EDI Claims Standards

​IAIABC EDI Claims Standards are used by claims administrators to report workers' compensation first report of injury and subsequent report of injury claims data to U.S. jurisdictions. EDI Claims Release 3.0 is the most current release and is maintained on an ongoing basis. Revised documentation for EDI Claims Release 3.0 is published on January 1 of each year.  

Claims State Implementation

Download the EDI Jurisdictional Profiles (Members) to learn more about implementations of all IAIABC EDI Standards. 

View the EDI Jurisdictional Summary (Non-Members) for basic implementation insight on all IAIABC EDI Standards.  

EDI Claims Implementation Map

 





 

 

 

 

 

 

 


EDI Claims Release 3.1 Standard Documents

Publication Date: August 15, 2017

IAIABC Jurisdictional and EDI Members

Access and Download the Implementation Guide
Download the Business Scenarios 
Download the Event Table
Download the Element Requirement Table
Download the Edit Matrix

IAIABC Associate and Non-IAIABC Members

Purchase Access to the Implementation Guide and Supporting Documents


EDI Claims Release 3.0 Standard Documents

Final Publication Date: January 1, 2017

IAIABC Jurisdictional and EDI Members

Download the Implementation Guide
Download the Claim Type Code Implementation Strategy
Download the Edit Matrix (Excel)
Download the Element Requirement Table (Excel)
Download the Event Table (Excel) 
Download the UR Requirement Table (Excel)
Download the Current Trading Partner Tables Supplement
Download EDI Claims Release 3.0 XML Transactions Companion Guide

IAIABC Associate and Non-IAIABC Members

Purchase the Implementation Guide and Supporting Documents


EDI Claims Release 1.0 Standard Documents

Final Publication Date: February 15, 2002

IAIABC Jurisdictional and EDI Members

Download the Implementation Guide
Download the Edit Matrix
Download the Element Requirement Table
Download the Event Table

IAIABC Associate and Non-IAIABC Members

Purchase the Implementation Guide and Supporting Documents


EDI Claims Release 2.0 Standard Documents

Final Publication Date: February 28, 2001

IAIABC Jurisdictional and EDI Members

Download the Implementation Guide

IAIABC Associate and Non-IAIABC Members

Purchase the Implementation Guide


IRR Changes and Appeals

Submit an Issue Resolution Request
Submit an appeal to an Issue Resolution Request decision