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Division of Worker's Compensation
633 17th Street
Denver, Colorado 80202

EDI IMPLEMENTATION
                                          
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bullet EDI Home
bullet EDI Overview
bullet Getting Started
bullet First Report of Injury   (FROI)
Electronic Data Interchange Participation Policy
Receiver's (DOWC) Trading Partner Profile
Receiver's (DOWC) Transmission Partner Profile
Data Element Matrix
Edit Matrix
Edit/Error message Matrix (NEW!)
Event Table 
Testing Requirements
 
bullet EDI Participation Documents (All fillable forms)
 EDI Sender Acceptance Form
Sender Trading Partner Profile
Sender Transmission Profile
Trading Partner Insurer List Form
Third Party Administrator Location List Form  (If a TPA is the Sender)
 
bullet

Subsequent Report of Injury  (SROI)Receiver's (DOWC) Trading Partner Profile
Receiver's (DOWC) Transmission Profile

              Testing Requirements

DENIAL (MTC 04)
Data Element Matrix
Edit Matrix
Edit/Error Message Matrix
Event Table

FINAL PAYMENT NOTICE (MTC FN)
Data Element Matrix
Edit Matrix
Edit/Error Message Matrix
Event Table

PPD Part of Body Codes

bullet Proof of Coverage
Rule 3

Medical/Bill Payment Records
are presently unavailable.
 
bullet IAIABC Web Site

 
 

 

  

 

Subsequent Report of Injury

In addition to the FROI record, the DOWC accepts the SROI Denial (MTC04) and the Final Payment Notice (MTC FN) electronically.

Denial  (MTC 04)

The following documents provide necessary implementation information for potential SROI trading partners.  These documents are subject to minor change.

Final Payment Notice  (MTC FN)

The following documents provide necessary implementation information for potential SROI trading partners.  These documents are subject to minor change.