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Division of Worker's Compensation
633 17th Street
Denver, Colorado 80202

EDI IMPLEMENTATION

                                          
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bullet EDI Home
bullet EDI Overview
bullet Getting Started
bullet First Report of Injury   (FROI)
Electronic Data Interchange Participation Policy
Receiver's (DOWC) Trading Partner Profile
Receiver's (DOWC) Transmission Partner Profile
Data Element Matrix
Edit Matrix
Edit/Error message Matrix (NEW!)
Event Table 
Testing Requirements

 
bullet EDI Participation Documents (All fillable forms)
EDI Sender Acceptance Form
Sender Trading Partner Profile
Sender Transmission Profile
Trading Partner Insurer List Form
Third Party Administrator Location List Form  (If a TPA is the Sender)

 
bullet

Subsequent Report of Injury  (SROI)Receiver's (DOWC) Trading Partner Profile
Receiver's (DOWC) Transmission Profile

              Testing Requirements

DENIAL (MTC 04)
Data Element Matrix
Edit Matrix
Edit/Error Message Matrix
Event Table

FINAL PAYMENT NOTICE (MTC FN)
Data Element Matrix
Edit Matrix
Edit/Error Message Matrix
Event Table

PPD Part of Body Codes

bullet Proof of Coverage
Rule 3

Medical/Bill Payment Records
are presently unavailable.
 
bullet IAIABC Web Site

 

 

 

 

 

Proof of Coverage

Insurance carriers are required by Rule 3, Insurance Coverage, of the Colorado Code of Regulations (7 CCR 1101-3) to report insurance policy information to the National Council on Compensation Insurance (NCCI) rather than to the DOWC.  Previously, insurance carriers provided the DOWC with hard copy proof of insurance, which resulted in reams of paper and required manual entry by DOWC personnel.  NCCI reported policy information to Colorado using an early version of the IAIABC POC format.  The IAIABC POC format allowed for collection of additional carrier and employer data elements.  While the DOWC has been utilizing the IAIABC POC format for several years, it was fully automated on May 1, 2001.  The DOWC receives and acknowledges files from NCCI on a daily basis.  For more information on Colorado  POC requirements, click on this link www.ncci.com  and go to "Data Reporting", Policy Data and Proof of Coverage.