OSCAR and EDI
Online System for Claims Administration Research/Regulation (OSCAR)
Online System for Claims Administration Research/Regulation (OSCAR) is a comprehensive online Workers Compensation management system that went live in November 2018.
With the implementation of this system we have gone completely digital, and nearly all submissions to the Division are now required to be in OSCAR. This includes: Applications for Benefits/E1’s and all filings related to cases, appeals, and undocketed settlements; Records Requests; Elections; Paid Loss Reports and Assessment Invoices; Self-Insurance Applications and supplemental materials for self-insurance; and proof of coverage for Compliance related issues. Users will have access to the system 24 hours a day and 365 days a year except for brief maintenance periods. OSCAR also provides immediate access to track submissions, cases, and outcomes.
If you have any further questions, please contact the OSCAR support team at firstname.lastname@example.org.
If you are filing a motion to implead the fund in OSCAR the Fund is not automatically added as a participant on the case and will not receive notice through the system. Once they have been added to the case then OSCAR will notify them through the system. Please send your written notice to the Fund at Kansas Insurance Department, Workers’ Compensation Fund, 1300 SW Arrowhead Rd, Topeka, KS, 66604-4073.
KS EDI 3.1: On November 29, 2018, Kansas implemented EDI Release 3.1. The Kansas EDI 3.1 release date coincides with go-live of Kansas’ Online System for Claims Administration Research/Regulation (OSCAR). Kansas EDI data will be integrated into OSCAR and some of the new requirements in claims 3.1 are needed to support OSCAR functionality and processes.
Trading Partner Documents
- KS EDI 3.1 Trading Partner Documents
- KS EDI 3.1 Imp Guide - 'KS 3.1 Requirement Tables Added'
- KS EDI 3.1 Test Requirements
- KS EDI IAIABC Electronic Partnering Agreement
KS EDI 3.0 Migration to 3.1 (Open and Re-opened Claims)
- Kansas R3.1 FROI UR Trigger - Any open or reopened claim previously reported via IAIABC R3.0 prior to 11/29/2018. Must be sent prior to submitting any other First Reports of Injury for claims that were initiated before implementation of R3.1
- Kansas R3.1 SROI UR Trigger - Any open or reopened claim previously reported via IAIABC R3.0 prior to 11/29/2018. Must be sent prior to submitting any other Subsequent Reports of Injury for claims that were initiated before implementation of R3.1
- Kansas R3.0 Migration Claim Submissions - Kansas expects the FROI UR and SROI UR submissions for R3.0 migration claims to be completed by January 11, 2019
- KS EDI 3.0 Migration to 3.1 - Statutes 44-557a.
This report primarily serves as a method for trading partners to monitor the quality of their reporting to the Division, providing the opportunity to address potential issues and to improve data quality. A secondary reason is to ensure compliance with the Division’s quality standard.
Beginning July 1, 2004, the Division formally implemented its data quality standard for the EDI program. The quality standard is as follows: a minimum of 85% of all FROI/SROI reports per quarter are accepted with a TA or TE status and no more than 15% of all reports are rejected with a TR status.
EDI Quality Report
The Reports linked below will take you to an Excel spreadsheet file containing two worksheets: ‘Quality’ and ‘Uncorrected Errors.’
The ‘Quality’ sheet contains the quality data for each trading partner. The columns of this sheet are organized as follows: trading partner name, TA count, TE count, number of uncorrected TE reports, TR count, TA percentage, TE percentage and TR percentage. The percentages are based on total reports sent per trading partner for the quarter. Compare these percentages to the quality standard stated above to determine if any action on behalf of the trading partner is required (see action items below).
If you have any uncorrected TE counts, please see the 'Uncorrected Errors' sheet to see which claims contain the TE. Please make corrections using a CO report as soon as possible. All TE reports should be corrected (see action items below).
Action Items: Use the quality data to compare to the standard to determine what following action is required on behalf of the trading partner.
- If your quality report meets or exceeds the Division’s quality standard, then nothing is required
- If your quality report is below the Division’s quality standard, please submit a response to the Division within five business days of receipt of the notification email that the quality report is available. This response should contain a brief and general description of the circumstances that led to the errors listed in this report (e.g., new employee, new software, hardware issues, etc.) and any action taken to resolve those issues
- If you have any outstanding TE reports that need correction, please do so immediately
Previous EDI Quality Reports
https://public.tableau.com/ will take you to a series of tables and graphs that can be interactively changed by the user, based on a particular year and quarter within that year. This will allow Trading Partners to see their yearly trends regarding EDI Reporting compliance. You can also find each table/graph, as well as counts of TAs, TRs, and TEs by quarter, listed individually in the drop down section below.
For business/law/regulations issues and questions, please contact:
For the U.S. Department of Commerce U.S. Census Bureau North American Industry Classification System (NAICS), please visit the NAICS website. Please note that Kansas accepts the 2017 codes only.
The following is a list of EDI vendors currently submitting workers compensation claim reports in other jurisdictions and have proven technical and business capability to comply with the Kansas EDI Implementation Guide. This list is for informational purposes only and KDWC does not endorse and/or recommend the services of any one vendor.
Refer to the IAIABC and other EDI standard setting organizations for additional EDI vendors.