Idaho Industrial Commission EDI Claims Services Website
Most Current Update(s):
- Updates to EDI Requirement Tables (Version 2.1) - Available for Download (4/10/18)
- IIC EDI Claims Release 3.0 Trainging Partner Tables and Implementation Guide, Version 2.1, Available for Download (3/29/18)
- IIC EDI Claims Release 3.0 - Enforcement of the edit on DN0288 Number of Benefits for Error 045 Value is < Required by Jurisdiction(11/22/17)
- IIC EDI Claims Release 3.0 Trading Partner Tables, Version 2.0, Available for Download(11/15/17)
Notice:
All authorized workers’ compensation carriers are required to register as a trading partner. When the Commission has authorized a carrier to write policies, there is the potential for a policy to be written at any time with exposure to future claims. A trading partner registration ensures the ability to comply with the electronic reporting requirement via EDI Claims Release 3.0.
Past Updates:
Proof of Coverage
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 17.02.10.012.06).
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
- Event Table: Excel document
- Element Requirement Table: Excel document
- Edit Matrix Table: Excel document
DISCLAIMER NOTICE:
The technical tables are complete. However, they are subject to change.
Please review these tables regularly for any changes which may impact your business processes. See the document Change Log, EDI Claims Release 3.0 for specific changes affecting the tables.
