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 State: NY


SWCB Proposes EDI Regulation


The New York State Workers' Compensation Board has published a proposed regulation as part of the board's conversion to the Electronic Data Interchange Claims Release 3.0 system for filing first reports of injury and subsequent reports of injury.


SWCB said in a notice published in the Aug. 28 edition of the New York State Register that the proposed regulation will take effect on April 23, 2014, and that all carriers must complete an Electronic Trading Partner Agreement prior to April 20, 2014.


The proposed regulation requires the electronic filing of FROIs and SROIs, including filings in medical-only cases, notices of controversy and when a carrier acquires a claim from another carrier.


The board held a 45-day public comment period between April 24, 2013, and June 15, 2013, and has made the following changes to Title 12 of the New York Code of Rules and Regulations Sections 300.22, 300.23 and 300.38:


• Electronic filings will not be deemed late when they are received on time but are not processed by the board until after the expiration of the filing date. 

• A notice of controversy may not be filed as an FROI when it is filed more than 18 days following an injury or more than 10 days after an employer learns of an injury.

• The effective date of the proposed regulations has been changed from April 20, 2014, to April 23, 2014.

• Notices of filings must be transmitted to an injured worker or his or her attorney within one business day of electronic filings.


The regulatory notice is here.


Source: SWCB

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