What We Accept Via EDI

Accepted EDI formats

We use the standard International Association of Industrial Boards & Commissions (IAIABC) formats for First Report of Injury Release 1 (148, FROI, WKC-12, etc.) and Subsequent Report Release 1A (A49, WKC-13, etc.). Please see the format spreadsheets (FROI and SROI) on our website for the list of required, conditional and optional fields for each layout. We also require the use of the standard IAIABC header and trailer.

The type of data we accept

Worker's Compensation accepts Flat Files via a secure FTP process.

What we accept vis-a-vis paper

Worker's Compensation currently accepts the First Report of Injury (our WKC-12, via the EDI 148) and the Subsequent Report of Injury (our WKC-13, via the EDI A49) electronically. For Subsequent Reports we are currently in production with the Initial Payment (IP) only using the IAIABC’s Release 1A format. We do not accept medical reports or wage information via EDI. Medical reports must be faxed to our imaging fax server at 608-260-2530. For the submission of wage information you must use our Internet WKC-13A, on our pending reports website, for claims that are not fatalities, litigated or PTD.

The transaction codes we accept

148 - First Report of Injury (WKC-12)

For the 148 we currently accept all of the codes except 148 AU (acquired claims). Keep in mind that for 148 01 (cancel), 148 02 (change) and 148 CO (correction) we must have a previous claim in our database based on SSN + date of injury (plus or minus six days), otherwise the transmission will be rejected as "claim not found in database". The 148 02 and 148 CO will fill in data fields that were previously blank, but they will not overlay existing data except in the Claim_Administrator_Claim_Number field (IAIABC DN 0015). We accept the 148 04 (denial) without requiring you to first send a 148 00 (original).

A49 - Subsequent Report of Injury (WKC-13)

For the A49 we only accept the IP. All other codes such as S1, FN, RE, FS, QT and CB must have their information transmitted to us via the Internet WKC-13, on our pending reports website.

For the A49 IP we accept TTD (050), TPD (070) and Salary Continued (240). For TTD and TPD the IP must have both a date and amount of first payment, otherwise the transmission will be rejected. For TPD, the submission of the worksheet (for non-litigated claims) must come to us via our Internet WKC-13, on our pending reports website. Salary Continued will not be accepted if the first payment amount is zero or null. For the A49 IP we also accept PPDSch (030), PPDNon (040), DeathF (010), PTD (020), Supben (021), Disfig (090) and Vocrhb (410).

For more information about EDI Worker's Compensation you can e-mail the EDI Coordinator or call (608) 266-1340.