Claims EDI Implementation Overview

There are a number of facets to the actual implementation of EDI. We will be implementing EDI in two parts – the process to receive the First Report of Injury (FROI), then the process to receive Subsequent Reports of Injury (SROI).

Vendors

The Industrial Accidents Division is pleased to announce that after careful consideration it has chosen to authorize all six EDI service vendors that bid on solicitations NH18043 & NH18042-1 to offer their services to our trading partners. The authorized firms, and their designated contacts, are:

Aerie EDI Group
Pat Cannon
315 Kennedy Road
Chase City, VA 23924
(434) 509-4494
patc@aerieedigroup.com
Ebix, Inc.
Shayne Garner
1679 Gateway Circle
Grove City, OH 43123
(801) 208-5493
shayne.garner@ebix.com
Health Tech, Inc.
Mark Hughes
11730 W 135th Street, Suite #31
Overland Park, KS 66221
(913) 764-9347 x 112
mhughes@htedi.com
Insurance Services, Inc.
Alfred Faber
545 Washington Blvd.
Jersey City, NJ 07310
(201) 469-2375
afaber@iso.com
MARSH ClearSight LLC
Kristy Robinson
540 W Madison St
Chicago, IL 60661
(740) 243-9031
kristy.robinson@marshclearsight.com
www.marshclearsight.com
Mitchell International, Inc.
Kyle Devereaux
110 Theory
Irvine, CA 92617
(858) 368-7593
kyle.devereaux@mitchell.com
www.mitchell.com

Note: Industrial Accidents Division neither endorses nor recommends the products or services of any particular vendor. Industrial Accidents Division’s authorization of vendors is based solely on their specific Claims Release 3 EDI experience. Our goal is to provide you, our trading partners, with competent firms to select from. Industrial Accidents Division suggests careful review of vendor products and claims as well as to contact current and past customers prior to contracting a vendors' service.

Training

Utah EDI FROI BASICS
Utah Claims EDI Reporting overview 06/10/13
Utah Claims EDI Acknowledgment Overview 06/12/13


Reporting A Claim Training

9/13/11 9:00 a.m. MDT webinar

Co-presented with IAIABC, this is part one of two trainings. This session will address the transition from paper to EDI and the reporting of FROI transactions. Focus will be on the Event Table and Element Requirement Table found in the Implementation section of our website. This training is a prerequisite for the Response training. If you are unable to attend this live session, it will be recorded and made available for purchase. Learn more and register today at www.iaiabc.org/educationhq

Response Training

Co-presented with IAIABC, this is part two of two trainings. Attendance and/or viewing of the recorded Reporting A Claim training is prerequisite for this segment. This session will focus on the transaction exchange, as in the Reports and corresponding Acknowledgements and what action is required when a TE or TR Acknowledgement takes place. Focus will be on the Edit Matrix found in the Implementation section of our website. If you are unable to attend this live session, it will be recorded and made available for purchase. Learn more and register today at www.iaiabc.org/educationhq

9/29/11 1:00 – 1:45 p.m. break out session during the 9th Annual Utah Labor Commission Workers’ Compensation Education Conference. The conference will be held at the Sheraton Hotel, 150 W 500 S in Salt Lake City. This break out session will convene in the Canyon Room. This session will be open to follow-up questions of training participants who attend/view the recorded Reporting A Claim and/or Response training webinars.

ROLLOUT TIMEFRAME

FROI trading partner testing concluded 12/31/12. As new trading partners enter the Utah market they must adhere to EDI reporting requirements and submit the Claims EDI Trading Partner Forms to set up testing for clearance into production.

SROI tables were published 8/15/12 and last revised 10/2/2018. As announced 1/3/2018 SROI implementation commenced on 7/3/2018. SROI reporting will be mandatory for all claims with a date of injury of July 1, 2019 and forward.

*Please check this page often as it will be updated throughout the Claims EDI implementation process.


We welcome your questions or comments

Utah Labor Commission
Industrial Accidents Division

160 East 300 South, 3rd Floor
P.O. Box 146610
Salt Lake City, UT, 84114-6610
801-530-6800
In-State Toll Free 1-800-530-5090
Fax: (801) 530-6804
Email: claimsedi@utah.gov