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North Carolina Industrial Commission (NCIC) EDI

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North Carolina Industrial Commission (NCIC)

ISO EDI Reporting Services

Notice: The NCIC Medical EDI Training has been rescheduled for Wednesday, December 12, 2012. Registration will begin at 8:30am; training will be 9:00am-3:30pm. The NCIC Medical EDI Training originally scheduled for Tuesday, 11/06/12 was postponed due to the effects of Hurricane Sandy.

 

The North Carolina Industrial Commission (NCIC) will be implementing two (2) electronic reporting processes for workers’ compensation claims:

  1. First Reports of Injury (FROI) and Subsequent Reports of Injury (SROI)
    1. Electronic reporting for FROI/SROI will become available on January 2, 2013, and mandatory implementation is required for workers’ compensation carriers and self-insured employers by January 2, 2014.
    2. Electronic reporting will occur via Electronic Data Interchange (EDI) transactions, using the Claims 3.0 reporting standards adopted by the International Association of Industrial Accident Boards and Commissions (IAIABC).
    3. Claims EDI testing will be available beginning October 1, 2012.
  2. Medical Billing
    1. Electronic reporting for Medical Billing will become available on March 1, 2013, and mandatory implementation is required for workers’ compensation carriers and self-insured employers by March 1, 2014.
    2. Electronic reporting will occur via EDI transactions, using the Medical Billing 2.0 reporting standards adopted by the IAIABC.
    3. Medical Billing EDI testing will be available beginning January 2, 2013.

Additional information on EDI transactions can be found online at the IAIABC website, http://www.iaiabc.org.

The North Carolina Industrial Commission has contracted with Insurance Services Office, Inc. (ISO) to manage its electronic reporting. ISO will be administering registration of carriers, self-insurers, medical bill review companies and third party administrators as trading partners, EDI testing, and data collection and submission of EDI data to the NCIC.

If you have any questions or concerns regarding implementation of EDI FROI/SROI or EDI MED reporting in North Carolina, please contact ISO at This e-mail address is being protected from spambots. You need JavaScript enabled to view it .

If you would like to join the NCIC EDI Mailing List to receive important announcements on North Carolina's reporting requirements, please send an email to This e-mail address is being protected from spambots. You need JavaScript enabled to view it . Contacts indicated on the Trading Partner Registration will be automatically added to this list.

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