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OnBoard will be temporarily unavailable for scheduled maintenance from 6:00 p.m. ET Thursday, October 6, 2022, through 7:00 a.m. ET Friday, October 7, 2022. Prior authorization requests with a due date of October 6, 2022 will be extended to October 7, 2022.

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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.

News

eClaims Overview

The Board has completed upgrading 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 R3.1 is a national standard for trading partners to electronically submit employer claims data.

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 percent 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 eclaims@wcb.ny.gov.

Process for Section 21-a and Claims Paid Without Liability

Latest eClaims News

September 15, 2022

The NYS R3.1 Edit Matrix, NYS eClaims EDI R3.1 Change Log, and NYS R3.1 Element Requirements, have been updated and posted on the NY Requirement Tables - EDI R3.1 page. The updates are summarized on the NYE eClaims EDI R3.1 Change Log under items #338-344, and include updates to the following documents:

  • NYS eClaims EDI R3.1 Change Log
  • NYS R3.1 Element Requirements
  • NYS R3.1 Edit Matrix

These updates will be presented at the October eClaims webinar and include the following new edits effective March 16, 2023:

  • Added 'L' to Error 111 in the DN Error Message table for DN0062, DN0086, DN0087, DN0093, DN0124, DN0129, DN0133, DN0134, DN0143, DN0174, DN0215, DN0218, DN0225, DN0286, DN0433, and DN0435 to the DN Error Message table. New Population Restriction Error 111 added for all Data Elements defined as amounts. If an amount value is sent on a Data Element that the Board has asked for, then the value must be greater than or equal to 0. No negative values will be accepted. Element Error Text: Value must be greater than or equal to 0. eClaims Change Log ID#342
  • Added and grayed out the X - Nonbinary and T - Self-reported Transgender values for DN00428 (Dependent Gender Code) on the Valid Value Table and the Valid Value Detail Page 2, since they are not applicable to NYS business rules. eClaims Change Log ID#344
  • Added the X - Nonbinary and T - Self-reported Transgender values for DN00053 (Employee Gender Code) on the Valid Value Table and the Valid Value Detail Page 2. Grayed out the T - Self-reported Transgender value since it is not applicable to NYS business rules. Will be accepting X - Nonbinary as of March 16, 2023. eClaims Change Log ID#339

August 25, 2022

The August and June webinar recordings and slide decks are now available on the eClaims Presentation page.

July 27, 2022

The next eClaims webinar will be held on Tuesday, August 16, 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 eclaims@wcb.ny.gov.