EDI Jurisdiction Summary

IAIABC EDI Jurisdiction Summary

Alaska

State URL: http://www.adoledi.info/

CLAIMS

PROOF OF COVERAGE

MEDICAL

eBILL

R3.0 R3.0

Mandatory Mandatory Voluntary

R2.0

Mandatory

N/A

N/A Provider Reqs: N/A Payer Reqs: N/A

FROI SROI XML

N/A XML

Colorado

State URL: https://www.colorado.gov/pacific/cdle/node/20381

CLAIMS

PROOF OF COVERAGE

MEDICAL

eBILL

R1.0 R1.0

Mandatory Mandatory N/A

R2.0

Mandatory

N/A

N/A Provider Reqs: N/A Payer Reqs: N/A

FROI SROI XML

N/A XML

Connecticut

State URL: http://wcc.state.ct.us/wcc/edi1.htm

CLAIMS

PROOF OF COVERAGE

MEDICAL

eBILL

R1.0

Mandatory N/A N/A

R3.0

Voluntary

N/A

N/A Provider Reqs: N/A Payer Reqs: N/A

FROI SROI XML

N/A XML

Alabama

State URL: http://labor.alabama.gov/wc/EDI/edipg1.aspx

CLAIMS

PROOF OF COVERAGE

MEDICAL

eBILL

R1.0 R1.0

Voluntary Voluntary N/A

R3.0

Mandatory

N/A

N/A Provider Reqs: N/A Payer Reqs: N/A

FROI SROI XML

N/A XML

Arizona

State URL: http://www.ica.state.az.us/Claims/Claims_main.aspx

N/A N/A N/A CLAIMS

PROOF OF COVERAGE

MEDICAL

eBILL

N/A

N/A

N/A Provider Reqs: N/A Payer Reqs: N/A

FROI SROI XML

N/A XML

Tuesday, October 15, 2019

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