The FROI 01 Cancel transaction is often thought that it can cancel the last submitted EDI transaction. That is not the case, it cancels the claim in its entirety. This training aid covers when a FROI 01 should be filed and scenarios in which a FROI 01 is believed it should be filed but another action may be required instead.
Many duplicate Jurisdiction Claim Numbers (JCNs) are created when the Commission receives a paper submission from the claimant or claimant’s attorney before we receive the EDI transaction from the Claim Administrator. This results in the Commission creating a JCN for the paper submission and potentially creating another JCN for the EDI transaction.
This Duplicate JCN and Consolidation Training Aid will cover the following:
The Payment Segment is the section of a SROI transaction where a lump sum/settlement payment is reported. This segment shows the amount paid to each payee, the period the payment covers and the date the payment was issued.
This Training Aid will help Claim Administrators determine exactly what should be included in a Payment Segment and when it should be reported. Included in this document are the following:
The Benefit Segment is the section of a SROI transaction where indemnity payments are reported. If indemnity benefits have been paid, this segment should be populated on each SROI transaction submitted.
This Training Aid will help Claim Administrators determine exactly what should be included in a Benefit Segment and when it should be reported. Included in this document are the following:
Many Claim Administrators have questions about how to report the Employee ID, especially when they do not have a Social Security Number. This Training Aid will go over the 6 types of Employee IDs and provide the formula for the Assigned by Jurisdiction ID.
This Training Aid was designed by the IAIABC and scaled down to fit the specific requirements for EDI reporting in Virginia. The Quick Code Reference List is a document that outlines some of the most commonly used codes when filing your transactions.
These are commonly used workers’ compensation terms for the Commonwealth of Virginia. These definitions are general in nature and are not intended as a legal guide or a substitute for legal advice. Changes in the law and/or the specific facts of your case may result in legal interpretations different than those presented here.
The purpose of the Cost of Living Adjustment (COLA) is to ensure, as much as possible, that the value of compensation benefits paid under the Virginia Workers’ Compensation Act does not diminish due to inflation. COLA rates change yearly and are effective October 1 of each year.
