Idaho Industrial Commission EDI Claims Services Website
Effective July 1, 2024, the Industrial Commission will begin auditing EDI filed transactions when conducting insurer audits. Failure to achieve the standards described in the Commission’s Audit Guidelines may result in findings of non-compliance.
Most Current Update(s):
- IIC EDI Claims Release 3.1 Version 1.7: Requirement Tables and Implementation Guide available for download (12/15/23)
- IIC EDI Claims R3.1 Reminder: All required testers should have already completed FROI testing and be actively SROI testing (3/30/23)
- IIC EDI Claims Release 3.1 Mandate Changed to September 14, 2023 (8/8/2022)
Proof of Coverage
- Idaho Proof of Coverage Updated POC Reporting Requirements (09/28/2021)
- Idaho Proof of Coverage Update Email Address and Industry Code Requirements (10/7/2021)
- NCCI Proof of Coverage Compliance Guide for Idaho
The Idaho Workers’ Compensation Law and Administrative Rules of the Industrial Commission require employers and their sureties to file proof of an employers’ workers’ compensation insurance policy to the Industrial Commission in the form prescribed by the Commission (Idaho Code §72-311 and IDAPA 17.01.01.302).
The Idaho Industrial Commission was one of the first states to adopt the IAIABC Proof of Coverage (POC) electronic reporting standard. First implemented in 1997, the POC electronic reporting of policy data replaced the paper, labor intensive reporting by insurance carriers of workers’ compensation policy data to state agencies. National insurance carriers had struggled with submitting policy data to jurisdictions using a multitude of different state forms. The POC electronic reporting standard (known as EDI) now allows insurance carriers to report policy data electronically using a national standardized format, resulting in more accurate and timely submission of policy data.
The Industrial Commission has designated the National Council on Compensation Insurance (NCCI) as it’s agent to receive, process and forward proof of coverage information from insurance carriers authorized to write workers’ compensation insurance in Idaho.
Proof of Coverage Tables