Division of Workers' Compensation
Proof of Coverage EDI
POC EDI RELEASE 2.1 (updated 7-16-07)
Rule 69L-56, F.A.C., was revised effective January 7, 2007 to
require the electronic submission of Claims (non-medical)
filings and to require an upgrade to Release 2.1 for electronic
filing of Proof of Coverage information. (click
here [210K PDF]).
The compliance/implementation date for the Release
2.1 proof of coverage changes will be April 2, 2007.
The IAIABC Implementation Guide for Release 2.1 was updated
on October 1, 2006 and is available from the IAIABC's web site
at
http://www.iaiabc.org/edi/implementation.htm. The IAIABC's
website also contains other important code tables required in
Release 2.1.
Florida POC EDI R2.1 Implementation Manual (click
here [101K PDF]): The Florida POC
EDI R2.1 Implementation Manual, contains the filing
specifications for sending proof of coverage data to the
Division via EDI, as well as the required trading partner
forms, and is incorporated by reference in rule 69L-56
F.A.C. This includes the Event Table, Element Requirement
Table, and Edit Matrix. IMPORTANT: Do not print the “Edit
Matrix” contained in the FL POC EDI R2.1 Implementation Manual;
instead print the revised tables contained in the Supplement,
below. There are no revisions to the Event Table or the Element
Requirement Table at this time.
FL POC EDI Supplement: The Supplement provides
an overview of changes/corrections to the Event Table,
Element Requirement Table, and/or Edit Matrix, that were
made after the date the previous version of the rule was
posted to the Division’s web site (for the Notice of
Proposed Rulemaking). The Supplement also contains the
updated tables, which reflect the last revision date and
color-coded changes as tan-shaded cells with blue text.
It is recommended that claim administrators/vendors
routinely check this site around the 5th day of each
month to see if a revised Supplement has been published.
 Supplement
- Overview (7-10-07) (click here [38K PDF])
FL
POC EDI R2.1 Edit Matrix Supplement (REV. 7-10-07)
(click here [71K
Excel])
FL POC EDI R2.1 Element Requirement Table Supplement (REV.
7-10-07) (click
here [104K
Excel])
Helpful FL EDI R2.1 Resources: The following documents
can be used as resources when implementing POC EDI R2.1
requirements:
Proof of Coverage EDI Contacts:
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