Electronic Data Interchange (EDI) Information & Services

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1. Services for EDI Trading Partners
   • EDI Advisory (07/30/2008)
     • Previous EDI Advisories
     • Select this link to receive email notification of new EDI Advisories
   • Request a court-assigned value for a missing or invalid Social Security Number
   • Claims Search Database
2. EDI Trading Partner Implementation Forms
   • Trading Partner Agreement and Exhibit 'A' (PDF: 0.25 KB) Note: This PDF document must be downloaded and completed by all new trading partners. Please return the signed original by postal mail to the Nebraska Workers' Compensation Court, P.O. Box 98908, Lincoln NE 68509-8908. (No faxes of this document will be accepted).
   • Transmission Profile — Sender's Response
   • Trading Partner Profile & Insurer ID Listing
3. EDI Implementation Guides
   • EDI First Report of Injury Implementation Guide (PDF: 0.25 KB). Revised 02/08/2007
   • EDI Subsequent Report of Injury Implementation Guide (PDF: 0.25 KB). Revised 02/08/2007
   • EDI Proof of Coverage Implementation Guide (PDF: 0.25 KB). Revised 06/09/2006
4. Other EDI-Related Information
   • Rule 29, First Report of Alleged Occupational Injury or Illness (PDF: 0.25 KB)
   • Rule 30, Subsequent Report (PDF: 0.25 KB)
   • Rule 32, Reporting of Compensation Insurance (PDF: 0.25 KB)
   • Record Formats & Layouts
   • IAIABC EDI Information
   • EDI Trading Partners (PDF: 0.25 KB)
   • EDI Vendors (PDF: 0.25 KB)

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