Kansas Electronic Data Interchange (EDI)

Font Size: + -

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.

Requirements Tables:

Trading Partner Documents:

Note: Please contact Ebix to set up testing at 866-448-1776 or KS-EDICoordinator@Ebix.com. EDI vendors that are already submitting in at least one R3.1 EDI state at the time of testing are only required to complete connectivity testing requirements.

EDI Vendor List

The following EDI Vendors have demonstrated the ability to successfully submit the IAIABC Claims Release 3.1 standard in Kansas and multiple other states.

Aerie EDI Group, LLC
Contact for Sales: Shawn Maloney
Email: shawnm@aerieedigroup.com
Phone: 434-738-7791

Contact for Business and Technical: Michelle Mathews
Email: michellew@aerieedigroup.com
Phone: 434-233-7220
www.aerieedigroup.com

Ebix, Inc
Contact: Shayne Garner
Email: Shayne.Garner@ebix.com
Phone: 801-208-5493
www.ebix.com

HealthTech, Inc
Contact: Mark Hughes
Email: mhughes@htedi.com
Phone: 913-764-9347
www.htedi4.com

Mitchell/Enlyte
Contact: Enlyte Sales Team
Email: hello@enlyte.com
Phone: 866-389-2069
www.enlyte.com

Riskonnect
Contact: Jeremy King
Email: Jeremy.King@riskonnect.com
Phone: 312-300-0644
www.riskonnect.com

Verisk
Contact: Ellen Heiber
Email: Ellen.Heiber@verisk.com
Phone: 813-505-8432
www.verisk.com

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
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 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

Administrative Regulations

51-9-17. Release 3.1 standards for trading partner profiles; submission of data; first reports of injury

Kansas EDI Quarterly Quality Report Overview

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

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.

Kansas EDI Quarterly Quality Reports