have. In the near future, you can expect to hear from ISO directly about Claims EDI Reporting.
All entities reporting via EDI Claims Release 3.1 must enter into a Trading Partner Agreement with the DWC. Although the DWC does not endorse a particular vendor, the Trading Partner approval process ensures that only firms with specific EDI Claims Release 3.1 experience are allowed to offer their services to trding partners. The approved vendors may offer varied services depending on the trading partners’ needs. If a carrier, self-insured employer, or claims administrator selects a vendor, that vendor must complete the required testing to be an approved vendor. The approved vendor will be allowed to submit EDI transactions on behalf of the carrier, self-insured employer or claims administrator
Upon acceptance of the FROI, the DWC Vendor will assign a jurisdiction claim number to the FROI for tracking and matching purposes. The jurisdiction claim number will then be returned to the trading partner via the electronic acknowledgement.
To learn more about Health Care EDI and become a certified EDI Professional please visit our course schedule page.