DEPT OF DEFENSE DEPT OF DEFENSE FECA Electronic Data Interchange FECA Electronic Data Interchange (EDI)(EDI)

WHAT IS EDI? EDI stands for Electronic Data Interchange. With EDI, CA-1

and CA-2 forms are submitted thru HRO, to the Department of Labor instantaneously, eliminating paper processing and mail delays.

The purpose of the EDI project is to expedite processing of FECA claims for injured workers.

Our goal is to have all CA-1’s and CA-2’s submitted within 10 days from the date of injury, and CA-7’s submitted within 5 days of the employees’ signature date.

Employees will be assigned a claim number within 48 hours of the time the claim is received by the Department of Labor.

Faster claims processing leads to expedited medical authorizations, treatment, bill payment.

Better service leads to faster recovery.

EDI Information Flow EDI Information Flow

HOW DOES IT WORK? Employee reports the injury to his/her supervisor

IMMEDIATELY to complete a claim form. Supervisor and employee complete the electronic form,

Click PRINT, then SUBMIT, then form will be transmitted to HRO.

HRO “authenticates” the form (I.e., verifies employment status, enters appropriate codes, corrects any errors); form is then transmitted to DOL.

DOL assigns case number within 48 hours. Employee and HRO will receive a letter from OWCP stating whether the claim was accepted or denied, and the claim number.

Medical Information For CA-1’s ONE CA-16 should be issued IF medical attention

is needed. Supervisors are not required to issue a CA-16 after 4 hours from time of injury.

Employees that receive medical care should tell the medical provider that it is FEDERAL Workers compensation and their claim number. All bills MUST be submitted on HCFA 1500’s or UB 92’s. No statements will be accepted.

OWCP has contracted out their billing to an agency called ACS. Medical Providers must be enrolled in ACS in order for bills to be paid. Providers can enroll by calling 1-866-335-8319

The EDI ProcessThe EDI Process

What are the requirements for participating in EDI? Supervisor must have access to computer with internet

connection. Patience. It takes a few minutes for the forms to appear.

Where is the EDI web site?

The forms are accessible at https://isdmid1.cpms.osd.mil/web_html/static_java_edi_sup.html

The website is also located on the www.gahro.com under Forms and Publications.

A password is not required to enter a CA-1 or CA-2.

The EDI FormsThe EDI Forms

The EDI forms are patterned directly on the hard copy forms CA-1 and CA-2. Therefore, the basic instructions for completing the forms are the same as with paper. A copy of these instructions can be obtained on-line at http://www.dol.gov/esa/regs/compliance/owcp/forms.htm

The electronic format does contain certain features that may require further explanation. The following slides illustrate some of these features.

Step One: Enter employee’s SSN and

date of birth. This information allows the system to access the employee’s personnel

data.

Step Two: Indicate whether claim is for a

traumatic injury (CA-1) or an occupational

disease (CA-2)If information is correct, click “enter.” This will take you to the next screen. If incorrect, reenter, or

click “exit.”

If you get this message, STOP. Go to www.gahro.com then to

Employee Relations and complete the form. Then hand carry or mail to

Georgia National GuardERS: Kelly Casey

935 E. Confederate Ave. Bldg 21PO BOX 17965

Atlanta, GA 30316

PUBLIC JOHN

F

05/01/1960

999-99-9999

The white fields are mandatory and must be

completed by the employee. After completing each field, hit “tab” and the system will take you to the next field.

Yellow fields are optional,

and should only be completed if

appropriate

When all required fields have been completed,

the system will take you to the next screen,

“injury description.”

Gray fields are read-only, and cannot be

altered.

The default value for this field is 12:00 a.m on the date the form is completed. Please enter the actual date and time of the injury

Unless there is a specific reason for not electing COP

(such as ineligibility), this block should be checked.

The employee’s section of the document is now complete. Be sure to give employee the

receipt of notice, which will print when form is complete.

As with the paper CA-1, the witness statement is

optional. However, if a witness statement is

entered, the remaining fields on this page (name, date, address) are mandatory.

Field is limited.

Please ensure witness signs the

printed form.

Make sure that this date

corresponds with the date of injury

given by the employee.

If the employee’s pay has not

stopped, leave this field blank.

If “no” is clicked, an explanation

must be given in the box below.

If “yes” is clicked, an explanation is

mandatory.

If “yes” is entered, you must enter at least the name of the third party in item 32. If the

name is unknown, give a description (e.g.

“homeowner,” or “driver”)

If the supervisor has a substantial disagreement

about the facts surrounding the claimed

injury, click “no” and provide an explanation.

Enter the reasons for controverting COP.

Once all required fields have been entered, the supervisor

must print a copy of the completed CA-1. This record must then be signed by the supervisor, employee, and witness then submitted to

HRO for processing.EDI will tell you if there are

any errors. If there are errors the form will take you to where

you need to correct it.DO NOT FORGET TO CLICK SUBMIT AFTER YOU PRINT

After clicking the “print” button, the system generates a .pdf file using the data you have entered. The information on this file should verified, and printed if correct.

Now that the supervisor has printed a copy, the system will allow the

claim to be transmitted. To transmit the record,

click “submit claim.”

Other Information Please ensure that HRO or HRO Representatives receive ALL

original signed CA-1’s or CA-2’s submitted. Any employee who expects to enter a Leave Without Pay

Status for Workers Compensation should be coordinating with HRO or HRO Representatives.

All original CA-1’s and CA-2’s will be maintained at HRO. CA-7’s must be submitted to OWCP within 7 days of signature

date. CA-7’s are currently not electronic. Please make sure item 27, Date Employee Returned to Work is

entered. If they were injured and returned to work the same day or the next day, put that day.

For Safety Reporting, follow your local safety directives.

Additional Information

If you need more information on Workers

Compensation for the Georgia National Guard, please call

Kelly Casey, 678-569-6431, DSN 338-6431

Or e-mail at

kelly.casey@ga.ngb.army.mil