IAIABC EDI EMR

IAIABC EDI workers comp medical bills.

Definition

IAIABC EDI EMR uses X12 837 (Professional, Institutional, Dental) and 835 ERA for medical bills / payments. IAIABC Medical Reporting Implementation Guide v2.1. Adopted by 25+ US States (Texas, California, Florida, New York). Complementary to IAIABC Release 3 (claims EDI).

Origin

IAIABC, version 1.0 2008, version 2.1 published 2018.

Usage

Workers comp medical bills reporting via TPAs (Sedgwick, Gallagher Bassett, ESIS, Helmsman) to State Industrial Commissions.

Related terms

• IAIABC — organisation parent.
• IAIABC Release 3 — EDI claims jumeau.
• X12 837 — transaction sous-jacente.