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DRAFT Implementation Guide & Supporting Documents

EDI Claims Implementation Guide

The Bureau of Workers' Compensation is publishing the below draft Electronic Data Interchange (EDI) Claims Implementation Guide and its supporting documents in support of its implementation of the EDI Forms Solution scheduled for June 2016. 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 updates to the guide due to the Forms Solution enhancement to RA-LIPA-FormSolution@pa.gov. We will consider your input as we make revisions to the guide in the future.
 

DRAFT PA EDI Claims Implementation Guide
(PDF)

Supporting Documents:


DRAFT PA R3 EventTable
(Excel Spreadsheet)

DRAFT PA R3 Data Element Table
(Excel Spreadsheet)