eClaims for Claimant and Carrier Representatives. June 2013. WCB Website. www.wcb.ny.gov click on:. And you will see. Also: www.twitter.com/NYSWorkersComp and Look for us on Facebook https://www.facebook.com/NYSWCB. Overview of eClaims. eClaims : electronic reporting of data, re:
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EDI means some paper forms will no longer be used to report claims events to the Board.
Note: The C-11 and C-240 will still be paper forms.
* Paper C2s will still be accepted, but in many cases are rendered unnecessary because of FROI filing.
Who is a Trading Partner?
Note: All TPAs must already be licensed by the WCB Licensing Unit and already have an assigned "T" number in order to be able to submit data electronically.
Carrier Notified Alleged Accident; Claimant is Injured and Out of Work
Carrier must file
FROI-00 and SROI-IP
Carrier filed C-669 indicating payments have begun.
WCB receives and scans document; searches for matching existing claim. If no match, WCB manually searches for any docs previously received that match and manually assembles case. Notice of Assembly sent to all parties notifying of WCB case #.
WCB validates submission; automatically searches for existing case. If none found, WCB automatically assembles case and sends acknowledgment of submission with WCB Case # and Notice of Assembly.
Carrier Receives Information Indicating Claimant Returned to Work.
Carrier must file
Carrier files C-8/8.6 indicating payments stopped, claimant returned to work.
WCB scans document and matches to existing case.
Once transaction is validated, information floods into the case file.
Full Implementation Schedule available at WCB Web Site.