EDI Claims Standards
IAIABC EDI Claims Standards are used by claims administrators to report workers' compensation first report of injury and subsequent report of injury claims data to U.S. jurisdictions. EDI Claims Release 3.1 is the most current release and is maintained on an ongoing basis. Revised documentation for EDI Claims Release 3.1 is published on January 1 of each year.
Claims State Implementation
Download the EDI Jurisdictional Profiles (Members) and EDI Jurisdictional Summary (Public) for implementation insights on all IAIABC EDI Standards.
View the Claims Release 3.1 Implementation Schedule and Jurisdictional Notice to Adopt forms.
EDI Claims Release 3.1 Standard Documents
Publication Date: January 1, 2023
Standard documents include:
- Implementation Guide
- Business Scenarios
- Event Table
- Element Requirement Table
- Edit Matrix
- IAIABC XML Schema (new)
- IAIABC XML Flat File Mapping Document (new)
- IAIABC XML User Guide (new)
- IAIABC XML Sample Files (new)
- IAIABC to ACORD XML Comparison (new)
- EDI Claims Release 3.1 XML Transactions ACORD Companion Guide (no longer supported)
- 2023 Supplement
Access (IAIABC Jurisdictional and EDI Members) or purchase access (Associate Members or Non-Members)
EDI Claims Release 3.0 Standard Documents
Final Publication Date: January 1, 2017
Standard documents include:
- Implementation Guide
- Edit Matrix
- Element Requirement Table
- UR Requirement Table
- EDI Claims Release 3.0 XML Transactions ACORD Companion Guide (no longer supported)
EDI Claims Release 1.0 Standard Documents
Final Publication Date: February 15, 2002
Standard documents include:
- Implementation Guide
- Edit Matrix
- Element Requirement Table
- Event Table