837 Receiver Names

837 Receiver Names Examples 837 Healthcare Claim Receiver Name segment is a common segment across all EDI Transactions. This segment is required and it is qualified with ‘40’ for Receiver. This segment is part of LOOP ID 1000B Receiver name. To learn more  about EDI loops visit our course schedule page to sign up for Read More →

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 Read More →

LIBC-496

Generation of Notice of Compensation Denial (LIBC-496) In this blog we continue a series of posts regarding Commonwealth of Pennsylvania Department of Labor & Industry (BWC) EDI testing procedures. Generation of Notice of Compensation Denial (LIBC-496) purpose 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 Read More →

Invalid Event Sequence

Invalid Event Sequence (BWC EDI Errors) Invalid Event Sequence results in filer submitting an EDI transaction outside sequencing guidelines.  You should check the claim in WCAIS or the last ACK received to determine the current claim status then use the Relaxed Rules document, Claim Status Reference Sheet, and the Event table for further sequencing rules. Also refer to section 4 of this document for next steps.  Filer should always consult the WCAIS claim Read More →

Invalid Data

Invalid Data Relationship (BWC EDI Data Errors) Invalid data relationship and match data value not consistent with value previously reported, no match on database is one of the widespread EDI errors. This means Claimant’s name, DOI, SSN, DOB, Employer FEIN, Insurer FEIN, Claim Admin FEIN, JCN, or Claim Admin Postal Code either doesn’t match a previously submitted transaction, doesn’t match an existing profile, or doesn’t match an existing claim. You should use Read More →

Online Courses

EDI Academy Online Courses Schedule Autumn-Winter 2020 Become a certified EDI professional by completing EDI Academy webinars. Live webinars – opportunity to consult with an expert that has implemented EDI for dozens of companies and trading partners. Get a 100+ page course manual. Choose between All-Industries or Health Care EDI. Some courses have pre-requisites. Choose Read More →

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 (BWS 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 →