A Long History Of Excellence

EDI Notice

PLEASE NOTE:  The below warning now appears on WCAIS:

Final decisions rendered (including C & Rs), signed agreements, and LIBC-751s must have an EDI transaction to reflect the acceptance, modification, suspension, or closure of the claim in WCAIS.

This is nothing new.  In fact, on the face of it, Form LIBC-751 provides:

This form must be completed, mailed to the employee, and uploaded to WCAIS or mailed to the Bureau of Workers’ Compensation within seven days of the suspension or modification of benefits under the provisions of the Workers’ Compensation Act. You must submit an EDI transaction to match the LIBC-751 to update the status of the claim in WCAIS.

We strongly recommend that the appropriate EDI reporting requirements be met with regard to all changes in a claimant’s benefit status so as to avoid possible future litigation.  For instance, after a claimant’s benefit status has been modified and no challenge has been asserted, it is not inconceivable that the claimant may choose to file an untimely challenge to the modification by arguing that TTD benefits should be reinstated because the modification was not appropriately recorded via an EDI transaction on WCAIS.