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eClaims News Archive

eClaims

November 23, 2021

The next eClaims webinar will be held on Tuesday, December 21, from 2:00 p.m. - 3:00 p.m.

November 3, 2021

The SROI-SA reference document is now available on the Implementation Guide - R3.1 page. This document shows the distinct scenarios for SROI-SA transactions.

The SROI-SA reference document will be reviewed during the upcoming November monthly trading partner webinar. To register for November's webinar, please visit the Board's upcoming webinars page.

October 29, 2021

The NYS R3.1 Element Requirements, NYS R3.1 Event Table, NYS R3.1 Edit Matrix, and Claims EDI R3.1 Change Log have been updated and posted on the NY Requirement Tables - EDI R3.1 page. The updates are summarized on the Claims EDI R3.1 Change Log under items #244-289.

These updates will be presented at the November eClaims webinar.

October 27, 2021

The October webinar recording and slide deck is now available on the eClaims Presentation page. The Agenda for October's webinar included:

The next eClaims webinar will be held on Tuesday, November 16, from 2:00 p.m. - 3:00 p.m.

October 8, 2021

The September webinar recording and slide deck is now available on the eClaims Presentation page. The Agenda for September's webinar included:

September 22, 2021

The rescheduled eClaims webinar will be held on Tuesday, September 28, from 2:00 p.m. - 3:00 p.m.

September 22, 2021

The EDI R3.1 eClaims Implementation Guide has been revised and posted on the Implementation Guide page. The changes include:

September 21, 2021

Due to technical issues the September eClaims Monthly webinar scheduled for 2:00pm today has been cancelled. The webinar will be rescheduled for Tuesday, September 28, 2021 at 2:00pm EST. An email will be sent later this week to all webinar registrants to confirm the new date, time, and WebEx link. We apologize for the inconvenience this may have caused and do not hesitate to contact us with any questions.

September 3, 2021

The next eClaims webinar will be held on Tuesday, September 21, from 2:00 p.m. - 3:00 p.m.

September 2, 2021

The following updates have published:

August 27, 2021

The NYS R3.1 Edit Matrix and Claims EDI R3.1 Change Log has been updated and posted on the NY Requirement Tables - EDI R3.1 page. The updates are summarized on the Claims EDI R3.1 change log under items #236-243, and include updates to the following documents:

These updates will be presented at the September eClaims webinar.

August 26, 2021

The following updates have published:

August 3, 2021

The Claims EDI R3.1 Change Log has been updated and posted on the NY Requirement Tables - EDI R3.1 page. The updates are summarized on the Claims EDI R3.1 change log under items #230-235, and include previous updates to the following documents:

These updates were published on March 8, 2021 but were omitted from the change log at that time.

July 30, 2021

The next eClaims webinar will be held on Tuesday, August 17, from 2:00 p.m. - 3:00 p.m.

July 23, 2021

The Claims EDI R3.1 Change Log has been updated and posted on the NY Requirement Tables - EDI R3.1 page. The updates are summarized on the Claims EDI R3.1 change log under items #166-229, and include updates to the following documents:

These changes will be presented at the August 17, 2021 eClaims trading partner webinar.

Additionally, the July webinar slide deck is now available on the eClaims Presentation page. The Agenda for July's webinar included:

July 2, 2021

The June webinar slide deck is now available on the eClaims Presentation page. The Agenda for June's webinar included:

June 22, 2021

The next eClaims webinar will be held on Tuesday, July 20, from 2:00 p.m. – 3:00 p.m.

May 24, 2021

The May webinar slide deck is now available on the eClaims Presentation page. The Agenda for May's webinar included:

May 19, 2021

The Claims EDI R3.1 NYS Claims Release EDI R3.1 FROI/SROI Change 02 Required has been revised and posted on the New York Requirements Table page. The update includes additional information in preparation for the Claims EDI R3.1 upgrade.

May 14, 2021

The next eClaims webinar will be held on Tuesday, June 15, from 2:00 p.m. – 3:00 p.m.

April 27, 2021

The Claims EDI R3.1 Implementation Guide has been revised and posted on the Implementation Guide page. The update includes additional information in preparation for the Claims EDI R3.1 upgrade, and has been reformatted for ease of use by Trading Partners.

