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DEPT OF DEFENSE DEPT OF DEFENSE FECA Electronic Data FECA Electronic Data
Interchange Interchange (EDI)(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.
EDI Information Flow 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.
The EDI ProcessThe EDI ProcessWhat 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.osd.mil/web_html/static_java_edi_sup.html
A DIUCS2000 password is not required to enter a CA-1 or CA-2.
The EDI FormsThe EDI FormsThe 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.
Step One: Enter employee’s SSN and
date of birth. This information allows the system to access the employee’s 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.”
If you are completing the form on the employee’s 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.
PUBLIC JOHN
F
05/01/1960
999-99-9999
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.
Yellow fields are optional,
and should only be completed if
appropriate
When all required fields have been completed,
the system will take you to the next screen,
“injury description.”
Gray fields are read-only, and cannot be
altered.
The default value for this field is 12:00 a.m on the date the form is completed. Please enter the actual date and time of the injury
Unless there is a specific reason for not electing COP
(such as ineligibility), this block should be checked.
The employee’s 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.
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.
Make sure that this date
corresponds with the date of injury
given by the employee.
If the employee’s 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.
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”)
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.
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.
After clicking the “print” button, the system generates a .pdf file using the data you have entered. The information on this file should verified, and printed if correct.
Now that the supervisor has printed a copy, the system will allow the
claim to be transmitted. To transmit the record,
click “submit claim.”
ICPA ReviewICPA 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.
TIMELINESS OF SUBMISSION
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.
FECA Web Site Address & POC’s
FECA Web Site Address & POC’s
Slides, links to FECA Regulations, etc. are located at http://www.gordon.army.mil/dhr/feca.htmhttps://isdmid1.cpms.osd.mil/web_html/static_java_edi_sup.html
http://www.dol.gov/esa/regs/compliance/owcp/forms.htm
ICPA is Mary Reid at 791-3840, [email protected] or Donna Anderson at 791-3044, [email protected]
QUESTIONS QUESTIONS
QUESTIONS ON EDI OR FECA IN GENERAL?