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Compliance Corner: Mich. Proof of Coverage Electronic Data Interchange Reporting

26 Oct, 2023 Frank Ferreri

michigan 31504 640
                               

Birmingham, MI (WorkersCompensation.com) -- Back in May, the Michigan Workers' Disability Compensation Agency implemented voluntary electronic reporting of workers' compensation proof of coverage data.

The following chart breaks down tables and information for EDI compliance in Michigan.

TablesWhat's Included
MI POC Implementation Guide (March 17, 2023)This guide describes reporting requirements, processing times and guidelines to prepare for EDI partnership.
MI POC Event Table (Jan. 26, 2023)This table defines Proof of Coverage reporting events (Triplicate Codes). Conditions to determine reportable events and criteria to derive respective due date are described.  
Note: Only Triplicate Codes where a date is indicated in the Event Rule From date column should be reported; Michigan does not require and will not accept Triplicate codes where “N/A” is indicated in this column.
MI POC Quick Code Reference (Jan. 26, 2023)This spreadsheet illustrates Proof of Coverage code values and their descriptions. 
Standard codes not accepted in Michigan are greyed out.
MI POC Element Requirement Table (March 27, 2023)This table defines the data required to be included in reportable events (Triplicate Code) indicated in the Event table.
MI POC Edit Matrix (June 16, 2023)This table defines the code validation, edits that will be applied to the data, population restrictions and Error Text that will be returned on acknowledgments for edit failures.
The Edit Matrix also provides the standard error messages associated with these edits.
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    About The Author

    • Frank Ferreri

      Frank Ferreri, M.A., J.D. covers workers' compensation legal issues. He has published books, articles, and other material on multiple areas of employment, insurance, and disability law. Frank received his master's degree from the University of South Florida and juris doctor from the University of Florida Levin College of Law. Frank encourages everyone to consider helping out the Kind Souls Foundation and Kids' Chance of America.

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