Idaho Industrial Commission EDI Claims Services Website
Most Current Update(s):
- Release of Idaho EDI Claims Release 3.0 Trading Partner Tables, Version 2.5 (5/4/20)
- New Nature & Cause of Injury Codes for COVID-19 Pandemic (3/30/20)
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 17.01.01.006).
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.
Click here to download the Proof of Coverage reference card
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.
