The EDI POC Section receives documented proof of workers' compensation coverage from each carrier and self-insured group fund for employees covered by the workers' compensation act. Carriers and insurers submit required information using Electronic Data Interchange (EDI) through one of the state-approved data collection agents. Electronic coverage data is stored in a master database maintained by the EDI POC Section.
FROIs and SROIs are electronically received daily from Third Party Administrators and Insurance Carriers submitted to the Department through Vendors\VANs. Each record goes through program edits prior to acceptance of the FROI and SROI records. This section assigns DWC claim numbers and creates an electronic claim in the SIMBA database.