Self-insured Employer
EDI Technical
Specification v12.0
March 2015
Author: Claims Data Unit
Self-insured employer EDI Technical Specification v12.0
Contents
1.
INTRODUCTION .......................................................................................................1
2.
BASIS FOR REPORTING SELF-INSURED EMPLOYERS CLAIMS ...................................2
2.1.
3.
SYSTEM CONCEPTS .................................................................................................3
3.1.
4.
Transitional claims ....................................................................................................................2
Days lost ................................................................................................................................... 3
TRANSMISSION PROCEDURES ................................................................................ 4
4.1.
Claim initiation and creation – ERF ...........................................................................................4
4.2.
Assignment of the ReturnToWorkSA claim number via ERN .................................................... 5
4.3.
Initial claim update – ECU .........................................................................................................6
4.4. Ongoing claim payment updates – ECU ................................................................................... 7
4.5.
Claim closure – ECC .................................................................................................................. 7
4.6. Claim re-open – ECR ................................................................................................................. 7
4.7.
Errors from any batch type ....................................................................................................... 7
4.8.
Document type summary .........................................................................................................8
4.9. Sample file layout .....................................................................................................................9
4.10. Data flow diagram .................................................................................................................. 10
5.
TRANSMISSION DOCUMENT DEFINITIONS ............................................................. 11
5.1.
Batch and file concepts ........................................................................................................... 11
5.2.
ERF – Employer Report Form ................................................................................................. 12
5.3.
RFE – Employer Report Form errors ....................................................................................... 16
5.4.
ERN – Employer Report Form notification .............................................................................. 18
5.5.
ECU – Exempt claim update ................................................................................................... 19
5.6.
CUE – Exempt claim update error notification ........................................................................22
5.7.
ECC – Exempt claim closure ....................................................................................................24
5.8.
CCE – Exempt claim closure errors..........................................................................................26
5.9.
ECR – Exempt claim re-open ..................................................................................................28
5.10. CRE – Exempt claim re-open errors ........................................................................................29
6.
ATTRIBUTE DEFINITIONS ....................................................................................... 31
pg. i
Self-insured employer EDI Technical Specification v12.0
7.
VALID VALUES TABLES .......................................................................................... 51
7.1.
Table 1 – DETERM STATUS FLG Values.................................................................................. 51
7.2.
Table 2 – EDI DOC TYP TCDE ................................................................................................. 51
7.3.
Table 3 – FIN PMT TYP CDE .................................................................................................... 51
7.4.
Table 4 – TXN CDE Values ...................................................................................................... 52
7.5.
Table 5 – TXN TYP IND values ................................................................................................ 52
7.6.
Table 6 – Payment type combinations .................................................................................... 53
7.7.
Table 7 – Reply message values .............................................................................................. 57
7.8.
Table 8 – GENDER IND Values ................................................................................................ 57
7.9.
Table 9 – WORK DUTIES IND Values ...................................................................................... 58
7.10. Table 10 – EDI REC TYPE IND ................................................................................................. 59
7.11. Table 11 – DUTY STATUS IND ................................................................................................ 59
8.
TESTING AND IMPLEMENTATION PROCEDURES ....................................................60
8.1.
New self-insured employers – transitional claims ...................................................................60
8.2.
Testing of self-insured employer input files ............................................................................60
8.2.1.
Testing Steps ............................................................................................................ 60
8.3.
First live transmission ............................................................................................................. 61
8.4.
ReturnToWorkSA EDI processing flow chart – Steps for the self-insured employer, prior to
creating a data file ......................................................................................................................................62
9.
Other general information ....................................................................................... 63
BUSINESS RULES FOR THE TRANSMISSION FILES ..................................64
A1.
ERF (Employer Report Form) ..................................................................................................64
A2.
ECU (Exempt claim update) ....................................................................................................64
A3.
ECR (Exempt claim re-open) ................................................................................................... 65
A4.
ECC (Exempt claim closure) .................................................................................................... 65
SUMMARY OF VERSION 12 CHANGES ..................................................... 67
B1.
Transmission Document definitions ....................................................................................... 67
B2.
Attribute Definitions............................................................................................................... 67
B3.
Table 4 – TXN CDE values .......................................................................................................68
B4.
Table 6 – Payment Type Combinations ..................................................................................68
B5.
Table 12 – Language Tcde Values ...........................................................................................68
B6.
Table 13 – Country of Birth Cde Values ...................................................................................68
B7.
Data Flow Diagram .................................................................................................................68
pg. ii
Self-insured employer EDI Technical Specification v12.0
B8.
EDI Processing Flowchart .......................................................................................................68
B9.
Transmission Procedures ........................................................................................................68
B10. APPENDIX D Common Error Messages ..................................................................................68
FILE LAYOUT EXAMPLES ....................................................................... 69
C1.
Claim update (ECU) ................................................................................................................69
C2.
Claim closure (ECC) ................................................................................................................ 70
COMMON ERROR MESSAGES ................................................................. 72
LANGUAGE TCDE values ......................................................................... 75
COUNTRY OF BIRTH CDE values .............................................................. 76
ADDITIONAL TABLES ............................................................................. 79
pg. iii
Self-insured employer EDI Technical Specification v12.0
1. INTRODUCTION
This specification is a technical requirement for self-insured employers to enable them to transfer data
electronically to ReturnToWorkSA as required under Schedule 3 of the ReturnToWorkSA Regulations
2015.
The purpose of this specification is to define:

the transmission document definitions;

the attributes that make up those definitions; and

the data required to populate those attributes.
The following additional requirements are also imposed by this process:

The ReturnToWorkSA claim reference number (as notified by ReturnToWorkSA) is to be stored by
self-insured employers against each self-insured claim and is to be used in all communications with
ReturnToWorkSA as the reference key.

For ReturnToWorkSA purposes, a self-insured employer can either register all physical locations or
choose to register a “lead” location that represents each South Australian Industry Classification
(SAIC). The ReturnToWorkSA employer registration and location number (as notified by
ReturnToWorkSA), for each registered work site or SAIC, should be matched and stored to the
appropriate self-insured employer work site number and used when referring to that location in any
communications with ReturnToWorkSA. When claim creation occurs, this location number must be
provided to ReturnToWorkSA to identify the work site or industry involved in the incident.

Only those claims whose details (either claim or payment) have changed since the last updated
transmission are to be reported (i.e. claims whose details have not been modified, and have had no
payments made since the last updated transmission, are not to be extracted and transmitted, unless
requested by ReturnToWorkSA).

Claim payment details are required to be reported using the existing ReturnToWorkSA transaction
codes as identified on page 53 of this document.

Certain fields are required as mandatory for reporting to ReturnToWorkSA (refer section 6: Attribute
definitions). These fields are also mandatory for data entry on the self-insured employer’s data base.

The self-insured employer must notify ReturnToWorkSA of any changes by their software provider
which may result in issues with the provision of data. Any issues resulting from a technical change
must be rectified to ReturnToWorkSA’s satisfaction within one month of the change.

The self-insured employer must ensure that they have obtained the latest version of the Self-insured
Employer EDI Technical Specification from ReturnToWorkSA before commencing any changes.

Self-insured employers must contact ReturnToWorkSA within five days of each EDI transmission to
address any data errors identified in the transmission. In this communication the self-insured employer
will advise ReturnToWorkSA which data items they have corrected, as identified from the error report.
If a data item is correct then the self-insured employer is to confirm such. If any data item is not
corrected within one month of the transmission the self-insured employer may be in breach of the
Code of conduct. It is best practice to correct data items after each transmission.
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Self-insured employer EDI Technical Specification v12.0
2. BASIS FOR REPORTING SELF-INSURED EMPLOYERS CLAIMS
If the claim falls into the following categories:

the claim was lodged on or after 1/7/1995,

the claim was lodged prior to 1/7/1995 and has had 5 or more days lost time,

the claim was lodged prior to 1/7/1995 and is an open claim at transition,

the claim is a death claim;
then full claim details should be sent to ReturnToWorkSA.
To satisfy the decentralised computing requirements of some self-insured employers, the concept of an
employer/location transmitting location number is provided (identified in this document as TRANS EMP
NO and TRANS EMP LOCN NO). The recommendation is to have only one transmitting location per selfinsured employer (where the TRANS EMP LOCN NO defaults to zero).
It is the responsibility of each transmitting computer to control the allocation of its own unique, sequential
batch numbers.
2.1. Transitional claims
Transitional claims are the claims incurred prior to becoming self-insured for which a self-insured employer
has taken over responsibility. These claims must be reported on if they are open at the time of take-over,
or when the self-insured employer makes any payment against the claim. Upon transition to selfinsurance, the claim/s will be re-created as a self-insured record on ReturnToWorkSA’s database and will
be issued a new claim number. As these claims are outside the self-insured employer’s registration period,
they will be provided as part of the claims data supplied after commencement of self-insurance. These
claims must be loaded onto the self-insured employer’s claims database and used for future reporting. The
registration and location number associated with these claims is required to be added to the self-insured
employer’s database for reporting of the transitioned claims and any Incurred But Not Reported (IBNR)
claims that eventuate from that registration period. You will need to liaise closely with ReturnToWorkSA
on this complex matter.
Claims that are closed upon transition to self-insurance and re-opened at a later date, are to be reported in
an ERF file. This may require an allocated “dummy” ReturnToWorkSA claim number being removed to
allow reporting.
Important notes on Transitioned claims:

Two claim data files will normally be sent to the self-insured employer. The first list of claims sent is
usually prior to the employer becoming self-insured. The first list is a sample file and does not contain
the transitional claim information as the employer is not yet self-insured. Once the employer has been
granted self-insurance status by ReturnToWorkSA a second claims data file will be sent to the newly
self-insured employer, this is the list the software supplier is to work from.

The timing on the release of the second data file (post self-insurance) is dependent on certain factors
the main being the self-insured employer finalising their reconciliation of remuneration for levy
purposes.
ReturnToWorkSA needs to know of any payments the self-insured employer makes on these claims.
ReturnToWorkSA is to have only the costs paid by self-insured employer reported electronically. If the
self-insured employer wishes to have the total claims costs loaded onto their database, then some way of
excluding the ReturnToWorkSA payments is to be sought.
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Self-insured employer EDI Technical Specification v12.0
3. SYSTEM CONCEPTS
3.1. Days lost
Lost time is counted as the number of working days, or shifts, that the worker is absent from his/her job.
The time lost does not have to be in one block. Intermittent periods or parts of a shift should be
accumulated. The following are some examples of how time lost should be counted:
Full-time workers
Eg)
Working day is 8 hour shift and worker is certified totally unfit and receiving income support for
4 days.
4 x full shift = 4 working days lost is to be reported to ReturnToWorkSA
Eg)
Working day is 8 hour shift and worker is on duty for 3 hours and certified unfit and receiving
income support for 5 hours for 4 days.
4 x 0.63* of shift (5 hrs) = 2.5 working days lost is to be reported to ReturnToWorkSA
Eg)
Working day is 12 hour shift and worker is on duty for 8 hours and certified unfit and receiving
income support for 4 hours for 4 days.
4 x 0.33* of shift (4 hours) = 1.3 working days lost is to be reported to ReturnToWorkSA
Part-time workers
Eg)
Working day is 4 hour shift and worker is certified totally unfit and receiving income support for
4 days.
4 x full shift = 4 working days lost is to be reported to ReturnToWorkSA
Eg)
Working day is 4 hour shift and worker is on duty for 3 hours and certified totally unfit and
receiving income support for 1 hour for 4 days
4 x 0.25* of shift (1 hr) = 1 working day lost is to be reported to ReturnToWorkSA
Eg)
Working day is a 5 hour shift and worker is on duty for 2 hours and certified totally unfit and
receiving income support for 3 hours for 4 days
4 x 0.60* of shift (3 hours) = 2.4 working days lost is to be reported to ReturnToWorkSA
*Denotes the decimal amount of the shift lost, eg) 5 hours lost out of an 8 hour shift is 5/8 which is .625,
which we have rounded to .63.
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Self-insured employer EDI Technical Specification v12.0
4. TRANSMISSION PROCEDURES
This procedure will describe the steps required to allow electronic creation, updating, closure and reopening of self-insured claims. The claim reporting cycle is performed electronically via an internet
interface which is accessible from ReturnToWorkSA’s website, www.rtwsa.com. This internet application
is secured, so new users will need to complete a Secure site user registration form which is downloadable
from the website. Once completed, send this form to ReturnToWorkSA in order for a new user name (ID)
and password to be issued. Further details on using the application are available in the Self-insured
employer’s electronic data interchange user guide which is available as a download from www.rtwsa.com.
Self-insured employers are required to transmit data at least fortnightly in line with Schedule 3
requirements.
Claims that have had any action on the self-insured employer’s database must be transmitted to
ReturnToWorkSA as an ERF, ECU, ECC or ECR. The self-insured employer’s database must ensure there is
an automated system which can identify such claims and transmit them. Claims that are updated by the
self-insured employer but not transmitted to ReturnToWorkSA, may place the self-insured employer in
breach of Schedule 3 of the ReturnToWorkSA Regulations 2015, which is conditional of self-insurance
licensing.
4.1. Claim initiation and creation – ERF
When a claim is made by an employee, the claim details will be entered into the self-insured employer’s
worker’s compensation database. Each claim that is entered must be flagged/prompted (by a method
dependent upon each system), to ensure that it is sent to ReturnToWorkSA as a claim create (ERF - refer
page 12).
If the claim has no ReturnToWorkSA claim number and falls into the following categories:

the claim was lodged on or after 1/7/1995,

the claim was lodged prior to 1/7/1995 and has had five or more days lost time,

the claim was lodged prior to 1/7/1995 and is a (re-)open claim at transition,

the claim is a death claim,
then full claim details must be sent to ReturnToWorkSA as a claim create (ERF).
Information on a new claim that must be advised to ReturnToWorkSA will be flagged for sending in the
next transmission, to allow the claim to be created on ReturnToWorkSA’s database.
Details in the claim create such as (but not limited to) permanent or casual employment, full or part time,
occupation, main tasks, worker postcode, self-insured employer received date, industry of workplace and
workplace postcode are mandatory for the claim to be created. These files are set to the appropriate
values as at the date of injury and do not change after the claim is created as they reflect the worker’s
situation on the injury date. Refer to items marked ‘Mandatory’ in Section 6 Attribute definitions. Claims
should not be saved on the self-insured employer’s database if they have any missing mandatory data.
Self-insured employers who transmit claims to ReturnToWorkSA that have missing mandatory data, risk
being in breach of the Code of conduct. Refer to APPENDIX A for rules associated with the ERF file.
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Self-insured employer EDI Technical Specification v12.0
4.2. Assignment of the ReturnToWorkSA claim number via ERN
The worker and claim information sent to ReturnToWorkSA in the ERF batch will be processed overnight
and a ReturnToWorkSA claim number will be allocated to any new claims in the following days.
The person’s details will be matched against a list of all workers on ReturnToWorkSA’s database to locate
that worker’s unique identification number.
If a match is found, a new claim will be created and assigned to the worker’s unique identification number
existing within ReturnToWorkSA’s database. If the worker does not already exist on ReturnToWorkSA’s
database, a new worker, unique identification number and claim number will be created.
Note: ReturnToWorkSA may query the worker’s personal details when a potential match is found on our
database. In these cases the self-insured employer is to seek clarification from the worker on the details
queried, as required under the ReturnToWorkSA Regulations 2015.
Once the ReturnToWorkSA claim number has been allocated, an Employer Report form Notification (ERN
- refer page 18) record will be returned to the self-insured employer’s secure site page “Retrieve a File” link.
These ERN batches are to be retrieved by the self-insured employer and a cross-reference table of
ReturnToWorkSA claim numbers and self-insured employer claim numbers can be maintained.
It is recommended that each self-insured employer’s database on receipt of an ERN batch from
ReturnToWorkSA, should have validated the following fields against their database to ensure
ReturnToWorkSA has the correct details:

