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A public hearing will be held during the Commission's February 13, 2023 Business Meeting at the Commission's office in Columbia to receive comments regarding the 2023 Medical Services Provider Manual. Written comments may be provided in advance and will be accepted until February 8, 2023. To view the full advisory and additional updates regarding the 2023 MSPM, click here. To view the documents provided by FairHealth in preparation for the 2023 updates, click here

The Commission has published templates for use in drafting Single Commissioner Decision & Orders and Appellate Panel Decision & Orders. The full Advisory may be accessed here

 

Website under construction. Please pardon our appearance while we update the information on our website.

 

Electronic Claims Reporting (EDI)

For current, 3.0 information, see below: 

The S.C. Workers' Compensation Commission (SCWCC) has adopted the IAIABC Claims EDI Release 3.0 standard for the electronic transfer of First Report of Injury (FROI) and Subsequent Report of Injury (SROI) information. The IAIABC Implementation guide can be found on the IAIABC website, www.IAIABC.org. The full IAIABC EDI Claims Release 3 Implementation Guide is available online for IAIABC members or for purchase directly from the IAIABC.   

SCWCC Forms Replaced by EDI

SCWCC will focus on the electronic submission of FROI's in place of SCWCC Form 12A and SROI SA transactions replacing the paper Form 18. Electronic submissions of denial or payments forms, or other EDI Subsequent Reports of Injury (SROI) transactions besides the SA, are not currently available.

 

Paper Forms Replaced by EDI

Paper Form EDI Transaction Type SCWCC Implementation Date
Form 12-A - First Report of Injury FROI 1/1/2014 - Mandatory
Form 18 SROI - SA 3/2/2015 - Voluntary

The following vendors have been approved by SCWCC to submit EDI Release 3 FROI transactions to SCWCC. Testing is waived for trading partners implementing Relese 3 through an SCWCC approved vendor. Please refer to the SCWCC EDI Release 3 Implementation Guide (PDF) for submitting SROI SA Transactions.

SCWCC Approved Release 3 Vendor Contact
Aerie EDI Group   Pat Cannon
(434) 509-4494
patc@aerieedigroup.com
Riskonnect

Jeremy King
(312) 300-0644
Jeremy.King@riskonnect.com

Ebix Shayne Garner
(801) 208-5493
Shayne.garner@ebix.com
Health Tech Mark Hughes
(913) 764-9347 x 112
mhughes@htedi.com
ISO Work Comp Solutions   Ellen Heiber
(813) 505-8432
Ellen.Heiber@Verisk.com
Mitchell International   Kyle Devereaux
(858) 368-7593
kyle.devereaux@mitchell.com

Contact Information

If you have any questions or concerns, please contact us at edi@wcc.sc.gov.

 

Documentation

  1. Release 3 Trading Partner Profile (PDF) (Note: A New Trading Partner Profile is required for EDI Release 3)
  2. Release 3 Event Table (EXL) (please be patient; this file may take several minutes to download)
  3. Release 3 Element Requirements Table (EXL) (please be patient; this file may take several minutes to download)
  4. Release 3 Edit Matrix (EXL) (please be patient; this file may take several minutes to download)
  5. SCWCC Release 3 Implementation Guide (PDF)
  6. SROI Implementation Summary (PDF)