eClaims

August 18, 2023

The August webinar recordings and slide decks are now available on the eClaims Presentation page.

August 1, 2023

The eClaims FAQ's were recently updated. Under the Appropriate MTC Filing section (eClaims Appropriate MTC Filing FAQ), question number 7 was removed as it was duplicative in nature.

The Data Element Reporting section (eClaims Data Element Reporting FAQ) had question number 5 updated.

July 28, 2023

The NYS R3.1 Edit Matrix, and NYS eClaims EDI R3.1 Change Log have been updated and posted on the NY Requirement Tables - EDI R3.1 page. These changes will be covered at the next eClaims Trading Partner Webinar.

The update is summarized on the Claims EDI R3.1 Change Log under item #371:

• Modified Population Restriction 0064-064 A) and 0064-064 B) by changing the applicable MTC from FROI-02 to 02

July 21, 2023

The Chart of DNs triggered on 02 has been revised on the NY Requirement Tables page.

This document was updated to match the changes published in the eClaims change log on 7/14/2023 under:

• ID#355 (DN0063 Wage Period Code)
• ID#359 (DN0193 Suspensions Effective Date and DN0418 Suspension Reason Code - Full)

July 14, 2023

The NYS R3.1 Event Table, NYS R3.1 Edit Matrix, NYS R3.1 Element Requirement, and NYS eClaims EDI R3.1 Change Log have been updated and posted on the NY Requirement Tables - EDI R3.1 page. These changes will be covered at the next eClaims Trading Partner Webinar.

The updates summarized are on the Claims EDI R3.1 Change Log under items #352-370, and include updates to the following documents:

• NYS eClaims EDI R3.1 Change Log
• NYS R3.1 Event Table
• NYS R3.1 Element Requirement
• NYS R3.1 Edit Matrix
• NYS MTC Filing Instructions posted at Implementation Guide - EDI R3.1

New edits will be implemented on 1/18/2024 as follows:

• ID#355 - DN0063 (Wage Period Code) Changed both the FROI-02 and SROI-02 Reportable Change Code for "Remove" to J.
• ID#356 DN0063 (Wage Period Code) added new Conditional Requirement for FROI-02
• ID#357 DN0064 (Number of Days Worked Per Week) Modified the FROI-02 and SROI-02 Reportable Change Code for “Add” and "Update from 'K' to 'J'.
• ID#361 Changed Severity Rankings on 40 Data Element on SROIs from NA to AR
• ID#360 and #362 Changed four Data Elements on SROI’s from NA to MC
• ID#369 Removed MTC SA from 0424-045 due to change in death dependents severity ranking change from NA to MC listed in Change Log ID#362

New edits will be implemented on 1/25/2024 as follows:

• ID#358 Added new DN0443 (Employee Email Address) to the FROI Element Requirement table.
• ID#368 DN0443 (Employee Email Address) Added L under Error 120 no embedded spaces and 121 no leading spaces.
• ID#370 DN0443 (Employee Email Address) New Population Restriction: DN0443-111 must be a valid e-mail that has an embedded at sign.
• ID#366 New Population Restriction for Error 111 will be added to all DN's identified as alpha/numeric.

May 19, 2023

Attention Trading Partners,

In lieu of holding a Trading Partner Webinar for the month of May, please see the pre-recorded May 2023 eClaims webinar.

April 6, 2023

A change to the processing of 02s was made on 3/16/2023 and announced at the 3/21/2023 eClaims Trading Partner Webinar. The NYS 02 reference Section 2b IIIA (Acceptance Method-Implementing Implied/Usable DNs/Non-Variable Segments) posted on the eClaims NY Requirement Tables - EDI R3.1 tables has been updated to reflect these changes.

Here is a summary of the changes:

• FTP filers brought to our attention that we were rejecting Change 02 transactions improperly.
• The IAIABC R3.1 Assumptions indicate that any data element that is marked as “X” or “NA” can be populated, if desired, but cannot be edited by the Jurisdiction. Since we are not editing, we are ignoring the data populated in the “X” and “NA” fields. If there was no MTC accepted where that data element had a severity ranking other than “X” or “NA” we were rejecting Change 02 transaction. Also, we were only looking at the accepted FROI MTCs if the transaction was a FROI-02 or accepted SROI MTCs if the transaction was a SROI-02.
• Modifications to the Change 02 processing was implemented on 3/16/2023 to recognize data for both FROI and SROI for the latest accepted value. We are now looking at both FROI and SROI MTCs where the data element had a severity ranking other than “X” or “NA”.
• There are 11 data elements that we will accept when an 02 is received for any of those data elements even if the only accepted MTC had a severity ranking of “X” or “NA”.

March 27, 2023

The March webinar recordings and slide decks are now available on the eClaims Presentation page.

February 10, 2023

The following documents have been updated and posted on the eClaims NY Requirement Tables - EDI R3.1 tables page:

• NYS Claims Release EDI 3.1 FROI/SROI Change 02 Requirements
• NYS FROI/SROI-02 Transaction Processing in Claims EDI R3.1

January 19, 2023

The January webinar recordings and slide decks are now available on the eClaims Presentation page.

December 15, 2022

The NYS R3.1 Edit Matrix, NYS R3.1 Element Requirement, and NYS eClaims EDI R3.1 Change Log have been updated and posted on the NY Requirement Tables - EDI R3.1 page. The updates summarized are on the Claims EDI R3.1 Change Log under items #345-351, and include updates to the following documents:

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

These updates were be presented at the August and October 2022 Trading Partner Webinars and will be reviewed again at the January 2023 Trading Partner Webinar.

• Added Capture Column per IAIABC Change Log Item ERT228 and indicated Y in the capture column for each data element with requirement codes more severe than "NA" and N in the capture column if the data element is not collected "NA"
• Changed the background color on the FROI ERT which are currently blank or filled with orange # to green @ per IAIABC Change Log Item ERT226.
• Per IAIABC Change Log Item ERT227 - Add a note under section: Reportable Change Codes: Used in MTC 02 Reportable Change columns labeled A (Add), U (Update), R (Remove) and D (Delete)
  Note: All code descriptions are based on the current Claim Administrator on the claim.
  Per IAIABC Change Log Item ERT223 Add to Legend: f (fatal Technical Variable Segment)
• Per IAIABC Change Log Item EM142 - Added a new column to these tables with the indication if each specific DN is 'On FROI, SROI, Both'.
• Clerical Edit. Updated DN0085-064 E)
  Was:
  E) If DER requires DN0083 (Permanent Impairment Body Part Code) for this MTC, then DN0078 (Number of Permanent Impairments) must not be 0.
  If DN0078 (Number of Permanent Impairments) is 0, and DN0085 (Benefit Type Code) is '020' or '030' or '040' or '090' or '530' or '540' or '590', then DN0078 (Number of Permanent Impairments) must be included in the Change Variable Segment.
  Now:
  E) If DN0078 (Number of Permanent Impairments) is 0, and DN0085 (Benefit Type Code) is '020' or '030' or '040' or '090' or '530' or '540' or '590', then DN0078 (Number of Permanent Impairments) must be included in the Change Variable Segment.
• Added “L” in 0012-111, 0021-111, 0048-111, 0121-111, 0165-111 due to 5 new Population Restriction in Change log item 351.
• Added 5 new Population Restrictions with Error Code 111 (Must be Valid Content) for the following DN’s:
  DN0121 Accident Site City
  DN0012 Claim Administrator City
  DN0048 Employee Mailing City
  DN0165 Employer Mailing City
  DN0021 Employer Physical City
• New Population Restriction:
  May only include a hyphen, apostrophe, period, or multiple words if contained in the city name. Cities with a numerical name must be spelled out
• Error 111 - Must be Valid Content
  May only contain characters listed in DP Rule

October 27, 2022

eClaims Data Submission - New FAQ #9 - What happens when a payer identifies an overpayment, but no payment is currently due to the claimant?

