December 19, 2024
The NYS R3.1 Edit Matrix, NYS R3.1 Element Requirement, and NYS eClaims EDI R3.1 Change Log have been updated and posted on the NY Requirement Tables - EDI R3.1 page. These changes will be covered at the next eClaims Trading Partner Webinar.
The updates summarized are on the Claims EDI R3.1 Change Log under items #398-409, and include updates to the following documents:
- NYS eClaims EDI R3.1 Change Log
- NYS R3.1 Element Requirements
- NYS R3.1 Edit Matrix
New edits under #398, #401–403 and #405-409 will be implemented on 06/16/2025. Change Log Items #399 and #400 are clerical edits and #404 is a relaxed edit that will be implemented on 12/19/2024:
- #398 - Element Requirements - SROI Conditional Requirements - DN0144 (Current Date Disability Began) - Relaxed SROI Condition on DN0144 for ER/RB
- #399 - Element Requirement - SROI Conditional Requirements - DN0314 (Insured FEIN) - Clerical edit. SROI Condition for DN0314 on 02 to include unless 3A (No Employer, Employee Relationship).
- #400 - Element Requirement- SROI Conditional Requirements - DN0314 (Insured FEIN) - Clerical edit. SROI Condition for DN0314 on ALL except 02,SU,SA to include unless 3A (No Employer, Employee Relationship)
- #401 - Edit Matrix- Population Restrictions - DN0068 (Initial RTW Date) - New Population Restriction DN0068-064 F)
- #402 - Edit Matrix - Population Restrictions - DN0072 (Latest RTW/Status Date) - New Population Restriction DN0072-064 F)
- #403 - Edit Matrix - Population Restrictions - DN0072 (Latest RTW/Status Date) - New Population Restriction DN0072-064 G)
- #404 - Edit Matrix- Population Restrictions - DN0216 (Other Benefit Type Code)- Removed Population Restriction DN0216-064 C)
- #405 - Edit Matrix - Population Restrictions - DN0404 (Initial RTW Physical Restrictions Indicator) - Modified Population Restriction DN0404-064
- #406 - Edit Matrix- Population Restrictions - DN0404 (Initial RTW Physical Restrictions Indicator) - New Population Restriction DN0404-064 B)
- #407 - Edit Matrix - Population Restrictions - DN0406 (Latest RTW Type Code) - Removed Population Restriction DN0406-064 B)
- #408 - Edit Matrix - Population Restrictions - DN0407 (Latest RTW Physical Restrictions Indicator) - Modified Population Restriction DN0407-064
- #409 - Edit Matrix- Population Restrictions and Edit Matrix - DN Error Message Table - DN0408 (Latest RTW With Same Employer Indicator) - Removed Population Restriction DN0408-064
October 15, 2024
The October webinar recordings and slide decks are now available on the eClaims Presentation page.
September 16, 2024
The NYS R3.1 Edit Matrix, NYS R3.1 Element Requirement, and NYS eClaims EDI R3.1 Change Log have been updated and posted on the NY Requirement Tables - EDI R3.1 page.
The updates are summarized on the Claims EDI R3.1 Change Log under items #389-397 , and include updates to the following documents:
- NYS eClaims EDI R3.1 Change Log
- NYS R3.1 Element Requirements
- NYS R3.1 Edit Matrix
July 26, 2024
The NYS R3.1 Edit Matrix, NYS R3.1 Element Requirement, and NYS eClaims EDI R3.1 Change Log have been updated and posted on the NY Requirement Tables - EDI R3.1 page.
The updates are summarized on the Claims EDI R3.1 Change Log under items #383-388, and include updates to the following documents:
- NYS eClaims EDI R3.1 Change Log
- NYS R3.1 Element Requirements
- NYS R3.1 Edit Matrix
The NYS R3.1 Edit Matrix, NYS R3.1 Element Requirement, and NYS eClaims EDI R3.1 Change Log have been updated and posted on the NY Requirement Tables - EDI R3.1 page. These changes are in support of indexing changes outlined in Subject Number SN046-1704.
For more information regarding this subject number, please visit: https://www.wcb.ny.gov/content/main/SubjectNos/sn046_1704.jsp.
July 16, 2024
The July webinar recordings and slide decks are now available on the eClaims Presentation page.
April 16, 2024
The April webinar recordings and slide decks are now available on the eClaims Presentation page.
January 18, 2024
The January webinar recordings and slide decks are now available on the eClaims Presentation page.
