EDI Proof of Coverage Standards

IAIABC EDI Proof of Coverage Standards are used by insurers to report workers' compensation insurance policy data to U.S. jurisdictions. EDI Proof of Coverage 3.0 is the most current release and is maintained on an ongoing basis. Revised documentation for EDI Proof of Coverage Release 3.0 is published on July 1 of each year.

Proof of Coverage 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. 

 

 

 

 

 

 

 

 

 

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EDI Proof of Coverage Release 3.0

Publication Date: July 10, 2018

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)
Download the POC 3.0 XML Companion Guide

IAIABC Associate and Non-IAIABC Members

Purchase the Implementation Guide 

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EDI Proof of Coverage Release 2.1

Final Publication Date: July 1, 2010

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 

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IRR Changes and Appeals

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