October 24, 2022

eClaims Reminders for Payers .

October 19, 2022

The October webinar recordings and slide decks are now available on the eClaims Presentation page.

September 15, 2022

The NYS R3.1 Edit Matrix, NYS eClaims EDI R3.1 Change Log, and NYS R3.1 Element Requirements, have been updated and posted on the NY Requirement Tables - EDI R3.1 page. The updates are summarized on the NYE eClaims EDI R3.1 Change Log under items #338-344, 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 October eClaims webinar and include the following new edits effective March 16, 2023:

• Added 'L' to Error 111 in the DN Error Message table for DN0062, DN0086, DN0087, DN0093, DN0124, DN0129, DN0133, DN0134, DN0143, DN0174, DN0215, DN0218, DN0225, DN0286, DN0433, and DN0435 to the DN Error Message table. New Population Restriction Error 111 added for all Data Elements defined as amounts. If an amount value is sent on a Data Element that the Board has asked for, then the value must be greater than or equal to 0. No negative values will be accepted. Element Error Text: Value must be greater than or equal to 0. eClaims Change Log ID#342
• Added and grayed out the X - Nonbinary and T - Self-reported Transgender values for DN00428 (Dependent Gender Code) on the Valid Value Table and the Valid Value Detail Page 2, since they are not applicable to NYS business rules. eClaims Change Log ID#344
• Added the X - Nonbinary and T - Self-reported Transgender values for DN00053 (Employee Gender Code) on the Valid Value Table and the Valid Value Detail Page 2. Grayed out the T - Self-reported Transgender value since it is not applicable to NYS business rules. Will be accepting X - Nonbinary as of March 16, 2023. eClaims Change Log ID#339

August 25, 2022

The August and June webinar recordings and slide decks are now available on the eClaims Presentation page.

July 27, 2022

The next eClaims webinar will be held on Tuesday, August 16, 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. See more details and register at wcb.ny.gov/webinars.
• If you have any questions, please contact us at eclaims@wcb.ny.gov.

June 30, 2022

The following Reference Documents have been updated and are available on the NY Requirement Tables - EDI R3.1 and Implementation Guide page.

• NYS R3.1 DN Reporting Specifics
  • Form Change from C8.1 to C8.1B
• NYS FROI-SROI 02 Transaction Processing in Claims EDI R3.1
  • Example updated on Page 5
• R3.1 NYS MTC Filing Instructions
  • Form Change from C8.1 to C8.1B

June 22, 2022

eClaims Change Log: Element Requirement Table, Change Log, Edit Matrix-Population Restriction Table, Event Table and 02 chart. The updates are summarized on the eClaims Change Log under Items ID#321-337 posted on the NY Requirement Tables - EDI R3.1 page.

• Effective 12/15/2022, EDI 3.1 FROI/SROI Change 02 Chart has been updated 0031 I to J (Update),0146 and 0290 I to K (Add/Update/Remove), 0204 and 0205 K to J (Add/Update/Remove) and the abbreviation key has been updated to add J - "Required change on SROI if accepted; otherwise, change on FROI".
• Effective 06/22/2022, removed SROI-ER event for Z = Net to Zero.
• Effective 12/15/2022, modified the FROI-02 and SROI-02 Reportable Change Codes for Update from 'I' to 'J' on DN0031 (Date of Injury).
• Effective 12/15/2022, modified the FROI-02 and SROI-02 Reportable Change Codes for Add, Update and Remove from 'I' to 'K on DN0146 (Death Result of Injury Code) and DN0290 (Type of Loss Code).
• Effective 12/15/2022, modified the FROI-02 and SROI-02 Reportable Change Codes for Add, Update and Remove from 'K' to 'J on DN0204 (Work Week Type Code) and DN0205 (Work Days Scheduled Code).
• Effective 06/22/2022, clerical update made to Industry Code 0025-111
• Effective 05/19/2022, update element error text on Date of Injury (DN0031-064 I).
• Effective 12/15/2022, modified Population Restrictions for Date of Injury Code (0031-064 F), 0031-031 G) and 0031-064 H) by changing the applicable MTC from FROI-02 to 02.
• Effective 12/15/2022, relaxed Population Restriction for Date of Injury Code (0031-064 I).
• Effective 05/19/2022, relaxed Population Restriction for Part of Body Injured Code (DN0036-064 B) to exclude 10 (Multiple Head Injury) and 20 (Multiple Neck Injury).
• Effective 05/19/2022, update element error text on Date Claim Administrator Had Knowledge of Injury (DN0041-064 B).
• Effective 06/22/2022, clerical update to element error text on Benefit Credit Code (DN00126-064 A) by adding "both".
• Effective 12/15/2002, modified Population Restrictions for Death Result of Injury Code (0146-064 D), 0146-064 E) and 0146-064 F) by changing the applicable MTC on 0146-064 D) and 0146-064 F) from 02 to FROI-02 and 0146-064 E) from SROI-02 to FROI-02.
• Effective 4/29/2022, clerical update made to the element error text for Employee ID Assigned by Jurisdiction (DN0154-117).
• Effective 12/15/2002, modified Population Restrictions for Work Week Type Code (0204-064 A), 0204-064 B) and 0204-064 C) by changing the applicable MTC from FROI-02 to 02.
• Effective 12/15/2002, modified Population Restriction for Type of Loss Code (0290-064 A).
• Effective 12/15/2002, modified Population Restrictions for Type of Loss Code (0290-064 B). Changed the applicable MTC on 0290-064 B) from 02 to FROI-02 and removed DN0040 (Date Employer Had Knowledge of the Injury) and DN0041 (Date Claim Administrator Had Knowledge of Injury) from the Population Restriction.

These updates will be presented at the August eClaims Trading Partner Webinar.

April 28, 2022

The April webinar recording and slide deck is now available on the eClaims Presentation page.

April 18, 2022

An update to DN0059 (Manual Classification Codes) has been posted to the Board's website.

April 5, 2022

The Net to Zero (NTZ) Training is now available.

These updates will be presented at the April eClaims webinar.

The April eClaims webinar will be held on Tuesday, April 19, 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. See more details and register at wcb.ny.gov/webinars.
• If you have any questions, please contact us at eclaims@wcb.ny.gov.

March 23, 2022

The NYS R3.1 Event Table, NYS R3.1 Edit Matrix, and Claims EDI R3.1 Change Log have been updated and posted on the NY Requirement Tables - EDI R3.1 page.

March 15, 2022

The NYS R3.1 Element Requirements, NYS R3.1 Event Table, NYS R3.1 Edit Matrix, and Claims EDI R3.1 Change Log have 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 #290-320.

These updates will be presented at the April eClaims webinar.

February 24, 2022

The next eClaims webinar will be held on Tuesday, April 19, 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. See more details and register at wcb.ny.gov/webinars.
• If you have any questions, please contact us at eclaims@wcb.ny.gov.

January 28, 2022

The next bimonthly eClaims webinar will be held on Tuesday, February 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. See more details and register at wcb.ny.gov/webinars.
• If you have any questions, please contact us at eclaims@wcb.ny.gov.

