EDI Medical Standards

​IAIABC EDI Medical Standards are used by claims administrators to report workers' compensation medical bill data to U.S. jurisdictions. EDI Medical Release 2.0 is the current release and is maintained on an ongoing basis. Revised documentation for EDI Medical Release 2.0 is published on February 1 of each year.

 

Medical State Implementation

 

Download the EDI Jurisdictional Profiles (Members) to learn more about state implementation of all IAIABC EDI Standards. 
View the EDI Jurisdictional Summary (Non-Members) for basic implementation insight on all IAIABC EDI Standards. 

 



 

 


EDI Medical Bill Data Reporting Release 2.0

Publication Date: February 1, 2017

Prior publications are available upon request. Please contact the IAIABC. 

IAIABC Jurisdictional and EDI Members

Download the Implementation Guide
Download the Edit Matrix (Excel)
Download the Element Requirement Table (Excel)
Download the Event Table (Excel)

IAIABC Associate and Non-IAIABC Members

Purchase the Implementation Guide and Supporting Documents


EDI Medical Bill Payment Records Release 1.1

Final Publication Date: July 1, 2009

IAIABC Jurisdictional and EDI Members

Download the Implementation Guide
Download the Final Supplement

IAIABC Associate and Non-IAIABC Members

Purchase the Implementation Guide and Supporting Documents


EDI Medical Bill Payment Records Release 1.0

Final Publication Date: July 4, 2002

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