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OAL Approves DWC’s Final WCIS Medical Billing, FROI/SROI Reporting Regulation

4/4/2017

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The Office of Administrative Law (OAL) has approved the Division of Workers’ Compensation’s (DWC) final version of the Workers’ Compensation Information System (WCIS) regulations regarding medical billing reporting.
 
The regulations include release of the California EDI Implementation Guide for First and Subsequent Reports of Injury (FROI/SROI), Version 3.1, for reporting beginning 12 months following the effective date of the regulations (March 27, 2018).
 
The regulations also include updates to the California Electronic Data Interchange (EDI) Implementation Guide for Medical Bill Payment Records, Version 2.0, which brings California reporting requirements into compliance with IAIABC standards for medical bill payment reporting, for reporting beginning six months following the effective date of the regulations (September 27, 2017).
 
DWC believes that these updates will allow WCIS to collect more robust and useful data that will assist with research regarding workers’ compensation issues. 
 
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