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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

 

 

 

 

 

Subsequent Report of Injury

DOWC will implement the SROI Denial (MTC 04) as of February 15, 2003.  The Final Payment Notice (MTC FN) is scheduled for in July 2003 for testing by current trading partners.

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.