Kansas Electronic Data Interchange (EDI)

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On November 29, 2018, Kansas implemented EDI Release 3.1. The Kansas EDI 3.1 release date coincides with go-live of Kansas’ Online System for Claims Administration Research/Regulation (OSCAR). Kansas EDI data will be integrated into OSCAR and some of the new requirements in claims 3.1 are needed to support OSCAR functionality and processes.

Kansas is relaxing population restriction edits on DN0074 Claim Type Code (SROI) for Medical Only Claim Type Codes (M/B/W) that were not allowed on SROI. This change will allow the Trading Partners to settle the medical portion of a claim (BTC 501) when no indemnity payment is owed. The updated tables will be published on the Workers Compensation OSCAR webpage soon and will be effective from 2/26/2024.

KDOL has implemented changes to the Element Requirement Table to relax edits on payments for Medical Only claims. The changes that were implemented are listed below:

Include Claim Type Codes M/B/W on all SROI transactions
Initial Date Disability Began (DN0056), Initial Date Last Day Worked (DN0065), and Date Employer had Knowledge of Date of Disability (DN0281) are no longer mandatory for reporting Medical Lump Sum Payment/Settlement (501)

In addition, the following changes have been made to the Element Requirement Tables:

First Day of Disability After the Waiting Period (DN0297) is not mandatory for reporting Medical Lump Sum Payment/Settlement BTC 501
Date Claim Administrator Had Knowledge of Lost Time (DN0298) is not mandatory for reporting Medical Lump Sum Payment/Settlement BTC 501

Requirements Tables:

Trading Partner Documents:

Note: Please contact Ebix to set up testing at (866) 448-1776 or KS-EDICoordinator@Ebix.com. EDI vendors that are already submitting in at least one R3.1 EDI state at the time of testing are only required to complete connectivity testing requirements.

KS EDI 3.0 Migration to 3.1 (Open and Re-opened Claims)

Kansas R3.1 FROI UR Trigger - Any open or reopened claim previously reported via IAIABC R3.0 prior to 11/29/2018. Must be sent prior to submitting any other First Reports of Injury for claims that were initiated before implementation of R3.1
Any open or reopened claim previously reported via IAIABC R3.0 prior to 11/29/2018. Must be sent prior to submitting any other Subsequent Reports of Injury for claims that were initiated before implementation of R3.1
Kansas expects the FROI UR and SROI UR submissions for R3.0 migration claims to be completed by January 11, 2019
KS EDI 3.0 Migration to 3.1 - Statutes 44-557a

Administrative Regulations

51-9-17. Release 3.1 standards for trading partner profiles; submission of data; first reports of injury

Kansas EDI Quarterly Quality Report Overview

This report primarily serves as a method for trading partners to monitor the quality of their reporting to the Division, providing the opportunity to address potential issues and to improve data quality. A secondary reason is to ensure compliance with the Division’s quality standard.

Beginning July 1, 2004, the Division formally implemented its data quality standard for the EDI program. The quality standard is as follows: a minimum of 85% of all FROI/SROI reports per quarter are accepted with a TA or TE status and no more than 15% of all reports are rejected with a TR status.

EDI Quality Report

The Reports linked below will take you to an Excel spreadsheet file containing two worksheets: ‘Quality’ and ‘Uncorrected Errors.’

The ‘Quality’ sheet contains the quality data for each trading partner. The columns of this sheet are organized as follows: trading partner name, TA count, TE count, number of uncorrected TE reports, TR count, TA percentage, TE percentage and TR percentage. The percentages are based on total reports sent per trading partner for the quarter. Compare these percentages to the quality standard stated above to determine if any action on behalf of the trading partner is required (see action items below).

If you have any uncorrected TE counts, please see the 'Uncorrected Errors' sheet to see which claims contain the TE. Please make corrections using a CO report as soon as possible. All TE reports should be corrected (see action items below).

Action Items: Use the quality data to compare to the standard to determine what following action is required on behalf of the trading partner.

If your quality report meets or exceeds the Division’s quality standard, then nothing is required
If your quality report is below the Division’s quality standard, please submit a response to the Division within five business days of receipt of the notification email that the quality report is available. This response should contain a brief and general description of the circumstances that led to the errors listed in this report (e.g., new employee, new software, hardware issues, etc.) and any action taken to resolve those issues
If you have any outstanding TE reports that need correction, please do so immediately

Previous EDI Quality Reports

Public.tableau.com will take you to a series of tables and graphs that can be interactively changed by the user, based on a particular year and quarter within that year. This will allow Trading Partners to see their yearly trends regarding EDI Reporting compliance. You can also find each table/graph, as well as counts of TAs, TRs, and TEs by quarter, listed individually in the drop down section below.

Kansas EDI Quarterly Quality Reports

Contact Kansas EDI Staff and Vendors

Contact Kansas EDI

For business/law/regulations issues and questions, please contact:

David Sprick
401 SW Topeka Blvd, Suite 2
Topeka, KS 66603-3105
(785) 296-4000
(785) 296-0839 (FAX)
David.Sprick@ks.gov

Garrett Hamman
401 SW Topeka Blvd, Suite 2
Topeka, KS 66603-3105
(785) 296-4000
(785) 296-0839 (FAX)
Garrett.Hamman@ks.gov

For the Kansas EDI Coordinator and KWC Vendor Help Lines at Ebix, please contact (866) 448-1776 or (614) 877-2501 (FAX), or KS-EDICoordinator@Ebix.com.

For the International Association of Industrial Accident Boards and Commissions (IAIABC), please contact (608) 633-6355 or visit the IAIACB website.

For the U.S. Department of Commerce U.S. Census Bureau North American Industry Classification System (NAICS), please visit the NAICS website. Please note that Kansas accepts the 2017 codes only.

Vendors

The following is a list of EDI vendors currently submitting workers compensation claim reports in other jurisdictions and have proven technical and business capability to comply with the Kansas EDI Implementation Guide. This list is for informational purposes only and KDWC does not endorse and/or recommend the services of any one vendor.

Refer to the IAIABC and other EDI standard setting organizations for additional EDI vendors.

Mitchell Regulatory Reporting Solutions
Michell/Enlyte, Enlyte Sales Team
12255 El Camino Real, Suite 300
San Diego, CA 92130
(866) 389-2069
hello@enlyte.com

Ebix
Shayne Garner
1 Ebix Way
Johns Creek, GA 30097
(614) 344-4554
shayneg@ebix.com

Verisk
Ellen Heiber
545 Washington Blvd.
Jersey City, NJ 07310
(813) 505-8432
Ellen.Heiber@Verisk.com

HealthTech
Mark Hughes
19834 Kershaw Ct
Monument CO 80132
(913) 764-9347
mhughes@htedi.com

Riskonnect
Jeremy King
1701 Barrett Lakes Blvd, Suite 500
Kennesaw, GA 30144
(312) 300-0644
jeremy.king@riskonnect.com

Aerie EDI Group "AEG"
Pat Cannon
315 Kennedy Rd
Chase City, VA 23924
(434) 509-4494
patc@aerieedigroup.com

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