Electronic Data Interchange (EDI)
Electronic Data Interchange (EDI) is used by claims administrators to report workers' compensation claims data to the Tennessee Bureau of Workers’ Compensation.
IAIABC EDI Claims Release 3.1 Standard
Effective October 27, 2020, The Bureau transitioned from the IAIABC EDI Claims Release 1.0 standard to the IAIABC EDI Claims Release 3.1 standard for electronic reporting of workers' compensation First Reports of Injury (FROI) and Subsequent Reports of Injury (SROI).
The Bureau selected ISO's Workers Compensation Standards division to help implement the new Release 3.1 standard for FROI and SROI EDI Reporting. In conjunction with ISO, the Bureau created an enhanced EDI Website that contains the following information:
- Trading Partner Electronic Profile Registrations and Instructions to be completed by all Trading Partners
- Trading Partner Training Information
- Trading Partner Testing Documentation/Plan. (Note: For Trading Partners that will utilize a Vendor, the Vendor will perform the testing on your behalf)
- Claims Release 3.1 Implementation Guide and Requirement Tables
- EDI Vendors that may assist with EDI reporting
- Implementation Information that will provide additional support for the TNBWC EDI Reporting Requirements
- Helpful Web Links
The Tennessee Workers’ Compensation Act and Rules of the Bureau require adjusters and third-party administrators (TPA’s) to file claims forms throughout the life of a claim.
The Forms I-1 & I-2 are required to be electronically filed by the employer's insurance carrier when coverage is obtained from a licensed Workers' Compensation Carrier authorized to write workers' compensation policies in the State of Tennessee. It must be filed within 30 days from procurement or renewal of suitable workers' compensation insurance. Any error submitted on filings of Form I-1 or Form I-2 must be corrected by the insurance carrier that submitted the information.
*The C-29/FN must be filed on all claims that do not result in permanency (settlement).
All cases that result in permanency will require the filing of the SD-1/SD-2. The SD-1/SD-2 must be filed with the Bureau at the time of settlement.
Penalties for EDI Errors
The Bureau of Workers' Compensation will begin tracking the number of rejected EDI filings that are not corrected and re-filed. Penalty referrals are possible.
The Tennessee Bureau of Workers' Compensation is charged, statutorily, with collecting and maintaining accurate records concerning the occurrences of on-the-job injuries, the cost and treatment information regarding those injuries, as well as the terms and payment schedules of settled claims. Additionally, the Workers' Compensation Reform Act of 2013, much of which went into effect for dates of injury on or after July 1, 2014, requires the Bureau to provide an annual report on the impact of the Reforms to the General Assembly. The annual report must include most of the information mentioned above.
Insurance carriers, third party administrators, self-insureds, their vendors and staff are reminded that EDI filings are not considered "filed" until they have been accepted by the Bureau. EDI filings that are rejected by the Bureau are not considered "accepted" and instead are considered "unfiled."
In order to provide more accurate data to the General Assembly and to aid the Bureau in its research, effective January 1, 2016, the Bureau will begin tracking the number of rejected EDI filings that are not timely corrected and will begin making referrals to the Bureau's Penalty Program.
In order to avoid the penalties associated with an unfiled claim form, all insurance carriers, third party administrators, self-insureds, their vendors and staff are encouraged to review Chapter 0800-02-01, which are the Bureau's GENERAL RULES OF THE WORKERS' COMPENSATION PROGRAM, and Chapter 0800-2-14, which are Bureau's CLAIMS HANDLING STANDARDS. These rules define the required filings and their individual deadlines.
The International Association of Industrial Accident Boards and Commissions (IAIABC) offers education on reporting workers' compensation data electronically.
Need More Help?
All questions related to the EDI Claims Release 3.1 Trading Partner registration process and/or general EDI Claims Release 3.1 support issues should be sent to TNBWCedi@iso.com.
This Page Last Updated: February 10, 2021 at 3:44 PM