Workers Compensation EDI Applications

Appendix H - Release 1 FROI Requirements

EVENT TABLE

  • AL Release 1 Event Table Guidelines (PDF)
  • AL Release 1 Event Table (PDF)

ELEMENT REQUIREMENTS

  • AL Release 1 FROI Element Requirements Instructions (PDF)
  • AL Release 1 FROI Element Requirements Table (PDF)
  • AL Release 1 FROI Conditional Requirements Table (PDF)

EDIT MATRIX

  • AL Release 1 FROI Edit Matrix Instructions (PDF)
  • AL Release 1 FROI Edit Matrix (PDF)
  • IAIABC EDI Error Message Dictionary (PDF)

REQUIRED BATCH CONTENTS

  • IAIABC Release 1 Header Record (PDF)
  • IAIABC Release 1 148 Record for AL (PDF)
  • IAIABC Release 1 Trailer Record (PDF)

FORMS

  • AL Employer's First Report of Injury (FROI) Document (PDF)
  • AL Employer's First Report of Injury (FROI) Document Definitions (PDF)

  • AL Employer's First Report of Injury (FROI) Document (Microsoft Word )

CROSS REFERENCE LIST

  • AL FROI Document and IAIABC Release 1 Cross Reference List (PDF)

REFERENCE

  • IAIABC Release 1 Implementation Guide (PDF)


Contact Information:

Will Stanford
EDI Technical Coordinator
(334) 242-8593
Fax: (334) 242-8843

Will.Stanford@labor.alabama.gov