State of Oregon

Business   Education   Human Services   Public Safety   Recreation   Transportation
Accessibility
Workers' Compensation Division (WCD)

Gayle Parrish   
503-947-7626   

Electronic Data Interchange (EDI)

Receive updates to this information by e-mail   
EDI medical bill reporting   
EDI claim reporting   
EDI proof of coverage reporting   
Other resources   

EDI Medical Bill Reporting:   
Frequently asked questions for EDI medical bill reporting. revised 5/7/08 - updated   
Oregon Data Elements by Source table - new   
Proposed Cut-over Plan from Bulletin 220 to ANSI 837 Reporting - updated    
Current Rules affecting EDI medical bill reporting:   
Division 009 - Oregon Medical Fee and Payment Rules   
Division 160 - Electronic Data Interchange Rules   
Revised required documents:   
Event Table - updated   
Element Requirements - updated   
Edit Matrix - under construction   
Implementation Schedule   
Download IAIABC EDI Medical Implementation Guide   
Past teleconferences & meetings   

EDI First and Subsequent Reports of Injury:   
*    Project on hold, pending completion of claims process functional review   

EDI Proof of Coverage Reporting:
   

Proof of coverage overview with descriptions of:

Edit Matrix updated 9/16/03

Revised Event Table updated 9/16/03

Element Requirement Table updated 9/16/03

Final Trading Partner Agreement updated 6/16/04

Final Trading Partner Agreement Attachment updated 8/7/03

Division 160 Electronic Reporting Rules

Oregon EDI Implementation Guide for Proof of Coverage

Notice to EDI-filing insurers   

Download IAIABC EDI Proof of Coverage Implementation Guide

SB 559 Proof of Coverage Web page   

Other resources:   

HIPAA

International Association of Industrial Accident Boards and Commissions (IAIABC)

National Council on Compensation Insurance

Insurance Services Office

Workers' COMP-LINK

If you have questions about the information contained in this document, please contact Gayle Parrish, 503-947-7626.


Get Adobe Acrobat Reader
Adobe Reader is required to view PDF files. Click the "Get Adobe Reader" image to get a free download of the reader from Adobe. Available for Macintosh or Windows.

Text Only Options

Top of page


Text Only Options

Open the original version of this page.

     

Usablenet Assistive is a UsableNet product. Usablenet Assistive Main Page.