WCIS eNews No. 80
October 13, 2010

FROI SROI data quality reports

Trading partner specific data quality reports have been prepared for FROI (148) and SROI (A49) transactions submitted between 7/1/2009 and 5/31/2010. The reports include a summary of the acknowledgments for this period by error code and data element number, along with detailed information on any SROIs rejected with the error code 063 (invalid event sequencing). They will be sent by email to the business contact person for each trading partner.  For claims administrators who are sending data to WCIS through a third party administrator (TPA), if you would like a copy of your TPA’s data quality report, please contact your TPA directly.

Aggregated data quality reports for the system are available on the WCIS website at http://www.dir.ca.gov/dwc/wcis/WCIS_Reports.html.

Updated WCIS FAQ

The WCIS Frequently Asked Questions (FAQ) for FROI/SROI and medical reporting have been updated. They can be found online at:

Some important topics covered in the updated FAQs include:

Invalid benefit amounts and start/end dates

To ensure data accuracy, invalid benefit amounts and benefit start/end dates will be rejected beginning Nov. 1, 2010.  The rejections will be based on the IAIABC FROI/SROI Release 1 edit matrix and will be triggered under the following conditions:

WCIS trading partner contacts:

Johnny Lee
email: jblee@dir.ca.gov
phone: 510-286-6772
fax: 510-286-6862
Trading Partner Letters A, I-L, S-V, Z

Elisema Cantu
email: ecantu@dir.ca.gov
phone: 510-286-6763
fax: 510-286-6862
Trading Partner Letters B, D-F, N, O, W-Y

Kenneth Kong
email: kkong@dir.ca.gov
phone: 510-286-6753
fax: 510-286-6862
Trading Partner Letters C, G, H, M, P-R

Antoinette Esqueda
email: aesqueda@dir.ca.gov
phone: 510-286-6773
fax: 510-286-6862
Medical Reports Technical Contact

Contents of this bulletin do not change existing regulatory requirements; they provide additional or revised detail about the technical implementation of those requirements. All technical changes will subsequently be reflected in other WCIS documentation. Any bulletin can be forwarded as needed, but should be forwarded in its entirety and without modification. If you have received a forwarded copy of this bulletin and are concerned about its authenticity, you can view this and previous bulletins on our WCIS web site: http://www.dir.ca.gov/dwc/wcis.htm.

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