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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

January 19, 2023

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

December 15, 2022

The NYS R3.1 Edit Matrix, NYS R3.1 Element Requirement, and NYS eClaims EDI R3.1 Change Log have been updated and posted on the NY Requirement Tables - EDI R3.1 page. The updates summarized are on the Claims EDI R3.1 Change Log under items #345-351, and include updates to the following documents:

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

Read more about this update on the eClaims News Archive page.