Oklahoma Administrative Code › Title 810 - Oklahoma Workers' Compensation Commission › Chapter 1 - General Information › Section 810:1-1-8 - Electronic data interchange

Current through Vol. 41, No. 20, July 1, 2024
(a)
Mandatory compliance.
Mandatory compliance with all provisions of
			 Commission rules pertaining to electronic data interchange shall commence on
			 the mandatory EDI implementation date. On the mandatory EDI implementation
			 date, claim administrators shall submit all claim information via EDI,
			 according to electronic record layouts adopted by the International Association
			 of Industrial Accident Board and Commissions (IAIABC) in its Release 3.1
			 standards, until such time as the Commission may adopt a subsequent release of
			 the IAIABC standards. Any subsequent version of the IAIABC standards is deemed
			 adopted upon approval by the Commission. Claim administrators shall adhere to
			 the IAIABC standards most recently adopted by the Commission. Paper forms
			 received before the mandatory EDI implementation date will be accepted and
			 filed.
(b)
Trading partner
			 profile.
Each claim administrator shall submit to the Commission's EDI
			 vendor a completed EDI trading partner profile at least two (2) business days
			 before submitting claim information via EDI. A claim administrator shall have a
			 trading partner profile on file with the Commission before EDI submissions from
			 that claim administrator will be accepted. The claim administrator shall report
			 changes to its profile information at least two (2) business days prior to
			 sending transactions containing revised profile-related information to the
			 Commission. Failure to report changes to the trading partner profile
			 information may result in the rejection of an entire transmission or individual
			 transaction(s) containing profile information different from information
			 reported on profile documents mostly recently submitted to the
			 Commission.
(c)
Trading
			 partner agreement.
If required by the Commission, a trading partner
			 agreement adopted by the Commission shall be submitted by each trading partner
			 prior to submitting claims information via EDI. The signing party understands
			 85A O.S., §6 is applicable to each FROI and SROI submission, and the party
			 is signing under penalty of perjury as prescribed by 85A O.S.,
			 §123.
(d)
Implementation
			 guides incorporated by reference.
Claim administrators shall file all
			 claim information according to the IAIABC EDI Implementation Guide for claims,
			 the Oklahoma Workers' Compensation Commission EDI Implementation Guide, which
			 includes, but is not limited to, the Event Table, Element Requirements and Edit
			 Matrix as referenced, and as otherwise specified in these rules. The IAIABC EDI
			 Implementation Guide for claims and the Oklahoma Workers' Compensation
			 Commission EDI Implementation Guide are herein incorporated by reference. The
			 Commission's EDI Implementation Guide can be found at
www.okwccedi.info
.
(e)
Paper forms.
On or after the
			 mandatory EDI implementation date, paper copies of the following forms will not
			 be accepted and will only be satisfied by filing FROI and SROI as specified in
			 the Oklahoma Workers' Compensation Commission EDI Implementation Guide:
(1) CC-Form-2 Employer's First Notice of
			 Injury;
(2) CC-Form-2A Employer's
			 Intent to Controvert Claim;
(3)
			 CC-Form-2A Extension Employer's Application and Authorization for Extension of
			 Time to File CC-Form-2A; and
(4)
			 CC-Form-4 Report of Compensation Paid/Suspension of Payments.