Texas Administrative Code
Title 28 - INSURANCE
Part 2 - TEXAS DEPARTMENT OF INSURANCE, DIVISION OF WORKERS' COMPENSATION
Chapter 124 - INSURANCE CARRIERS: NOTICES, PAYMENTS, AND REPORTING
Subchapter B - INSURANCE CARRIER CLAIM ELECTRONIC DATA INTERCHANGE REPORTING TO THE DIVISION
Section 124.107 - State Specific Requirements
Universal Citation: 28 TX Admin Code ยง 124.107
Current through Reg. 49, No. 38; September 20, 2024
(a) Insurance carriers must submit claim EDI transactions according to the:
(1) IAIABC EDI Implementation Guide for
Claims, Release 3.1.4;
(2) Texas
Claim EDI Release 3.1.4 Implementation Guide, Version 1.0;
(3) Texas Claim EDI Release 3.1.4 Element
Requirement Table, Version 1.0;
(4)
Texas Claim EDI Release 3.1.4 Edit Matrix, Version 1.0, dated June 30, 2023;
and
(5) Texas Claim EDI Release
3.1.4 Event Table, Version 1.0.
(b) In addition to the requirements adopted under § 124.103 of this title (concerning Reporting Standards), when the injured employee's Social Security number is unknown for reporting claim EDI transactions, it must be reported in accordance with Texas Claim EDI Release 3.1.4 Element Requirement Table, Version 1.0, as adopted in § 124.103 of this title.
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