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Workers’ Compensation Board

Information Related To Novel Coronavirus (COVID-19)

eClaims

eClaims Overview

The Board has adopted a national standard for Trading Partners to electronically submit employer claims data. The current standard is the International Association of Industrial Accident Boards and Commissions' (IAIABC) Claims Electronic Data Interchange (EDI) Release 3.1 (R3.1). There are six states that have adopted R3.1, and another seven states scheduled through 2022. The Board has targeted March 15, 2021 as the date Trading Partners will transition from R3.0 to R3.1 standard for submissions to New York State. In keeping with the IAIABC guidelines, the R3.1 tables and guides will be released on March 16, 2020. In preparation for the R3.1 upgrade, the IAIABC will be conducting Claims EDI Release 3.1 training from March 31, 2020 to April 1, 2020. This event will now be hosted virtually. Please visit the IAIABC website for registration information.

Most national carriers already utilize the R3.1 standard in the above jurisdictions. 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.

The Board continues to collaborate with Trading Partners in the workers' compensation industry to confirm 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 injured workers of New York and their employers.

Additional updates on the status of the Board's upgrade from R3.0 to the R3.1 standard will be on the eClaims website. If you would like to receive email notifications regarding eClaims updates, please sign up through WCB Notifications.

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

eClaims Release Versions

eClaims Administrator

The eClaims Administrator plays a vital role in establishing and maintaining Trading Partner access to eClaims tools and providing up-to-date contact information to the Board.

Process for Section 21-a and Claims Paid Without Liability

Current News

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:

  • Per IAIABC notification of 3/20/2020, WCIO has added a new Cause Code of 83 for Pandemic and a new Nature Code of 83 for COVID-19. The new Injury Description Tables may be found on the WCIO website at www.wcio.org. New York has added these codes to their Claims EDI tables for FROI reporting effective 3/25/2020, for DN0035 (Nature of Injury) Code and DN0037 (Cause of Injury) Code. Note: It is expected that FROI-02s are filed if FROIs have already been filed with incorrect Cause or Nature codes since the NY Element Requirement Table lists both of the data elements severity ranking "Y".
  • Effective 10/1/2020, new Population Restriction for DN0031 (Date of Injury) will be applied with Error 064 Invalid Data Relationship - Population Restriction E) Date of Injury (DN0031) year must be on or after 2019 if Nature of Injury (DN0035) is COVID-19 (83) or Cause of Injury (DN0037) is Pandemic.
  • Effective 10/1/2020, new Population Restriction for DN0290 (Type of Loss) will be applied with Error 064 Invalid Data Relationship - Population Restriction - Type of Loss (DN0290) must be Occupational Disease (02) if Nature of Injury (DN0035) is COVID-19 (83) or Cause of Injury (DN0037) is Pandemic (83).

February 19, 2020

  • The Workers' Compensation Board will host monthly webinars on the third Tuesday of every month from 2:00 p.m. - 3:00 p.m. EST.
  • The first one-hour webinar will be held on Tuesday, March 17, from 2:00 p.m. - 3:00 p.m.
  • Monthly webinars will cover:
    • What is changing from R3.0 to R3.1
    • How these changes will affect you
    • What to expect in the coming months
  • Invites will be distributed via email, and agendas will be provided to attendees prior to the webinar. You will also be able to see details and register at wcb.ny.gov/webinars.

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