Claims EDI Implementation Overview

There are a number of facets to the actual implementation of EDI. We will be implementing EDI in two parts – the process to receive the First Report of Injury (FROI), then the process to receive Subsequent Reports of Injury (SROI).

Vendors

The Industrial Accidents Division is pleased to announce that after careful consideration it has chosen to authorize all four EDI service vendors that bid on RFP PR12028 to offer their services to our trading partners. The authorized firms, and their designated contacts, are:

Ebix, Inc.
Shayne Garner
1679 Gateway Circle
Grove City, OH 43123
(801) 208-5493
shayne.garner@ebix.com
Health Tech, Inc.
Mark Hughes
11730 W 135th Street, Suite #31
Overland Park, KS 66221
(913) 764-9347 x 112
mhughes@htedi.com
Insurance Services, Inc.
Alfred Faber
545 Washington Blvd.
Jersey City, NJ 07310
(201) 469-2375
afaber@iso.com
Mitchell International, Inc.
Kyle Devereaux
110 Theory
Irvine, CA 92617
(858) 368-7593
kyle.devereaux@mitchell.com
www.mitchell.com

Note: Industrial Accidents Division neither endorses nor recommends the products or services of any particular vendor. Industrial Accidents Division’s authorization of vendors is based solely on their specific Claims Release 3 EDI experience. Our goal is to provide you, our trading partners, with competent firms to select from. Industrial Accidents Division suggests careful review of vendor products and claims as well as to contact current and past customers prior to contracting a vendors' service.

Training

      


Archived Training

Our first EDI General Overview for Stakeholders was held April 28, 2011 at the Salt Lake County Council chambers. It provided a broad overview of how EDI works, why the Industrial Accidents Division is implementing EDI and how the current paper forms will transition to EDI transactions. We provided additional overviews via webinars on July 27, 2011, August 2, 2011, and August 11, 2011 that included updated information gained from the analysis of our programming. As attendance of this General Overview is a precursor to the Reporting A Claim and Response Training sessions, we have recorded an updated overview presentation so it is now available at any time by going to iLinc. You'll log in by entering your name and email address to view it.

Reporting A Claim Training

9/13/11 9:00 a.m. MDT webinar

Co-presented with IAIABC, this is part one of two trainings. This session will address the transition from paper to EDI and the reporting of FROI transactions. Focus will be on the Event Table and Element Requirement Table found in the Implementation section of our website. This training is a prerequisite for the Response training. If you are unable to attend this live session, it will be recorded and made available for purchase. Learn more and register today at www.iaiabc.org/e-vents

Response Training

Co-presented with IAIABC, this is part two of two trainings. Attendance and/or viewing of the recorded Reporting A Claim training is prerequisite for this segment. This session will focus on the transaction exchange, as in the Reports and corresponding Acknowledgements and what action is required when a TE or TR Acknowledgement takes place. Focus will be on the Edit Matrix found in the Implementation section of our website. If you are unable to attend this live session, it will be recorded and made available for purchase. Learn more and register today at www.iaiabc.org/e-vents

9/29/11 1:00 – 1:45 p.m. break out session during the 9th Annual Utah Labor Commission Workers’ Compensation Education Conference. The conference will be held at the Sheraton Hotel, 150 W 500 S in Salt Lake City. This break out session will convene in the Canyon Room. This session will be open to follow-up questions of training participants who attend/view the recorded Reporting A Claim and/or Response training webinars.

ROLLOUT TIMEFRAME

FROI trading partner testing concluded 12/31/12. As new trading partners enter the Utah market they must adhere to EDI reporting requirements and submit the Claims EDI Trading Partner Forms to set up testing for clearance into production.

SROI tables were published 8/15/12. As announced 4/21/13 the scheduled 7/1/13 SROI testing has been postponed. When a new testing commencement date is determined, an advance notice will be provided.

*Please check this page often as it will be updated throughout the Claims EDI implementation process.


We welcome your questions or comments

Utah Labor Commission
Industrial Accidents Division

160 East 300 South, 3rd Floor
P.O. Box 146610
Salt Lake City, UT, 84114-6610
801-530-6800
In-State Toll Free 1-800-530-5090
Fax: (801) 530-6804
Email: claimsedi@utah.gov