EDI FAQ of the Week
The Division of Workers’ Compensation maintains a resource page for EDI issues. Among the features on that page, the Division posts an EDI FAQ of the week. This week’s FAQ and answer:
FAQ of the week:
Q: If I contract with an external Trading Partner to send Texas workers’ compensation medical billing data on my behalf, will I still be responsible or held liable for any acts of omissions, late, or inaccurate reporting of medical billing data??
A: Yes. 28 Texas Administrative Code (TAC) §134.808(f) provides that insurance carriers are responsible for the acts or omissions of their trading partners. The insurance carrier commits an administrative violation if the insurance carrier or its trading partner fails to timely or accurately submit medical EDI records.
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