self-insured employer reference number

worker surname and given name/s

date of birth

injury date

gender indicator
If any of these fields do not match, the self-insured employer should contact ReturnToWorkSA Claims
Data Unit staff to resolve the discrepancies, otherwise the ReturnToWorkSA claim number may not load
into the self-insured employer’s database. This will result in future errors in the subsequent transmissions.
Reconciling the worker’s name to match exactly as the detail returned by ReturnToWorkSA, prior to
loading the return file is likely to eliminate this issue.
Every new claim (ERF) sent in by the self-insured employer will generate either a notification (ERN) when
successful or an error (RFE - refer page 16) if unsuccessful e.g. a claim contains invalid or insufficient data
(mandatory fields - refer page 31).
If the ReturnToWorkSA claim number is missing, review the ERN files listed in the ‘previous downloads’
section of the secure site to obtain the claim number. These files start with “ERN1” at the beginning of
each line.
If ReturnToWorkSA changes a claim number due to an error (ReturnToWorkSA claim number), a new ERN
will be returned. The revised ReturnToWorkSA claim number must be updated on the self-insured
employer’s database to replace the former claim number.
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Self-insured employer EDI Technical Specification v12.0
At times a list of all open claims listed on the ReturnToWorkSA database can be returned to the selfinsured employer via an ERN file. A self-insured employer will be advised when the list is being sent and
will then need to reconcile the list against the claims in their database. Any claims closed at the selfinsured employer and open at ReturnToWorkSA will need to be flagged/prompted and re-sent as a closure
by the self-insured employer.
4.3. Initial claim update – ECU
After any errors are resolved and a claim has been created on ReturnToWorkSA’s database an ERN will be
sent back. Once the self-insured employer has received the ERN batch and populated the cross reference
table of self-insured employer’s claim number and ReturnToWorkSA claim number, the next file
transmitted must contain any changed claim and payment details for this claim in an employer claim
update batch (ECU - refer page 19), or employer claim closure batch (ECC – refer page 24).
Please note that a claim closure transaction will, in effect, supersede an updated transaction. If a claim is
flagged as an update to ReturnToWorkSA and before the updated batch is sent the claim is closed, then
the claim should be re-flagged and sent to ReturnToWorkSA as a claim closure. This allows the claim
closure to send final details and payment totals through for every payment type, it will include all updated
information. Do not send the same claim in both an ECU and ECC file in the same transmission.
On short term claims, a claim create (ERF) from the self-insured employer, a ReturnToWorkSA claim
number notification (ERN) to the employer and a claim closure (ECC) to ReturnToWorkSA, may well be the
only transactions sent through.
A claim update or closure must only be transmitted to ReturnToWorkSA once the ReturnToWorkSA claim
number has been returned via an ERN then added to the self-insured employer’s cross reference table of
ReturnToWorkSA and self-insured employer claim numbers.
If a claim or payment details on a claim are transmitted to ReturnToWorkSA before the claim is created on
ReturnToWorkSA’s database or the ReturnToWorkSA claim number has not yet been returned to the selfinsured employer in an ERN batch, then the claim update (ECU) will not have a CLAIM PREFIX NO and
CLAIM SUFFIX NO assigned and the update record will error out, disallowing any data to upload at
ReturnToWorkSA.
Every new claim should be transmitted automatically to ReturnToWorkSA as an ERF so that every claim
will then have a ReturnToWorkSA claim number assigned and returned to the self-insured employer. As
soon as the self-insured employer has received the ReturnToWorkSA claim number they should perform
an initial send of any changed details or current payment values (if any payments have been made).
It is recommended that an audit report be included in the self-insured employer database that searches for
any claims with a lodge date on or after 1/7/95 that do not have a ReturnToWorkSA claim number. It
would be useful for this report to be able to count the number of claims made within a given period
specified by start and end injury date parameters.
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Self-insured employer EDI Technical Specification v12.0
4.4. Ongoing claim payment updates – ECU
Self-insured employers are then required to send subsequent Exempt claim update (ECU) payment details
to ReturnToWorkSA.
Up to 10 payment type details can be included on a single detail record. There are now 20 payment types
and categories. It is recommended that your database has the in-built flexibility to change the grouping of
the self-insured employer account codes to ReturnToWorkSA account codes.
Updates continue on a regular basis to all changed, open claims for the life of the claim.
Refer to APPENDIX A for rules associated with the ECU file.
4.5. Claim closure – ECC
Once a claim has been completed and all payments have been made, the claim can be closed and a final
transmission of all claim payment category totals for the claim must be sent, even payment categories
with a zero value.
The self-insured employer will close the claim on their database and this should flag/prompt the claim to
send a claim closure (ECC - refer page 24) in the next file transmitted to ReturnToWorkSA.
If payments are later added to a closed claim without the claim being re-opened, the closure record should
still be flagged to be included in the next closure batch.
The closure transaction is a complete update for every payment type category - it gives the final total
before the claim is closed on the ReturnToWorkSA database. As each ECC detail record allows for 10
payment type categories, two detail record rows must be sent for a single claim, to account for the all the
payment types.
Refer to APPENDIX A for rules associated with the ECC file.
4.6. Claim re-open – ECR
If an existing closed claim is re-opened (for example further payments are made after finalisation, or a
recovery or adjustment is made) then the claim should be flagged/prompted to indicate that it must be
sent to ReturnToWorkSA as a claim re-open (ECR – refer page 28). If a claim is re-opened for a payment
and closed in the same reporting period, then only an ECC file should be sent.
To be a valid re-open, the claim must already have a ReturnToWorkSA claim number, which should be
transmitted, along with some key details that will be checked before re-opening the claim.
Refer to APPENDIX A for rules associated with the ECR file.
4.7. Errors from any batch type
If ReturnToWorkSA receives a batch out of sequence, or the trailer counts do not match the value of the
detail records, the complete batch will be rejected and an error notification record will be returned to the
self-insured employer the following day (i.e. RFE, CRE, CUE or CCE).
If errors are found in detail records within a batch after processing, an error notification record with
appropriate error message(s) will be returned to the self-insured employer’s secure site page “Retrieve a
file” link.
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Self-insured employer EDI Technical Specification v12.0
Where the batch contained no errors, a message will be returned in the appropriate record (i.e. RFE, CRE,
CUE or CCE) stating that the batch was successful and no errors were found.
On receipt of an error notification batch, it must be processed by the self-insured employer and presented
as either a printed report or screen display that allows the errors to be perused. It is then the responsibility
of the self-insured employer to resolve any errors identified, with the assistance of ReturnToWorkSA’s
Claims Data Unit staff before the next transmission. Self-insured employers must contact
ReturnToWorkSA within five days of the transmission. In this communication the self-insured employer
will advise ReturnToWorkSA which data items the self-insured employer has corrected, as identified from
the error report. If a data item is correct then the self-insured employer is to confirm this with
ReturnToWorkSA. Refer to both Section 8.4 ReturnToWorkSA EDI processing flow chart for instructions and
APPENDIX D Common Error Messages for examples.
4.8. Document type summary
ERF
--
from self-insured employer to ReturnToWorkSA, Employer Report Form.
RFE
--
from ReturnToWorkSA to self-insured employer, Employer Report Form errors.
ECR
--
from self-insured employer to ReturnToWorkSA, Self-insured claim re-open.
CRE
--
from ReturnToWorkSA to self-insured employer, Claim re-open errors.
ERN
--
from ReturnToWorkSA to self-insured employer, assign ReturnToWorkSA reference
number, Employer reportnotification.
ECU
--
from self-insured employer to ReturnToWorkSA, Self-insured claim updates.
CUE
--
from ReturnToWorkSA to self-insured employer, Claim update errors.
ECC
--
from self-insured employer to ReturnToWorkSA, Self-insured claim closure.
CCE
--
from ReturnToWorkSA to self-insured employer, Claim closure errors.
Transmission files to and from self-insured employers may include multiple batches containing different
document types.
Each document type constitutes a batch.
Each batch is made up of three record types – a single header, which contains a unique batch number; a
number of detail rows, which will only contain transactions applicable to the document type in the header
and a single trailer. There are totals in the trailer record which are derived from a count and/or sum of the
detail records returned to the self-insured employer. These counts are used as a check sum.
The order of the documents will not matter in the self-insured employer’s input file. ReturnToWorkSA’s
database will process documents in the order of Create (ERF), Re-open (ECR), Update (ECU), Close (ECC)
regardless of batch sequence within the file.
In a situation where a claim is re-opened, adjusted, and closed within the one transmitting period, then
only one document type is to be sent – a Closure (ECC – which has the final totals for the claim). If a claim
is to be sent in a closure document (ECC) then it will supersede any requirement to send the claim in an
update document (ECU) since the closure details will contain the update information anyway.
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Self-insured employer EDI Technical Specification v12.0
4.9. Sample file layout
A header, detail and trailer of a given document type is equal to one batch. Many batches will be
transferred to ReturnToWorkSA in a single file.
Document type A - Header record - Batch 10/2014
Document type A - Detail record
Document type A - Detail record
...
Document type A - Detail record
Document type A - Trailer record - Batch 10/2014
Document type B - Header record - Batch 11/2014
Document type B - Detail record
Document type B - Detail record
...
Document type B - Detail record
Document type B - Trailer record - Batch 11/2014
Document type C - Header record - Batch 12/2014
Document type C - Detail record
Document type C - Detail record
...
Document type C - Detail record
Document type C - Trailer record - Batch 12/2014
It is advisable to keep a record of all data transmitted to ReturnToWorkSA for audit purposes, should there
be any queries regarding the data sent. The ability to resend a given claim, batch or complete file is
required.
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Self-insured employer EDI Technical Specification v12.0
4.10. Data flow diagram
This illustrates the flow of data to and from ReturnToWorkSA via the internet interface. Not all document
types are shown.
Self Insured Employer
ReturnToWork SA
ReturntoWorkS
A
Download Returned File
Internet
Employer Data Submitted
“ECU”
Submit File
Employer’s PC
“ECU”
“ERN” “CUE”
Employer Data Returned
“ERN” “CUE”
Employer’s System
ReturnToWork SA’s System
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Self-insured employer EDI Technical Specification v12.0
5. TRANSMISSION DOCUMENT DEFINITIONS
5.1. Batch and file concepts

All records are fixed length and are terminated by a carriage return/line feed pair.

All CHARACTER fields are to be left justified and space filled to the right, to the maximum field length.

All DECIMAL fields are to be right justified and zero filled to the left.

In all DECIMAL fields the decimal point is implied only - (i.e. 00001234 may represent $12.34).

Total payment amounts are the cumulative total paid to date against a payment group. Only send an
ECU for claims that have had any change to payments or other required data since the last
transmission, as noted in section 0: Attribute definitions.

A complete batch will be rejected at overnight processing if:





batch numbers are not consecutive
in ECU (update) and ECC (closure) batches, the trailer payment total does not match the sum of
detail amounts
trailer records sent count does not equal the quantity received
a negative amount is sent in the RESERVE AMT attribute
If a batch is rejected you will receive back:



a batch header record (based on what ReturnToWorkSA received)
one detail record with an appropriate error message and description
a trailer record (one record sent)

If a batch is accepted and there are no errors found, a header, one detail record with an appropriate
confirmation message, and a trailer record will be returned to the self-insured employer’s secure site
as confirmation.

Batch numbers must be unique and sequential within each file. Each batch header must have a unique
batch number; one header per document type. Batch numbers must start at 1 and increment by one
for each batch within a calendar year. The year is to be the calendar year in which the batch is sent.
Note that the EDI TRANS DTE must be the same calendar year as the EDI BATCH YR.

The file sent to ReturnToWorkSA can have any name. The file name ’SEND.001‘ is no longer required,
but can be used.

A number of validation checks are performed by the internet application to ensure that a valid file is
sent.

The following will result in an error message from the internet application advising that the batch
cannot be submitted:



each batch must have a valid header record,
each batch must have a valid trailer record,
fixed details on the header must match the corresponding trailer,
Page 11
Self-insured employer EDI Technical Specification v12.0







if more than one batch is sent in a single transmitted file, batch numbers must be consecutive,
decimal fields must only contain numeric data (0 to 9) (for exceptions see warnings below), this
includes the fact that all decimals are unsigned,
number of detail records sent must match the number in the trailer,
total payment amount for all claims must match the amount in the trailer,
a negative amount is sent in the RESERVE AMT attribute,
if more than 50 errors are encountered, then the process stops validating.
The following will result in a warning message that still allows the batch to be sent, however individual
transactions will be returned as errors:


in the ECU, the RESERVE AMOUNT with a non-numeric character (e.g. a sign),
in any record type, the CLAIM PREFIX NO and/or CLAIM SUFFIX NO set to spaces.

The self-insured employer’s database should cater for the possibility of multiple batches being
returned in a single file following processing (i.e. document types RFE, CUE, CRE, CCE and ERN).
Please note that an ERN file may be returned at any time in addition to the above, therefore the selfinsured employer’s secure site page “Retrieve a file” link may contain multiple files sent by
ReturnToWorkSA. The files will be received in the order in which they were sent by ReturnToWorkSA.
The self-insured employer’s secure site page does not have to be read each day, but must be read no
more than five days after each transmission is sent (to collect error messages and communicate such
to ReturnToWorkSA) and again immediately prior to a new file being created (to collect any new
ERNs).

The internet application for transferring files supports the following platform and browser
combinations:


Microsoft Internet Explorer 8, 9 or 10; Chrome V32
Windows 7 and 8 for Desktops; 2008 R2 or 2012 R2 for Servers

In the event that an error or warning is produced when a file is submitted on ReturnToWorkSA’s secure
site page “Submit a File” the self-insured employer must correct the data, with the assistance of their
software provider, if required, and then re-submit a correct file, with the required batch number/s.

