Workers' Compensation Automation and Integration System

NOTICE!

Filing Appeals and Petitions

NOTICE: WCAIS is currently experiencing technical difficulties when external users attempt to file appeals and petitions. “Interested parties” are not being brought over from our legacy system correctly, which impacts the ability to file appeals and petitions online. We are working to resolve this issue as quickly as possible.

If timeliness is an issue, please file your appeal or petition via mail or in person. However, we would encourage you to try and resolve the issue by contacting the WCAB at 717-783-7838. Appeal Board staff will be able to add the interested parties to your claim, enabling you to file your appeal or petition online.

WCAIS Release 1 Activated

The Department of Labor & Industry implemented Release 1 of the Workers' Compensation Automation and Integration System, or WCAIS, on Sept. 17, 2012. The first of two releases, Release 1 will activate new functionality for the Workers' Compensation Appeal Board (WCAB) and Helpline. Read more...

Mission Statement

"Setting the standard of excellence in service to the Pennsylvania workers' compensation community."

Attorney Webinar Series

The WCAIS project team is conducting a series of webinars for attorneys and law firm staff. The webinars feature demonstrations of how to use WCAIS and provide information about the system. The webinars are free and do not require any pre-registration, however attendees need a link to join at the scheduled times.Read more.

EDI Training Webinar Series

The Pennsylvania Department of Labor & Industry, Bureau of Workers' Compensation, will offer Electronic Data Interchange (EDI) training to stakeholders via webinar in June and July 2013, as noted below. Each webinar session will be offered in the morning and again in the afternoon and will subsequently be posted on the department website as recorded webinars, including the PowerPoint presentation deck for your use. Registration can be completed for each individual training session by clicking on the "register" link provided for each individual session.

Basic EDI Training: Register for the June 5, 2013, 9 a.m. Eastern Standard Time (EST) session, or Register for the session repeated at 1 p.m. (EST): An overview of EDI and basic information on Filing Options, Claims Reporting, EDI Tables, Requirements and EDI Reporting. Registration Deadline: May 27, 2013.

Release 3 FROI Training: Register for the June 18, 2013, 9 a.m. (EST) session, or Register for the session repeated at 1 p.m. (EST): FROI specific information including Maintenance Type Codes, Changes from Release 1 EDI, EDI Tables specific to FROI, Requirements and Acknowledgements. Registration Deadline: June 10, 2013.

Release 3 SROI Training: Register for the July 11, 2013, 9 a.m. (EST) session, or Register for the session repeated at 1 p.m. (EST): SROI specific information including Maintenance Type Codes, Claims Reporting, EDI Tables specific to SROI, Requirements and Acknowledgements. Registration Deadline: July 2, 2013.

Web Portal Training: Register for the July 18, 2013, 9 a.m. (EST) session, or Register for the session repeated at 1 p.m. (EST): An overview of the BWC Web Portal, offered to accommodate smaller PA filers. Registration Deadline: July 10, 2013.

As always thank you for your help in making the Pennsylvania WCAIS project and EDI process a success.

Workers' Compensation is Changing for the Better
A Message for Workers' Compensation Stakeholders

EDI Claims Implementation Guide Released

The Bureau of Workers' Compensation has published the final Electronic Data Interchange (EDI) Claims Implementation Guide and its supporting documents. This version of the guide provides technical information, procedures and explanations to help claims administrators prepare and navigate future EDI processes. Download a copy.

Submit any comments, questions and suggestions you have regarding the guide to RA-CMDEDI@pa.gov. We will consider your input as we make revisions to it in the future.

PA EDI Claims Implementation Guide

Transaction Partner Criteria

Because testing for EDI transaction partners and direct file/trading partners is currently in progress, any requests to add EDI transaction partners or direct file/trading partners to the Pennsylvania EDI transaction partner or direct file/trading partners lists received after March 10, 2013, will not be processed until after the "go-live" date for the WCAIS project, Sept. 9, 2013.

The Bureau of Workers' Compensation requires all trading partners to submit EDI transactions to the bureau using one of its approved EDI transaction partners. The bureasu will verify that each EDI transaction partner is qualified to send and receive data utilizing the IAIABC EDI Release 3 format that meets the requirements set forth by the EDI questionnaire and within the bureau's Claims EDI implementation guide. All requests to be added to the list of EDI transaction partners must include a completed copy of the EDI questionnaire attesting to the ability to meet all transaction partner requirements.

BWC requires all Trading Partners to submit EDI transactions to BWC using one of its approved EDI Transaction Partners. Only EDI transactions coming from these organizations will be accepted by BWC.

View the list of approved EDI transaction partners

If after testing it is determined that a transaction partner, in fact, cannot process data as required, or has not maintained standards set forth in the implementation guide and appendices, it may result in dismissal as an approved transaction partner for a period of six months. Any transaction partner dismissed from the list will have to re-apply through the standard process to again become an approved EDI transaction partner. All transaction partners agree to comply with testing time frames as outlined by the Bureau of Workers’ Compensation.