December 29, 2021

The December webinar recording and slide deck is now available on the eClaims Presentation page. The Agenda for December's webinar included:

• eClaims Recent News
• eClaims Topics

The next eClaims webinar will be held on Tuesday, January 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. See more details and register at wcb.ny.gov/webinars.
• If you have any questions, please contact us at eclaims31@wcb.ny.gov.

December 9, 2021

The Chart of DNs Triggered by 02 has been revised. These changes will be shared during the December trading partner webinar.

December 8, 2021

The Claims EDI R3.1 Web Data Entry (WDE) job aid is now available. This resource can be used to help trading partners that are registered to use the WDE tool.

The eClaims R3.1 Implementation Guide Forms Zip File and PDF naming conventions - Section 3.6.1 has been updated to match the current naming conventions of files that are returned to trading partners.

The November webinar recording and slide deck is now available on the eClaims Presentation page. The Agenda for November's webinar included:

• eClaims Recent News
• eClaims Topics

December 1, 2021

eClaims FAQ Periodic Reports - "When is the periodic report due?" has been revised.

November 23, 2021

The next eClaims webinar will be held on Tuesday, December 21, 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. See more details and register at wcb.ny.gov/webinars.
• If you have any questions, please contact us at eclaims31@wcb.ny.gov.

November 3, 2021

The SROI-SA reference document is now available on the Implementation Guide - R3.1 page. This document shows the distinct scenarios for SROI-SA transactions.

The SROI-SA reference document will be reviewed during the upcoming November monthly trading partner webinar. To register for November's webinar, please visit the Board's upcoming webinars page.

October 29, 2021

The NYS R3.1 Element Requirements, NYS R3.1 Event Table, NYS R3.1 Edit Matrix, and Claims EDI R3.1 Change Log have 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 #244-289.

These updates will be presented at the November eClaims webinar.

October 27, 2021

The October webinar recording and slide deck is now available on the eClaims Presentation page. The Agenda for October's webinar included:

• eClaims Recent News
• eClaims Topics
• A demonstration of the Claims EDI R3.1 changes to the Web Data Entry application

The next eClaims webinar will be held on Tuesday, November 16, 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. See more details and register at wcb.ny.gov/webinars
• If you have any questions, please contact us at eclaims31@wcb.ny.gov

October 8, 2021

The September webinar recording and slide deck is now available on the eClaims Presentation page. The Agenda for September's webinar included:

• eClaims Recent News
• eClaims Topics
• A demonstration of the Claims EDI R3.1 changes to the Web Data Entry application

September 22, 2021

The rescheduled eClaims webinar will be held on Tuesday, September 28, 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. See more details and register at wcb.ny.gov/webinars.
• If you have any questions, please contact us at, eclaims31@wcb.ny.gov.

September 22, 2021

The EDI R3.1 eClaims Implementation Guide has been revised and posted on the Implementation Guide page. The changes include:

• New Revisions section on page 2. This section will be updated when future changes are published.
• Update to the eClaims Implementation Plan and Training - Section 3.1 to change the "to" date for testing from January 14, 2022, to January 7, 2022.
• Update to the Test Plan for Flat Filers - Section 3.7 to include information regarding the availability for the eClaims Inquiry application test transactions to view accepted/rejected transactions using the FROI/SROI transaction search, as well as Error Reports, as described on the Inquiry Overview page in the eClaims section of the Board's website.
• Update to the Test Plan for Flat Filers - Section 3.7 and eClaims Web Data Entry Testing and Instructions - Section 3.12 to remove references to DN0202 (Reduced Benefit Amount Code) = Z (Net to Zero).
• Update to the Moving from Test Completion to Production Status - Section 3.8 to state that test files can continue to be sent until January 7, 2022.

September 21, 2021

Due to technical issues the September eClaims Monthly webinar scheduled for 2:00pm today has been cancelled. The webinar will be rescheduled for Tuesday, September 28, 2021 at 2:00pm EST. An email will be sent later this week to all webinar registrants to confirm the new date, time, and WebEx link. We apologize for the inconvenience this may have caused and do not hesitate to contact us with any questions.

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.

August 26, 2021

The following updates have published:

• The R3.1 Transaction Reports have been added to the eClaims homepage. Claim administrators should review these reports in preparation for the R3.1 implementation.
• The NYS R3.1 MTC Filing Instructions have been updated.
• The Summary of Changes 3.0 to 3.1 document has been moved to the new EDI R3.1 Archive page. All future updates will be available in the NYS eClaims EDI R3.1 Change Log (MS Excel).
• The August webinar slide deck is now available on the eClaims Presentation page. The Agenda for August's webinar included:
  • eClaims Recent News
  • Claims EDI R3.0 Updates and Reminders
  • Claims EDI R3.1 Change Log Updates

August 3, 2021

The 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 #230-235, and include previous updates to the following documents:

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

These updates were published on March 8, 2021 but were omitted from the change log at that time.

July 30, 2021

The next eClaims webinar will be held on Tuesday, August 17, 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. See more details and register at wcb.ny.gov/webinars.
• If you have any questions, please contact us at eclaims31@wcb.ny.gov.

July 23, 2021

The 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 #166-229, and include updates to the following documents:

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

These changes will be presented at the August 17, 2021 eClaims trading partner webinar.

Additionally, the July webinar slide deck is now available on the eClaims Presentation page. The Agenda for July's webinar included:

• eClaims Recent News
• FROI/SROI-02 Reference Documents
• NYS FROI/SROI-02 Transaction Processing in Claims EDI R3.1

July 2, 2021

The June webinar slide deck is now available on the eClaims Presentation page. The Agenda for June's webinar included:

• eClaims Recent News
• eClaims Topics

June 22, 2021

The next eClaims webinar will be held on Tuesday, July 20, 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. See more details and register at wcb.ny.gov/webinars.
• If you have any questions, please contact us at eclaims31@wcb.ny.gov.

May 24, 2021

The May webinar slide deck is now available on the eClaims Presentation page. The Agenda for May's webinar included:

• eClaims Recent News
• eClaims Topics
• EDI R3.1 eClaims Implementation Guide

May 19, 2021

The Claims EDI R3.1 NYS Claims Release EDI R3.1 FROI/SROI Change 02 Required has been revised and posted on the New York Requirements Table page. The update includes additional information in preparation for the Claims EDI R3.1 upgrade.

May 14, 2021

The next eClaims webinar will be held on Tuesday, June 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. See more details and register at wcb.ny.gov/webinars.
• If you have any questions, please contact us at eclaims31@wcb.ny.gov.

April 27, 2021

The Claims EDI R3.1 Implementation Guide has been revised and posted on the Implementation Guide page. The update includes additional information in preparation for the Claims EDI R3.1 upgrade, and has been reformatted for ease of use by Trading Partners.

Additional information will be provided during the next eClaims webinar on Tuesday, May 18, from 2:00 p.m. – 3:00 p.m. Registration is available at wcb.ny.gov/webinars.

April 20, 2021

The next eClaims webinar will be held on Tuesday, May 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. See more details and register at wcb.ny.gov/webinars.
• If you have any questions, please contact us at eclaims31@wcb.ny.gov.

March 29, 2021

The March webinar slide deck is now available on the eClaims Presentation page. The Agenda for March's webinar included:

• Claims EDI R3.1 Update
• eClaims Recent News
• eClaims Topics
• WCIO Nature of Injury
• Filing Suspensions Reminder
• Claims EDI R3.1 Updated Documentation

March 16, 2021

The NYS FROI-SROI 02 Transaction Processing in Claims EDI R3.1 document has been updated, and available on the NY Requirements Tables – EDI R3.1 page.

