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Division of Worker's Compensation
1515 Arapahoe
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
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)

DENIAL (MTC 04)
Receiver's (DOWC) Trading Partner Profile
Receiver's (DOWC) Transmission Profile
Data Element Matrix
Edit Matrix
Edit/Error Message Matrix
Event Table
Testing Requirements

FINAL PAYMENT NOTICE (MTC FN)
Data Element Matrix
Edit Matrix
Edit/Error Message Matrix
Event Table
 
bullet Proof of Coverage
Rule III

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

 

 

 

 
 

GETTING STARTED

Information regarding the IAIABC’s national standards for claims submission is published in the IAIABC’s EDI Release 1 Implementation Guide.  Standards for Proof of Coverage are published in the IAIABC EDI POC Release 2 Implementation Guide.  In addition, the IAIABC has created a Best Practices Guide for EDI users.  These Guides are available on the IAIABC Web Site,  and provide the information necessary to assist DOWC and its trading partners in implementing EDI.  They include a data dictionary, record layouts, data definitions, etc.

In addition to the IAIABC EDI Implementation Guides, you will also need the Colorado specific implementation information.  Please click on the specific link for Colorado information.

First Report of Injury

Subsequent Report of Injury

Proof of Coverage

Medical/Bill Payment Records - presently unavailable


Business Contact Information
                  Technical Teresa Martenson teresa.martenson@state.co.us 303.318.8793
                        FROI/SROI Darla Olds darla.olds@state.co.us 303.318.8612
                  POC Deborah Weis-Heath deborah.weis-heath@state.co.us 303.318.8746
                  Medical Debra Northrup debra.northrup@state.co.us 303.318.8761