EDI Support

If you have an EDI question, please contact the EDI Support team at edi.support@workcomp.virginia.gov.

General EDI Information

• FINAL Implementation Guide (Pub. 09/01/11)
• IG Post Publication Change Log (Pub. 09/01/11)
• Catch-Up Process for Older Active Claims (Pub. 08/23/10)
• Catch-Up Process Business Scenarios (Pub. 07/18/11)
• Business Scenarios for Third Party Administrators (Pub. 06/30/08)
• Longshore Claims Processing Requirements (Pub. 07/15/08)
• Limited Connectivity Testing Instructions (Pub. 07/23/08)
• FROI/SROI Key Events Matrix
• Claim Event Flow

REQUIRED FORMS FOR BECOMING AN EDI TRADING PARTNER

• Electronic Trading Partner Agreement Form (Pub. 05/23/08)
• Electronic Trading Partner Profile (Pub. 05/23/08)
• Electronic Transmission Profile (Pub. 05/23/08)
• Electronic Claims Administrator Address List ( Pub. 05/23/08)

Send completed forms to the Commission's Test Coordinator e-mail address:edi.support@workcomp.virginia.gov

EDI VENDORS

• Ebix - http://www.ebix.com/WCIRS.aspx
• Mitchell (formerly Ingenix-ROES) - http://www.mitchell.com/claims-management-software/workers-compensation-claims/regulatory-reporting.asp
• HealthTech - http://www.htedi.com/HTsite/index.html
• ISO - http://www.wcprism.com
• CS STARS - http://www.csstars.com

Release 3 Filing Requirements:

• Final VA R3 Edit Matrix (Pub. 09/01/11)
• Final VA R3 Event Table (Pub. 07/01/11)
• Final VA R3 Element Requirement Table (Pub. 09/01/11)
• Final VA R3 UR Requirement Table (Pub. 01/15/09)
• R3 EDI Quick Codes Sheet (Pub. 07/08/08)

Information for Carriers filing EDI reports via WebFile (Sub 100 Filers)

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

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 webfile.support@workcomp.virginia.gov. 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.