March 8, 2021

The 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 #78-165, and include updates to the following documents:

• NYS R3.1 Event Table
• NYS R3.1 Element Requirements
• NYS R3.1 Edit Matrix
• NYS FROI-SROI 02 Transaction Processing in Claims EDI R3.1

These changes will be presented at the March 16, 2021 eClaims trading partner webinar. Updates to the NYS FROI-SROI 02 Transaction Processing in Claims EDI R3.1 document are pending, but will be updated prior to the March 16, 2021 webinar.

March 8, 2021

As posted in Revised Subject Number 046-1319, the implementation date for the Claims EDI R3.1 upgrade has been changed to January 24, 2022. As a result, testing will now be conducted from October 8, 2021 to January 10, 2022.

Additional information will be provided during the bi-monthly Claims EDI R3.1 webinars. If you have questions, please contact us at eclaims31@wcb.ny.gov.

March 2, 2021

The next eClaims webinar will be held on Tuesday, March 16, 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. See more details and register at wcb.ny.gov/webinars.
• If you have any questions, please contact us at eclaims31@wcb.ny.gov.

February 19, 2021

The February webinar slide deck is now available on the eClaims Presentation page. Due to technical difficulties, a recording of the February 16, 2021 webinar is unavailable. The Agenda for February's webinar included:

• eClaims Recent News
  • Claims EDI R3.0 Change Log Update
  • December 2020 Webinar Posted
• eClaims Topics
  • Claims EDI R3.0 Change Log Update Details
  • SROI-AC
  • SROI-UR
  • Cancel Reason Codes
• Claims EDI R3.1 Update

February 18, 2021

Update to MTC Filing Instructions - Added an additional statement to the note to coincide with the new event for ID's #40 and #41 – "If a Claim was not in the Legacy File and there is continuing medical and/or indemnity aa FROI-00 may be filed in lieu of a FROI-UR." This is an R3.0 change for the reference document to match the Event Table change that was published on 1/6/2021, to become effective on 7/6/2021.

February 1, 2021

The next monthly eClaims webinar will be held on Tuesday, February 16, 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. See more details and register at wcb.ny.gov/webinars.
• If you have any questions, please contact us at eclaims31@wcb.ny.gov.

January 6, 2021

R3.0 eClaims tables have been updated.

• 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

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

• Claims EDI R3.1 News
  • Introducing OnBoard
  • Implementation Update
  • Reference Document Updates
• eClaims Topics
  • Claims EDI R3.1 Change Log Updates
  • Reminder: Future eClaims Webinars

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

October 19, 2020

Additional time will be required to accurately implement Claims EDI R3.1. As a result, the Board has decided our March 15, 2021 implementation date will be postponed until later in 2021, but no earlier than July 2021. This extension will allow the Board to perform an accurate and successful implementation of Claims EDI R3.1, while providing additional time for all Trading Partners to complete preparations for the R3.1 transition.

The new go-live date will be communicated as soon as possible. If you have questions, please email eclaims31@wcb.ny.gov.

October 19, 2020

The Chart of DNs Triggered on 02 has been revised on the New York Requirements Table page with the following modifications:

• Removed the Accident/Injury Description Narrative (DN0038) as deletes on this data element are not allowed, as stated in the eClaims Change Log (9/15/2020) under ID#27
• Reformatted to assist senders

October 8, 2020

The following Requirement Tables have been updated:

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

More information will be provided during the October 20 eClaims webinar. If you have any questions, please contact us at eclaims31@wcb.ny.gov.

In addition, the September 15 webinar slide deck and video recording are now available on the eClaims Presentation page. The Agenda for September’s webinar included:

• eClaims EDI R3.0 News
• eClaims EDI R3.1 News
• IAIABC Table Changes
• eClaims EDI R3.1 Change Log
• eClaims EDI R3.0 to R3.1 Cutover Dates

September 28, 2020

The next monthly eClaims webinar will be held on Tuesday, October 20, 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.

September 15, 2020

In preparation for the upcoming eClaims EDI R3.1 upgrade, the following Requirement Tables have been updated:

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

Additional information will be provided during the eClaims webinars held monthly. If you have any questions, please contact us at eclaims31@wcb.ny.gov.

August 28, 2020

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

August 28, 2020

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

August 26, 2020

The August 18 webinar slide deck and video recording are now available on the eClaims Presentation page. The Agenda for the August webinar included:

• eClaims EDI R3.1 News
• eClaims EDI R3.1 Topics

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 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 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.

July 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

July 8, 2020

Trading Partner onboarding for the eClaims EDI R3.1 upgrade will be held from November 16, 2020 through February 27, 2021. It is important to begin testing as early as possible in order to receive approval to begin production on March 15, 2021. More information will be shared at the monthly eClaims trading partner webinars.

Information on testing can be found in the eClaims EDI R3.1 Implementation Guide:

• Flat Filers – Section 3.7
• Web Data Entry – Section 3.12

June 30, 2020

The eClaims EDI R3.1 FAQs has been updated with four new questions:

• If we are reporting an overpayment on a SROI-02, do we also have to file a Request for Further Action by Carrier/Employer (Form RFA-2) requesting reimbursement?
• If we previously submitted a SROI-02 reporting an overpayment and are required to file Form RFA-2 if we want reimbursement, do we have to file another SROI-02 at the same time that Form RFA-2 is filed?
• Can we submit Form RFA-2 requesting that the overpayment be addressed without filing a SROI-02 reporting the overpayment?
• Can more than one update on a Change-02 still be submitted?

June 26, 2020

The eClaims EDI R3.1 Change Log has been updated with the following changes:

• #8, #14, #21: Fixed a typo
• #19 & #20: Added the Population Restriction text from the Edit Matrix

June 22, 2020

The next monthly eClaims webinar will be held on Tuesday, July 21, 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 18, 2020

The June 16 webinar slide deck and video recording are now available on the eClaims Presentation page. The Agenda for June’s webinar included:

• eClaims EDI R3.0 News
• eClaims EDI R3.1 News
• eClaims EDI R3.1 Change Log

June 12, 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 #1-24, including:

• NYS R3.1 Event Table
• NYS R3.1 Element Requirements
• NYS R3.1 Edit Matrix
• NYS R3.1 DN Reporting Specifics
• Chart of DNs triggered on 02
• Summary of Changes 3.0 to 3.1

June 1, 2020

The next monthly eClaims webinar will be held on Tuesday, June 16, 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.

May 21, 2020

The May 19, 2020 eClaims Trading Partner Monthly Webinar slide deck and video recording are now available on the eClaims Presentation page.

May 13, 2020

The May 7 webinar slide deck and video recording are now available on the eClaims Presentation page.

May 12, 2020

eClaims FAQ   "Claims EDI R3.1" Frequently Asked Questions (FAQs) are now available.

April 29, 2020

A webinar to inform Trading Partners on important updates with the upcoming R3.1 upgrade will be held on Tuesday, May 19, from 2:00 p.m. - 3:00 p.m.

Please note, this presentation will be different from the May 7 webinar, as this will focus on project updates.

See details and register at wcb.ny.gov/webinars.

April 28, 2020

eClaims FAQ   Data Element Reporting - #19 has been revised to clarify when letter/correspondence must be filed/submitted.