January 17, 2024
The NYS R3.1 Edit Matrix, NYS R3.1 Element Requirement, and NYS eClaims EDI R3.1 Change Log have been updated and posted on the NY Requirement Tables - EDI R3.1 page. These changes will be covered at the next eClaims Trading Partner Webinar.
The updates summarized are on the Claims EDI R3.1 Change Log under items #378-382, and include updates to the following documents:
- NYS eClaims EDI R3.1 Change Log
- NYS R3.1 Element Requirements
- NYS R3.1 Edit Matrix
November 22, 2023
The November webinar recordings and slide decks are now available on the eClaims Presentation page.
November 22, 2023
The next eClaims webinar will be held on Tuesday, January 16, from 2:00 p.m. - 3:00 p.m.
- Invites will be distributed via email. See more details at wcb.ny.gov/webinars.
- If you have any questions, please contact us at eclaims@wcb.ny.gov.
October 24, 2023
The next eClaims webinar will be held on Tuesday, November 21, from 2:00 p.m. - 3:00 p.m.
- Invites will be distributed via email, and agendas will be provided to attendees prior to the webinar. See more details at wcb.ny.gov/webinars.
- If you have any questions, please contact us at eclaims@wcb.ny.gov.
October 16, 2023
The NYS R3.1 Event Table, NYS R3.1 Edit Matrix, NYS R3.1 Element Requirement, and NYS eClaims EDI R3.1 Change Log have been updated and posted on the NY Requirement Tables - EDI R3.1 page. These changes will be covered at the next eClaims Trading Partner Webinar.
The updates summarized are on the Claims EDI R3.1 Change Log under items #352-370, and include updates to the following documents:
- NYS eClaims EDI R3.1 Change Log
- NYS R3.1 Element Requirement
- NYS R3.1 Edit Matrix
New edits will be implemented on 04/18/2024 as follows:
- ID#376 New Population Restriction on DN0299 Award/Order Date for Error 044. Date must not be > than the date the WCB received the transmission + 35 days. Element Error Text: must not be > WCB received transmission + 35 days.
August 18, 2023
The August webinar recordings and slide decks are now available on the eClaims Presentation page.
August 1, 2023
The eClaims FAQ's were recently updated. Under the Appropriate MTC Filing section (eClaims Appropriate MTC Filing FAQ), question number 7 was removed as it was duplicative in nature.
The Data Element Reporting section (eClaims Data Element Reporting FAQ) had question number 5 updated.
July 28, 2023
The NYS R3.1 Edit Matrix, and NYS eClaims EDI R3.1 Change Log have been updated and posted on the NY Requirement Tables - EDI R3.1 page. These changes will be covered at the next eClaims Trading Partner Webinar.
The update is summarized on the Claims EDI R3.1 Change Log under item #371:
- Modified Population Restriction 0064-064 A) and 0064-064 B) by changing the applicable MTC from FROI-02 to 02
July 21, 2023
The Chart of DNs triggered on 02 has been revised on the NY Requirement Tables page.
This document was updated to match the changes published in the eClaims change log on 7/14/2023 under:
- ID#355 (DN0063 Wage Period Code)
- ID#359 (DN0193 Suspensions Effective Date and DN0418 Suspension Reason Code - Full)
July 14, 2023
The NYS R3.1 Event Table, NYS R3.1 Edit Matrix, NYS R3.1 Element Requirement, and NYS eClaims EDI R3.1 Change Log have been updated and posted on the NY Requirement Tables - EDI R3.1 page. These changes will be covered at the next eClaims Trading Partner Webinar.
The updates summarized are on the Claims EDI R3.1 Change Log under items #352-370, and include updates to the following documents:
- NYS eClaims EDI R3.1 Change Log
- NYS R3.1 Event Table
- NYS R3.1 Element Requirement
- NYS R3.1 Edit Matrix
- NYS MTC Filing Instructions posted at Implementation Guide - EDI R3.1
New edits will be implemented on 1/18/2024 as follows:
- ID#355 - DN0063 (Wage Period Code) Changed both the FROI-02 and SROI-02 Reportable Change Code for "Remove" to J.
- ID#356 DN0063 (Wage Period Code) added new Conditional Requirement for FROI-02
- ID#357 DN0064 (Number of Days Worked Per Week) Modified the FROI-02 and SROI-02 Reportable Change Code for “Add” and "Update from 'K' to 'J'.
- ID#361 Changed Severity Rankings on 40 Data Element on SROIs from NA to AR
- ID#360 and #362 Changed four Data Elements on SROI’s from NA to MC
- ID#369 Removed MTC SA from 0424-045 due to change in death dependents severity ranking change from NA to MC listed in Change Log ID#362
New edits will be implemented on 1/25/2024 as follows:
- ID#358 Added new DN0443 (Employee Email Address) to the FROI Element Requirement table.
