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Workers’ Compensation Board

WCB Information Related To Novel Coronavirus (COVID-19)

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 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, and another seven states are scheduled for adoption through 2022. The Board has targeted March 15, 2021, for Trading Partners to transition from R3.0 of the standard to R3.1 for submissions to New York State.

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 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 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.

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 injured workers of New York and their employers.

Additional updates on the status of the Board's upgrade from Claims EDI R3.0 to R3.1 will be provided on this site. If you would like to receive email notifications regarding these updates, please sign up through WCB Notifications.

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

eClaims Release Versions

Process for Section 21-a and Claims Paid Without Liability

Current News

August 13, 2020

Subject Number 046-1319: The Publication of eClaims R3.1 Requirement Tables and the Implementation Date for Mandatory EDI Claims Reporting, is now available.

  • This Subject Number announces New York’s mandatory implementation of IAIABC Claims EDI 3.1 release, effective March 15, 2021.

August 11, 2020

A FROI/SROI-02 document has been updated and posted to the NY Requirements Table page. This document serves as a reference guide on how to submit a FROI/SROI 02.

The eClaims EDI R3.1 FAQs have also been updated with two new questions:

  • How do I accept a case after a FROI-04/SROI-04 has been submitted?
  • How do I update Denial Reason Codes (DN0198) and/or Denial Reason Narratives (DN0197) after a FROI-04/SROI-04 has been submitted?

August 4, 2020

The next monthly eClaims webinar will be held on Tuesday, August 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. 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.

June 29, 2020

The July 21 webinar slide deck and video recording are now available on the eClaims Presentation page. The Agenda for July's webinar included:

  • eClaims EDI R3.0 News
  • eClaims EDI R3.1 News
  • Payor Compliance Update