Home
> Worker's Compensation
> Insurers
Insurers and Self-Insurers
EDI
Format & Transaction Codes FAQ
What EDI formats does Wisconsin
use?
We use the standard
International Association of Industrial Boards & Commissions (IAIABC)
formats for First Report of Injury Release 1 (148, FROI, WKC-12, etc.) and
Subsequent Report Release 1A (A49, SROI, WKC-13, etc.). Please see the
format spreadsheets (FROI and SROI), on this website, for the list of
mandatory, optional and conditional fields
for each layout. We also use the standard IAIABC header and trailer, which is required for all transmissions.
What transaction codes does
Wisconsin accept?
- For 148 we currently accept all of the codes except 148 AU (acquired
claims). Keep in mind that for 148 01 (cancel), 148 02 (change) and 148 CO
(correction) we must have a previous claim in our database based on SSN +
DATE OF INJURY (plus or minus six days), otherwise the transmission will be
rejected as "claim not found in database".
- The 148 CO and 148 02 will not overlay existing data, so corrections to
data previously sent (except the insurance carrier’s claim number) must be
done via direct contact with the EDI Coordinator.
- We accept the 148 04 (denial) without requiring you to first send a 148
00.
- For A49 IP we accept the three most frequent payment codes: TTD (050),
TPD (070) and Salary Continued (240). For TTD and TPD the IP must have a
date and amount of first payment, otherwise the transmission is rejected.
Salary Continued will not be accepted if the first payment amount is zero or
null. We also accept PPDSch (030), PPDNon (040), DeathF (010), PTD (020), Supben (021), Disfig (090) and Vocrhb (410).
- For TPD, if the person is on restricted duty with wage loss we will
request a TPD worksheet. The TPD worksheet (for non-litigated claims) must
come to us via our Internet WKC-13, on our pending reports website.
- For A49 S1 and A49 FN, we accept a single period of TTD, TPD or Salary
Continued only. The current release of the A49 does not support intermittent
payments. Such situations can be reported via the Internet or paper WKC-13.
If you attempt to send intermittent payments as if they are a single period
of paid disability then the transmission will be rejected.
-
We accept
the A49 02 and CO but when receiving such a transmission we simply
verify that the claim is in our database and then send back a TA (Accepted)
acknowledgement. We do
not overlay the Claim Administrator’s Claim Number and we do
not fill in data fields that were previously reported as
blank.
We will also
reject transmissions with more than one payment record (e.g. intermixed TTD and TPD or TTD and PPD) because the data from such transmissions is
unreliable. You can, however, submit these transmissions via our
Internet WKC-13.
For more information
about EDI Worker’s Compensation you can e-mail the
EDI Coordinator or call (608)
267-6890.
