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    Gayle Parrish   
503-947-7626   

Electronic Data Interchange (EDI)

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EDI Medical Bill Reporting:
EDI Medical Reporting User Teleconference Schedule - new 6/19/08
  7/10/08 teleconference notes - new 7/15/08
  7/17/08 teleconference notes - new 7/25/08
  7/24/08 teleconference notes - new 7/25/08
  7/31/08 teleconference notes - new 8/4/08
   
ANSI loop, segment, data element summary - new 6/30/08
   
File Naming Instructions - updated 7/16/08
   
Pharmacy billings - UCF paper form - new 6/24/08
   
Send us an email about EDI Medical Bill Reporting questions
   
Frequently asked questions for EDI medical bill reporting - updated 7/16/08
   
Oregon Data Elements by Source table - new 4/29/08
   
Final Reporter Cutover Plan - updated 5/28/08
NOTE: This document shows changes made to the earlier draft document.
 
Required Trading Partner Documents: - new 5/19/08
  Trading Partner Profile
  Transmission Profile
   
Current Rules affecting EDI medical bill reporting:
  Division 009 - Oregon Medical Fee and Payment Rules
  Division 160 - Electronic Data Interchange Rules
 
Revised required documents:
  Event Table - updated 4/2/08
  Element Requirements - updated 5/27/08
NOTE: This document shows the final revisions of data requirements after the 5-12-08 hearing on the Division 160 Rules.
  Edit Matrix (updated 6/19/08) - new 6/19/08
   
Implementation Schedule
   
Download IAIABC EDI Medical Implementation Guide
   
Past teleconferences & meetings
 


EDI First and Subsequent Reports of Injury:
* Project on hold, pending completion of claims process functional review
   


EDI Proof of Coverage Reporting:
7/1/09 Change to policy-based EDI proof of coverage reporting
Current guaranty contract-based EDI proof of coverage reporting
 


Other resources:

HIPAA

International Association of Industrial Accident Boards and Commissions (IAIABC)

National Council on Compensation Insurance

Insurance Services Office

Workers' COMP-LINK

If you have questions about the information contained in this document, please contact Gayle Parrish, 503-947-7626.

 

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