File size is limited to 2MB per transmission.
5.2. ERF – Employer Report Form
The ERF document is used to provide worker and claim details to allow ReturnToWorkSA to electronically
create a worker and claim.
As a significant amount of information is required, a number of detail record types are used within the ERF
document to collect all the appropriate data. The multiple detail rows used in the ERF document must be
grouped together by EMP REF NO so that all the details of a single claim can be processed together. It is
expected that the EMP REF NO, EMP NO and EMP LOCN NO will be the same on all of the detail record
types. Each claim must have all three detail records to be considered as fully reported to
ReturnToWorkSA.
Page 12
Self-insured employer EDI Technical Specification v12.0
A self-insured employer may have more than one ReturnToWorkSA registration (EMP NO) and each claim
should have the relevant registration number recorded against it. The ERF batch will therefore need to
accommodate multiple EMP NOS. Please note that the registered number (TRANS EMP NO) does not
change.
Header record (one record per document type code)
Fixed record length of 41 characters including CR/LF record delimiter:
Position
Values
EDI DOC TYP TCDE
char(3)
001 - 003
ERF
EDI REC TYPE IND
char(1)
004 - 004
Zero (0)
BATCH CREATE DTE
decimal(8.0)
005 - 012
TRANS EMP NO
decimal(8.0)
013 - 020
TRANS EMP LOCN NO
decimal(4.0)
021 - 024
EMP BATCH YR
decimal(4.0)
025 - 028
EMP BATCH NO
decimal(8.0)
029 - 036
FILE VERSION NO
decimal(3.0)
037 – 039
Eight (008)
CARRIAGE RETURN
char(1)
040 - 040
Constant
LINE FEED
char(1)
041 - 041
Constant
Position
Values
Zero (0)
Detail record - Type 1 - Worker and claim main details
Fixed record length of 250 characters including CR/LF record delimiter:
EDI DOC TYP TCDE
char(3)
001 - 003
ERF
EDI REC TYPE IND
char(1)
004 - 004
One (1)
EMP REF NO
char(20)
005 - 024
EMP NO
decimal(8.0)
025 - 032
EMP LOCN NO
decimal(4.0)
033 - 036
BIRTH DTE
decimal(8.0)
037 - 044
COUNTRY OF BIRTH CDE
char(4)
045 - 048
DECEASED CAUSE FLG
char(1)
049 - 049
DECEASED DTE
decimal(8.0)
050 - 057
SWSA ADVISORY DTE
decimal(8.0)
058 - 065
Table 13 (pg. 68)
Page 13
Self-insured employer EDI Technical Specification v12.0
LANGUAGE TCDE
char(4)
066 - 069
Table 12 (pg. 68)
GENDER IND
char(1)
070 - 070
Table 8 (pg. 57)
WORKER GIVEN NME
char(50)
071 - 120
WORKER SUR NME
char(25)
121 - 145
APPRENTICE FLG
char(1)
146 - 146
CC NOTICE FROM WORKER DTE
decimal(8.0)
147 - 154
DETERM STATUS FLG
char(1)
155 - 155
Table 1 (pg. 51)
DUTY STATUS IND
char(1)
156 - 156
Table 11 (pg. 59)
FULL PART TME IND
char(1)
157 - 157
INJ DTE
decimal(8.0)
158 - 165
INJ TME
decimal(4.0)
166 - 169
NORMAL HRS PER WK QTY
decimal(5.2)
170 - 174
PERMANENT CASUAL IND
char(1)
175 - 175
RESERVE AMT
decimal(11.2)
176 - 186
RESUMED WRK DTE
decimal(8.0)
187 - 194
STOPPED WRK DTE
decimal(8.0)
195 - 202
WORK DUTIES IND
char(1)
203 - 203
WORKER STRT DTE
decimal(8.0)
204 - 211
WRK DAYS PER WK QTY
decimal(1.0)
212 - 212
DETERM STATUS CHG DTE
decimal(8.0)
213 - 220
WORKER POSTCODE
decimal(4.0)
221 - 224
INDUSTRY OF WORKPLACE
decimal(6.0)
225 - 230
WORKPLACE POSTCODE
decimal(4.0)
231 - 234
FILLER
char(14)
235 - 248
CARRIAGE RETURN
char(1)
249 - 249
Constant
LINE FEED
char(1)
250 - 250
Constant
Table 9 (pg. 58)
Page 14
Self-insured employer EDI Technical Specification v12.0
Detail record - Type 2 - Occupation details
Fixed record length of 128 characters including CR/LF record delimiter:
Position
Values
EDI DOC TYP TCDE
char(3)
001 - 003
ERF
EDI REC TYPE IND
char(1)
004 - 004
Two (2)
EMP REF NO
char(20)
005 - 024
EMP NO
decimal(8.0)
025 - 032
EMP LOCN NO
decimal(4.0)
033 - 036
OCCUPATION DESC
char(30)
037 - 066
OCCPN TASK DESC
char(60)
067 - 126
CARRIAGE RETURN
char(1)
127 - 127
Constant
LINE FEED
char(1)
128 - 128
Constant
Position
Values
Detail record - Type 3 - Accident details
Fixed record length of 288 characters including CR/LF record delimiter:
EDI DOC TYP TCDE
char(3)
001 - 003
ERF
EDI REC TYPE IND
char(1)
004 - 004
Three (3)
EMP REF NO
char(20)
005 - 024
EMP NO
decimal(8.0)
025 - 032
EMP LOCN NO
decimal(4.0)
033 - 036
ACCIDENT AND INJURIES DESC
char(250)
037 - 286
CARRIAGE RETURN
char(1)
287 - 287
Constant
LINE FEED
char(1)
288 - 288
Constant
Page 15
Self-insured employer EDI Technical Specification v12.0
Trailer record (one per document type code)
Fixed record length of 42 characters including CR/LF record delimiter:
Position
Values
EDI DOC TYP TCDE
char(3)
001 - 003
ERF
EDI REC TYPE IND
char(1)
004 - 004
Nine (9)
BATCH CREATE DTE
decimal(8.0)
005 - 012
TRANS EMP NO
decimal(8.0)
013 - 020
Constant
TRANS EMP LOCN NO
decimal(4.0)
021 - 024
Zero (0)
EMP BATCH YR
decimal(4.0)
025 - 028
EMP BATCH NO
decimal(8.0)
029 - 036
TOTAL TXN SENT QTY
decimal(4.0)
037 - 040
CARRIAGE RETURN
char(1)
041 - 041
Constant
LINE FEED
char(1)
042 - 042
Constant
5.3. RFE – Employer Report Form errors
The RFE document is used to return, create claim detail errors to the self-insured for resolution by the selfinsured in conjunction with ReturnToWorkSA.
Header record (one record per document type code)
Fixed record length of 38 characters including CR/LF record delimiter:
Position
Values
EDI DOC TYP TCDE
char(3)
001 - 003
RFE
EDI REC TYPE IND
char(1)
004 - 004
Zero (0)
BATCH CREATE DTE
decimal(8.0)
005 - 012
TRANS EMP NO
decimal(8.0)
013 - 020
TRANS EMP LOCN NO
decimal(4.0)
021 - 024
EMP BATCH YR
decimal(4.0)
025 - 028
EMP BATCH NO
decimal(8.0)
029 - 036
CARRIAGE RETURN
char(1)
037 - 037
Constant
LINE FEED
char(1)
038 - 038
Constant
Zero (0)
Page 16
Self-insured employer EDI Technical Specification v12.0
Detail record (one per error, many per claim)
Fixed record length of 122 characters including CR/LF record delimiter:
Position
Values
EDI DOC TYP TCDE
char(3)
001 - 003
RFE
EDI REC TYPE IND
char(1)
004 - 004
One (1)
EMP REF NO
char(20)
005 - 024
EMP NO*
decimal(8.0)
025 - 032
EMP LOCN NO*
decimal(4.0)
033 - 036
MSG NO
decimal(4.0)
037 - 040
Table 7 (pg. 57)
MSG VAL
char(80)
041 - 120
Table 7 (pg. 57)
CARRIAGE RETURN
char(1)
121 - 121
Constant
LINE FEED
char(1)
122 - 122
Constant
Position
Values
Trailer record (one per document type code)
Fixed record length of 42 characters including CR/LF record delimiter:
EDI DOC TYP TCDE
char(3)
001 - 003
RFE
EDI REC TYPE IND
char(1)
004 - 004
Nine (9)
BATCH CREATE DTE
decimal(8.0)
005 - 012
TRANS EMP NO
decimal(8.0)
013 - 020
Constant
TRANS EMP LOCN NO
decimal(4.0)
021 - 024
Zero (0)
EMP BATCH YR
decimal(4.0)
025 - 028
EMP BATCH NO
decimal(8.0)
029 - 036
TOTAL TXN SENT QTY
decimal(4.0)
037 - 040
CARRIAGE RETURN
char(1)
041 - 041
Constant
LINE FEED
char(1)
042 - 042
Constant
* Is not normally populated.
Page 17
Self-insured employer EDI Technical Specification v12.0
5.4. ERN – Employer Report Form notification
The ERN document is used to return and store the ReturnToWorkSA CLAIM_PREFIX_NO and
CLAIM_SUFFIX_NO in the self-insured employers database for use in subsequent batches.
Header record (one record per document type code)
Fixed record length of 38 characters including CR/LF record delimiter:
Position
Values
EDI DOC TYP TCDE
char(3)
001 - 003
ERN
EDI REC TYPE IND
char(1)
004 - 004
Zero (0)
EDI TRANS DTE
decimal(8.0)
005 - 012
TRANS EMP NO
decimal(8.0)
013 - 020
TRANS EMP LOCN NO
decimal(4.0)
021 - 024
EDI BATCH YR
decimal(4.0)
025 - 028
EDI BATCH NO
decimal(8.0)
029 - 036
CARRIAGE RETURN
char(1)
037 - 037
Constant
LINE FEED
char(1)
038 - 038
Constant
Position
Values
Zero (0)
Detail record (one per claim)
Fixed record length of 152 characters including CR/LF record delimiter:
EDI DOC TYP TCDE
char(3)
001 - 003
ERN
EDI REC TYPE IND
char(1)
004 - 004
One (1)
CLAIM PREFIX NO
decimal(8.0)
005 - 012
CLAIM SUFFIX NO
decimal(2.0)
013 - 014
EMP REF NO
char(20)
015 - 034
EMP NO
decimal(8.0)
035 - 042
EMP LOCN NO
decimal(4.0)
043 - 046
EMP BATCH YR
decimal(4.0)
047 - 050
EMP BATCH NO
decimal(8.0)
051 - 058
WORKER SUR NME
char(25)
059 - 083
WORKER GIVEN NME
char(50)
084 - 133
BIRTH DTE
decimal(8.0)
134 - 141
INJ DTE
decimal(8.0)
142 - 149
Page 18
Self-insured employer EDI Technical Specification v12.0
GENDER IND
char(1)
150 - 150
Table 8 (pg. 57)
CARRIAGE RETURN
char(1)
151 - 151
Constant
LINE FEED
char(1)
152 - 152
Constant
Position
Values
Trailer record (one per document type code)
Fixed record length of 46 characters including CR/LF record delimiter:
EDI DOC TYP TCDE
char(3)
001 - 003
ERN
EDI REC TYPE IND
char(1)
004 - 004
Nine (9)
EDI TRANS DTE
decimal(8.0)
005 - 012
TRANS EMP NO
decimal(8.0)
013 - 020
TRANS EMP LOCN NO
decimal(4.0)
021 - 024
EDI BATCH YR
decimal(4.0)
025 - 028
EDI BATCH NO
decimal(8.0)
029 - 036
TOTAL TXN SENT QTY
decimal(4.0)
037 - 040
CARRIAGE RETURN
char(1)
041 - 041
Constant
LINE FEED
char(1)
042 - 042
Constant
Zero (0)
5.5. ECU – Exempt claim update
The ECU document is used to provide worker and claim details to allow ReturnToWorkSA to electronically
update a worker and claim.
There is potentially more payment information required than can easily be recorded in one detail row,
more than 10 payments types are reported, a second detail row will be required. A number of the fields
reported do not need to be provided in the second row. You should refer to APPENDIX A for details of the
requirements for these fields.
Page 19
Self-insured employer EDI Technical Specification v12.0
Header record (one per document type code)
Fixed record length of 49 characters including CR/LF record delimiter:
Position
Values
EDI DOC TYP TCDE
char(3)
001 - 003
ECU
EDI REC TYPE IND
char(1)
004 - 004
Zero (0)
EDI TRANS DTE
decimal(8.0)
005 - 012
TRANS EMP NO
decimal(8.0)
013 - 020
TRANS EMP LOCN NO
decimal(4.0)
021 - 024
EMP BATCH YR
decimal(4.0)
025 - 028
EMP BATCH NO
decimal(8.0)
029 - 036
EDI BATCH DUE DTE
decimal(8.0)
037 - 044
FILE VERSION NO
decimal(3.0)
045 – 047
Eight (008)
CARRIAGE RETURN
char(1)
048 - 048
Constant
LINE FEED
char(1)
049 - 049
Constant
Zero (0)
Detail record
Fixed record length of 453 characters including CR/LF record delimiter.
One or more per claim depending on the number of payment details. Multiple detail records per claim
should be grouped by CLAIM PREFIX NO & CLAIM SUFFIX NO:
Position
Values
EDI DOC TYP TCDE
char(3)
001 - 003
ECU
EDI REC TYPE IND
char(1)
004 - 004
One (1)
CLAIM PREFIX NO
decimal(8.0)
005 - 012
CLAIM SUFFIX NO
decimal(2.0)
013 - 014
EMP REF NO
char(20)
015 - 034
WORKER SUR NME
char(25)
035 - 059
WORKER GIVEN NME
char(50)
060 - 109
DAYS LOST QTY
decimal(4.0)
110 - 113
DETERM STATUS FLG
char(1)
114 - 114
INJ DTE
decimal(8.0)
115 - 122
FILLER
decimal(8.0)
123 – 130
Zero (0)
FILLER
decimal(8.0)
131 – 138
Zero (0)
RESUMED WRK DTE
decimal(8.0)
139 - 146
Table 1 (pg. 51)
Page 20
Self-insured employer EDI Technical Specification v12.0
WORK DUTIES IND
char(1)
147 - 147
RESERVE AMT
decimal(11.2)
148 - 158
DECEASED DTE
decimal(8.0)
159 - 166
STOPPED WRK DTE
decimal(8.0)
167 - 174
DETERM STATUS CHG DTE
decimal(8.0)
175 - 182
WORKER POSTCODE
decimal(4.0)
183 - 186
DECEASED CAUSE FLG
char(1)
187 – 187
NOTIONAL WEEKLY EARNING AMT decimal(5.0)
188 - 192
COMMON LAW COMMENCED FLG
char(1)
193 – 193
SERIOUS INJURY FLG
char(1)
194 – 194
SERIOUS INJURY ASSESSMENT DTE decimal(8,0)
195 – 202
NIIS FLG
char(1)
203 - 203
PAYMENT DETAILS COUNT
decimal(4.0)
204 – 207
EDI TOTAL TXN PAYMENT AMT
decimal(14.2)
208 – 221
Table 9 (pg. 58)
See pg. 44
PAYMENT DETAIL TABLE OCCURS 10 TIMES - (i=subscript/index number value starting at ‘1’)
FIN PMT TYP CDE
char(5)
199 + 23*i
Table 3 (pg. 51)
TOT COST AMT
decimal(14.2)
204 + 23*i
TXN CDE
char(3)
218 + 23*i
Table 4 (pg. 52)
TXN TYP IND
char(1)
221 + 23*i
Table 5 (pg. 52)
CARRIAGE RETURN
char(1)
452 - 452
Constant
LINE FEED
char(1)
453 - 453
Constant
NB: The first FIN PMT TYP CDE value starts at position 222.
Page 21
Self-insured employer EDI Technical Specification v12.0
Trailer record (one per document type code)
Fixed record length of 64 characters including CR/LF record delimiter:
Position
Values
EDI DOC TYP TCDE
char(3)
001 - 003
ECU
EDI REC TYPE IND
char(1)
004 - 004
Nine (9)
EDI TRANS DTE
decimal(8.0)
005 - 012
TRANS EMP NO
decimal(8.0)
013 - 020
TRANS EMP LOCN NO
decimal(4.0)
021 - 024
EMP BATCH YR
decimal(4.0)
025 - 028
EMP BATCH NO
decimal(8.0)
029 - 036
EDI BATCH DUE DTE
decimal(8.0)
037 - 044
TOTAL PAYMENT AMT
decimal(14.2)
045 - 058
TOTAL TXN SENT QTY
decimal(4.0)
059 - 062
CARRIAGE RETURN
char(1)
063 - 063
Constant
LINE FEED
char(1)
064 - 064
Constant
Zero (0)
5.6. CUE – Exempt claim update error notification
The CUE document is used to return claim update detail errors to the self-insured employer for resolution
by the self-insured employer in conjunction with ReturnToWorkSA.
Header record (one per document type code)
Fixed record length of 38 characters including CR/LF record delimiter:
Position
Values
EDI DOC TYP TCDE
char(3)
001 - 003
CUE
EDI REC TYPE IND
char(1)
004 - 004
Zero (0)
BATCH CREATE DTE
decimal(8.0)
005 - 012
TRANS EMP NO
decimal(8.0)
013 - 020
TRANS EMP LOCN NO
decimal(4.0)
021 - 024
EMP BATCH YR
decimal(4.0)
025 - 028
EMP BATCH NO
decimal(8.0)
029 - 036
CARRIAGE RETURN
char(1)
037 - 037
Constant
LINE FEED
char(1)
038 - 038
Constant
Zero (0)
Page 22
Self-insured employer EDI Technical Specification v12.0
Detail record (one per error, many per claim)
Fixed record length of 122 characters including CR/LF record delimiter:
Position
Values
EDI DOC TYP TCDE
char(3)
001 - 003
CUE
EDI REC TYPE IND
char(1)
004 - 004
One (1)
EMP REF NO
char(20)
005 - 024
EMP NO*
decimal(8,0)
025 - 032
EMP LOCN NO*
decimal(4,0)
033 - 036
MSG NO
decimal(4.0)
037 - 040
Table 7 (pg. 57)
MSG VAL
char(80)
041 - 120
Table 7 (pg. 57)
CARRIAGE RETURN
char(1)
121 - 121
Constant
LINE FEED
char(1)
122 - 122
Constant
Position
Values
Trailer record (one per document type code)
Fixed record length of 42 characters including CR/LF record delimiter:
EDI DOC TYP TCDE
char(3)
001 - 003
CUE
EDI REC TYPE IND
char(1)
004 - 004
Nine (9)
BATCH CREATE DTE
decimal(8.0)
005 - 012
TRANS EMP NO
decimal(8.0)
013 - 020
TRANS EMP LOCN NO
decimal(4.0)
021 - 024
EMP BATCH YR
decimal(4.0)
025 - 028
EMP BATCH NO
decimal(8.0)
029 - 036
TOTAL TXN SENT QTY
decimal(4.0)
037 - 040
CARRIAGE RETURN
char(1)
041 - 041
Constant
LINE FEED
char(1)
042 - 042
Constant
Zero (0)
* Is not normally populated.
Page 23
Self-insured employer EDI Technical Specification v12.0
5.7. ECC – Exempt claim closure
The ECC document is used to provide details of claims that have been closed since the last file
transmission.
Do not supply an ECU as well as an ECC for the same record, as this file will contain similar details to that
of an ECU. When reporting the payments for a claim, all payment types must be reported regardless of
whether any payments have been made. This means that in all cases, there will be two detail rows with
every TXN CDE represented.
Header record (one record per document type code)
Fixed record length of 41 characters including CR/LF record delimiter:
Position
Values
EDI DOC TYP TCDE
char(3)
001 - 003
ECC
EDI REC TYPE IND
char(1)
004 - 004
Zero (0)
BATCH CREATE DTE
decimal(8.0)
005 - 012
TRANS EMP NO
decimal(8.0)
013 - 020
TRANS EMP LOCN NO
decimal(4.0)
021 - 024
EMP BATCH YR
decimal(4.0)
025 - 028
EMP BATCH NO
decimal(8.0)
029 - 036
FILE VERSION NO
decimal(3.0)
037 – 039
Eight (008)