April 23, 2020

The April webinar slide deck and video recording are now available on the eClaims Presentation page. The webinars and recordings will be posted on the Presentations page each month.

April 22, 2020

A NYS EDI Claims Release 3.1 Training webinar will be held on Thursday, May 7, from 1:00 p.m. - 3:00 p.m.

During this two-hour webinar, our eClaims team will be presenting specifics on the R3.1 implementation scheduled for March 15, 2021.

See details and register at wcb.ny.gov/webinars.

April 06, 2020

eClaims Change Log  The Edit Matrix-Population Restriction Table has been updated. The update is summarized on the eClaims R3.0 change log under Item #401 announcing the following change:

• Type of Loss (DN0290) Error 064 Invalid Data Relationship - must be Occupational Disease (02) if Nature of Injury (DN0035) is COVID-19 (83) or Cause of Injury (DN0037) is Pandemic (83) as previously announced under ID #400 on 3/26/2020 will not be implemented on 10/1/2020.

April 3, 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, April 21, 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.

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).

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.

December 17, 2019

• As a part of the New York State Workers' Compensation Board's Business Process Re-engineering (BPR) & Modernization Program, we will be upgrading our current eClaims EDI platform to the International Association of Industrial Accident Boards and Commissions (IAIABC) Claims EDI standard R3.1, effective March 15, 2021.
• The IAIABC has scheduled Claims EDI R3.1 training in Syracuse, NY from March 31, 2020 to April 1, 2020. If you are interested in attending, please visit the IAIABC website.
• The R3.1 tables and guides are scheduled to be made available on March 16, 2020. If you have any questions or comments, please contact us at eclaims31@wcb.ny.gov.
• If you would like to receive email notifications regarding eClaims updates, please sign up through WCB Notifications.

December 12, 2019

• EDI Compliance Reminder: It has recently come to the Board's attention that compliance with EDI mandate may not be 100%, especially in instances where there are ongoing payments in closed cases. The Board has created and sent a reminder to Claim Administrators to ensure that the appropriate FROI/SROI transaction is filed in every case in which there is a current, ongoing payment. This reminder extends to all cases regardless of their age or status (open or closed) with the Board. View the complete reminder with more information here: EDI Compliance Reminder

December 06, 2019

• eClaims Change Log  Reference document, Edit Matrix Table has been updated
  The updates are summarized on the eClaims change log under Item #397 announcing the following changes:
• DN0075 (Agreement to Compensate Code) – Relaxed the Population Restriction 0075-064B and 0075-064C noting that these edits will not be applied if DN0059 (Manual Classification Code) has been accepted as 7711 or 7370.

December 04, 2019

• FAQs  Data Element Reporting - New FAQ #19
  How do I reference a document on a SROI-CB or SROI-CA in compliance with 12 NYCRR 300.23(a) since these transactions do not allow a narrative field in IAIABC Claims EDI R3.0?

November 1, 2019

• eClaims Change Log  Reference documents, Edit Matrix and SROI Data Element Requirements Table, have been updated
  The updates are summarized on the eClaims change log under Items #394-396 announcing the following changes:
• Added new DN0059 (Manual Classification Codes) New codes added in accordance to NYCIRB's addition of new Manual Classification Codes.
• DN0056 (Initial Date Disability Began) – Modified the Technical Condition to include DN0074 (Claim Type Code) of P (Indemnity with No Lost Time Beyond the Waiting Period). This would require Claim Administrators to send the Initial Date Disability Began anytime there is lost time, be it one day or more, on a SROI.
• DN0192 (Benefit Payment Issue Date) – Modified the Population Restriction 0192-044 to include the SROI-Sx. This would limit the Benefit Payment Issue Date from listing a future date of more than four days from the filing of the Suspension.
• Process for Section 21-a and Claims Paid Without Liability has been updated to add information regarding FROI can end §21a status and indicate an acceptance of a case.

October 1, 2019

• Quarterly webinar to be held December 17, 2019

September 20, 2019

• The eClaims Inquiry application has been expanded to include the ability for Flat File (FTP) Trading Partners (Senders) to view their FTP acceptance rate performance to determine if they are meeting the 90% acceptance rate target as stated in the eClaims Implementation Guide Part 3.9. Information regarding the chart and reports is located at http://www.wcb.ny.gov/content/ebiz/eclaims/Registration/InqOverview.jsp.

September 4, 2019

• eClaims Change Log  Reference documents and SROI-PY Event Table have been updated.
  The updates are summarized on the eClaims change log under Items #386-393 announcing the following changes:
• eClaims Refresher Training for Claim Administrators Power Point updated to include current Quick Code Reference list and Adjustments, Credits, and Redistributions slide to include that we now accept all three Benefit Credit Codes (DN0126) including M - Credit for Employer Provided Benefits in Excess of Covered Weekly Benefit.
• SROI-PY note added on Event Table, MTC Filing Instructions and eClaims Refresher Training for Claim Administrators Power Point to include an example in the description in regards to a more appropriate MTC should be filed instead of the SROI-PY. For example, an award made for an 8 week period of lost time, send SROI-IP followed by a SROI-Sx.
• All SROI-Sx NYS Business Scenarios updated to include a note to clarify that a SROI-SJ should be sent if paying pursuant to 21-a, regardless of reason for suspension. Note: If paying pursuant to 21-a, Claim Administrator should send SROI-SJ.

August 13, 2019

• eClaims Change Log  eClaims tables have been updated.
  The updates are summarized on the eClaims change log under Items #379-385 announcing the following changes:
• DN0029 (Policy Effective Date) – Relaxed existing condition effective 7/19/19 on FROI 00/AU/04/UR per request by a Claim Administrator. This data element will no longer be required unless Insured Type Code = I (Insured). All other conditions remain unchanged.
• DN0056 (Initial Date Disability Began) - Relaxed conditional requirement effective 8/2/19 to include BTC 090 (Permanent Partial Disfigurement). The business reason for this change is an issue that was raised by a Claim Administrator for reporting issues on a facial disfigurement case with no lost time. All other conditions remain unchanged.
• DN0126 (Benefit Credit Code) – Began accepting M = Credit for Employer Provided Benefits in Excess of Covered Weekly Benefit effective 7/19/19 based on a request from a Claim Administrator. A Notice of Decision was issued on a file for a credit to employer for holiday pay. It was agreed that this code would be the most appropriate method of reporting this type of credit.
• DN0192 (Benefit Payment Issue Date) – New edit will be applied effective 2/14/2020 to the SROI-Sx and RB when BTC = 0xx in the same manner that this edit is applied today for MTC’s AP, IP, and PY.

These changes will be covered at the 9/24/19 eClaims trading partner webinar. Questions regarding these changes can be sent to eClaims@wcb.ny.gov

August 09, 2019

• FAQs  Appropriate MTC Filing - New FAQ #7
  What MTC should I send if we are paying the claimant under 21-a and we want to suspend payments?

July 12, 2019

• eClaims Change Log  eClaims tables have been updated.
  The updates are summarized on the eClaims change log under Items #371-378 announcing the following changes:
• FROI Event Table for FROI-02 event criteria description clarified from "on or after 1/1/19" to "all" dates of accident when DN0075 (Agreement to Compensate Code) changes from Without Liability to With Liability. This change is also noted on the mailing requirements page at http://www.wcb.ny.gov/content/ebiz/eclaims/PrintReports.jsp
• FROI Event Table for FROI-UR - Added link to legacy procedure located at http://www.wcb.ny.gov/content/ebiz/eclaims/ImpGuide/NYLegacyClaimTransitionToEDI.pdf for clarification
• SROI Event Table for SROI-CD/EP/ER/PD/RB - Removed the term "event" from disability in the criteria description as SROIs are due from disability. Only FROIs and Denials are due from disability events. Note: The MTC Filing Instructions reference document IDs #2 SROI-IP, #3 SROI-EP, #10 SROI-PD were also updated with this information.

