eClaims Overview
The Board has adopted a national standard for claim administrators to electronically submit employer claims data. The standard is the International Association of Industrial Accident Boards and Commissions' (IAIABC) Claims Electronic Data Interchange (EDI) Release 3.0. This electronic filing of claims data was implemented in phases, beginning in spring 2013, and provides timely, accurate, and credible electronic reporting.
More than 30 states currently use the IAIABC EDI standard for claim submissions. Most national carriers already utilize the standard in those 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 claim administrators in the workers' compensation industry to ensure that this transition to electronic filing is as seamless as possible. Electronic claims filing supports the Board's continuing effort to improve services to injured workers of New York and their employers. In fact, based on the experience of other states that have implemented the IAIABC standard, the Board anticipates that its adoption in New York will yield significant benefits.
The Board is supporting transparent and continuous two-way communications with all stakeholders impacted by this transition. As a first step, the Board's Office of Stakeholder Outreach and Education requested that insurance carriers, self-insurers and third-party administrators provide their departmental contact information. This contact information enhanced the Board's capacity to directly interact with appropriate individuals from these stakeholders.
For more information on the IAIABC Claims Release 3.0, please visit the EDI Implementation Guide section of the IAIABC website at: www.iaiabc.org 
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Questions can be directed to: eClaims@wcb.ny.gov
eClaims Recent News
October 18, 2018
- eClaims Change Log There was a clerical error made on the NYS eClaims Change Log wherein Item #’s 312, 314, 320, 321, 323, 324 and 325 were omitted on the version originally published on 9/14/2018, but published on previous versions of the eClaims change log.
- NYS DN Reporting Requirements document There was a typo made on the NYS DN Reporting Requirements document previously published on 9/14/2018. DN0074 (Claim Type Code) – the NYS Data Requirement was edited to remove “I” – Indemnity for Lost Time and we added “M” – Medical Only.
September 26, 2018
September 14, 2018
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eClaims Change Log eClaims tables have been updated.
The updates are summarized on the eClaims change log under Items #360-#362 and will be covered at the 9/25/2018 eClaims trading partner monthly webinar.All Claim Type Code and Agreement to Compensate Code changes that were previously announced to be effective 11/1/2018 will now be effective 1/1/2019. The updates are summarized on the eClaims change log under Items #360-#361. Also, FAQs for Data Element Reporting #4 and #17 have been modified to include the change in effective date. Population Restriction B on DN0075 (Agreement to Compensate Code) Error 064 is being modified effective 3/14/2019 to look at the earliest Benefit Payment Issue Date for all SROIs at the case level rather than just SROI-IPs from the Claim Administrator submitting the current transaction. Please see eClaims change log #362 summarizing this change. These changes will be covered at the next eClaims trading partner monthly webinar, which is scheduled for 9/25/2018. Please see the login information for this webinar posted at http://www.wcb.ny.gov/content/ebiz/eclaims/ConferenceCalls.jsp
August 22, 2018
- eClaims Change Log eClaims tables have been updated.
The updates are summarized on the eClaims change log under Items #356-#359 and will be covered at the 8/28/2018 eClaims trading partner monthly webinar.
July 20, 2018
- eClaims Change Log eClaims tables have been updated.
The updates are summarized on the eClaims change log under Items #341-#355 and will be covered at the 7/31/2018 eClaims trading partner monthly webinar.
June 29, 2018
April 13, 2018
- eClaims Change Log eClaims tables have been updated.
The updates are summarized on the eClaims change log under Items #329-#340 and will be covered at the 4/24/2018 eClaims trading partner monthly webinar.
April 11, 2018
- FAQs Data Element Reporting – Questions #3, #4 and #17 have been Revised
