WCIS eNews No. 133
April 3, 2017

DWC Posts Final WCIS Medical Billing & FROI/SROI Reporting Regulations

The Office of Administrative Law (OAL) has approved the Division of Workers’ Compensation’s (DWC) final version of the WCIS regulations regarding Medical Billing Reporting.  The regulations include release of the California EDI Implementation Guide for First and Subsequent Reports of Injury (FROI/SROI), Version 3.1, for reporting beginning 12 months following the effective date of the regulations will be March 27, 2018.

The regulations also adopted California Electronic Data Interchange (EDI) Implementation Guide for Medical Bill Payment Records, Version 2.0 and the  IAIABC Workers’ Compensation Medical Bill Reporting Implementation Guide, Release 2.0 February 1, 2015 as the current standard for the medical bill data collection. Reporting under the new California medical reporting guide will be effective September 27, 2017.

The DWC believes that these updates will allow WCIS to collect more robust and useful data that will assist with research regarding workers’ compensation issues.

The notice and text of the regulations can be found on the approved regulations page

STAY TUNED:  WCIS will be following up this posting with additional information regarding the implementation of these requirement on its website   

WCIS trading partner contacts:

Johnny Lee
email: jblee@dir.ca.gov
phone: 510-286-6772
Trading partner letters A, C, G, I-L, S-V, Z

Elisema Cantu
email: ecantu@dir.ca.gov
phone: 510-286-6763
Trading partner letters B, D-F, H, M-R, W-Y

Antoinette Esqueda
email: aesqueda@dir.ca.gov
phone: 510-286-6773
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: www.dwc.ca.gov/wcis.htm.

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