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EDI

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EDI Claims

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Primary Contact for EDI Claims questions should be directed to Sharon Anderson at sharone.anderson@ky.gov or (502) 782-4416.

WHAT'S  NEW:

Kentucky DWC will be making a few updates to our EDI tables effective January 1, 2015.  These updates include:

1) Currently, we accept Standard Industrial Codes (SIC) and  North American Industry Classification System codes (NAICs) for industry code (DN0025).  Beginning January 1, 2015, we will no longer accept SIC codes.  We are fully migrating to NAICs for industry code (DN0025).  We will accept both 2007 and 2012 NAIC codes. 

2)  Employee Date of Hire (DN0061) will become a mandatory field on the MTC 00 and/or MTC 04.

Stakeholder Meeting July 27, 2012 Questions and Answers

As of September 1, 2011, the Kentucky DWC will be reviewing the files of the 00 Originals, Suspensions and the Initial Payments as before for timely filing.
The Kentucky Department of Workers’ Claims will begin assessing penalties for timeliness on Bimonthly EDI Claims MTC codes as well as timeliness on Proof of Coverage submittals.  The penalty phase will begin July 1, 2012.  If you have any questions, please do not hesitate to contact Fran Davis at 502-782-4578 or via email at Francesa.Davis@ky.gov.

Bimonthly Filing and Proof of Coverage Criteria

Bimonthly Reports Frequently Asked Questions

 

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EDI Timely Filing Documentation

Examples of Statute Letters:
WCR3S
WCR3D
WCR3F
WCR3C

Trading Partner Agreement (PDF)
Trading Partner Agreement (Word File)

Trading Partner Profile (PDF)
Trading Partner Profile (Word File)

Transmission Profile (PDF)
Transmission Profile (Word File)

IAIABC Electronic Partnering Insurer/Claim Administrator ID List

Trading Partner Directions

EDI Vendors List (Revised 3-25-2014)

EDI Release 3.0 Questions and Answers  (Updated September 13, 2011)

EDI Release 3.0 Stakeholder Meeting Presentation

EDI R3 Edit Matrix (PDF) (Revised October 13, 2014)
EDI R3 Edit Matrix (Excel)

EDI R3 Element Table (PDF) (Revised April 3, 2014) 
EDI R3 Element Table (Excel)

EDI R3 Event Table (PDF) (Revised February 8, 2013)
EDI R3 Event Table (Excel)

Release 3.0 Change Log (PDF) (Revised April 3, 2014) 
Release 3.0 Change Log (Excel)

List of Modifications November 3, 2011(PDF)

EDI Release 3.0 Kentucky Accepted Manual Classification Codes

The IA-1 and IA-2 Forms can be obtained from the IAIABC website:  http://www.iaiabc.org/.  From the EDI Drop down tab, choose EDI Standard Forms, Codes and Resources.  The forms are near the bottom of the page.


The codes associated with Body Part, Cause and Nature can be obtained from the IAIABC website:  http://www.iaiabc.org/.   From the EDI drop down tab, choose EDI Standard Forms, Codes and Resources.
 

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These terms are used throughout this Web site, and abbreviated definitions are provided for the convenience of those who are new to the principles of EDI. This glossary is not intended to take the place of any information contained in the IAIABC EDI Implementation Guides.
 
Data Collection Agent (DCA)
A service company which keypunches the information from paper forms and transmits it electronically on behalf of its clients. The fee for this service is agreed upon between the data collection agent and the client. Many third-party administrators are also able to provide this service.
 
Electronic Data Interchange (EDI)
Acronym for Electronic Data Interchange.
 
EDI Support
Those individuals responsible for ensuring your EDI System performs properly. May be a part of your company's Data Processing staff or a contractor/vendor.  
 
EDI System
The computer application used for generating EDI transmissions. May be a custom application designed by your company's Data Processing staff or commercial software supported by a contractor/vendor. 
 
IAIABC
Acronym for the International Association of Industrial Accident Boards and Commissions.
 
KYWC
Acronym for the Kentucky Department of Workers' Claims.
 
Trading Partner
Each entity transmitting electronic data via EDI.  
 
Value-Added Network
An "electronic post office" which routes the electronic reports and acknowledgments from sender to receiver using electronic mailboxes.
 
VAN
Acronym for value-added network.
 

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Claims Release 3.0

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Claims Release 1.0

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Glossary

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EDI Newsletters

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Contact Info

Department of Workers' Claims
657 Chamberlin Avenue
Frankfort KY  40601
Phone: (502) 564-5550

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Content Type: Article Page
Version: 61.0
Created at 12/10/2010 1:58 PM by System Account
Last modified at 10/13/2014 1:39 PM by System Account