Additional information will be provided during the next eClaims webinar on Tuesday, May 18, from 2:00 p.m. – 3:00 p.m. Registration is available at wcb.ny.gov/webinars.

April 20, 2021

The next eClaims webinar will be held on Tuesday, May 18, from 2:00 p.m. – 3:00 p.m.

March 29, 2021

The March webinar slide deck is now available on the eClaims Presentation page. The Agenda for March's webinar included:

March 16, 2021

The NYS FROI-SROI 02 Transaction Processing in Claims EDI R3.1 document has been updated, and available on the NY Requirements Tables – EDI R3.1 page.

March 8, 2021

The Claims EDI R3.1 Change Log has been updated and posted on the NY Requirement Tables – EDI R3.1 page. The updates are summarized on the Claims EDI R3.1 change log under items #78-165, and include updates to the following documents:

These changes will be presented at the March 16, 2021 eClaims trading partner webinar. Updates to the NYS FROI-SROI 02 Transaction Processing in Claims EDI R3.1 document are pending, but will be updated prior to the March 16, 2021 webinar.

March 8, 2021

As posted in Revised Subject Number 046-1319, the implementation date for the Claims EDI R3.1 upgrade has been changed to January 24, 2022. As a result, testing will now be conducted from October 8, 2021 to January 10, 2022.

Additional information will be provided during the bi-monthly Claims EDI R3.1 webinars. If you have questions, please contact us at eclaims31@wcb.ny.gov.

March 2, 2021

The next eClaims webinar will be held on Tuesday, March 16, from 2:00 p.m. – 3:00 p.m.

February 19, 2021

The February webinar slide deck is now available on the eClaims Presentation page. Due to technical difficulties, a recording of the February 16, 2021 webinar is unavailable. The Agenda for February's webinar included:

February 18, 2021

Update to MTC Filing Instructions - Added an additional statement to the note to coincide with the new event for ID's #40 and #41 – "If a Claim was not in the Legacy File and there is continuing medical and/or indemnity aa FROI-00 may be filed in lieu of a FROI-UR." This is an R3.0 change for the reference document to match the Event Table change that was published on 1/6/2021, to become effective on 7/6/2021.

February 1, 2021

The next monthly eClaims webinar will be held on Tuesday, February 16, from 2:00 p.m. - 3:00 p.m.

January 6, 2021

R3.0 eClaims tables have been updated. The updates are summarized on the R3.0 eClaims change log under Items #402-403 announcing the following changes:

These changes will be covered at the 2/16/2021 eClaims trading partner webinar. Questions regarding these changes can be sent to eClaims@wcb.ny.gov

The December webinar slide deck and video recording are now available on the eClaims Presentation page. The Agenda for December’s webinar included:

December 9, 2020

The eClaims EDI R3.1 Change Log has been posted. The updates are summarized on the eClaims EDI R3.1 change log under Items #62-77, including:

These changes will be presented at the December 15, 2020, eClaims trading partner webinar. The Summary of Change 3.0 to 3.1, MTC Filing Instructions, and Chart of DN's triggered on 02 reference documents will be updated to reflect these table changes.

November 10, 2020

The next monthly eClaims webinar will be held on Tuesday, December 15, from 2:00 p.m. - 3:00 p.m.

The R3.1 Sequencing Flow Document has been updated and posted on the New York Implementation Guide – R3.1 page. The document has been reformatted to improve the ease of use by Trading Partners.

The October 20 webinar slide deck and video recording are now available on the eClaims Presentation page. The Agenda for October’s webinar included:

October 22, 2020

The Summary of Changes 3.0 to 3.1 has been updated and posted on the New York Requirements Table page with the following modifications:

October 19, 2020

Additional time will be required to accurately implement Claims EDI R3.1. As a result, the Board has decided our March 15, 2021 implementation date will be postponed until later in 2021, but no earlier than July 2021. This extension will allow the Board to perform an accurate and successful implementation of Claims EDI R3.1, while providing additional time for all Trading Partners to complete preparations for the R3.1 transition.

The new go-live date will be communicated as soon as possible. If you have questions, please email eclaims31@wcb.ny.gov.

October 19, 2020

The Chart of DNs Triggered on 02 has been revised on the New York Requirements Table page with the following modifications:

October 8, 2020

The following Requirement Tables have been updated:

More information will be provided during the October 20 eClaims webinar. If you have any questions, please contact us at eclaims31@wcb.ny.gov.