CARRIAGE RETURN
char(1)
040 - 040
Constant
LINE FEED
char(1)
041 - 041
Constant
Zero (0)
Detail record (two per claim required)
Fixed record length of 442 characters including CR/LF record delimiter.
Multiple detail records per claim should be grouped by claim prefix/claim suffix number:
Position
Values
EDI DOC TYP TCDE
char(3)
001 - 003
ECC
EDI REC TYPE IND
char(1)
004 - 004
One (1)
CLAIM PREFIX NO
decimal(8.0)
005 - 012
CLAIM SUFFIX NO
decimal(2.0)
013 - 014
EMP REF NO
char(20)
015 - 034
DECEASED CAUSE FLG
char(1)
035 - 035
DECEASED DTE
decimal(8.0)
036 - 043
WORKER GIVEN NME
char(50)
044 - 093
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Self-insured employer EDI Technical Specification v12.0
WORKER SUR NME
char(25)
094 - 118
DAYS LOST QTY
decimal(4.0)
119 - 122
DETERM STATUS FLG
char(1)
123 - 123
INJ DTE
decimal(8.0)
124 - 131
FILLER
decimal(8.0)
132 – 139
Zero (0)
FILLER
decimal(8.0)
140 - 147
Zero (0)
RESUMED WRK DTE
decimal(8.0)
148 - 155
STOPPED WRK DTE
decimal(8.0)
156 - 163
WORK DUTIES IND
char(1)
164 - 164
DETERM STATUS CHG DTE
decimal(8.0)
165 - 172
WORKER POSTCODE
decimal(4.0)
173 - 176
NOTIONAL WEEKLY EARNING AMT decimal(5.0)
177 – 181
COMMON LAW COMMENCED FLG
char(1)
182 – 182
SERIOUS INJURY FLG
char(1)
183 – 183
SERIOUS INJURY ASSESSMENT DTE decimal(8,0)
184 – 191
NIIS FLG
char(1)
192 - 192
PAYMENT DETAILS COUNT
decimal(4.0)
193 – 196
EDI TOTAL TXN PAYMENT AMT
decimal(14.2)
197 - 210
Table 1 (pg. 51)
Table 9 (pg. 58)
See pg. 44
PAYMENT DETAIL TABLE OCCURS 10 TIMES - (i=subscript/index number value starting at ‘1’)
FIN PMT TYP CDE
char(5)
188 + 23*i
Table 3 (pg. 51)
TOT COST AMT
decimal(14.2)
193 + 23*i
TXN CDE
char(3)
207 + 23*i
Table 4 (pg. 52)
TXN TYP IND
char(1)
210 + 23*i
Table 5 (pg. 52)
CARRIAGE RETURN
char(1)
441 - 441
Constant
LINE FEED
char(1)
442 - 442
Constant
NB: The first FIN PMT TYP CDE value starts at position 211.
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Self-insured employer EDI Technical Specification v12.0
Trailer record (one per document type code)
Fixed record length of 56 characters including CR/LF record delimiter:
Position
Values
EDI DOC TYP TCDE
char(3)
001 - 003
ECC
EDI REC TYPE IND
char(1)
004 - 004
Nine (9)
BATCH CREATE DTE
decimal(8.0)
005 - 012
TRANS EMP NO
decimal(8.0)
013 - 020
TRANS EMP LOCN NO
decimal(4.0)
021 - 024
EMP BATCH YR
decimal(4.0)
025 - 028
EMP BATCH NO
decimal(8.0)
029 - 036
TOTAL PAYMENT AMT
decimal(14.2)
037 - 050
TOTAL TXN SENT QTY
decimal(4.0)
051 - 054
CARRIAGE RETURN
char(1)
055 - 055
Constant
LINE FEED
char(1)
056 - 056
Constant
Zero (0)
5.8. CCE – Exempt claim closure errors
The CCE document is used to return claim closure errors to the self-insured employer for resolution in
conjunction with ReturnToWorkSA.
Header record (one record per document type code)
Fixed record length of 38 characters including CR/LF record delimiter:
Position
Values
EDI DOC TYP TCDE
char(3)
001 - 003
CCE
EDI REC TYPE IND
char(1)
004 - 004
Zero (0)
BATCH CREATE DTE
decimal(8.0)
005 - 012
TRANS EMP NO
decimal(8.0)
013 - 020
TRANS EMP LOCN NO
decimal(4.0)
021 - 024
EMP BATCH YR
decimal(4.0)
025 - 028
EMP BATCH NO
decimal(8.0)
029 - 036
CARRIAGE RETURN
char(1)
037 - 037
Constant
LINE FEED
char(1)
038 - 038
Constant
Zero (0)
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Self-insured employer EDI Technical Specification v12.0
Detail record (one per error, many per claim)
Fixed record length of 122 characters including CR/LF record delimiter:
Position
Values
EDI DOC TYP TCDE
char(3)
001 - 003
CCE
EDI REC TYPE IND
char(1)
004 - 004
One (1)
EMP REF NO
char(20)
005 - 024
EMP NO*
decimal(8.0)
025 - 032
EMP LOCN NO*
decimal(4.0)
033 - 036
MSG NO
decimal(4.0)
037 - 040
Table 7 (pg. 57)
MSG VAL
char(80)
041 - 120
Table 7 (pg. 57)
CARRIAGE RETURN
char(1)
121 - 121
Constant
LINE FEED
char(1)
122 - 122
Constant
Position
Values
Trailer record (one per document type code)
Fixed record length of 42 characters including CR/LF record delimiter:
EDI DOC TYP TCDE
char(3)
001 - 003
CCE
EDI REC TYPE IND
char(1)
004 - 004
Nine (9)
BATCH CREATE DTE
decimal(8.0)
005 - 012
TRANS EMP NO
decimal(8.0)
013 - 020
Constant
TRANS EMP LOCN NO
decimal(4.0)
021 - 024
Zero (0)
EMP BATCH YR
decimal(4.0)
025 - 028
EMP BATCH NO
decimal(8.0)
029 - 036
TOTAL TXN SENT QTY
decimal(4.0)
037 - 040
CARRIAGE RETURN
char(1)
041 - 041
Constant
LINE FEED
char(1)
042 - 042
Constant
* Is not normally populated.
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Self-insured employer EDI Technical Specification v12.0
5.9. ECR – Exempt claim re-open
The ECR document is used to provide the key worker and claim details to allow ReturnToWorkSA to
electronically re-open a claim for further payments, recoveries and adjustments.
Header record (one record per document type code)
Fixed record length of 41 characters including CR/LF record delimiter:
Position
Values
EDI DOC TYP TCDE
char(3)
001 - 003
ECR
EDI REC TYPE IND
char(1)
004 - 004
Zero (0)
BATCH CREATE DTE
decimal(8.0)
005 - 012
TRANS EMP NO
decimal(8.0)
013 - 020
TRANS EMP LOCN NO
decimal(4.0)
021 - 024
EMP BATCH YR
decimal(4.0)
025 - 028
EMP BATCH NO
decimal(8.0)
029 - 036
FILE VERSION NO
decimal(3.0)
037 – 039
Eight (008)
CARRIAGE RETURN
char(1)
040 - 040
Constant
LINE FEED
char(1)
041 - 041
Constant
Position
Values
Zero (0)
Detail record (one per claim)
Fixed record length of 148 characters including CR/LF record delimiter:
EDI DOC TYP TCDE
char(3)
001 - 003
ECR
EDI REC TYPE IND
char(1)
004 - 004
One (1)
CLAIM PREFIX NO
decimal(8.0)
005 - 012
CLAIM SUFFIX NO
decimal(2.0)
013 - 014
EMP REF NO
char(20)
015 - 034
EMP NO
decimal(8.0)
035 - 042
EMP LOCN NO
decimal(4.0)
043 - 046
BIRTH DTE
decimal(8.0)
047 - 054
DECEASED DTE
decimal(8.0)
055 - 062
INJ DTE
decimal(8.0)
063 - 070
GENDER IND
char(1)
071 - 071
WORKER GIVEN NME
char(50)
072 - 121
WORKER SUR NME
char(25)
122 - 146
Table 8 (pg. 57)
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Self-insured employer EDI Technical Specification v12.0
CARRIAGE RETURN
char(1)
147 - 147
Constant
LINE FEED
char(1)
148 - 148
Constant
Position
Values
Trailer record (one per document type code)
Fixed record length of 42 characters including CR/LF record delimiter:
EDI DOC TYP TCDE
char(3)
001 - 003
ECR
EDI REC TYPE IND
char(1)
004 - 004
Nine (9)
BATCH CREATE DTE
decimal(8.0)
005 - 012
TRANS EMP NO
decimal(8.0)
013 - 020
TRANS EMP LOCN NO
decimal(4.0)
021 - 024
EMP BATCH YR
decimal(4.0)
025 - 028
EMP BATCH NO
decimal(8.0)
029 - 036
TOTAL TXN SENT QTY
decimal(4.0)
037 - 040
CARRIAGE RETURN
char(1)
041 - 041
Constant
LINE FEED
char(1)
042 - 042
Constant
Zero (0)
5.10. CRE – Exempt claim re-open errors
The CRE document is used to return claim and re-open detail errors to the self-insured employer for
resolution in conjunction with ReturnToWorkSA.
Header record (one record per document type code)
Fixed record length of 38 characters including CR/LF record delimiter:
Position
Values
EDI DOC TYP TCDE
char(3)
001 - 003
CRE
EDI REC TYPE IND
char(1)
004 - 004
Zero (0)
BATCH CREATE DTE
decimal(8.0)
005 - 012
TRANS EMP NO
decimal(8.0)
013 - 020
TRANS EMP LOCN NO
decimal(4.0)
021 - 024
EMP BATCH YR
decimal(4.0)
025 - 028
EMP BATCH NO
decimal(8.0)
029 - 036
CARRIAGE RETURN
char(1)
037 - 037
Constant
LINE FEED
char(1)
038 - 038
Constant
Zero (0)
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Self-insured employer EDI Technical Specification v12.0
Detail Record (one per error, many per claim)
Fixed record length of 122 characters including CR/LF record delimiter:
Position
Values
EDI DOC TYP TCDE
char(3)
001 - 003
CRE
EDI REC TYPE IND
char(1)
004 - 004
One (1)
EMP REF NO
char(20)
005 - 024
EMP NO*
decimal(8.0)
025 - 032
EMP LOCN NO*
decimal(4.0)
033 - 036
MSG NO
decimal(4.0)
037 - 040
Table 7 (pg. 57)
MSG VAL
char(80)
041 - 120
Table 7 (pg. 57)
CARRIAGE RETURN
char(1)
121 - 121
Constant
LINE FEED
char(1)
122 - 122
Constant
Position
Values
Trailer record (one per document type code)
Fixed record length of 42 characters including CR/LF record delimiter:
EDI DOC TYP TCDE
char(3)
001 - 003
CRE
EDI REC TYPE IND
char(1)
004 - 004
Nine (9)
BATCH CREATE DTE
decimal(8.0)
005 - 012
TRANS EMP NO
decimal(8.0)
013 - 020
Constant
TRANS EMP LOCN NO
decimal(4.0)
021 - 024
Zero (0)
EMP BATCH YR
decimal(4.0)
025 - 028
EMP BATCH NO
decimal(8.0)
029 - 036
TOTAL TXN SENT QTY
decimal(4.0)
037 - 040
CARRIAGE RETURN
char(1)
041 - 041
Constant
LINE FEED
char(1)
042 - 042
Constant
* Is not normally populated.
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Self-insured employer EDI Technical Specification v12.0
6. ATTRIBUTE DEFINITIONS
If an attribute is defined as optional, then the related claim record will still be processed if the data for
those attributes are left blank (or zeroes). However, if the information can be provided from the selfinsured employer’s database and the attribute is optional, then ReturnToWorkSA prefers to receive the
data (as it is useful for statistical analysis). Optional data may be upgraded to mandatory in future, and
Regulations may be changed accordingly.
ACCIDENT AND INJURIES DESC
Char(250)
Mandatory
A free form, word description from all relevant sections of the
worker’s claim form on how the accident occurred, body parts
injured and injuries sustained by the worker.
Essential for statistical coding.
Must be provided for the claim to be created (any incomplete
description will result in follow-up queries from
ReturnToWorkSA).
APPRENTICE FLG
Char(1)
Optional
Indicates if the injured worker is an apprentice/trainee.
Must be Y = Yes or N = No.
BATCH CREATE DTE
Decimal(8.0)
Mandatory
Must be numeric.
Must be in date format of YYYYMMDD.
Must equal the day on which the document (batch) was
created.
BIRTH DTE
Decimal(8.0)
Mandatory
Birth date of worker.
Must be numeric.
Must be in date format of YYYYMMDD.
On existing claims, must equal current value of BIRTH DTE.
Must be provided before claim can be created.
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Self-insured employer EDI Technical Specification v12.0
CARRIAGE RETURN
Char(1)
Mandatory
On the end of each record sent, regardless of the record or
document type, a carriage return/line feed pair is used to
delimit the end of record.
CC NOTICE FROM WORKER DTE
Decimal(8.0)
Mandatory
The date the claim is received by the claims area of the selfinsured employer.
Must be numeric.
Must be in date format of YYYYMMDD.
Must be on or after INJ DTE.
Must be provided for the claim to be created.
A claim occurs when a completed claim form is received.
CHARACTER
All char fields
Definition of all character fields.
Fields are to be left justified and space filled to the right to the
maximum field length.
Example for a worker with a surname of ‘Smith’, set WORKER
SUR NME to ‘Smith’.
CLAIM PREFIX NO
Decimal(8.0)
Mandatory
First part of the unique ReturnToWorkSA claim number (used
in conjunction with CLAIM SUFFIX NO as the matching key).
Must be numeric.
Must exist on ReturnToWorkSA claim database in conjunction
with the CLAIM SUFFIX NO as provided by ReturnToWorkSA.
Unique 8 digit sequential number (from February 2012).
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Self-insured employer EDI Technical Specification v12.0
CLAIM SUFFIX NO
Decimal(2.0)
Mandatory
Second part of the unique ReturnToWorkSA claim number
(when used in conjunction with CLAIM PREFIX NO is the
matching key).
Must be numeric.
Must exist on ReturnToWorkSA claim database in conjunction
with the CLAIM PREFIX NO as provided by ReturnToWorkSA.
Constant “00”(from February 2012).
COMMON LAW COMMENCED FLG
Char(1)
Optional for ECU and ECC
Must be Y where Common Law has been paid
(Txn Code = CLA – Table 4 – see page 52) for claims with INJ
DTE on or after 1/7/2015.
Otherwise:
Indicates if common law proceedings have commenced in
relation to the claim.
Valid Values are:
Y = Yes (worker commenced common law proceedings),
N = No (worker has not commenced common law
proceedings),
Space = worker has not commenced common law
proceedings.
COUNTRY OF BIRTH CDE
Char(4)
Optional
The country in which the injured worker was born.
If specified must be one of the values from Table 13
(see page 76).
DAYS LOST QTY
Decimal(4.0)
Mandatory
Number of working days lost due to injury.
Must be numeric.
Must be greater than or equal to most recent DAYS LOST QTY
value provided by the self-insured employer.
Must be greater than or equal to zero (not negative).
Refer to Section 3.1 (page 3) for calculations.
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Self-insured employer EDI Technical Specification v12.0
DECEASED CAUSE FLG
Char(1)
Mandatory if worker deceased (DECEASED DTE entered)
Indicates if a deceased worker died due to their work injuries
Valid Values are:
Y = Yes (worker deceased from claim related injury/disease),
N = No (worker deceased from other causes - not claim
related),
Space = not deceased,
If the worker is deceased then the value must be Y or N,
If the worker is not deceased then the value must be spaces.
DECEASED DTE
Decimal(8.0)
Mandatory if DECEASED CAUSE FLG entered as ‘Y’ or ‘N’
Must be numeric.
Must be in date format of YYYYMMDD.
Must equal the day on which the worker died.
Set to zero if the worker is not deceased.
Must be on or after the INJ DTE.
Must be on or after STOPPED WRK DTE.
DECIMAL
All decimal fields
Definition of all numeric fields.
As an example, decimal(8.2) has a total length of 8 bytes, of
which 2 are decimal places.
Do not embed a decimal point, it is implied.
Do not include a sign as all amounts are positive dollars
(including recovery amounts).
To further clarify the definition of decimal fields the following
examples are supplied for a field defined as decimal(8.2):
to send
the field should contain
$12.34
00001234
$12
00001200
$12.3
00001230
Zero
00000000
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Self-insured employer EDI Technical Specification v12.0
DETERM STATUS CHG DTE
Decimal(8.0)
Mandatory (only for claims with INJ DTE on or after 1/7/2005)
Must be numeric.
Must be in date format of YYYYMMDD.
Must be on or after the CC NOTICE FROM WORKER DTE.
For undetermined claims, this will be the date the claim was
created. Otherwise, it will reflect the date the self-insured
employer accepted or denied liability for the claim.
If the determination of liability is changed, this data item
should reflect the date the most recent liability determination
was made. For example, if liability for a claim was originally
denied but this decision is later overturned and liability is
accepted, this data item should reflect the date the liability
was accepted.
Must be provided before the claim can be created.
NOTE: The original acceptance date must continue to be
reported. The date of any change regarding medical only or
income support is still a determination of acceptance and
must not override the original acceptance date.
DETERM STATUS FLG
Char(1)
Mandatory
Self-insured employer’s determination of claim.
Must be in UPPER CASE.
Must be one of the valid values shown in Table 1 (see page 51).
DUTY STATUS IND
Char(1)
Mandatory
Indicates if the worker was performing their normal role at
work when the injury occurred or if the injury occurred doing a
task outside their normal duties.
Must be one of the valid values from Table 11 (see page 59).
