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EDI Reporting

EDI mandated FROI and SROI reporting was initially implemented beginning in 2004 when self insured employers began self administering claims.  The scope of the mandate was expanded in 2008 to include the private carriers selling workers’ compensation coverage in West Virginia. 

As of January 1, 2009, all new trading partners entering the West Virginia market will be expected to be in compliance with both FROI and SROI reporting requirements on the date the company begins providing services and/or writing workers’ compensation coverage in West Virginia.  “Compliance with both FROI and SROI reporting requirements” includes the completion of successful testing and production status approval.

Date Posted: 1/18/2013
Effective Date: 11/01/2013
DN0059 Manual Classification Code Change for Self Insured Employers
Attention Self-Insured Employers:

The West Virginia Offices of the Insurance Commissioner (WVOIC) has made a policy change regarding the use of the non-NCCI classification codes. Effective November 1, 2013, NCCI classification codes (Data Element DN0059) will be required when filing through EDI for the workers’ compensation claims. No other classification codes will be accepted; therefore, it is imperative that proper attention be given to this notice. This change will only affect the dates of injury after November 1, 2013. Prior dates of injury can still be filed with the non-NCCI classification codes.

The private carriers have been required to use the regulated NCCI classification codes when filing workers’ compensation claims since the privatization. The WVOIC will be requiring all carriers, including self-insured employers, to submit with the NCCI classification codes, in order to maintain consistency.

If you have any questions or concerns regarding this change, you may contact our help desk at wvoicedi@iso.com. Thank you for your time and attention to this important matter.

Patricia “Patti” A. Burkhart
EDI Coordinator & WC District Claims Manager
Claims Services Department
WV Offices of the Insurance Commissioner

Date Posted: 9/19/2012
Effective Date: 10/05/2012
WVOIC FROI SROI EDI Requirements Version 12.0 – Available for Download
Click on EDI Implementation Guide Above
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