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2019 Georgia Code
Title 34 - Labor and Industrial Relations
Appendix: Rules and Regulations of the State Board of Workers' Compensation
§ 62. Electronic Date Interchange (EDI)

Universal Citation: GA Code § 62 (2019)
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  • (1) Filing with the Board:

    • (a) Prior to filing in EDI, insurers, self-insurers, group self-insurers, and designated claims offices (TPAs) shall be certified to file via EDI by the Board.

    • (b) Insurers, self-insurers, group self-insurers, or designated claims offices (TPAs) shall file Forms WC-1, WC-2, WC-2a, WC-3 and WC-4 via EDI in form of FROIs (First Report of Injury) and SROIs (Subsequent Report of Injury).

    • (c) Any Form WC-1, WC-2, WC-2a, WC-3, or WC-4 that is filed in paper, by an insurer may be rejected by the Board and may subject the filing party to a penalty.

    • (d) When suspending benefits via EDI and an attachment to a filing or submission is required such as a medical report, or WC-240, the employer, insurer, shall mail to, or electronically file with the Board the required attachment prior to or simultaneously with the filing of the appropriate EDI transaction.

    • (e) Pleadings, forms, documents, or other filings shall be filed with the Board electronically through ICMS or EDI, unless otherwise authorized in these Rules. However, in the event of an outage preventing an electronic submission and the time for filing is at issue, the document may be filed in paper or by facsimile with any Board office. Any filing by facsimile transmission must be clearly labeled with the name of the claimant, claim number, and Board division or employee to whom the facsimile transmission is directed. The certificate of service, showing concurrent service upon the opposing party electronically or by facsimile transmission shall be a part of any electronic or facsimile transmission. Failure to include a certificate of service shall invalidate the filing. All facsimile transmissions must be identical to the originals and must be legible. The Board, within its discretion, may transmit documents by facsimile or electronic transmission.

  • (2) Changes in Handling of Claims:

    If an insurer, self-insurer, group self-insurer or designated claims office (TPA) adds, replaces, or terminates the services of a claims office, the trading partner agreement shall be immediately amended and updated.

  • (3) Compliance:

    If an insurer, self-insurer, group self-insurer, or designated claims office (TPA), files Form WC-1, WC-2, WC2a, WC-3, or WC-4 via EDI, then all subsequent FROIs (First Report of Injury) and SROIs (Subsequent Report of Injury) shall be filed via EDI. Failure to do so may subject the filing party to a penalty.

  • (4) Exceptions:

    Upon request, or on its own, the Board, in its discretion, may grant exceptions to this rule.

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