Oklahoma Administrative Code
Title 810 - Oklahoma Workers' Compensation Commission
Chapter 1 - General Information
Section 810:1-1-2 - Definitions
In addition to the terms defined in 85A O.S. § 2, the following words and terms, when used in this Chapter, shall have the following meaning, unless the context clearly indicates otherwise:
"Administrative Law Judge" means an Administrative Law Judge of the Commission to whom the Commission has delegated by order or otherwise, the authority to conduct a hearing.
"Affidavit of Exempt Status" means an affidavit authorized by 85A O.S., § 36 which any individual or business entity that is not required to secure compensation pursuant to the AWCA may execute and file with the Oklahoma Workers' Compensation Commission.
"AWCA" means the Administrative Workers' Compensation Act, 85A O.S. § 1, et seq.
"Claimant" means a person who claims benefits for an alleged work injury, occupational disease or illness, or death, pursuant to the provisions of the AWCA.
"Claim administrator" means the trading partner sending electronic transactions to the Commission, which can be an insurer filing directly with the Commission on its own behalf, or a servicing company/third party administrator filing on behalf of the insurer.
"Claim Information" means data submitted via First Report of Injury (FROI) or Subsequent Report of Injury (SROI).
"Commission" means the Oklahoma Workers' Compensation Commission, a designee, or an Administrative Law Judge to whom the Commission has delegated responsibility as authorized by 85A O.S. § 21(D).
"Electronic Data Interchange" means the transmission of claim information through electronic means, in a format established by the Commission.
"Electronic equivalent" means a Commission-approved means of filing an electronic form through the Commission's case system. In all cases where a party is required to mail a Commission form to the opposing party, a copy may be sent by electronic mail when an electronic mail address is known. In all cases where a paper form is required to be filed to effect a certain purpose, an electronic equivalent, if available, may also be filed to effect that purpose.
"EDI" means electronic data interchange.
"Executive Director" means the Executive Director of the Commission.
"FROI " means first report of injury.
"Insurer" means the entity responsible for making electronic filings as prescribed by law and these rules. This term includes self-insurers.
"Mandatory EDI implementation date" means September 1, 2018.
"Self-insurer" means any duly qualified individual employer or group self-insurance association authorized by the Commission to self-fund its workers' compensation obligations.
"SROI" means subsequent report of injury.
"Trading Partner" means an entity that has registered with the Commission to exchange data through Electronic Data Interchange.
"Workers' Compensation Commission fee schedule" means a state mandated schedule of maximum allowable reimbursement levels for health care providers, including hospitals, ambulatory surgical centers, and inpatient rehabilitation facilities, rendering reasonable and necessary health care services and supplies to an injured employee for a compensable injury pursuant to the Oklahoma workers' compensation laws.
"Written" means that which is expressed in writing, and includes electronic records.