These changes will be covered at the 9/24/19 eClaims trading partner webinar. Questions regarding these changes can be sent to eClaims@wcb.ny.gov

June 27, 2019

• Quarterly Webinar 3rd Quarter

May 28, 2019

• Process for Section 21-a and Claims Paid Without Liability has been updated to add information regarding Volunteer Claims, Section 50 not 21-A.

April 1, 2019

• Training  The eClaims Refresher Training for Claim Administrators PowerPoint has been updated to reflect the changes made to Claim Type Code and Agreement to Compensate Code effective 1/1/19. The revised slide deck includes updated screen shots for slides 20, 54 and 83; a new slide (slide 89) for the Web Data Entry application login and username/password reset; and an update to slide 10 to reflect changes to the severity rankings made in 2016.
• Archive  Training: Course 101, Course 201, Course 301 and the Compilation of the training materials for Claim Administrator Claim Adjusters moved to the eClaims Archive.
• Archive  Presentation: eClaims for Claimant and Carrier Representatives July-September 2014 moved to the eClaims Archive.

March 27, 2019

• Monthly Webinars Scheduled for April - June 2019.

March 20, 2019

• FAQs  Appropriate MTC Filing - #8 has been revised to clarify how to accept a claim after a FROI/SROI-04 has been filed.

March 5, 2019

• FAQs  Appropriate MTC Filing #1 and #2 and Data Element Reporting #8, #10, #13 and # 15 have been revised to include an updated link for the NYS Business Scenarios.

February 26, 2019

• FAQs  Data Element Reporting – Question #3 has been revised.

February 15, 2019

• eClaims Change Log  eClaims tables have been updated.
  The updates are summarized on the eClaims change log under Items #365-370.

  Announce relaxed edits implemented in January 2019 for DN0072 (Latest Return to Work Status Date), DN0075 (Agreement to Compensate Code), DN0144 (Current Date Disability Began), DN0145 (Current Date Last Day Worked), and DN0276 (Number of Denial Reason Narratives). These changes will be covered at the 2/26/2019 eClaims trading partner monthly webinar.

February 6, 2019

• Process for Section 21-a and Claims Paid Without Liability has been updated to add information regarding how to avoid losing 21-A status.

January 18, 2019

• Process for Section 21-a and Claims Paid Without Liability

January 8, 2019

• eClaims Change Log  eClaims tables have been updated.
  The updates are summarized on the eClaims change log under Items #363-#364.

  Announcing a new SROI-PY event for interest due to claimant and a relaxed edit on Claim Type Code (DN0074) to allow Claim Type Code = P (Indemnity with No Lost Time Beyond Waiting Period) on SROI-AP/IP/Sx.

December 20, 2018

• Monthly Webinars Scheduled for January - March 2019.

December 19, 2018

• FAQs  Appropriate MTC filing – Question #9 has been revised.

December 13, 2018

• eClaims Change Log  Correction made on the NYS eClaims Change Log to Item #343 changing “Notification of an Incident Only” to “Without Liability” and that this applies to the SROI-02 as well as the FROI-02.
• MTC Filing Instructions   Correction made on the MTC Filing Instructions to ID #36 changing “Notification of an Incident Only” to “Without Liability” and that this applies to the SROI-02 as well as the FROI-02.

November 9, 2018

• eClaims Change Log  There was a clerical error made on the NYS eClaims Change Log published 10/18/18. The descriptions of change on Item #’s 326 & 327 have been restored to their previous versions originally published on 9/14/2018.

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

• Monthly Webinars Scheduled for October - December 2018

September 14, 2018

• 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

• Monthly Webinars Scheduled for July - September 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

March 29, 2018

• Monthly Webinars Scheduled for April - June 2018

January 12, 2018

• eClaims Change Log  eClaims tables have been updated.
  The updates are summarized on the eClaims change log under Items #320-#328 and will be covered at the 1/30/2018 eClaims trading partner monthly webinar.

November 30, 2017

• Monthly Webinars Scheduled for January - March 2018

November 14, 2017

• FAQs  Periodic Reports - Question #2 has been revised.
  SROI-SAs are not due on controverted claims.

November 6, 2017

• eClaims Change Log  eClaims tables have been updated.
  The updates are summarized on the eClaims change log under Items #303-#319 and will be covered at the 11/28/2017 eClaims trading partner monthly webinar.

October 25, 2017

• FAQs  Data Element Reporting – Question #16 Revised
  How do I file a SROI when I am paying intermittent lost time?

October 2, 2017

• Monthly Webinars Scheduled for October - November 2017

September 25, 2017

• eClaims Change Log  eClaims tables have been updated.
  The updates are summarized on the eClaims change log under Items #290-#302 which removes Edit 0124-064 that was previously listed on the eClaims change log that had been published on 9/15/17.

September 15, 2017

• eClaims Change Log  eClaims tables have been updated.
  The updates are summarized on the eClaims change log under Items #290-#304.

July 14, 2017

• eClaims Change Log  eClaims tables have been updated.
  The updates are summarized on the eClaims change log under Items #281-#289.

June 29, 2017

• Monthly Webinars Scheduled for July - September 2017

May 2, 2017

• Monthly Webinars Scheduled for May - June 2017

April 7, 2017

• Transaction Report for Mailing to Parties  New Sample FROI and SROI zip file effective 04/7/2017.
  See eClaims change log #276 for more details.

April 7, 2017

• eClaims Change Log  eClaims tables and reference documents have been updated.
  The updates are summarized on the eClaims change log under Items #276-#280.

March 30, 2017

• Monthly Webinars Scheduled for April - June 2017

February 10, 2017

• eClaims Change Log  eClaims tables and reference documents have been updated.
  The updates are summarized on the eClaims change log under Items #274-#275.

January 6, 2017

• eClaims Change Log  eClaims tables and reference documents have been updated.
  The updates are summarized on the eClaims change log under Items #270-#273.

December 28, 2016

• Monthly Webinars Scheduled for January - March 2017

December 8, 2016

• FAQs  Data Element Reporting. – Question #18 Added
  How do I file a SROI when I am reporting payment of child support?

October 24, 2016

• eClaims Change Log  eClaims tables and reference documents have been updated.
  The updates are summarized on the eClaims change log under Items #263-#269.

September 22, 2016

• Monthly Webinars Scheduled for October - December 2016

September 16, 2016

• DN Reporting Specifics to NYS document located at http://www.wcb.ny.gov/content/ebiz/eclaims/NYReqTables.jsp is updated to include clarification for minimum/maximum rates for DN0134 Calculated Weekly Compensation Amount

September 12, 2016

• New York will be implementing a change effective 12/30/16 as noted on the eClaims change log ID#249 and 259 published on 6/30/16 and 8/15/16 in which a new edit will be implemented on DN0025 Industry Codes based on date of accident. In support of this new edit, we are replacing the spreadsheet for Industry Codes listed at http://wcb.ny.gov/content/ebiz/eclaims/NYReqTables.jsp with a link to the 2002-2012 NAICS (North American Industry Classification System) codes listed at http://www.census.gov/eos/www/naics/concordances/concordances.html

August 16, 2016

• FAQs  Appropriate MTC Filing. – Question #1 Updated
  Death Benefits: New York legal statute currently requires separate cases for death and accident. How will the eClaims EDI process work with this requirement?