Must be provided before the claim can be created.
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Self-insured employer EDI Technical Specification v12.0
EDI BATCH NO
Decimal(8.0)
Mandatory
Unique, sequential batch reference number allocated by
ReturnToWorkSA database to each transmission received or
sent within each EDI BATCH YR.
Must be numeric.
EDI BATCH YR
Decimal(4.0)
Mandatory
Year during which EDI BATCH NO was allocated.
Must be numeric, and in date format (YYYY).
Must be the same calendar year as the EDI TRANS DTE.
Allocated by ReturnToWorkSA to batches.
EDI BATCH DUE DTE
Decimal(8.0)
Mandatory
Date the current batch was due to be transmitted to
ReturnToWorkSA (the expected transmission date).
Must be numeric.
Must be in date format of YYYYMMDD.
Must be less than or equal to the current date.
EDI DOC TYP TCDE
Char(3)
Mandatory
Code to indicate type of EDI document on page 51 .
Must be one of the valid values from Table 2 (see page 51)
EDI REC TYPE IND
Char(1)
Mandatory
Code to indicate type of record (header, detail or trailer).
Must be one of the valid values from Table 10 (see page 59).
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Self-insured employer EDI Technical Specification v12.0
EDI TOTAL TXN PAYMENT AMT
Decimal(14.2)
Mandatory
Total of all TOT COST AMT values for current claim as
calculated by the self-insured employer’s program (used as a
check sum).
Must be numeric.
Must equal accumulated total of all TOT COST AMT values for
the claim.
May be zero if no claim payments sent but cannot be negative.
Must be zero on the second detail record for a claim when
more than one detail record is sent for a claim.
EDI TRANS DTE
Decimal(8.0)
Mandatory
The date the transmission was sent from the self-insured
employer to ReturnToWorkSA, or vice-versa.
Must be numeric.
Must be in date format of YYYYMMDD.
Must be less than or equal to current date, however must be
the same calendar year as the EDI BATCH YR.
EMP BATCH NO
Decimal(8.0)
Mandatory
Unique number within a given EMP BATCH YR. A sequential
reference number allocated by the self-insured employer’s
database to each document (batch) sent within a single
transmission file. Where multiple document type batches are
in a single transmitted file the EMP BATCH NO must be
sequentially increasing within that file.
Must be one increment greater than most recent EMP BATCH
NO value specified for the transmitting self-insured
employer/location combination.
Must be reset to one (1) when the EMP BATCH YR is rolled
over on the change of calendar year.
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Self-insured employer EDI Technical Specification v12.0
EMP BATCH YR
Decimal(4.0)
Mandatory
Year during which EMP BATCH NO was allocated.
Must be numeric.
Must be of the date format (YYYY).
Must be incremented by one for the first transmission of a new
calendar year.
EMP LOCN NO
Decimal(4.0)
Mandatory
Location number at which injury occurred. Value provided by
ReturnToWorkSA on registration of the location. The date of
injury must be within the dates the location was operational.
Must be numeric.
Must exist on ReturnToWorkSA database for EMPLOYER NO
specified.
Must be provided before the claim can be created.
EMP NO
Decimal(8.0)
Mandatory
Registration number. Value provided by ReturnToWorkSA on
registration of the self-insured employer. The date of injury
must be within the dates the location/s of this registration is
operational.
NB: A self-insured employer may have more than one
ReturnToWorkSA registration (EMP NO) and each claim
should have the relevant registration number recorded against
it.
Must be numeric.
Must exist on ReturnToWorkSA database.
Must be provided before the claim can be created.
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Self-insured employer EDI Technical Specification v12.0
EMP REF NO
Char(20)
Mandatory
The unique self-insured employer’s claim reference number
allocated to a claim by the self-insured employer’s database.
It must be unique for the self-insured employer
On new claims it cannot already exist in the ReturnToWorkSA
database for the self-insured employer’s other claims.
On existing claims it must already be recorded on the
ReturnToWorkSA database.
Must be provided for the claim to be created.
FILE VERSION NO
Decimal(3.0)
Mandatory
Must be numeric.
For all files submitted using the file format described in version
8 of this document, this must be set to ‘008’.
FILLER
Mandatory
Unused field/s for redundant or future expansion of attributes.
Set to zero if a ‘Decimal’ type e.g. 00000000 for Decimal(8.0).
Set to spaces if a ‘Char’ type.
FIN PMT TYP CDE
Char(5)
Mandatory for any payment specified
Financial payment type code (used in conjunction with TXN
CDE and TXN TYP IND).
Must be one of the valid values shown in Table 3 (see page 51)
and used in combination with TXN CDE and TXN TYP IND
from Table 6 (see page 53).
FULL PART TIME IND
Char(1)
Mandatory
Indicates if the worker is a full-time or part-time employee.
Must be F = Full-time or P = Part-time.
Must be provided before the claim can be created.
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Self-insured employer EDI Technical Specification v12.0
GENDER IND
Char(1)
Mandatory
Gender of worker.
Must be one of the valid values from Table 8 (see page 57).
Must be provided before the claim can be created.
INDUSTRY OF WORKPLACE
Decimal(6.0)
Mandatory (only for claims with INJ DTE on or after 1/7/2005.
Must be numeric.
The INDUSTRY OF WORKPLACE is known as the SAIC. For
each location or group of locations the SAIC is set by
ReturnToWorkSA.
Industry of workplace relates to the main activity of the
establishment at which the worker was injured or experienced
the exposure resulting in disease.
The SAIC code is validated against the date of injury. The SAIC
code needs to match the SAIC assigned to the location at the
time of the injury.
The SAIC code for the industry of workplace should be
recorded in relation to the establishment at which the worker
was injured or experienced the exposure resulting in disease,
irrespective of the industry of the self-insured employer.
Must be provided before the claim can be created for claims
with INJ DTE on or after 1/7/2005.
Note: Although ReturnToWorkSA is required to report the
ANZSIC codes to SafeWork Australia as part of NDS reporting,
we collect industry data from self-insured employer’s using
the state based SAIC codes and then convert the SAIC into the
ANZSIC codes.
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Self-insured employer EDI Technical Specification v12.0
INJ DTE
Decimal(8.0)
Mandatory
Date of injury.
Must be numeric.
Must be in date format of YYYYMMDD.
Must equal most recent INJ DTE value specified.
Must be greater than BIRTH DTE.
Must be less than or equal to current date.
Must be greater than WORKER STRT DTE.
If the worker is deceased, injury date must be prior or equal to
DECEASED DTE.
INJ DTE must be on/after EMP LOCN NO business
commenced date.
If EMP LOCN NO involved is cancelled, then the INJ DTE must
be prior or equal to cancellation date.
Must be provided before claim can be created.
INJ TME
Decimal(4.0)
Optional
Time of injury.
Must be numeric.
Must be in 24 Hour time format (HHMM), for example 2:30PM
would be 1430, 9:10AM would be 0910.
Must be in the range 0000 to 2359. 2400 cannot be used.
Hour component must be in the range 00 to 23.
Minute component must be in the range 00 to 59.
If INJ DTE is equal to the current date, then INJ TME must be
before current time.
If unavailable, set to zero (0000).
LANGUAGE TCDE
Char(4)
Optional
Code that represents the language spoken at home by the
worker.
Must be one of the valid values from Table 12 (see page 68).
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Self-insured employer EDI Technical Specification v12.0
LINE FEED
Char(1)
Mandatory
On the end of each record sent, regardless of the record or
document type, a carriage return/line feed pair is used to
delimit the end of record. (ASCII 10).
MSG NO
Decimal(4.0)
No longer in use
This field is no longer populated, but is retained in order to
keep record formats consistent.
MSG VAL
Char(79)
Mandatory for any error specified
Error message text.
APPENDIX D on page 72 contains examples of the most
common messages.
This field will contain a description of the field(s) in error with
embedded error values.
NIIS FLG
Char(1)
Optional for ECU and ECC
Indicates if the worker is a member of the National Injury
insurance Scheme.
Valid Values are:
Y = Yes (member),
N = No (non-member),
Space = not determined if member.
NORMAL HRS PER WK QTY
Decimal(5.2)
Optional
Number of hours the worker would normally work in a week.
Must be numeric.
Must be in the range of 1 to 99.
If the worker has varying hours in a given week, then provide
an average.
Set to zero if unavailable.
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Self-insured employer EDI Technical Specification v12.0
NOTIONAL WEEKLY EARNING AMT
Decimal(5.0)
Mandatory where income support has been paid (Txn Code =
IMT – Table 4 – see page 52) for claims with INJ DTE on or
after 1/7/2005.
This represents the initial notional weekly earnings (NWE) that
are used as the basis for the calculation of weekly benefits.
If an adjusted NWE figure is needed for income support
calculations (i.e. after CPI increases or yearly reviews) then the
self-insured employer’s database must be provided with a
separate field for the adjusted figure. The adjusted figure is
not to be reported to ReturnToWorkSA.
Must be numeric and rounded to the nearest dollar.
OCCUPATION DESC
Char(30)
Mandatory
A free form, word description of the occupation of the injured
worker.
Required for statistical coding.
Must be provided for the claim to be created.
OCCPN TASK DESC
Char(60)
Mandatory
A free form, description of the tasks and duties the worker
performs in their occupation. It further describes the duties
and tasks performed by the occupation described in
OCCUPATION DESC.
Must be provided for the claim to be created.
PAYMENT DETAIL TABLE
Mandatory
Group heading to allow up to 10 occurrences of payment
details per detail record.
No validation applicable.
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Self-insured employer EDI Technical Specification v12.0
PAYMENT DETAILS COUNT
Decimal(4.0)
Mandatory
Total count of non zero/non blank PAYMENT DETAILS entries
for the current claim.
Must be in the range of 0 – 20.
Must be set on the first of the two ECC detail records for a
claim.
It is a count for the claim, not for a record, and should be
present only on the first detail record for the claim if two detail
records are supplied.
Set to zero when there are no claim payments for claim.
PERMANENT CASUAL IND
Char(1)
Mandatory
Indicates if a worker’s employment is permanent or casual.
Must be P (Permanent) or C (Casual).
Must be provided before the claim can be created.
RESERVE AMT
Decimal(11.2)
Mandatory
Estimated outstanding liability.
Must be numeric.
Must be greater than or equal to zero. (i.e. cannot be negative,
no sign allowed).
RESUMED WRK DTE
Decimal(8.0)
Optional
Date resumed work.
If specified, must be numeric.
If specified, must be in date format YYYYMMDD.
If specified, must be greater than or equal to most recent
RESUMED WRK DTE.
If specified, must be on or after STOPPED WRK DTE.
If specified, must be on or after INJ DTE.
If specified and the worker is deceased, must be prior to date
of death.
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Self-insured employer EDI Technical Specification v12.0
SERIOUS INJURY ASSESSMENT DTE
Decimal(8.0)
Mandatory for ECU and ECC, if SERIOUS INJURY FLG
entered as ‘Y’
The date the worker was determined as seriously injured
(=>30% WPI).
Must be numeric.
Must be in date format of YYYYMMDD.
Must be on or after the INJ DTE.
SERIOUS INJURY FLG
Char(1)
Optional for ECU and ECC
Indicates if the worker has been determined as seriously
injured.
Valid Values are:
Y = Yes (worker determined as seriously injured),
N = No (worker not determined as seriously injured),
Space = not determined as seriously injured.
STOPPED WRK DTE
Decimal(8.0)
Optional
The date on which the worker stopped working due to their
injury.
Must be numeric.
Must be in date format of YYYYMMDD.
SWSA ADVISORY DTE
Decimal(8.0)
Mandatory where the claim arose from an Immediately
Notifiable incident.
Must be in date format of YYYYMMDD.
The date the self-insured employer advised SafeWorkSA of
the accident associated with this claim.
It will only be sent where the claim involves an accident
classed as an immediately notifiable incident (under the WHS
Act), in which case the self-insured employer must advise
SafeWork SA of the occurrence.
In the majority of claims it will not be needed and will be set to
zero.
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Self-insured employer EDI Technical Specification v12.0
TOT COST AMT
Decimal(14.2)
Mandatory for any payment specified
Total cumulative amount paid to date against payment group.
Must be numeric.
Must be greater than or equal to most recent TOT COST AMT
value specified for payment group.
Must be greater than or equal to zero (cannot be negative).
TOTAL PAYMENT AMT
Decimal(14.2)
Mandatory
Total of all TOT COST AMT values for the current batch
(document type), as calculated by the self-insured employer’s
program (used as a check sum).
Must be numeric.
Must equal the sum of all TOT COST AMT values specified in
the batch detail rows (all records between header/trailer pair
for EDI DOC TYPE TCDE), as calculated by receiving
computer.
Must be greater than or equal to zero (no sign, cannot be
negative).
TOTAL TXN SENT QTY
Decimal(4.0)
Mandatory
Count of the total number of detail document rows sent for
the current batch (document type), as calculated by the elfinsured employer’s program (used as a check sum).
Must be numeric.
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Self-insured employer EDI Technical Specification v12.0
TRANS EMP NO
Decimal(8.0)
Mandatory
Self-insured employer secure site number (provided by
ReturnToWorkSA) that the transmission file was sent from or
will be sent to.
NB: The TRANS EMP NO is a constant and will not change
regardless of the registration numbers contained of the batch.
Must be numeric.
Must exist on ReturnToWorkSA’s database, and employer
must be self-insured.
In most cases this is the self-insured employer registration
number.
TRANS EMP LOCN NO
Decimal(4.0)
Mandatory
Self-insured employer’s transmission location number that the
transmission file was sent from or will be sent to.
Must be numeric.
Value of zero (0000) unless advised by ReturnToWorkSA.
TXN CDE
Char(3)
Mandatory for any payment specified
Payment transaction code, used in conjunction with FIN PMT
TYP CDE and TXN TYP IND.
Must be one of the valid values from Table 4 (see page 52) and
in combination with FIN PMT TYP CDE and TXN TYP IND from
Table 6 (see page 53).
TXN TYP IND
Char(1)
Mandatory for any payment specified.
Payment transaction type indicator, used in conjunction with
FIN PMT TYP CDE and TXN CDE.
Must be one of the valid values from Table 5 (see page 52) and
in combination with FIN PMT TYP CDE and TXN CDE in Table
