DEPT OF DEFENSE FECA Electronic Data Interchange EDI

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DEPT OF DEFENSE FECA Electronic Data Interchange
(EDI)

• WHAT IS EDI?
• EDI stands for Electronic Data Interchange. With
  EDI, CA-1 and CA-2 forms are submitted 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.
• 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.

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EDI Information Flow

• HOW DOES IT WORK?
• Employee reports the injury to his/her
  supervisor.
• Supervisor and employee complete the electronic
  form, which is transmitted to the ICPA (CPAC,
  Mary Reid or Donna Anderson.)
• ICPA 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.

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The EDI Process

• What are the requirements for participating in
  EDI?
• ICPA/CPAC must be a registered user of DIUCS2000
  and be enrolled in EDI program. Ft Gordon is
  registered.
• Person completing form for employee must have
  access to computer with internet connection.
• Where is the EDI web site?
• The forms are accessible at https//isdmid1.cpms.o
  sd.mil/web_html/static_java_edi_sup.html
• A DIUCS2000 password is not required to enter a
  CA-1 or CA-2.

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The 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.

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Step One Enter employees SSN and date of
birth. This information allows the system to
access the employees 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.
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If you are completing the form on the employees
behalf and do not have the correct SSN or
birthdate, enter a placeholder figure (such as
111-22-3333). The system will then allow you to
complete the form with the available information.
The form, however, must be printed and then
manually submitted to the ICPA.
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PUBLIC
JOHN
F
999-99-9999
05/01/1960
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.
When all required fields have been completed, the
system will take you to the next screen, injury
description.
Yellow fields are optional, and should only be
completed if appropriate
Gray fields are read-only, and cannot be altered.
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The default value for this field is 1200 a.m on
the date the form is completed. Please enter the
actual date and time of the injury
9
Unless there is a specific reason for not
electing COP (such as ineligibility), this block
should be checked.
The employees section of the document is now
complete. Click on print claim to print a hard
copy for the employee to sign. A copy of this
should be given to the employee, with the
original going to the ICPA.
10
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.
After entering witness data, print a copy and
have the witness sign it. The signed paper copy
should be forwarded to the ICPA/CPAC.
11
Make sure that this date corresponds with the
date of injury given by the employee.
12
If the employees 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.
13
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)
14
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.
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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 and forwarded the ICPA for filing.
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(No Transcript)
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Now that the supervisor has printed a copy, the
system will allow the claim to be transmitted. To
transmit the record, click submit claim.
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ICPA Review

• Cause of Injury, Nature of Injury, Anatomical
  Location, Charge back DOL District Office
  codes.
• Type, Source and OSHA Site Codes.
• Verify the DOL, CPO code accurately reflects the
  DOL CPO code for the injured employee.
• If controverting, insert explanatory note.
• Submits the electronic form.

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TIMELINESS OF SUBMISSION

• It is the responsibility of the supervisor to
  or hand deliver the claim form ASAP but NLT 2
  working days to Bldg 33720, room 209, Civilian
  Personnel Advisory Center, Attn Mary Reid/Donna
  Anderson.

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FECA Web Site Address POCs

• Slides, links to FECA Regulations, etc. are
  located at http//www.gordon.army.mil
  /dhr/feca.htmhttps//isdmid1.cpms.osd.mil/web_htm
  l/static_java_edi_sup.html
• http//www.dol.gov/esa/regs/compliance/owcp/forms.
  htm
• ICPA is Mary Reid at 791-3840,
  reidm_at_gordon.army.mil
• or Donna Anderson at 791-3044,
  andersod_at_gordon.army.mil

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QUESTIONS

• QUESTIONS ON EDI OR FECA IN GENERAL?