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Implementation Guide & Supporting Documents

EDI Claims Implementation Guide

The Bureau of Workers' Compensation has published the Electronic Data Interchange (EDI) Claims Implementation Guide and its supporting documents. This version of the guide provides technical information, procedures and explanations to help claims administrators prepare and navigate future EDI processes.

Submit any comments, questions and suggestions you have regarding the guide to the bureau’s EDI section via the Customer Service “Submit a Question” feature from the WCAIS Dashboard. We will consider your input as we make revisions to it in the future.


PA EDI Claims Implementation Guide
(PDF)

Supporting Documents:


PA R3 EventTable
(Excel Spreadsheet)
PA R3 Data Element Table
(Excel Spreadsheet)
R3 Edit Matrix
(Excel Spreadsheet)

EDI Forms Solution Testing Strategy
(PDF)
EDI Quick Reference Guide
(PDF)
EDI Error Code Description
(PDF)

PA Change Log
(PDF)
Relaxed Rules
(PDF)
Claim Status Reference Sheet
(PDF)

Quick Reference Guide for Attorneys (LIBC-145)
(PDF)
Forms Solution Form to Transaction Guide (LIBC-146)
(PDF)
FROI and SROI 02 Mapping Reference Sheet
(PDF)

Form to EDI Transaction Guide
(PDF)
Claims Scenarios for PA
(PDF)		  
LIBC Form to Transaction
(Excel)
 
FEIN Guide
(Excel)
The Common Flow of a Claim Guide
(PDF)
EDI Strategy Migration
(PDF)
 
EDI Forms Solution Cutover Strategy
(PDF)