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eClaims

eClaims is claim information reported by Claim Administrators through the First Report of Injury (FROI) and Subsequent Report of Injury (SROI) using the International Association of Accident Boards and Commissions (IAIABC) Electronic Data Interchange (EDI) standard.

Release Versions News

eClaims Overview

The Board is in the process of upgrading from the International Association of Industrial Accident Boards and Commissions' (IAIABC) Claims Electronic Data Interchange (EDI) Release 3.0 (R3.0) to the IAIABC's Claims EDI Release 3.1 (R3.1). The IAIABC's Claims EDI is a national standard for trading partners to electronically submit employer claims data. Currently, six states have adopted Claims EDI R3.1, with another seven states scheduled to adopt the standard by the end of 2022. The Board has targeted January 24, 2022, as the date by which trading partners must transition to Claims EDI R3.1 for submissions to New York State.

The original target date for this transition was March 15, 2021. The date change will allow the Board to perform an accurate and successful implementation of Claims EDI R3.1. As it has throughout the transition, the Board remains committed to data quality and the success of the upgrade.

In keeping with the IAIABC guidelines, the eClaims EDI R3.1 Requirement Tables and Implementation Guide are provided on the eClaims website. Please note that the Implementation Guide is currently being updated and will be re-posted soon. The Board is also conducting bi-monthly webinars to provide eClaims EDI R3.1 updates to trading partners. For more information, see the Trading Partners Webinars.

More about the project:

Most national insurance carriers already use the Claims EDI R3.1 standard in the jurisdictions that have adopted it. The technology is recognized as the national best practice for First Report of Injury/Subsequent Report of Injury (FROI/SROI) and has a proven track record of success. The Board continues to collaborate with trading partners in the workers' compensation industry to confirm that their electronic filings are accurate and meet the established 90% target acceptance rate. Electronic claims filing supports the Board's continuing effort to improve services to New York's injured workers and their employers.

Questions? Contact the eClaims team at eclaims31@wcb.ny.gov.

eClaims Release Versions

Process for Section 21-a and Claims Paid Without Liability

Latest eClaims News

April 20, 2021

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

  • Invites will be distributed via email, and agendas will be provided to attendees prior to the webinar. See more details and register at wcb.ny.gov/webinars.
  • If you have any questions, please contact us at eclaims31@wcb.ny.gov.

March 29, 2021

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

  • Claims EDI R3.1 Update
  • eClaims Recent News
  • eClaims Topics
    • WCIO Nature of Injury
    • Filing Suspensions Reminder
    • Claims EDI R3.1 Updated Documentation

March 16, 2021