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To
participate in the Colorado’s EDI program for First Report of Injury,
you will need the following documents:
Once
you have gathered all of the information for the
Colorado’s EDI program, you will need to complete the following
documents and return them to DOWC:
- EDI Sender's Acceptance Form
- Sender's Trading Partner Profile
- Sender's Transmission Profile
- Trading Partner Insurer List Form
- Third Party Administrator Location
List Form (If a TPA is the
Sender)
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pdf or
MS Word
pdf or
MS Word
pdf or
MS
Word
pdf or
MS Word
pdf or
MS Word
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