- ID#368 DN0443 (Employee Email Address) Added L under Error 120 no embedded spaces and 121 no leading spaces.
- ID#370 DN0443 (Employee Email Address) New Population Restriction: DN0443-111 must be a valid e-mail that has an embedded at sign.
- ID#366 New Population Restriction for Error 111 will be added to all DN's identified as alpha/numeric.
May 19, 2023
Attention Trading Partners,
In lieu of holding a Trading Partner Webinar for the month of May, please see the pre-recorded May 2023 eClaims webinar.
April 6, 2023
A change to the processing of 02s was made on 3/16/2023 and announced at the 3/21/2023 eClaims Trading Partner Webinar. The NYS 02 reference Section 2b IIIA (Acceptance Method-Implementing Implied/Usable DNs/Non-Variable Segments) posted on the eClaims NY Requirement Tables - EDI R3.1 tables has been updated to reflect these changes.
Here is a summary of the changes:
- FTP filers brought to our attention that we were rejecting Change 02 transactions improperly.
- The IAIABC R3.1 Assumptions indicate that any data element that is marked as “X” or “NA” can be populated, if desired, but cannot be edited by the Jurisdiction. Since we are not editing, we are ignoring the data populated in the “X” and “NA” fields. If there was no MTC accepted where that data element had a severity ranking other than “X” or “NA” we were rejecting Change 02 transaction. Also, we were only looking at the accepted FROI MTCs if the transaction was a FROI-02 or accepted SROI MTCs if the transaction was a SROI-02.
- Modifications to the Change 02 processing was implemented on 3/16/2023 to recognize data for both FROI and SROI for the latest accepted value. We are now looking at both FROI and SROI MTCs where the data element had a severity ranking other than “X” or “NA”.
- There are 11 data elements that we will accept when an 02 is received for any of those data elements even if the only accepted MTC had a severity ranking of “X” or “NA”.
March 27, 2023
The March webinar recordings and slide decks are now available on the eClaims Presentation page.
February 10, 2023
The following documents have been updated and posted on the eClaims NY Requirement Tables - EDI R3.1 tables page:
- NYS Claims Release EDI 3.1 FROI/SROI Change 02 Requirements
- NYS FROI/SROI-02 Transaction Processing in Claims EDI R3.1
January 19, 2023
The January webinar recordings and slide decks are now available on the eClaims Presentation page.
December 15, 2022
The NYS R3.1 Edit Matrix, NYS R3.1 Element Requirement, and NYS eClaims EDI R3.1 Change Log have been updated and posted on the NY Requirement Tables - EDI R3.1 page. The updates summarized are on the Claims EDI R3.1 Change Log under items #345-351, and include updates to the following documents:
- NYS R3.1 Edit Matrix
- NYS R3.1 Element Requirement
- NYS eClaims EDI R3.1 Change Log
These updates were be presented at the August and October 2022 Trading Partner Webinars and will be reviewed again at the January 2023 Trading Partner Webinar.
- Added Capture Column per IAIABC Change Log Item ERT228 and indicated Y in the capture column for each data element with requirement codes more severe than "NA" and N in the capture column if the data element is not collected "NA"
- Changed the background color on the FROI ERT which are currently blank or filled with orange # to green @ per IAIABC Change Log Item ERT226.
-
Per IAIABC Change Log Item ERT227 - Add a note under section: Reportable Change Codes: Used in MTC 02 Reportable Change columns labeled A (Add), U (Update), R (Remove) and D (Delete)
Note: All code descriptions are based on the current Claim Administrator on the claim.
Per IAIABC Change Log Item ERT223 Add to Legend: f (fatal Technical Variable Segment) - Per IAIABC Change Log Item EM142 - Added a new column to these tables with the indication if each specific DN is 'On FROI, SROI, Both'.
-
Clerical Edit. Updated DN0085-064 E)
Was:
E) If DER requires DN0083 (Permanent Impairment Body Part Code) for this MTC, then DN0078 (Number of Permanent Impairments) must not be 0.
If DN0078 (Number of Permanent Impairments) is 0, and DN0085 (Benefit Type Code) is '020' or '030' or '040' or '090' or '530' or '540' or '590', then DN0078 (Number of Permanent Impairments) must be included in the Change Variable Segment.