6 (see page 53).
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Self-insured employer EDI Technical Specification v12.0
WORK DUTIES IND
Char(1)
Mandatory for all claims with INJ DTE on or after 1/7/2005
Otherwise optional
Represents the most recent return to work (RTW) status,
regardless of whether the worker has actually returned to
work.
Must be one of the valid values from Table 9 (see page 58).
WORKER GIVEN NME
Char(50)
Mandatory
Worker's legal given name(s).
For ERF’s it must contain the full legal name
On updates must equal most recent WORKER GIVEN NME
being at least the full legal name (case insensitive).
Where ReturnToWorkSA’s details and the self-insured
employer’s database differ the self-insured employer is to
confirm the worker’s legal name with the worker. Any
variation to a worker’s name must be advised to
ReturnToWorkSA. In the event of the worker’s name
conflicting, ReturnToWorkSA will determine what name is to
be used by the self-insured employer, to ensure that it
matches on any claim creation, update, re-open or closure,
otherwise the data will not successfully load at
ReturnToWorkSA.
Must be provided for claim to be created.
Must be consistent on all claims on the self-insured employer’s
database.
WORKER POSTCODE
Decimal(4.0)
Mandatory (for claims with INJ DTE on or after 1/7/2005)
The postcode of the worker’s residential address. This will
represent the most up-to-date postcode for the worker that
corresponds to the data being supplied.
Must be numeric.
Must be provided before the claim can be created for claims
with INJ DTE on or after 1/7/2005).
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Self-insured employer EDI Technical Specification v12.0
WORKER STRT DTE
Decimal(8.0)
Optional
The date on which the worker commenced employment with
the self-insured employer.
Must be numeric.
Must be in date format of YYYYMMDD.
Must be after the workers BIRTH DTE.
Must be prior to the current date.
Where the EMP LOCN NO involved is now cancelled this date
must be before the cancellation date.
Must be equal to or prior to INJ DTE.
WORKER SUR NME
Char(25)
Mandatory
Worker's legal surname.
For ERF’s it must list the current legal name.
On updates must equal most recent WORKER SUR NME being
at least the full legal name (case insensitive).
Where ReturnToWorkSA’s detail and the self-insured
employer’s database differ the self-insured employer is to
confirm the worker’s legal name with the worker. Any
variation to a worker’s name must be advised to
ReturnToWorkSA. In the event of the worker’s name
conflicting, ReturnToWorkSA will determine what name is to
be used by the self-insured, to ensure that it matches on any
claim creation, update, re-open or closure, otherwise the data
will not successfully load at ReturnToWorkSA.
Must be provided for the claim to be created.
Must be consistent on all claims on the self-insured employer’s
database.
WORKPLACE POSTCODE
Decimal(4.0)
Mandatory (for claims with INJ DTE on or after 1/7/2005)
The postcode of the workplace at which the worker was
injured or experienced the exposure resulting in disease.
For injuries or exposures occurring on any form of transport, or
while the worker was working overseas, the postcode should
be entered as 9999.
Must be provided before the claim can be created for claims
with INJ DTE on or after 1/7/2005).
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Self-insured employer EDI Technical Specification v12.0
WRK DAYS PER WK QTY
Decimal(1.0)
Optional
The number of days in a week that the worker attends their
job.
Must be in the range 1 to 7.
Where the days worked in a week vary, then an average may
be supplied.
If unavailable, set to zero.
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Self-insured employer EDI Technical Specification v12.0
7. VALID VALUES TABLES
These table values may be reviewed by ReturnToWorkSA at a later date to allow improved recording and
statistical analysis of self-insured employer claims data. It is recommended that any of these values that
are derived from the existing self-insured employer’s database via a cross reference table, have the built-in
flexibility to allow the cross reference table to be easily maintained.
7.1. Table 1 – DETERM STATUS FLG Values
DETERM STATUS FLG
Description
A
Accepted
R
Rejected
U
Undetermined
W
Withdrawn
7.2. Table 2 – EDI DOC TYP TCDE
EDI DOC TYP TCDE
Description
ERF
from self-insured employer to ReturnToWorkSA, Employer Report Form
RFE
from ReturnToWorkSA to self-insured employer, Employer Report Form errors
ECR
from self-insured employer to ReturnToWorkSA, Claim re-open
CRE
from ReturnToWorkSA to self-insured employer, Claim re-open errors
ERN
from ReturnToWorkSA to self-insured employer, Assign ReturnToWorkSA
reference number
ECU
from self-insured employer to ReturnToWorkSA, Claim updates
CUE
from ReturnToWorkSA to self-insured employer, Claim update errors
ECC
from self-insured employer to ReturnToWorkSA, Claim closure
CCE
from ReturnToWorkSA to self-insured employer, Claim closure errors
7.3. Table 3 – FIN PMT TYP CDE
FIN PMT TYP CDE
EXMPT
Description
Self-insured employer
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Self-insured employer EDI Technical Specification v12.0
7.4. Table 4 – TXN CDE Values
Note: As these payment categories are periodically reviewed by ReturnToWorkSA, it is recommended
that the cross reference grouping of self-insured employer accounts to ReturnToWorkSA reporting codes
be set up in such a way as to allow flexible and easy maintenance. Also refer to Table 6 – Payment type
combinations
(page 53).
TXN CDE
Description
CLA
Common law
DOR
Deed of Release
HSO
Hospital – Outpatient
HSP
Hospital – Inpatient
IMT
Income Support
IVS
Investigation
LEL
Lump Sum – Economic Loss
LEV
Legal
LSU
Lump sum – Non-Economic Loss
MAH
Medical – Allied Health
MED
Medical services
MOS
Medical – Other goods and services
OTH
Other goods and services (non-medical)
OTN
Other – Non-compensation
PRY
Property
RDI
Redemption/Commutation of income support
RDM
Redemption of medical expenses
REC
Recovery
REH
Rehabilitation
TRV
Travel
7.5. Table 5 – TXN TYP IND values
TXN TYP IND
E
Description
Self-insured employer
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Self-insured employer EDI Technical Specification v12.0
7.6. Table 6 – Payment type combinations
Note: These are the payment categories required under Schedule 3 of the ReturnToWorkSA Regulations
2015. It is recommended that the cross reference grouping of self-insured employer accounts to
ReturnToWorkSA reporting codes be set up in such a way as to allow flexible and easy maintenance. A
copy of the payment code mapping showing this cross reference grouping must be provided to
ReturnToWorkSA when it is first set up, and if any changes are made to it (i.e. new codes added).
The TXN TYP IND is ‘E’ and the FIN PMT TYP CDE is ‘EXMPT’ for each payment type.
TXN CDE
CLA
Description
COMMON LAW
Negligence of the worker’s employer - s.71
(Historic payments made prior to 31/12/1992 under the WRCA 1986 continue to
be reported in this category)
DOR
DEED OF RELEASE
Rights of action and recovery against third parties s.66
Enter full amount agreed in the Deed of Release.
HSO
HOSPITAL – OUTPATIENT
Accident & Emergency
Casualty
Outpatient services (not paid to a provider in private practice)
HSP
HOSPITAL – INPATIENT
Inpatient expenses – accommodation (bed), theatre
IMT
INCOME SUPPORT
Back pay and interest on pay
Income reimbursement – Social Security
Income reimbursement – Australian Taxation Office
Make-up pay
Other employer income payments
Weekly payments to dependants
Incentive employee scheme
LOEC (paid under the WRCA 1986)
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Self-insured employer EDI Technical Specification v12.0
IVS
INVESTIGATION
Fraud investigation expenses
Investigation expenses
Loss adjustor fees
Surveillance
LEL
LUMP SUM – ECONOMIC LOSS
Loss of future earning capacity – s.56
LEV
LEGAL
Representation self-insured employer
Representation worker
Solicitor’s fees
LSU
LUMP SUM – NON-ECONOMIC LOSS
Funeral expenses – s.62
Lump sum payable on death – s.61
Lump sum compensation payments – s.58
MAH
MEDICAL – ALLIED EALTH
Acupuncture (not performed by a LQMP)
Ambulance
Audiologist
Chiropractor
Dietician
Ergonomist
Hypnotherapy (not perform by LQMP)
Massage
Naturopathy
Nursing/Domiciliary care
Occupational therapist (includes functional capacity evaluation)
Optometrist/Optician
Orthoptist
Osteopath
Physiotherapy
Podiatrist
Psychologist
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Self-insured employer EDI Technical Specification v12.0
Social worker
Speech therapist
Remedial therapy
MED
MEDICAL SERVICES
Dentist
Legally qualified medical practitioner including:
MOS
‒
General practitioner
‒
Occupational or rehabilitation medicine
‒
Pathologist
‒
Physician (Rheumatologist, etc.)
‒
Psychiatrist (Psychologists now coded MAH, Medical - Allied Health)
‒
Radiologist (includes x-ray and diagnostic testing)
‒
Radiotherapist
‒
Specialists (e.g. Surgeon, Anaesthetist, Dermatologist.)
‒
Office-based day surgery
MEDICAL – OTHER GOODS AND SERVICES
Chemist expenses (all)
Curative/therapeutic appliances & apparatus
Gymnasium membership or casual visit (not delivered by a medical expert)
Hydrotherapy membership or casual visit (not delivered by a medical expert)
OTH
OTHER GOODS AND SERVICES – NON MEDICAL
Child care
Clothing (excluding property damage e.g. special shoes, etc)
Furniture
Home assistance
Housing – modifications
Maintenance or rental of capital items
Motor vehicles – purchase, modification
Removalist expenses
Redemption advice (financial and professional)
Other non-medical expenses
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Self-insured employer EDI Technical Specification v12.0
OTN
OTHER – NON-COMPENSATION
Administrative reports – coroner, police, etc
Case conference
Independent medical examination
Interpreter services
Medical reports – treating doctor, chiropractor, physiotherapist, psychologist,
etc
Prescribed medical certificate
PRY
PROPERTY DAMAGE
Clothing damage
Personal effects damage
Therapeutic appliance damage
Tools of trade (replacement)
RDI
REDEMPTION/COMMUTATION OF INCOME SUPPORT
Redemption of income – s.53
Commutation of income – s.53
Commutation of income to dependents (death claims) – s.59
RDM
REDEMPTION OF MEDICAL EXPENSES
Redemption of medical expenses – s.54
REC
RECOVERED AMOUNTS
Payments recovered from an outside source e.g. third party insurance
Excludes ‘excess of loss’ payments (not to be included in Schedule 3 reporting)
REH
REHABILITATION
Rehabilitation provider expenses
Rehabilitation and return to work services delivered by a medical expert
Vocational assessment (not delivered by a LQMP)
TRV
TRAVEL
Worker travelling expenses – kilometres
Worker travelling expenses – accommodation/meals
Transportation by air
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Self-insured employer EDI Technical Specification v12.0
7.7. Table 7 – Reply message values
Our error messages are designed to assist the self-insured employer understand what action/s they must
undertake. An error message will be displayed with either an E, W or N at the beginning of the message.
These messages are defined by three principles:
1. E: = Error – All data in the claim is stopped and the claim is not updated at ReturnToWorkSA. The
fields in error must be fixed by the self-insured employer and then the claim resent to
ReturnToWorkSA.
2. W: = Warning – The data in the claim is allowed, except for the field/s noted in the message. The
fields noted with the preceding W must be fixed by the self-insured employer and the claim resent
to ReturnToWorkSA.
3. N: = Note – All data in the claim is allowed. If the self-insured employer believes the data identified
in the message is not correct, then they need to fix the field/s in question and resend the claim to
ReturnToWorkSA. If the self-insured employer believes the field/s in question are correct, then no
action is required.
Listed in Appendix D are some of the common error messages. This list includes what actions the selfinsured employer is required to undertake to address the error/s.
7.8. Table 8 – GENDER IND Values
GENDER IND
Description
F
Female
M
Male
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Self-insured employer EDI Technical Specification v12.0
7.9. Table 9 – WORK DUTIES IND Values
WORK DUTIES
IND
Effective
From (DOI)
Effective To
(DOI)
Working with no income support - pre-injury employer
I
30/09/1987
-
Not working with income support
J
30/09/1987
-
Working with income support - pre-injury employer
K
30/09/1987
-
Not working with no income support
L
30/09/1987
-
Deceased
M
30/09/1987
-
Working - capacity unknown
O
30/09/1987
-
Working with no income support - different employer
P
30/09/1987
-
Working with income support - different employer
Q
30/09/1987
-
Working with no income support - unknown employer
R
30/09/1987
-
Working with income support - unknown employer
S
30/09/1987
-
Unknown
T
30/09/1987
-
Description
Please note that this indicator is not static, it may change over the course of a claim and should reflect the
latest return to work status.
Refer to Appendix A for the full code table of Work Duty Indicators, including the active dates.
I
Working - Working with no income support – pre-injury employer - Employee is currently working
with the pre-injury employer and is not receiving any income support.
J
Not Working - Not working with income support - Employee is not working at all and is receiving
income support.
K
Working - Working with income support – pre-injury employer - Employee is currently working with
the pre-injury employer, but is receiving some income support. Income support payments may be
due to the employee working fewer hours than prior to the injury/disease or due to the employee
working the same hours but in a job with lower remuneration and is receiving top-up payments.
L
Not Working - Not working with no income support - Employee is not working and is no longer
receiving income support. For example, redundancy, retrenchment, resigned, studying, seasonal
worker.
M
Not Working - Deceased - Employee is deceased. Includes deaths related to the compensated injury
and death unrelated to the compensated injury.
O
Working - Working – capacity unknown - Employee is at work however it is unclear whether the
worker is back at full or partial capacity, or is or is not receiving income support.
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Self-insured employer EDI Technical Specification v12.0
P
Working - Working with no income support – different employer - Employee is currently working with
a different employer and is not receiving any income support.
Q
Working - Working with income support – different employer - Employee is currently working with a
different employer, but is receiving some income support. Income support payments may be due
to the employee working fewer hours than prior to the injury/disease or due to the employee
working the same hours but in a job with lower remuneration and is receiving top-up payments.
R
Working - Working with no income support -unknown employer - Employee is currently working and
