The DIA's batch claim submission system

The batch claim process lets workers’ compensation insurers file first reports of injury electronically with the Department of Industrial Accidents (DIA).

Supported EDI transactions

The only document type currently supported by the Massachusetts Department of Industrial Accidents for Electronic Data Interchange (EDI) transactions is the First Report Of Injury (FROI), which consists of the EDI 148 document and companion R21 document.

The following variable segments are also supported for the R21:

  • Accident/Injury Description Narratives
  • Witness Names and Contact Numbers

EDI File Layout for First Report Of Injury transactions:

HD1 (Header Record)          
  101 transaction 148        
    R21….   (R21 injury narrative variable segments) (optional R21 witness variable segments)  
             
  101 transaction 148        
    R21….   (R21 injury narrative variable segments) (optional R21 witness variable segments)  
TR2 (Trailer Record)          

Tables, forms, errors

Event table

DN elements and errors matrix

Element requirements table

List of errors

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