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WHAT IS EDI?

EDI is a technology that permits the direct computer-to-computer exchange of data in a standard format, specifically EDI refers to the electronic transmission of claims information from Claims Administrators (insurers, self-administered self-insured employers, and third party administrators)  to a State Workers’ Compensation Agency.  Data are transmitted in a format standardized by the IAIABC. Click here to learn more about EDI.

Information for Attorneys

WebFile Site Administrator and Attorney Information Template

JCMS Attorney Newsletter – May 2009

JCMS Attorney Newsletter - June 2009

JCMS Attorney Newsletter - July 2009

JCMS Attorney Newsletter - August & September 2009

JCMS Attorney Newsletter - October 2009

JCMS Attorney Newsletter - November 2009

JCMS Attorney Newsletter - March 9, 2010

FAQs on WebFile for Attorneys

SUB 100 FILERS (Wave C Carriers)

*Carriers filing claims via the new claims website

Applies To

  • Carriers filing fewer than 100 non-minor claims annually
  • Self-Insurers filing fewer than 100 non-minor claims
    • Self-Insurers filing 100 or more non-minor claims annually, must submit via EDI

Important Dates

  • March 1, 2009 – Go Live date for sub-100 claims
  • April 1, 2009 - WebFile Go Live Date for remaining EDI Filers
  • April 9, 2009 – WebFile webcast for all EDI Filers
  • July 1, 2009—Madate date for ALL claims to be filed electronically

What you need to do

  • If you submit less than 100 claims per year and have not already notified VWC please submit an email to webfilesupport@vwc.state.va.us. We will need primary contact information including company name, representative, email address, mailing address, and FEINs you intend to report for. This will also add you to the distribution list for future mailings on the subject.
  • Plan to participate in the Online Claims Management Webcast


 

100 + FILERS (Wave A & B Carriers)

* Carriers filing claims via an automated system interface

Applies To

  • Carriers filing 100 or more non-minor claims annually
  • Self-Insurers filing 100 or more non-minor claims annually

Important Dates

  • October 1, 2008—Launch date for Wave A
  • December 1, 2008— Launch date for Wave B
  • March 1, 2009—Launch date for self-administered/ self-Insurers filing 100 or more non-minor claims to begin submitting via EDI
  • April 1, 2009 – WebFile Go Live Date for remaining EDI Filers
  • April 9, 2009 – WebFile webcast for all EDI Filers
  • July 1, 2009—Madate date for ALL claims to be filed electronically

What you need to do

  • If you are a new carrier or have not implemented an EDI solution then please contact VWC at tapfeedback@vwc.state.va.us as soon as possible

Supporting Documents

  • The Implementation Guide for Electronic Data Interchange. The guide provides an overview of how EDI works, describes VA communications, Trading Partner technical environment requirements, and implementation procedures. The entire EDI Implementation Guide is available in PDF format by clicking the link below.
  • WebFile Guide – An Instructional Guide for EDI Filers. Click the link above to access this document.

FINAL Implementation Guide (Pub. 12/1/09)

IG Post Publication Change Log (Pub. 8/17/09)
Catch-Up Process for Resolving Backlog Claims (Pub. 7/01/08)
Business Scenarios for Third Party Administrators (Pub. 6/30/08)
Longshore Claims Processing Requirements (Pub. 7/15/08)
Limited Connectivity Testing Instructions (Pub. 7/23/08)


REQUIRED FORMS FOR BECOMING AN EDI TRADING PARTNER

Electronic Trading Partner Agreement Form (Pub. 5/23/08)
Electronic Trading Partner Profile (Pub. 5/23/08)
Electronic Transmission Profile (Pub. 5/23/08)
Electronic Claims Administrator Address List ( Pub. 5/23/08)


Send completed forms to the Commission's Test Coordinator e-mail address:edisupport@vwc.state.va.us


EDI VENDORS
Peak Performance - http://www.envision-ts.com/wcirs.html
Ingenix - http://www.roesinc.com
HealthTech - http://www.htedi.com/HTsite/home.html
ISO - http://www.wcprism.com

Release 3 Filing Requirements:

VA R3 Edit Matrix (published 12/1/09)
VA R3 Event Table (published 12/1/09)
VA R3 Element Requirement Table (published 12/1/09)
Final VA R3 UR Requirement Table (Pub. 1/15/09)
R3 EDI Quick Codes Sheet (Pub.  7/8/08)