EDI Changes Coming Soon

The Workers' Compensation Administration (WCA) continues its work in updating its Electronic Data Interchange (EDI) claims reporting requirements from the International Association of Industrial Accident Boards and Commissions (IAIABC) EDI Standard 1.0 to Version 3.1.7. To that end, the WCA has selected Ebix to implement this upgrade. Ebix is an international supplier of on-demand infrastructure exchanges to the insurance, financial, and health care industries.

The target date for implementation is November 12, 2024, at which time all claims filers will be mandated to send electronic filings using the IAIABC R3.1 standard and in the IAIABC XML file format. The NM WCA Claims EDI R3.1 tables will be published soon to allow the EDI Community to prepare systems and processes. These tables will be posted via IAIABC Communities and on this page soon.

Meanwhile, Ebix is reaching out directly to stakeholders asking trading partners to submit documentation to register with the new system to begin the migration and for testing purposes. Should you receive communications from Ebix, please do not delete those emails and cooperate with their requests.

The testing phase for filing FROI/SROI forms is expected to occur between May 20, 2024 and end October 25, 2024. The NM WCA Implementation Guide, including testing requirements, will be published here soon. For answers to any questions, please contact the New Mexico Workers’ Compensation Administration EDI Support Team at WCANM-EDICoordinator@Ebix.com.

If you are interested in providing stakeholder input or in receiving emails regarding the EDI changes at the at the New Mexico Workers' Compensation Administration, please email WCA-Modernization_Team@wca.nm.gov.

Request for Proposals

The New Mexico Workers’ Compensation Administration is currently reviewing proposals (RFP) received for its case management system modernization and will share information as it becomes available.