In addition, the September 15 webinar slide deck and video recording are now available on the eClaims Presentation page. The Agenda for September’s webinar included:

September 28, 2020

The next monthly eClaims webinar will be held on Tuesday, October 20, from 2:00 p.m. - 3:00 p.m.

September 15, 2020

In preparation for the upcoming eClaims EDI R3.1 upgrade, the following Requirement Tables have been updated:

Additional information will be provided during the eClaims webinars held monthly. If you have any questions, please contact us at eclaims31@wcb.ny.gov.

August 28, 2020

The next monthly eClaims webinar will be held on Tuesday, September 15, from 2:00 p.m. - 3:00 p.m.

August 28, 2020

The next monthly eClaims webinar will be held on Tuesday, September 15, from 2:00 p.m. - 3:00 p.m.

August 26, 2020

The August 18 webinar slide deck and video recording are now available on the eClaims Presentation page. The Agenda for the August webinar included:

August 13, 2020

Subject Number 046-1319: The Publication of eClaims R3.1 Requirement Tables and the Implementation Date for Mandatory EDI Claims Reporting, is now available.

August 13, 2020

Subject Number 046-1319: The Publication of eClaims R3.1 Requirement Tables and the Implementation Date for Mandatory EDI Claims Reporting, is now available.

August 11, 2020

A FROI/SROI-02 document has been updated and posted to the NY Requirements Table page. This document serves as a reference guide on how to submit a FROI/SROI 02.

The eClaims EDI R3.1 FAQs have also been updated with two new questions:

August 11, 2020

A FROI/SROI-02 document has been updated and posted to the NY Requirements Table page. This document serves as a reference guide on how to submit a FROI/SROI 02.

The eClaims EDI R3.1 FAQs have also been updated with two new questions:

August 4, 2020

The next monthly eClaims webinar will be held on Tuesday, August 18, from 2:00 p.m. - 3:00 p.m.

July 29, 2020

The July 21 webinar slide deck and video recording are now available on the eClaims Presentation page. The Agenda for July’s webinar included:

July 8, 2020

Trading Partner onboarding for the eClaims EDI R3.1 upgrade will be held from November 16, 2020 through February 27, 2021. It is important to begin testing as early as possible in order to receive approval to begin production on March 15, 2021. More information will be shared at the monthly eClaims trading partner webinars.

Information on testing can be found in the eClaims EDI R3.1 Implementation Guide:

June 30, 2020

The eClaims EDI R3.1 FAQs has been updated with four new questions:

June 26, 2020

The eClaims EDI R3.1 Change Log has been updated with the following changes:

June 22, 2020

The next monthly eClaims webinar will be held on Tuesday, July 21, from 2:00 p.m. - 3:00 p.m.

June 18, 2020

The June 16 webinar slide deck and video recording are now available on the eClaims Presentation page. The Agenda for June’s webinar included:

June 12, 2020

The eClaims EDI R3.1 Change Log has been posted. The updates are summarized on the eClaims EDI R3.1 change log under Items #1-24, including:

June 1, 2020

The next monthly eClaims webinar will be held on Tuesday, June 16, from 2:00 p.m. - 3:00 p.m.

May 21, 2020

The May 19, 2020 eClaims Trading Partner Monthly Webinar slide deck and video recording are now available on the eClaims Presentation page.

May 13, 2020

The May 7 webinar slide deck and video recording are now available on the eClaims Presentation page.

May 12, 2020

eClaims FAQ   "Claims EDI R3.1" Frequently Asked Questions (FAQs) are now available.

April 29, 2020

A webinar to inform Trading Partners on important updates with the upcoming R3.1 upgrade will be held on Tuesday, May 19, from 2:00 p.m. - 3:00 p.m.

Please note, this presentation will be different from the May 7 webinar, as this will focus on project updates.

See details and register at wcb.ny.gov/webinars.

April 28, 2020

eClaims FAQ   Data Element Reporting - #19 has been revised to clarify when letter/correspondence must be filed/submitted.

April 23, 2020

The April webinar slide deck and video recording are now available on the eClaims Presentation page. The webinars and recordings will be posted on the Presentations page each month.

