Availity Worker's Comp Check here to get the payer list for worker's compensation Availity's Documentation (its at the bottom). Worker's Comp Insurance Carrier Type = Worker's Comp Default Billing Method = Electronic EDI Payer Number = number from Availity Payer List EDI Receiver = specify an EDI Receiver Worker's Comp Case Condition Tab Injury/Illness Date = Date of Injury Related to Accident = Yes Related to Employment is checked Illness Indicator = Injury Policy #1 Tab Policy 1 Holder is the Employer Policy Number 1 is the Patient's SSN Diagnosis Tab In the latest update of InterfaceEDI, as a default, if the Insurance Type is Worker's Comp and if the Attachment Control Number is blank, InterfaceEDI will send: Report Type Code = OZ Report Transmission Code = FX Attachment Control Number = ChartNumber-ClaimNumber You can over ride this behavior by doing the following: Report Type Code = OZ Report Transmission Code = FX (use if faxing additional information. Refer here for alternate transmission methods of additional documentation.) Attachment Control Number = something to identify the claim, this is the number that identifies your claim, it will come back on the fax cover sheet. |