it is unknown whether work is with pre-injury employer or different employer and is not receiving
any income support.
S
Working - Working with income support -unknown employer - Employee is currently working and it is
unknown whether work is with pre-injury employer or different employer and is receiving income
support. Income support payments may be due to the employee working fewer hours than prior to
the injury/disease or due to the employee working the same hours but in a job with lower
remuneration and is receiving top-up payments.
T
Unknown - Employee is no longer eligible for compensation and his or her work status is unknown.
For example, employee has reached retirement age, payment thresholds have been reached, or a
redemption lump sum has been paid and the work status is unknown (This code may be used as a
default code where there is no work status for an individual).
7.10. Table 10 – EDI REC TYPE IND
EDI REC TYPE IND
Description
0 (zero)
Header
1-3
Detail – used in combination with EDI DOC TYP TCDE values.
9
Trailer
7.11. Table 11 – DUTY STATUS IND
DUTY STATUS IND
Description
1
On duty – Usual workplace
2
On duty –Traffic
3
During authorised break
4
Commuting injury
5
While attending an approved course of study
6
On duty – Not usual workplace
7
Other
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Self-insured employer EDI Technical Specification v12.0
8. TESTING AND IMPLEMENTATION PROCEDURES
To assist in the testing and implementation of your claims management database for electronic transfer of
claim data, the following procedures and information are to be consulted. The self-insured employer
and/or their software provider must contact ReturnToWorkSA’s Claims Data Unit to arrange testing.
8.1. New self-insured employers – transitional claims
For newly licensed self-insured employers, it is possible for ReturnToWorkSA to provide a disc containing
details of the pre self- insurance claims as stored by ReturnToWorkSA. This data can be used to initially
load the claims details onto the self-insured employer's database. All transitional claims that are ongoing
will need to be reported via EDI. This should be discussed with ReturnToWorkSA’s Claims Data Unit. Refer
to section 2.1 Transitional Claims for detailed information on transitional claims.
8.2. Testing of self-insured employer input files
Testing may require several transmissions before we are ready to accept your “live” transmissions. (A 'live'
transmission will update the ReturnToWorkSA database and any data returned will update your files.) All
transmissions up to this time are to be considered as test transmissions only.
Once testing has been completed a new file capturing all the transactions since becoming self-insured will
need to be lodged.
8.2.1. Testing Steps
Self-insured employers can submit a test file via the ReturnToWorkSA secure site. If a software provider is
conducting the testing on behalf of the self-insured employer, the self-insured employer will need to lodge
the files in the test facility as the software provider will not be given access to the secure site.
The following steps apply for file testing:
1.
Create a test file from the self-insured employer database. The file may contain multiple document
(batch) types.
NB : The data should only be collected as test data and as such MUST NOT affect the processing and
transfer of normal data from the self-insured employer database.
2.
Open an internet application, browse to the ReturnToWorkSA web site (www.rtwsa.com) and select
the appropriate links to the secure site, entering your personal user name (ID) and password. Read the
conditions of use and click Accept.
3.
Choose the Manage EDI function from the ‘My Shortcuts’ section.
4.
Click Submit a Test File, use the browse button to locate your test file and then click Submit.
5.
If your file passes the online validation (to ensure that it is formatted correctly) it will be transferred to
ReturnToWorkSA. If any formatting problems are detected, corresponding warning or error messages
will be displayed. These problems must be rectified and a corrected, then a new file can be
resubmitted. Seek the assistance of your software provider.
6.
ReturnToWorkSA’s Claims Data Unit must be immediately advised via telephone when a test
transmission has been sent.
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Self-insured employer EDI Technical Specification v12.0
7.
ReturnToWorkSA’s Claims Data Unit will pick up any test files and process them as described earlier.
This will allow ReturnToWorkSA to confirm the record and file formats and the data held within.
8.
ReturnToWorkSA’s Claims Data Unit will contact the self-insured employer to discuss the results of
any test files transmitted whether errors are generated or not. The error file generated from the test
can be emailed to the self-insured employer (if necessary).
9.
ReturnToWorkSA’s Claims Data Unit will provide feedback on any technical problems with the file
and will attempt to resolve any data errors in conjunction with the self-insured employer’s key user.
8.3. First live transmission
The first live transmission should contain ERF records for any self-insured employer claim without a
ReturnToWorkSA claim number. Once ERN files are received back by the self-insured employer for these
claims then the next update transmission should contain an ECU or ECC record (depending on the claim
status) to bring the claim payment details up to date.
Transitional claims are addressed in section 2.1 (page 2).
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Self-insured employer EDI Technical Specification v12.0
8.4. ReturnToWorkSA EDI processing flow chart – Steps for the self-insured employer, prior to creating a data file
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Self-insured employer EDI Technical Specification v12.0
9. OTHER GENERAL INFORMATION
Downloading the ReturnToWorkSA claim number via the ReturnToWorkSA secure site.
It is possible for ReturnToWorkSA to create an ERN batch re-load which will send an ERN record to the
self-insured employer’s database for every open/re-opened claim that is currently recorded on the
ReturnToWorkSA database. This can be requested from ReturnToWorkSA’s Claims Data Unit.
When an ERN batch re-load is sent the self-insured employer is required to reconcile all the claims to
ensure the claims are correctly recorded as open. If any claims in the list are found to be closed on the selfinsured employer’s database, the self-insured employer must re-flag the claim to send a claim closure (ECC
– refer page 24) in the next file transmitted to ReturnToWorkSA.
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Self-insured employer EDI Technical Specification v12.0
BUSINESS RULES FOR THE TRANSMISSION FILES
Aside from the specific rules that apply to each attribute reported to ReturnToWorkSA (see section 6
ATTRIBUTE DEFINITIONS), there are some general rules that apply to the structure of the files that selfinsured employers are expected to transmit to ReturnToWorkSA. These additional rules are described in
this appendix.
A1. ERF (Employer Report Form)
1.
For any file transmitted where claim create details exist, only one ERF Header Record (EDI REC TYPE
IND = 0) and only one ERF Footer Record (EDI REC TYPE IND = 9) will exist for the entire file.
However, between these records, for each new claim reported, three separate ERF detail records will
exist as indicated in the following example:
Header record (EDI REC TYPE IND = 0)
Detail record claim A – claim and worker (EDI REC TYPE IND = 1)
Detail record claim A – occupation (EDI REC TYPE IND = 2)
Detail record claim A – accident (EDI REC TYPE IND = 3)
Detail record claim B – claim and worker (EDI REC TYPE IND = 1)
Detail record claim B – occupation (EDI REC TYPE IND = 2)
Detail record claim B – accident (EDI REC TYPE IND = 3)
…
…
Footer record (EDI REC TYPE IND = 9)
A2. ECU (Exempt claim update)
1.
For any file transmitted where claim update details exist, only one ECU header record (EDI REC TYPE
IND = 0) and only one ECU footer record (EDI REC TYPE IND = 9) will exist for the entire file. However,
between these records, for each claim where an update exists, at least one and no more than two ECU
detail records will exist (each with EDI REC TYPE IND = 1), depending on the number of transaction
codes with payments are being reported.
2.
Each ECU detail record must contain a valid ReturnToWorkSA claim number, as supplied to the selfinsured employer by ReturnToWorkSA.
3.
Up to 10 payment type details can be included on a single detail record. It is recommended that the
self-insured employer’s database has the in-built flexibility to change the grouping of the self-insured
employer account codes to ReturnToWorkSA account codes (as detailed in tables 4 and 6 of this
document).
4.
Where any payment total has changed on a claim since the last file transmission, including reversals,
new totals for each payment type that exist for the claim must be supplied (i.e. If no payments are
recorded for a particular payment type then no data needs to be reported in the file for that payment
type).
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Self-insured employer EDI Technical Specification v12.0
5.
If less than 10 payment types are included on a record, all unused entries in the PAYMENT DETAILS
TABLE should be set to initial values as per the appropriate description (i.e. character fields set to
spaces, decimal fields set to zero).
6.
Two ECU detail records must be sent for a single claim where more than 10 payment types exist for
the claim. When two detail records are sent in for a given claim then all fields prior to PAYMENT
DETAILS COUNT on the record should be repeated (i.e. have the same values) on both ECU Detail
Records for the claim.
7.
When two detail records are sent in for a given claim then the EDI TOTAL TXN PAYMENT AMT will
contain zeroes on the second record for the claim.
8.
When two detail records are sent in for a given claim on the first record the PAYMENT DETAILS
COUNT should be equal to the total number of non-zero entries supplied for the claim. The
PAYMENT DETAILS COUNT should be zero on the second detail record for the claim.
A3. ECR (Exempt claim re-open)
1.
For any file transmitted where claim re-open details exist, only one ECR header record (EDI REC TYPE
IND = 0) and only one ECR footer record (EDI REC TYPE IND = 9) will exist for the entire file. However,
between these records, for each claim where a re-open exists, only one ECR detail record (EDI REC
TYPE IND = 1) will exist.
2.
Each ECR detail record must contain a valid ReturnToWorkSA claim number, as supplied to the selfinsured employer by ReturnToWorkSA.
A4. ECC (Exempt claim closure)
1.
For any file transmitted where claim closure details exist, only one ECC header record (EDI REC TYPE
IND = 0) and only one ECC footer record (EDI REC TYPE IND = 9) will exist for the entire file. However,
between these records, for each claim where a closure exists, two ECC detail records (EDI REC TYPE
IND = 1) must exist.
2.
Two ECC detail records must be sent for a single claim.
3.
The ECC detail records will contain details for every TXN CDE, regardless of whether any payments
have been made for every code.
4.
On any ECC detail record where there are unused PAYMENT DETAILS entries (i.e. on the second
Details Record after the last reported FIN PMT TYP CDE data), these should be set to initial values as
per the appropriate description (i.e. character fields set to spaces, decimal fields set to zero).
5.
Each ECC detail record must contain a valid ReturnToWorkSA claim number, as supplied to the selfinsured employer by ReturnToWorkSA.
6.
All fields prior to PAYMENT DETAILS COUNT on the record should be repeated (i.e. have the same
values) on both ECC detail records for the claim.
7.
The EDI TOTAL TXN PAYMENT AMT will contain zeroes on the second ECC detail records for the
claim.
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Self-insured employer EDI Technical Specification v12.0
8.
The first ECC detail record’s PAYMENT DETAILS COUNT should be equal to the total number of nonzero entries supplied for the claim. PAYMENT DETAILS COUNT should be zero on the second ECC
detail record for the claim.
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Self-insured employer EDI Technical Specification v12.0
SUMMARY OF VERSION 12 CHANGES
B1. Transmission Document definitions
New attributes:
COMMON LAW COMMENCED FLG (ECU and ECC)
SERIOUS INJURY FLG (ECU and ECC)
SERIOUS INJURY ASSESSMENT DTE (ECU and ECC)
NIIS FLG (ECU and ECC)
Renamed attributes:
DIA ADVISORY DTE to SWSA ADVISORY DTE (ERF)
SEX IND to GENDER IND (ERF)
PAY PERIOD STRT DTE to FILLER (ECU and ECC)
PAY PERIOD END DTE to FILLER (ECU and ECC)
Other changes:
Transitional claims – expanded details
Days lost – show decimal calculation
Batch and file concepts - update platform and browser combinations plus negative RESERVE AMT
B2. Attribute Definitions
New attributes:
COMMON LAW COMMENCED FLG
SERIOUS INJURY FLG
SERIOUS INJURY ASSESSMENT DTE
NIIS FLG
Renamed attributes:
DIA ADVISORY DTE to SWSA ADVISORY DTE
SEX IND to GENDER IND
‘OH&S Act’ reference updated for SWSA ADVISORY DTE
Amended attributes:
FILE VERSION NO changed to 008
FILLER also used for redundant fields
INDUSTRY OF WORKPLACE new rules for Industry codes
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Self-insured employer EDI Technical Specification v12.0
B3. Table 4 – TXN CDE values
New entries:
DOR for ‘Deed of Release’
LEL for ‘Lump Sum – Economic Loss’
Amended entries:
IMT description changed to ‘Income Support’
RDI description changed to ‘Redemption/Commutation of Income Support’
LSU description changed to ‘Lump Sum – Non-Economic Loss’
B4. Table 6 – Payment Type Combinations
New entries:
DOR for ‘Deed of Release’
LEL for ‘Lump Sum – Economic Loss’
Amended entries:
CLA Common Law to be reused - description updated
IMT description changed to ‘Income Support’
RDI description changed to ‘Redemption/Commutation of Income Support’
LSU, RDI, RDM and TRV descriptions updated with revised section references
B5. Table 12 – Language Tcde Values
Moved to APPENDIX E
B6. Table 13 – Country of Birth Cde Values
Moved to Appendix F
B7. Data Flow Diagram
Revised diagram
B8. EDI Processing Flowchart
Revised flowchart
B9. Transmission Procedures
‘Ongoing claim payments update – ECU’ section: update number of payment types and categories from
18 to 20.
B10. APPENDIX D Common Error Messages
New ‘Batch rejected sequence error’ message added
Rename ‘WC’ references to ‘ReturnToWorkSA’
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Self-insured employer EDI Technical Specification v12.0
FILE LAYOUT EXAMPLES
C1. Claim update (ECU)
There may be one or two detail records per claim. A second detail record for a claim update is only
required if more than 10 payment types are being sent. The actual order of payment types in the table is
not important.
This example illustrates two claims being updated. The first has two payment costs, the second has eleven.
The first claim only needs a single detail record but the second claim needs two detail records:
Document type ECU header record - Batch 10/2014
