There are a series of steps involved in becoming a trading partner:
Begin by reviewing the web pages found on this web site.
Review the IAIABC EDI Implementation Guide at www.iaiabc.org
Contact the Massachusetts Department of Industrial Accidents to be setup as a trading partner.
Complete a testing phase with the department.
Prepare for production implementation
2. Which IAIABC release standard does Massachusetts support?
Massachusetts Department of Industrial Accidents currently supports the IAIABC Release 3 standard only.
3. What EDI transactions does Massachusetts accept?
The Massachusetts Department of Industrial Accidents currently accepts only the First Report of Injury (FROI) transactions using the IAIABC Release 3 standard.
4. Does Massachusetts accept the "Subsequent Report of Injury" (SROI) transactions?
No. The department currently does not accept any Subsequent Report of Injury (SROI) transactions; however, these transactions may be accepted and supported in the future based upon the IAIABC Release 3 standards.
5. What format of EDI submissions does Massachusetts accept?
The IAIABC Release 3 standards only allow for the flat-file format of the transactions; therefore, this is the format that is accepted.
6. What transaction record types (Transaction Set IDs (DN0001)) should be sent with the EDI transmission?
Massachusetts Department of Industrial Accidents currently only supports the EDI 148 and its companion R21 record types. Within these transactions the only maintenance type codes (MTCs) that are supported are:
- 00 - Initial claim
- 01 - Cancel
- 02 - Change
Trading partners are expected to send their EDI transmissions as batches of transactions. Each batch requires a header record as the first record in the batch, followed by at least one or more First Report of Injury (FROI) transactions and a trailer record as the last record in the batch. EDI batches that do not follow these standards will be rejected.
7. Are header and trailer records required in the EDI transmission file?
Yes. An EDI batch is defined by a header record as the first record in the EDI transmission file, followed by one or more FROI transactions and a trailer record as the last record in the EDI transmission file. Batches without header or trailer records will be rejected.
8. Can multiple batches be sent in a single EDI transmission file?
Yes. Multiple batches can be sent in a single EDI transmission file when trading partners are using the Release 3 standard. The acknowledgments for each batch will also be returned to the trading partner in a single acknowledgment transmission file when multiple batches are processed.
9. Which maintenance type codes (MTCs) are accepted for FROI transactions?
The MTC codes that are supported for the FROI transaction are:
- 00 - Initial (new) claim
- 01 - Cancel claim
- 03 - Update claim
10. How should electronic submissions (EDI transactions) be transmitted to the Massachusetts Department of Industrial Accidents?
The department accepts EDI transmissions through a direct connection to the department's EDI FTP server only. Only secure FTP transmissions are allowed.
11. Does Massachusetts always send EDI acknowledgments?
Yes. An acknowledgment transaction (AKC) is generated for each FROI transaction that is received. The acknowledgment file will contain a header transaction (HD1) as the first record and a trailer transaction (TR2) as the last record in the file.
12. Is each trading partner required to accept acknowledgment files?
The department requires the acceptance and processing of acknowledgment files to obtain sufficient data quality standards. It is expected the trading partner will send update (MTC 02) transactions to correct any errors identified in the originally transmitted transaction. In the case of rejected transactions (TR), the trading partner must send the original transaction (MTC 00) with corrected information.
13. How often should EDI data be transmitted?
This is generally dictated by the statutory reporting requirements. Each trading partner can schedule its EDI data files to be transmitted daily, multiple times during the day or at less frequent intervals throughout the week as necessary. The department currently processes EDI transmissions real-time as they are received.
14. Does the trading partner need to continue filing paper claims?
The trading partner will be required to continue filing paper claims while testing the EDI procedures with the department. After full EDI production implementation occurs, the submission of paper claims can be eliminated.
15. Does Massachusetts require the use of the jurisdiction (agency) claim number?
Yes. The jurisdiction (agency) claim number is returned in the acknowledgment file for each successful new FROI transaction processed. The EDI processes expect the assigned jurisdiction claim number to be supplied for additional processing of updates or cancellations.
16. When do First Report of Injury claims need to be filed with the state of Massachusetts?
A First Report of Injury needs to be filed with Massachusetts for all claims where there is claimed lost time beyond the waiting period, which is five calendar-days, or where indemnity benefits have been paid, whichever comes first.
17. Can the 148 or R21 record be omitted if there is no data for it?
No. Each transaction must contain both a 148 and a R21 record.
They are a matched pair and the transaction will be rejected if one or the other is missing.
18. Can fields that have not changed be omitted on MTC 02 (change) transactions?
No. Fields cannot be left blank on either the MTC 01 (cancel) or the MTC 02 (change) transactions.
The same validation rules apply regardless of the MTC code.