Section 62. Electronic Date Interchange (EDI)

   (1) Filing with the Board:

   (a) Prior to filing in EDI, insurers, self-insurers, group self-insurers, and designated claims offices (TPAs) shall be certified to file via EDI by the Board.

   (b) Insurers, self-insurers, group self-insurers, designated claims offices (TPAs) or their designated vendors shall file Forms WC-1, WC-2, WC-2a, WC-3 and WC-4 via EDI in form of FROIs (First Report of Injury) and SROIs (Subsequent Report of Injury).

   (c) Insurers, self-insurers, group self-insurers, and designated claims offices (TPAs) shall not file any document or submit any transmission via EDI in any claim created prior to July 1, 2009. For any claim created prior to July 1, 2009, insurers, self-insurers, group self-insurers or designated claims offices (TPAs) shall file documents in paper unless and until web filing is available. Upon approval of the Board, claims created prior to July 1, 2009, may be converted to EDI.

   (d)  Any Form WC-1, WC-2, WC-2a, WC-3, or WC-4 that is filed in paper, by an insurer, self-insurer, group self-insurer, or designated claims office (TPA) concerning any claim created on or after July 1, 2009 may be rejected by the Board and may subject the filing party to a penalty.

   (e)  When suspending benefits via EDI and an attachment to a filing or submission is required such as a medical report. WC-104 or WC-240, the employer, insurer, self-insurer, group self-insurer or designated claims office (TPA) shall mail to, or electronically file with the Board the required attachment prior to or simultaneously with the filing of the appropriate EDI SROI suspension. Pursuant to Board Rule 60(c), all attachments filed with the Board shall contain the employee's name, date of injury, and Board claim number. Any attachment that does not contain this information shall be rejected by the Board. Copies of all filings shall be served simultaneously on the employee and the employee's attorney, if represented.

(2)  Changes in Handling of Claims:

If an insurer, self-insurer, group self-insurer or designated claims office (TPA) adds, replaces, or terminates the services of a claims office, the trading partner agreement shall be immediately amended and updated, and a Form WC-121 shall be filed with the Board.

(3) Compliance:

If an insurer, self-insurer, group self-insurer, designated claims office (TPA), or their designated vendor files Form WC-1, WC-2, WC2a, WC-3, or WC-4 via EDI, then all subsequent FROIs (First Report of Injury) and SROIs (Subsequent Report of Injury) shall be filed via EDI. Failure to do so may subject the filing party to a penalty.

(4) Exceptions:

Upon request, or on its own, the Board, in its discretion, may grant exceptions to this rule.