Update: WCA’s IT Modernization Project Status
CMS Update:
The WCA selected Speridian, a local Albuquerque company, to implement CaseXellence platform for our Case Management System. We are currently working with Speridian to clearly define the features, functions, and constraints of the software system to ensure it aligns with our business objectives and user needs. The scheduled completion date for this project is August 31, 2025.
EDI Update:
As part of our process to update the New Mexico Electronic Data Interchange (EDI) Standards, Workers' Compensation Administration (WCA) has executed the contract with the vendor (Verisk) to streamline and simplify the process of receiving EDI files as part of the Modernization project.
EDI Changes Coming Soon
The New Mexico Workers’ Compensation Administration’s IT Modernization project is underway. This project will include an update to New Mexico’s EDI claims reporting standards.
The WCA intends to update its EDI Claims reporting requirements from the International Association of Industrial Accident Boards and Commissions (IAIABC) Standard 1.0 to Standard R3.1.
The target date for implementation is November 7, 2025, 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 in January 2025 to allow the EDI Community to prepare systems and processes. These tables will be posted via IAIABC Communities and on this page soon.
Meanwhile, Verisk 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 Verisk, please do not delete those emails and cooperate with their requests.
Our selected vendor, Verisk, will be reaching out for stakeholder input and providing updates on the project progress and key dates as we move forward. If you are interested in providing stakeholder input, please send email to WCA-Modernization_Team@wca.nm.gov or if you would like to receive emails regarding the EDI changes, please send email nmwcaedi@verisk.com.
Timeline for EDI Implementation
February 2025 – The NM WCA Claims EDI R3.1 tables will be published
May – October 2025 - Testing with stakeholders and trading partners