April 22, 2020

A NYS EDI Claims Release 3.1 Training webinar will be held on Thursday, May 7, from 1:00 p.m. - 3:00 p.m.

During this two-hour webinar, our eClaims team will be presenting specifics on the R3.1 implementation scheduled for March 15, 2021.

See details and register at wcb.ny.gov/webinars.

April 06, 2020

eClaims Change Log  The Edit Matrix-Population Restriction Table has been updated. The update is summarized on the eClaims R3.0 change log under Item #401 announcing the following change:

April 3, 2020

If you have any questions, please contact us at eclaims31@wcb.ny.gov.

March 26, 2020

eClaims Change Log  The Edit Matrix-Population Restriction Table has been updated. The updates are summarized on the eClaims change log under Items #398-400 announcing the following changes:

March 26, 2020

eClaims Change Log  The Edit Matrix-Population Restriction Table has been updated. The updates are summarized on the eClaims change log under Items #398-400 announcing the following changes:

February 19, 2020

If you have any questions, please contact us at eclaims31@wcb.ny.gov.

December 17, 2019

December 12, 2019

December 06, 2019

December 04, 2019

November 1, 2019

October 1, 2019

September 20, 2019

September 4, 2019

August 13, 2019

These changes will be covered at the 9/24/19 eClaims trading partner webinar. Questions regarding these changes can be sent to eClaims@wcb.ny.gov

August 09, 2019

July 12, 2019

These changes will be covered at the 9/24/19 eClaims trading partner webinar. Questions regarding these changes can be sent to eClaims@wcb.ny.gov

June 27, 2019

May 28, 2019

April 1, 2019

March 27, 2019

March 20, 2019

March 5, 2019

February 26, 2019

February 15, 2019

February 6, 2019

January 18, 2019

January 8, 2019

December 20, 2018

December 19, 2018

December 13, 2018

November 9, 2018

October 18, 2018

September 26, 2018

September 14, 2018

August 22, 2018

July 20, 2018

June 29, 2018

April 13, 2018

April 11, 2018

March 29, 2018

January 12, 2018

November 30, 2017

November 14, 2017

November 6, 2017

October 25, 2017

October 2, 2017

September 25, 2017

September 15, 2017

July 14, 2017

June 29, 2017

May 2, 2017

April 7, 2017

April 7, 2017

March 30, 2017

February 10, 2017

January 6, 2017

December 28, 2016

December 8, 2016

October 24, 2016

September 22, 2016

September 16, 2016

September 12, 2016

August 16, 2016

August 15, 2016

August 1, 2016

June 30, 2016

June 27, 2016

June 13, 2016

May 17, 2016

May 13, 2016

March 30, 2016

February 26, 2016

February 19, 2016

December 17, 2015

October 23, 2015

October 08, 2015

September 9, 2015

August 03, 2015

July 31, 2015

July 29, 2015

July 3, 2015

July 3, 2015

June 26, 2015

June 23, 2015

In accordance with the Payor Compliance initiative, the SROI-PD changes made are:

May 8, 2015

March 24, 2015

March 10, 2015

January 26, 2015

December 22, 2014

December 15, 2014

December 12, 2014

December 5, 2014

September 25, 2014

August 5, 2014

July 30, 2014

July 18, 2014

June 20, 2014

June 9, 2014

June 5, 2014

May 28, 2014

April 29, 2014

April 21, 2014

April 17, 2014

April 2, 2014

April 1, 2014

March 28, 2014

March 17, 2014

March 14, 2014

February 28, 2014

February 24, 2014

February 20, 2014

February 7, 2014

January 30, 2014

January 13, 2014

December 30, 2013

December 5, 2013

December 3, 2013

November 26, 2013

November 18, 2013

November 6, 2013

October 28, 2013

October 7, 2013

September 30, 2013

September 24, 2013

September 10, 2013

September 04, 2013

August 27, 2013

August 1, 2013

July 31, 2013

July 29, 2013

July 26, 2013

July 25, 2013

July 18, 2013

June 28, 2013

June 17, 2013

May 30, 2013

May 16, 2013

April 30, 2013

April 16, 2013

April 5, 2013

March 21, 2013

March 14, 2013

March 1, 2013

February 6, 2013

November 7, 2012

November 5, 2012

October 31, 2012

September 28, 2012

August 21, 2012

July 25, 2012

March 5, 2012



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