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Electronic Reporting Phasing Approach for Workers' Compensation Claims

This document outlines the phased approach for carriers to electronically report workers' compensation information to the Commission. Starting July 1, 2009, all reporters must submit claims data via EDI based on specified waves. Wave A kicks off on October 1, 2008, for beta testers and carriers filing over 1,000 claims annually. Wave B starts December 1, 2008, for carriers filing between 100 and 999 claims. Wave C begins on March 1, 2009, for self-insurers with high claim volumes. This ensures compliance with EDI reporting standards.

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Electronic Reporting Phasing Approach for Workers' Compensation Claims

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  1. Phasing Approach for Carriers • All reporters are required to report workers’ compensation information (Release 3 FROI and SROI) electronically to the Commission by July 1, 2009. • Wave A – October 1, 2008 • The following entities will submit via EDI claims that occur on or after October 1, 2008: • Beta Testers • Carriers filing more than 1,000 non-minor claims annually • Wave B – December 1, 2008 • The following entities will submit via EDI claims that occur on or after December 1, 2008, and will also have to retroactively submit via EDI all claims made between October 1 and November 30, 2008: • Carriers filing between 100 and 999 non-minor claims annually • Wave A and B Notes • All Carriers that fall into Waves A or B are required to submit claims data via EDI for all accidents occurring on or after October 1, 2008 • Self-Insurers that are self-administered are excluded from Wave A or B • Wave C – March 1, 2009 • The following entities will be required to submit electronically claims that occur on or after March 1, 2009: • Self-Insurers that are self-administered (submit via EDI if annual volume greater than 100 non-minor claims) • Web Browser Reporters (Reporters that submit less that 100 non-minor claims annually)

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