This clerical IRR is now considered approved following 14-Day Review without objection.

The Final 14-Day Review period has begun for this clerical IRR and will extend through 12/07/20. Please respond to this post with any additional feedback.

DN0281 INITIAL DATE EMPLOYER HAD KNOWLEDGE OF DATE OF DISABILITY - definition says - The date the employer was notified or became aware of the initial or subsequent period of the employee’s work-related disability/incapacity.

"Or Subsequent" shown here in bold should be removed from this definition.

Page 5.1, the link to the business scenarios takes us to the old IAIABC website page.  Need to update this link.

DN0281 - strike out the wording in the definition "or sebsequent".  This DN was renamed in R3.1 to only apply to the Initial Date.  We have a new DN for the Current Date (or sebsequent date) so the wording doesn't belong in DN0281 anymore.  Also, the DP Rule clarifies that it is when Empr knew of IDDB, so that wouldn’t apply to a subsequent period of disability.

Definition: The date the employer was notified or became aware of the initial or subsequent period of the employee’s work-related disability/incapacity.

DP Rule: This date may be equal to or greater than Date Employer Had Knowledge of the Injury (DN0040). This date is used to reflect when the employer was aware of the Initial Date Disability Began (DN0056).

DN0097 needs a definition change. We have allowed the Dependents in R3.1 be listed for either Death or Perm Total claims. The definition of DN0097 was not modified to include Permanent Total.  This was missed in the R3.1 guide originally and it is well understood the intent of the Dependents segment.

Current definition:

Definition: The code identifying the relationship of the qualified dependent(s)/payee(s) to the deceased employee.

Update to this definition:

The code identifying the relationship of the qualified dependent(s)/payee(s) to the permanently and totally disabled or deceased employee.

For the first two bullets below, 189 and 224 should be replaced with 406 & 407 respectively.  

The most recent date on which:

●● The employee actually returned to work, or was released to return to

work, as identified by the Return to Work Type Code (DN0189), OR

●● Physical restrictions changed as reported with the Physical Restrictions

Indicator (DN0224), OR

●● Any change occurs to the Latest RTW with Same Employer Indicator

(DN0408), OR

●● Any combination of changes to the Latest RTW Type Code (DN0406),

Latest RTW Physical Restrictions Indicator (DN0407), and/or Latest RTW

with Same Employer (DN0408).. 

Page 6.54, MTC AC DP Rule: change the highlighted word "by" to "from".

DP Rule: A previous AQ or AU must have been accepted. An AC will not include

the Benefit variable segment. An AC shall not be accepted if a previous AP, EP,

CD, PY (for 0xx or 5xx), IP, or VE transaction was accepted by the current claim

administrator. See Section 4 Acquired Claims Processing Rules. The AC will take

the place of an SX when the current claim administrator has not paid any indemnity

benefits. Jurisdictions can require a FN Final or periodic after the AC.

Page 2.1.1, SROI record A49 (Subsequent Report of Injury Record)  has a max record length noted as 280, but it should be 208.

Business Requirement / Issue: Miscellaneous clerical corrections / changes.

Requester's Proposed Resolution: Clerical changes needed for the 2021 publication of the Implementation Guide.