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: What do I do if I report a workers’ compensation medical bill with inaccurate medical billing data?
A: 28 TAC §134.804(c) provides that insurance carriers shall submit an ’05’ replacement medical EDI record when correcting data on a previously submitted medical EDI record. The ’05’ replacement medical EDI record must contain the same unique bill identification number as the associated ’00’ original medical EDI record.
FOLIO
