Electronic Data Interchange (EDI)
Electronic Data Interchange (EDI) affords insurers and the Bureau of Workers' Compensation a method of exchanging necessary workers’ compensation claims information electronically and thereby avoiding multiple entries of data into computer systems. EDI is fast, accurate, reliable and cost-effective. Insurers sign a trading partner agreement with the Bureau. This agreement includes testing the reporting system to determine if the transmission mechanism is acceptable. Upon completion of testing, the Bureau will notify the trading partner of approval to submit production data.
- Learn more about the claims handling standards
- Learn more about claim forms filing requirements
- Tennessee's First Report of Injury (FROI) Event Table
- Tennessee’s Subsequent Report of Injury SROI Event Table
- Tennessee’s Subsequent SROI AN Annual Report
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.
* The C-23 must also be filed via EDI.
EDI Error Message Meanings
If an EDI filing is not correct when it is submitted, it will be rejected. An error message will provide the carrier the reason for the rejection. EDI files that are rejected due to an error by the carrier are not considered to have been actually filed and may put the carrier at risk for penalty if the error is not corrected timely. If you receive an error message after submitting a file via EDI, we’ve created a guide to help resolve common errors. The EDI Error Message Meanings contains descriptions of the error codes that are received in the Acknowledgement File that is rejected when an EDI Claims file has been received by the Bureau of Workers’ Compensation. View our remedy guide for details.
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.
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This Page Last Updated: January 16, 2020 at 9:29 AM