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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 implementation date has been postponed until later in 2021, but no earlier than October 2021, for Trading Partners to transition from R3.0 of the standard to R3.1 for submissions to New York State. An exact date will be communicated to Trading Partners as soon as possible.

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

January 6, 2021

R3.0 eClaims tables have been updated. The updates are summarized on the R3.0 eClaims change log under Items #402-403 announcing the following changes:

  • FROI Event Table for FROI-UR event criteria description has been modified effective 7/6/2021, to add a requirement that FROI is due on legacy cases with medical being paid.
  • A clerical change to Population Restriction on DN0075 (Agreement to Compensate Code) Error 064 (Invalid Data Relationship) has been made to match the coding that was implemented on 1/1/2019. The wording has been modified to read: This applies to "dates of accident on or after 1/1/2019" instead of "all dates of accident effective 1/1/19".

These changes will be covered at the 2/16/2021 eClaims trading partner webinar. Questions regarding these changes can be sent to eClaims@wcb.ny.gov.

December 9, 2020

The eClaims EDI R3.1 Change Log has been posted. The updates are summarized on the eClaims EDI R3.1 change log under Items #62-77, including:

  • NYS R3.1 Event Table
  • NYS R3.1 Element Requirements
  • NYS R3.1 Edit Matrix

These changes will be presented at the December 15, 2020, eClaims trading partner webinar. The Summary of Change 3.0 to 3.1, MTC Filing Instructions, and Chart of DN's triggered on 02 reference documents will be updated to reflect these table changes.

November 10, 2020

The next monthly eClaims webinar will be held on Tuesday, December 15, 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.

The R3.1 Sequencing Flow Document has been updated and posted on the New York Implementation Guide – R3.1 page. The document has been reformatted to improve the ease of use by Trading Partners.

The October 20 webinar slide deck and video recording are now available on the eClaims Presentation page. The Agenda for October’s webinar included:

  • eClaims EDI R3.1 News
  • eClaims Topics

October 22, 2020

The Summary of Changes 3.0 to 3.1 has been updated and posted on the New York Requirements Table page with the following modifications:

  • Element Requirement and Edit Matrix changes as stated in the eClaims Change Log (9/15/2020)
  • Reformatted to assist senders