Now:
E) If DN0078 (Number of Permanent Impairments) is 0, and DN0085 (Benefit Type Code) is '020' or '030' or '040' or '090' or '530' or '540' or '590', then DN0078 (Number of Permanent Impairments) must be included in the Change Variable Segment. - Added “L” in 0012-111, 0021-111, 0048-111, 0121-111, 0165-111 due to 5 new Population Restriction in Change log item 351.
-
Added 5 new Population Restrictions with Error Code 111 (Must be Valid Content) for the following DN’s:
DN0121 Accident Site City
DN0012 Claim Administrator City
DN0048 Employee Mailing City
DN0165 Employer Mailing City
DN0021 Employer Physical City -
New Population Restriction:
May only include a hyphen, apostrophe, period, or multiple words if contained in the city name. Cities with a numerical name must be spelled out -
Error 111 - Must be Valid Content
May only contain characters listed in DP Rule
October 27, 2022
October 24, 2022
eClaims Reminders for Payers .
October 19, 2022
The October webinar recordings and slide decks are now available on the eClaims Presentation page.
September 15, 2022
The NYS R3.1 Edit Matrix, NYS eClaims EDI R3.1 Change Log, and NYS R3.1 Element Requirements, have been updated and posted on the NY Requirement Tables - EDI R3.1 page. The updates are summarized on the NYE eClaims EDI R3.1 Change Log under items #338-344, and include updates to the following documents:
- NYS eClaims EDI R3.1 Change Log
- NYS R3.1 Element Requirements
- NYS R3.1 Edit Matrix
These updates will be presented at the October eClaims webinar and include the following new edits effective March 16, 2023:
- Added 'L' to Error 111 in the DN Error Message table for DN0062, DN0086, DN0087, DN0093, DN0124, DN0129, DN0133, DN0134, DN0143, DN0174, DN0215, DN0218, DN0225, DN0286, DN0433, and DN0435 to the DN Error Message table. New Population Restriction Error 111 added for all Data Elements defined as amounts. If an amount value is sent on a Data Element that the Board has asked for, then the value must be greater than or equal to 0. No negative values will be accepted. Element Error Text: Value must be greater than or equal to 0. eClaims Change Log ID#342
- Added and grayed out the X - Nonbinary and T - Self-reported Transgender values for DN00428 (Dependent Gender Code) on the Valid Value Table and the Valid Value Detail Page 2, since they are not applicable to NYS business rules. eClaims Change Log ID#344
- Added the X - Nonbinary and T - Self-reported Transgender values for DN00053 (Employee Gender Code) on the Valid Value Table and the Valid Value Detail Page 2. Grayed out the T - Self-reported Transgender value since it is not applicable to NYS business rules. Will be accepting X - Nonbinary as of March 16, 2023. eClaims Change Log ID#339
August 25, 2022
The August and June webinar recordings and slide decks are now available on the eClaims Presentation page.
July 27, 2022
The next eClaims webinar will be held on Tuesday, August 16, from 2:00 p.m. - 3:00 p.m.
- Invites will be distributed via email, and agendas will be provided to attendees prior to the webinar. See more details and register at wcb.ny.gov/webinars.
- If you have any questions, please contact us at eclaims@wcb.ny.gov.
June 30, 2022
The following Reference Documents have been updated and are available on the NY Requirement Tables - EDI R3.1 and Implementation Guide page.
- NYS R3.1 DN Reporting Specifics
- Form Change from C8.1 to C8.1B
- NYS FROI-SROI 02 Transaction Processing in Claims EDI R3.1
- Example updated on Page 5
- R3.1 NYS MTC Filing Instructions
- Form Change from C8.1 to C8.1B
June 22, 2022
eClaims Change Log: Element Requirement Table, Change Log, Edit Matrix-Population Restriction Table, Event Table and 02 chart. The updates are summarized on the eClaims Change Log under Items ID#321-337 posted on the NY Requirement Tables - EDI R3.1 page.
- Effective 12/15/2022, EDI 3.1 FROI/SROI Change 02 Chart has been updated 0031 I to J (Update),0146 and 0290 I to K (Add/Update/Remove), 0204 and 0205 K to J (Add/Update/Remove) and the abbreviation key has been updated to add J - "Required change on SROI if accepted; otherwise, change on FROI".
- Effective 06/22/2022, removed SROI-ER event for Z = Net to Zero.
- Effective 12/15/2022, modified the FROI-02 and SROI-02 Reportable Change Codes for Update from 'I' to 'J' on DN0031 (Date of Injury).
- Effective 12/15/2022, modified the FROI-02 and SROI-02 Reportable Change Codes for Add, Update and Remove from 'I' to 'K on DN0146 (Death Result of Injury Code) and DN0290 (Type of Loss Code).
