Skip to Content

Workers’ Compensation Board

Search menu

Important Update on Workers' Compensation Board Operations (June 2021)

Language Assistance: (877) 632-4996 |

Language Access Policy | Español | Русский | Polski | 中文 | Italiano | Kreyòl ayisyen | 한국어 | বাঙালি | יידיש

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. 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

September 3, 2021

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

  • NYS R3.1 DN Reporting Specifics have been updated to include:
    • 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.

September 2, 2021

The following updates have published:

  • NYS R3.1 DN Reporting Specifics have been updated to include:
    • Removed reference to Reduced Benefit Amount Code value Z (Net to Zero)
    • Updated the second worksheet (Full Denial Reason Code Mapping) Row 2 to match R3.1 FAQ #14

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:

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

These updates will be presented at the September eClaims webinar.