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, reidm@gordon.army.mil or Donna Anderson at 791-3044, andersod@gordon.army.mil

QUESTIONS QUESTIONS

QUESTIONS ON EDI OR FECA IN GENERAL?