- Effective 12/15/2022, modified the FROI-02 and SROI-02 Reportable Change Codes for Add, Update and Remove from 'K' to 'J on DN0204 (Work Week Type Code) and DN0205 (Work Days Scheduled Code).
- Effective 06/22/2022, clerical update made to Industry Code 0025-111
- Effective 05/19/2022, update element error text on Date of Injury (DN0031-064 I).
- Effective 12/15/2022, modified Population Restrictions for Date of Injury Code (0031-064 F), 0031-031 G) and 0031-064 H) by changing the applicable MTC from FROI-02 to 02.
- Effective 12/15/2022, relaxed Population Restriction for Date of Injury Code (0031-064 I).
- Effective 05/19/2022, relaxed Population Restriction for Part of Body Injured Code (DN0036-064 B) to exclude 10 (Multiple Head Injury) and 20 (Multiple Neck Injury).
- Effective 05/19/2022, update element error text on Date Claim Administrator Had Knowledge of Injury (DN0041-064 B).
- Effective 06/22/2022, clerical update to element error text on Benefit Credit Code (DN00126-064 A) by adding "both".
- Effective 12/15/2002, modified Population Restrictions for Death Result of Injury Code (0146-064 D), 0146-064 E) and 0146-064 F) by changing the applicable MTC on 0146-064 D) and 0146-064 F) from 02 to FROI-02 and 0146-064 E) from SROI-02 to FROI-02.
- Effective 4/29/2022, clerical update made to the element error text for Employee ID Assigned by Jurisdiction (DN0154-117).
- Effective 12/15/2002, modified Population Restrictions for Work Week Type Code (0204-064 A), 0204-064 B) and 0204-064 C) by changing the applicable MTC from FROI-02 to 02.
- Effective 12/15/2002, modified Population Restriction for Type of Loss Code (0290-064 A).
- Effective 12/15/2002, modified Population Restrictions for Type of Loss Code (0290-064 B). Changed the applicable MTC on 0290-064 B) from 02 to FROI-02 and removed DN0040 (Date Employer Had Knowledge of the Injury) and DN0041 (Date Claim Administrator Had Knowledge of Injury) from the Population Restriction.
These updates will be presented at the August eClaims Trading Partner Webinar.
April 28, 2022
The April webinar recording and slide deck is now available on the eClaims Presentation page.
April 18, 2022
An update to DN0059 (Manual Classification Codes) has been posted to the Board's website.
April 5, 2022
The Net to Zero (NTZ) Training is now available.
These updates will be presented at the April eClaims webinar.
The April eClaims webinar will be held on Tuesday, April 19, from 2:00 p.m. - 3:00 p.m.
- Invites will be distributed via email, and agendas will be provided to attendees prior to the webinar. See more details and register at wcb.ny.gov/webinars.
- If you have any questions, please contact us at eclaims@wcb.ny.gov.
March 23, 2022
The NYS R3.1 Event Table, NYS R3.1 Edit Matrix, and Claims EDI R3.1 Change Log have been updated and posted on the NY Requirement Tables - EDI R3.1 page.
March 15, 2022
The NYS R3.1 Element Requirements, NYS R3.1 Event Table, NYS R3.1 Edit Matrix, and Claims EDI R3.1 Change Log have been updated and posted on the NY Requirement Tables - EDI R3.1 page. The updates are summarized on the Claims EDI R3.1 Change Log under items #290-320.
These updates will be presented at the April eClaims webinar.
February 24, 2022
The next eClaims webinar will be held on Tuesday, April 19, from 2:00 p.m. - 3:00 p.m.
- Invites will be distributed via email, and agendas will be provided to attendees prior to the webinar. See more details and register at wcb.ny.gov/webinars.
- If you have any questions, please contact us at eclaims@wcb.ny.gov.
January 28, 2022
The next bimonthly eClaims webinar will be held on Tuesday, February 15, from 2:00 p.m. - 3:00 p.m.
- Invites will be distributed via email, and agendas will be provided to attendees prior to the webinar. See more details and register at wcb.ny.gov/webinars.
- If you have any questions, please contact us at eclaims@wcb.ny.gov.
Related Pages
- eClaims Homepage
- eClaims EDI R3.1
- eClaims News Archive
- eClaims Presentations
- Trading Partner Registration
- Trading Partner Online Services
- eClaims Inquiry
- eClaims Data Entry
- eClaims Administrator Responsibilities
- Trading Partner Webinars
- Process for Section 21-a and Claims Paid Without Liability
- Send your questions to: eClaims@wcb.ny.gov