August 15, 2016

• eClaims Change Log  eClaims tables and reference documents have been updated.
  The updates are summarized on the eClaims change log under Items #253-#262.

August 1, 2016

• Suggestions for Improvements to IAIABC Claims EDI FROI/SROI Standard

June 30, 2016

• eClaims Change Log  eClaims tables and reference documents have been updated.
  The updates are summarized on the eClaims change log under Items #246-#252.

June 27, 2016

• Monthly Webinars Scheduled for July - September 2016

June 13, 2016

• When SROI-EP lists the Agreement to Compensate Code = Without Liability this is an indication that the Claim Administrator is paying pursuant to Section 21a which will result in an information sheet to the claimant attached to the pdf for mailing. Information regarding this change is located under the Transaction Reports for Mailing to Parties page.

May 17, 2016

• eClaims Change Log  eClaims tables and reference documents have been updated.
  The updates are summarized on the eClaims change log under Items #237-#245.

May 13, 2016

• FAQs  Appropriate MTC Filing. – Question #9 Added
  How do I report an overpayment?

March 30, 2016

• Monthly Webinars Scheduled for April - June 2016

February 26, 2016

• When SROI-IP lists the Agreement to Compensate Code = Without Liability this is an indication that the Claim Administrator is paying pursuant to Section 21a which will result in an information sheet to the claimant attached to the pdf for mailing. Information regarding this change is located under the Transaction Reports for Mailing to Parties page.

February 19, 2016

• eClaims Change Log  eClaims tables and reference documents have been updated.
  The updates are summarized on the eClaims change log under Items #222-#236.

December 17, 2015

• eClaims Change Log  eClaims tables and reference documents have been updated.
  The updates are summarized on the eClaims change log under Items #216-#221.

October 23, 2015

• eClaims Change Log  eClaims tables and reference documents have been updated.
  The updates are summarized on the eClaims change log under Items #209-#215.

October 08, 2015

• eClaims Change Log  eClaims tables and reference documents have been updated.
  The updates are summarized on the eClaims change log under Items #200-#208.

September 9, 2015

• Monthly Webinars Scheduled for September - December 2015

August 03, 2015

• eClaims Change Log  eClaims tables and reference documents have been updated
  The updates are summarized on the eClaims change log under Items #182-#199.

July 31, 2015

• FAQs  Data Element Reporting. – Question #17 Added
  Carrier files FROI-00 with N (Notification Only) and then ANCR/ODNCR is established. Does carrier need to file FROI/SROI for acceptance?
• FAQs  Data Element Reporting. – Question #12 Updated
  How should a Claim Administrator who has Section 32 Medical Payments (ie. Medicare Set Aside) payable to the claimant report on the SROI-PY?

July 29, 2015

• FAQs  Appropriate MTC Filing – Question #8 Added
  When should a FROI-04/SROI-04 be filed?

July 3, 2015

• FAQ Appropriate MTC Filing Question #6 updated
  This FAQ is modified until such time as the IAIABC standard is changed to allow for the Agreement to Compensate Code to be listed on the SROI-EP. The scenario power point was also updated on Monitor/Compliance Overview

July 3, 2015

• FAQs  Appropriate MTC Filing – Question #7 Added
  What should I file if I have filed a suspension and a decision reclassifies a Benefit Type (Modified Prior Awards) as a SROI-CB is not allowed per the sequencing rules when there is a break in continuity of benefits?

June 26, 2015

• FAQ Appropriate MTC Filing Question #6 updated to reflect modification in accordance with the Payor Compliance initiative for SROI-PD use

June 23, 2015

In accordance with the Payor Compliance initiative, the SROI-PD changes made are:

• Removed 5-3 from NYS Business Scenarios (Please see Payor Compliance for SROI-PD scenarios)
• Removed Slide 39-40 from Course 201
• Removed Slide 29 from July 2014 refresher
• Removed Slides 15-16 from Compilation PowerPoint
• Removed #10 and modified #11 on MTC Filing Requirements

May 8, 2015

• Monthly Webinars Scheduled for May - August 2015

March 24, 2015

• FAQs  Appropriate MTC Filing – Question #6 Added
  The employer (Insured) is paying the claimant wages, however, we (Claim Administrator) are accepting the claim without liability per Section 21-a. Should we file a SROI-EP with Agreement to Compensate Code (DN0075) equal to “W” Without Liability?
• FAQs  Web Data Entry – Question #1 Added
  I have noticed while using eCase and Web Data Entry at the same time that my Web Data Entry freezes at times. What causes this and how can I avoid it?

March 10, 2015

• NY Requirement Tables Rev. 03/10/2015
  eClaims change log updated - IDs 93, 98, 100, 101, 106, and 114 implemented on 2/12/2015 and 2/26/2015

January 26, 2015

• eClaims Presentation for Injured Workers’ Bar Association Winter Conference January 2015

December 22, 2014

• Monthly Webinars Scheduled for January, February, March and April
• NY Requirement Tables Rev. 12/22/2014
• eClaims Training Rev. 12/2014

December 15, 2014

• Training Attorneys and Licensed Representatives

December 12, 2014

• FAQs  Appropriate MTC Filing – Question #5 Added
  Can I submit a SROI-02 if I recently sent a SROI that was missing historical (prior) benefits but included the more recent benefits?

December 5, 2014

• FAQs  Key Facts #9 Modified
  Will the WCB still require filing of paper forms such as the C-240, C-11, and Employer’s Reimbursement Request?

September 25, 2014

• eClaims for Claimant and Carrier Representatives July-September 2014
• Updated SROI Replaces C-8
• NY Requirement Tables Rev. 9/25/2014
• FAQs  Key Facts #11 Added
  The local Social Security Administration (SSA) office, Dept. of Labor, or social services agency has asked for a C-8/8.6 form which is now obsolete, how do I inform them that the SROI has replaced the C-8/8.6?
• FAQs  Data Element Reporting #16 Added
  How do I file a SROI when I am paying intermittent lost time?

August 5, 2014

• July 2014 eClaims Refresher Training for Claim Administrators

July 30, 2014

• FAQs  Key Facts #10 Added
  What should an Uninsured Employer or their counsel file to Controvert a claim since the C-7 form is now obsolete?

July 18, 2014

• Monthly Webinars Scheduled for August, September and October

June 20, 2014

• NY Requirement Tables Rev. 6/20/2014
• eClaims Implementation Guide Rev. 6/20/2014
• eClaims Training Rev. 6/20/2014

June 9, 2014

• Web Data Entry availability has been increased to every Saturday

June 5, 2014

• eClaims refresher training for Claim Administrators
  New session on July 28, 2014, added for Syracuse

May 28, 2014

• eClaims refresher training for Claim Administrators
  Targeted audience is Case Managers who currently input FROI/SROI transactions

April 29, 2014

• FINAL Test and Implementation Schedule Updated

April 21, 2014

• Board no longer includes FROI-02 and SROI-02 in zip file

April 17, 2014

• Subject Number 046-672: Per Mandatory EDI Claims Reporting, Board Announces Cutoff Date for Acceptance of Paper Forms

April 2, 2014

• Monthly Webinars Scheduled for April, May and June

April 1, 2014

• eClaims for Claimant and Carrier Representatives

March 28, 2014

• Test and Implementation Schedule Updated

March 17, 2014

• NY Requirement Tables Rev. 3/17/2014
• eClaims Implementation Guide Rev. 3/17/2014
• eClaims Training Rev. 3/2014

March 14, 2014

• FAQs  eClaims Data Submission Question #9 Amended
  Deadline to submit flat file transactions on a daily basis has changed

February 28, 2014

• Test and Implementation Schedule Updated

February 24, 2014

• FAQs   Added new Data Element Reporting - Questions Number 14 and 15.

