Workers' compensation information system (WCIS)

Acknowledgements Reports

The WCIS validates every incoming record and sends out an acknowledgment in ANS 824 file to data senders. A record that has been accepted receives a “TA” transaction accepted. A record that is rejected receives a “TR” transaction rejected and a record that is accepted with error gets a “TE”. The only instance a record will receive a TE is when the record has valid data but the WCIS is not able to find a matching claim for the record in the FROI/SROI database.

Table 1.1

Table number Table name
Table 1.1: Medical Billing Data Quality Summary

Source: WCIS data as of June 2015

Table 1.2

Table number Table name
Table 1.2: Distribution of Error By Error Code and Error Message

Source: WCIS medical bill data as of June 2015

Table 1.3

Table number Table name
Table 1.3: Distribution of Errors by Error Message and Data Element

 

Source: WCIS medical bill data as of June 2015

Table 1.4

Table number Table name
Table 1.4: Distribution of Errors by Data Element and Error Message

 

Source: WCIS medical bill data as of June 2015

Medical billing reports, tables and papers

August 2015