February 20, 2014

• WebEx Demonstration of eClaims Data Entry, Inquiry, and eCase
  Thursday, March 6, 2014, 1:30 PM EDT
• FAQs   Added new Data Element Reporting - Questions Number 7 through 13.
• New Business Scenarios 3-3, 3-4, 9-6, and 10-4 added to NYS Business Scenarios Rev. 2/20/2014

February 7, 2014

• FAQs   Added new Transaction Reports question #4 regarding serving FROI/SROI reports via email.

January 30, 2014

• Test and Implementation Schedule Updated
• WebEx Demonstration of eClaims Data Entry, Inquiry, and eCase
  Tuesday, February 18, 2014, 1:30 PM EDT

January 13, 2014

• NY Requirement Tables Rev. 1/13/2014
• eClaims Implementation Guide Rev. 1/13/2014
• Transaction Reports Available for Mailing to Parties Rev. 1/2014

December 30, 2013

• Test and Implementation Schedule Updated

December 5, 2013

• Monthly Webinars Scheduled for January, February and March

December 3, 2013

• FAQs   Added new Periodic Reports question #5 regarding SROI-SA's.

November 26, 2013

• Test and Implementation Schedule Updated
• WebEx Demonstration of eClaims Data Entry, Inquiry, and eCase
  January 22, 2014, 1:30 PM EDT

November 18, 2013

• FAQs   Added new eClaims Data Element Reporting question #6 regarding difference between Initial Date Disability Began and Initial Date of Lost Time.
• Compilation of the training materials for Claim Administrator Claim Adjusters

November 6, 2013

• FAQs   Added FAQ's for Data Element Reporting

October 28, 2013

• Test and Implementation Schedule Updated
• FAQs   Added new eClaims Data Submission question #12 regarding where to find the New York WCB FEIN and Postal Code.

October 7, 2013

• FAQs   Added FAQ's for Periodic Reports

September 30, 2013

• Test and Implementation Schedule Updated

September 24, 2013

• WebEx Demonstration of Web Data Entry Application and eClaims Inquiry Application
  October 23, 2013, 1:30 PM EDT

September 10, 2013

• Monthly Webinars
• WebEx Demonstration of Web Data Entry Application and eClaims Inquiry Application
  September 17, 2013, 2:00 PM EDT
• FAQs   Added new Appropriate MTC Filing question #4 regarding when should a FROI/SROI-04 versus a FROI/SROI-UR be filed on a Legacy Claim.

September 04, 2013

• NY Requirement Tables Rev. 9/04/2013
• eClaims Implementation Guide Rev. 9/04/2013

August 27, 2013

• Test and Implementation Schedule Updated

August 1, 2013

• WebEx Demonstration of Web Data Entry Application and eClaims Inquiry Application
  August 5, 2013, 10:00 AM EDT

July 31, 2013

• Subject Number 046-555: Workers' Compensation Board Announces Availability of New eClaims Web Applications and eCase Enhancements
• NY Requirement Tables Updated
  Updated DN Reporting Requirements Specific to New York State to include DN0025 - Industry Codes, DN0059 - Manual Classification Codes and DN0118 - Accident Site County/Parish information.
• FAQs   Added new Appropriate MTC Filing question #3 regarding suspension due to failure to show labor market attachment.

July 29, 2013

• Test and Implementation Schedule Updated
• FAQs   Added new eClaims Data Submission question #10 regarding Board W Numbers.

July 26, 2013

• FAQs   Added new eClaims Data Submission question #9 regarding deadline to submit transactions on a daily basis.

July 25, 2013

• WebEx Demonstration of Web Data Entry Application and eClaims Inquiry Application
  July 31, 2013, 01:00 PM EDT

July 18, 2013

• eClaims Inquiry

June 28, 2013

• Test and Implementation Schedule Updated

June 17, 2013

• FAQs   Added new Key Facts question #8 regarding C-2F requirements.

May 30, 2013

• NY Requirement Tables Rev. 5/30/2013
• eClaims Implementation Guide Rev. 5/30/2013
• Test and Implementation Schedule Updated
• Monthly Conference Calls Updated

May 16, 2013

• Subject Number 046-546: Workers' Compensation Board Announces New Employer's First Report of Injury/Illness Form C-2F

April 30, 2013

• Test and Implementation Schedule Updated

April 16, 2013

• Subject Number 046-522: New Printable eClaims Transaction Reports Available for Mailing to Parties

April 5, 2013

• NY Requirement Tables Rev. 4/5/2013
• eClaims Implementation Guide Rev. 4/5/2013

March 21, 2013

• Frequently Asked Questions Updated

March 14, 2013

• Monthly Conference Calls

March 1, 2013

• Subject Number 046-514: Workers' Compensation Board Announces Availability of eClaims Trading Partner Registration and Revised eClaims Requirement Tables
• Trading Partner Registration
• NY Requirement Tables Rev. 2/28/2013
• eClaims Implementation Guide Rev. 2/28/2013
• eClaims Implementation Plan Rev. 2/28/2013

February 6, 2013

• Test and Implementation Schedule Updated

November 7, 2012

• Training has been rescheduled for NYC eClaims Business (201) and Technical (301) Training

November 5, 2012

• Press Release: Lower Cost, Faster Processing of Workers' Compensation Claims on Schedule for 2013

October 31, 2012

• Subject Number 046-489: Workers' Compensation Board Announces Publication of eClaims Requirement Tables and Implementation Schedule for Mandatory EDI Claims Reporting
• NY Requirement Tables
• eClaims Implementation Guide
• eClaims Implementation Plan Updated

September 28, 2012

• Subject Number 046-494: Workers' Compensation Board Announces eClaims Training Schedule for Mandatory Electronic Claims Filing Process
• eClaims Training: NYS eClaims Business (201) and Technical (301) Training

August 21, 2012

• eClaims Training: Course 101: Introduction to NYS eClaims using IAIABC Claims EDI Release 3.0

July 25, 2012

• FAQs Updated
• Draft NY Requirement Tables
• eClaims Implementation Plan Updated
• Survey Results

March 5, 2012

• Press Release: New York State Workers' Compensation Board Announces Move to Electronic Claims Reporting
• Subject Number 046-477: Workers' Compensation Board Mandates Electronic Claims Filing Process (eClaims)
• eClaims Presentation: Electronic Claims Filing Process
• Questionnaire   (closed)

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Related Pages

• eClaims Homepage
• eClaims EDI R3.1
  • NY Requirement Tables
  • Implementation Guide
  • Transaction Reports
  • FAQs
  • R3.1 Archive
• eClaims News Archive
• eClaims Presentations
• Trading Partner Registration
• Trading Partner Online Services
• eClaims Inquiry
• eClaims Data Entry
• eClaims Administrator Responsibilities
• Trading Partner Webinars
• Process for Section 21-a and Claims Paid Without Liability
• Send your questions to: eClaims@wcb.ny.gov