Document type ECU detail record – e.g. Worker 2 Claim 1 for a John Smith with payment totals of
Hospital $2000 and Travel $50
PAYMENT DETAILS COUNT
=2
EDI TOTAL TXN PAYMENT AMT
= $2,050.00
PAYMENT DETAILS TABLE:
EXMPT00000000200000HSPEEXMPT00000000005000TRVE 00000000000000
00000000000000
00000000000000
00000000000000
00000000000000
00000000000000
00000000000000
0000000000000 (these would appear in one line in the file)
Document type ECU detail record (first record) - eg Worker 8 Claim 1 for Jane Doe with payment totals of
Hospital $1050.00, Income Support $21750.00, Medical $23205.50, Rehab $1700.00, Travel $453.57, Lump
Sum Non-Economic Loss $88985.00, Legal $455.00, Investigation $2400.00, Other $345.00, Medical
Redemption $91050.00 and Property $45.00
PAYMENT DETAILS COUNT
= 11
EDI TOTAL TXN PAYMENT AMT
= $140389.07
PAYMENT DETAILS TABLE:
EXMPT00000000105000HSPEEXMPT00000002175000IMTEEXMPT00000002320550MEDE
EXMPT00000000170000REHEEXMPT00000000045357TRVEEXMPT00000008898500LUSE
EXMPT00000000045500LEVEEXMPT00000000240000IVSEEXMPT00000000034500OTHE
EXMPT0000000910500RDME (these would appear in one line in the file)
Document type ECU detail record (second record) - eg Worker 8 Claim 1 for Jane Doe
PAYMENT DETAILS COUNT
=0
EDI TOTAL TXN PAYMENT AMT
=0
EXMPT00000000004500PRYE 00000000000000
00000000000000
00000000000000
00000000000000
00000000000000
00000000000000
00000000000000
00000000000000
0000000000000 (these would appear in one line in the file)
Document type ECU trailer record - Batch 10/2014
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Self-insured employer EDI Technical Specification v12.0
C2. Claim closure (ECC)
Must supply all the required payment types even if the amount is zero, thus two records are required per
claim. There would be ten (10) payment type details on the first ECC detail record, ten (10) on the second
details record. The actual order of payment types in the table is not important.
This example illustrates the closure of a claim with only two payment types and shows that two detail records
are still required for the claim and that even zero payment costs must be supplied for each TXN CDE:
Document type ECC header record - Batch 10/2014
Document type ECC detail record (first record) eg Worker 2 Claim 1 for a John Smith with payment totals
of Medical $1200 and Travel $200
PAYMENT DETAILS COUNT
= 20
EDI TOTAL TXN PAYMENT AMT
= $1,400.00
PAYMENT DETAILS TABLE:
EXMPT00000000120000MEDEEXMPT00000000020000TRVEEXMPT00000000000000IMTE
EXMPT00000000000000IVSEEXMPT00000000000000LEVEEXMPT00000000000000LSUE
EXMPT00000000000000CLAEEXMPT00000000000000OTHEEXMPT00000000000000PRYE
EXMPT0000000000000HSPE (these would appear in one line in the file)
Document type ECC detail record (second record)
PAYMENT DETAILS COUNT
=0
EDI TOTAL TXN PAYMENT AMT
=0
EXMPT00000000000000RDMEEXMPT00000000000000RECEEXMPT00000000000000REHE
EXMPT00000000000000RDIEEXMPT00000000000000HSOEEXMPT00000000000000MAHE
EXMPT00000000000000MOSEEXMPT00000000000000OTNEEXMPT00000000000000DORE
EXMPT0000000000000LELE (these would appear in one line in the file)
Next pair
Next pair
Document type ECC trailer record - Batch 10/2014
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Self-insured employer EDI Technical Specification v12.0
This example illustrates the closure of a claim with twelve payment types and shows that two detail records
are still required for the claim and that even zero payment costs must be supplied for each TXN CDE:
Document type ECC header record - Batch 10/2014
Document type ECC detail record (first record) eg Worker 8 Claim 1 for Jane Doe with payment totals of
Hospital $1050.00, Income Support $21750.00, Medical $23205.50, Rehab $1700.00, Travel $453.57, Lump
Sum Non-Economic Loss $88985.00, Legal $455.00, Investigation $2400.00, Other $345.00, Medical
Redemption $91050.00, Property $45.00 and Medical Allied Health $200.00
PAYMENT DETAILS COUNT
= 20
EDI TOTAL TXN PAYMENT AMT
= $140589.07
PAYMENT DETAILS TABLE:
EXMPT00000000105000HSPEEXMPT00000002175000IMTEEXMPT00000002320550MEDE
EXMPT00000000170000REHEEXMPT00000000045357TRVEEXMPT00000008898500LSUE
EXMPT00000000045500LEVEEXMPT00000000240000IVSEEXMPT00000000034500OTHE
EXMPT0000000910500RDME (these would appear in one line in the file)
Document type ECC detail record (second record)
PAYMENT DETAILS COUNT
=0
EDI TOTAL TXN PAYMENT AMT
=0
EXMPT00000000004500HSOEEXMPT00000000020000MAHEEXMPT00000000000000MOSE
EXMPT00000000000000OTNEEXMPT00000000000000PRYEEXMPT00000000000000RDIE
EXMPT00000000000000RECEEXMPT00000000000000CLAEEXMPT00000000000000DORE
EXMPT0000000000000LELE (these would appear in one line in the file)
Next pair
Next pair
Document type ECC trailer record - Batch 10/2014
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Self-insured employer EDI Technical Specification v12.0
COMMON ERROR MESSAGES
Listed below are some of the most common error messages that occur from transmissions. We have
endeavoured to list the step/s that are required to remedy the error/s.
Note: The same error messages can occur over different file types. For example you may get a message on
an ERF file and the same message on an ECC file, but on different claims. The end of the message will
advise you what type of file you need to include the claim in, for the next transmission. Please ensure that
you include the claim in the relevant file, otherwise the corrective action will not occur. The only exception
is for the ECU (update) file. If the claim happens to be closed since the last transmission, the claim may be
sent in the ECC (closure) file, if the data has been corrected.
E: Batch rejected sequence error. Expected 2014/92 received 2014/7
The batch numbers are out of sequence. In this example batch 2014/7 was sent, when batch 2014/92 was
expected. Follow your software supplier’s process to rectify the error, or contact your software supplier for
guidance. You must ensure the corrected file/s contains the same data that was sent in the file/s that were
in error.
E: W name (name SI sent) mismatch. Fix and resubmit claim OR advise ReturnToWorkSA
The name you have sent in the file does not match the name on the ReturnToWorkSA database. Check the
secure site for “previous download” files (under the “Retrieve a File” link) for the ReturnToWorkSA claim
number and name that ReturnToWorkSA sent back. Ensure the name/s on your database matches what
ReturnToWorkSA sent in the return file. If you are unable to locate the claim number, contact the Claims
Data Unit. Once the name/s is corrected on your database (or if required under the Attribute Definition –
Worker Given or Work Surname, amended on ReturnToWorkSA’s database) include/flag the claim in the
next EDI file. Note that at a minimum the worker’s full legal name is required.
E: DOI is prior to location start date. Fix and resubmit claim (new)
Either the DOI or the registration/location number used is incorrect. The DOI is outside the dates that the
location selected was operational. Correct the DOI or the registration/location number assigned and resend the claim to ReturnToWorkSA. If you do not have the details on the start and end dates for each
registration/location, contact ReturnToWorkSA for guidance.
E: Location XXXX unknown. Enter valid location number & resubmit claim (new)
The location number (xxxx) is not registered in the EDI portal. Is the location number valid for the
registration selected? If it is a new location, have you advised ReturnToWorkSA of this location, including
the Claims Data Unit? You may need to clarify this with the Claims Data Unit or if the wrong location
number was used, correct the location name/number on your database and include/flag the claim in the
next new claim (EDI) file.
E: (your claim number) already exists at ReturnToWorkSA and resubmit or advise ReturnToWorkSA
ReturnToWorkSA already has a claim with this self-insured employer claim number (shown) on our
database. Check your previously downloaded files for the ReturnToWorkSA claim number and ensure it is
loaded into your database against the claim. If you are unable to locate the claim number, contact the
Claims Data Unit. Once the ReturnToWorkSA claim number is loaded against the claim include/flag the
claim in the next EDI file.
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Self-insured employer EDI Technical Specification v12.0
E: Determination status not A, R, U, W. (Correct & resubmit claim)
The wrong determination code has been entered or it has not been assigned to the claim. Correct the
determination (accepted, rejected, undetermined or withdrawn) and include/flag the claim in the next
claim (EDI) file.
E: IMT paid but NWE field is blank. Enter NWE & resubmit
Enter the NWE amount and include/flag the claim in the next EDI file.
E: (payment type) $XXXX has decreased from $XXXX. Advise ReturnToWorkSA correct amount
The payment dollars for the category stated (payment type) have decreased since the last transmission.
You will need to advise ReturnToWorkSA as to why there was a decrease (or confirm the decrease if it was
requested). An error will only occur if the income support, lump sum, redemption of income or redemption
of medical payments has decreased. If the error is invalid, correct the data and include/reflag the claim in
the next EDI file.
N: (payment type) $XXXX decreased from $XXXX. Fix & resubmit
The payment dollars for the category stated (payment type) have decreased since the last transmission. If
you do not believe that the amount transmitted is correct, amend the details on your database and
include/flag the claim in the next (EDI) file. A note (N:) will only occur if the payment groups other than
income support, lump sum, redemption of income or redemption of medical payments have decreased.
N: Claim (XXXXXXXX/XX) is not open. Advise ReturnToWorkSA if claim is to be re-opened.
ReturnToWorkSA has the claim closed on our database. The claim will remain closed at ReturnToWorkSA.
You should firstly re-open the claim and re-send it in a re-open (ECR) file. The data will continue to be
updated on this claim even though it is closed.
N: Time lost days has decreased. Change/correct days lost and resubmit claim
The number of days lost on the claim has decreased from the last transmission. You will need to verify that
the current days lost are correct. If they are not correct, amend the details on your database and
include/flag the claim in the next (EDI) file.
N: Days lost has gone up by IMT $ has not. Fix & resubmit
The number of days lost has increased, but the amount paid in income support has not changed.
If the number of days lost is not correct, amend the details on your database and include/flag the claim in
the next (EDI) file.
N: NWE amount now (XXX). Fix & resubmit (file type), if not correct.
The NWE amount has changed from the last transmission to the amount stated in the error message. If
the NWE amount recently sent is incorrect, amend the details on your database and include/flag the claim
in the next (EDI) file.
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Self-insured employer EDI Technical Specification v12.0
N: Reserve amount 0000 not numeric. Correct & resubmit (update/closure)
The reserve amount sent has a negative dollar amount. This is normally caused by the software
calculations on what has been originally estimated compared to what has been paid on the claim. You will
need to correct the reserve amount to ensure that it sends the amount as a positive dollar total. As each
software product differs, you will need to contact your software provider should you require any
assistance.
E: Residential Postcode is missing. Enter postcode & resubmit claim (new) OR
E: Residential Postcode (XXXX) invalid. Correct & resubmit (new)
A valid postcode is required. The worker’s postcode is wrong (or missing), correct the worker’s postcode on
your database and include the claim in the next new claim (EDI) file
E: Enter workers Occupation Description & resubmit claim (new) OR
E: Enter workers Occupation Task description & resubmit claim (new)
The worker’s occupation or occupation task description has not been completed on your database. Enter
the occupation or occupation task description on your database and include/flag the claim in the next new
claim (EDI) file.
E: Employer reg no (XXXXXXXX) mismatch. Resubmit claim (as re-open) OR
E: Emp Loc No (XXXX) sent. Correct & resubmit claim OR advise ReturnToWorkSA
A different registration or location number has been sent since the claim was created. If you believe the
details sent in the latest file are correct you will need to liaise with the Claims Data Unit. Otherwise, correct
the details on your database and include the claim in the next re-open claim (EDI) file.
Keys:
SI = Self-insured employer
RTWSA = ReturnToWorkSA
SWP = Software provider
W = Worker
DOI = Date of injury
DOD = Date of death
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Self-insured employer EDI Technical Specification v12.0
LANGUAGE TCDE values
LANGUAGE
TCDE
Description
1102
1103
1104
1201
1300
1302
1401
1501
1503
1504
2101
2201
2302
2303
2401
2501
3101
3102
3201
3202
3301
3402
3403
3500
3502
3503
3504
3505
3506
3601
3602
3603
3901
3902
Gaelic (Irish)
Gaelic (Scottish)
Welsh
English
German
Yiddish
Dutch
Danish
Norwegian
Swedish
French
Greek
Portuguese
Spanish
Italian
Maltese
Latvian
Lithuanian
Estonian
Finnish
Hungarian
Russian
Ukrainian
Slavic (Yugoslavian)
Bulgarian
Croatian
Macedonian
Serbian
Slovene
Czech
Polish
Slovak
Albanian
Armenian
LANGUAG
E
Description
TCDE
3904
3999
4101
4202
4301
5103
5201
5203
5209
5210
6000
6101
6301
6302
6401
6402
6501
6504
6507
6508
7100
7101
7104
7201
7301
8000
8100
8301
8303
8304
8309
9200
9201
9501
Romanian
Eastern European (Including Romany)
Persian (Farsi)
Arabic
Turkish
Tamil
Bengali
Hindi
Sinhalese
Urdu
South East Asian
Burmese
Khmer
Vietnamese
Lao
Thai
Bahsa Indonesia
Filipino Languages
Tagaloq
Tetum
Chinese
Cantonese
Mandarin
Japanese
Korean
Oceanic Languages
Australian Aboriginal
Fijian
Maori (Cook Island)
Maori (New Zealand)
Tongan
African Languages
Afrikaans
Sign Language (AUSLAN)
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Self-insured employer EDI Technical Specification v12.0
COUNTRY OF BIRTH CDE values
COUNTRY OF
BIRTH CDE Description
1100
1203
1299
1301
1401
1402
1403
1404
1501
1502
1503
1504
1505
1506
1507
1601
1602
1603
1604
1605
1606
1607
1608
1609
1610
1700
2107
2188
2201
2202
2203
2204
2205
2206
2207
2208
2209
2210
Australia
Norfolk Island
Australian External Territories
New Zealand
New Caledonia
Papua New Guinea
Solomon Islands
Vanuatu
Federated States of Micronesia
Guam
Kiribati
Marshal Islands
Nauru
Northern Mariana Islands
Palau
Cook Islands
Fiji
French Polynesia
Niue
Samoa, American
Samoa, Western
Tokelau
Tonga
Tuvalu
Wallis and Futuna
Antarctica
Ireland
United Kingdom (Combined)
Albania
Andorra
Cyprus
Gibraltar
Greece
Holy See
Italy
Malta
Portugal
San Marino
COUNTRY OF
BIRTH CDE Description
2211
2221
2222
2223
2226
2233
2301
2302
2303
2305
2306
2307
2308
2309
2310
2401
2402
2403
2404
2405
2406
2407
2501
2503
2504
2505
2506
2507
2601
2602
2603
2604
2605
2606
2607
2608
Spain
Bosnia-Herzegovina
Croatia
Macedonia, Former Yugoslav
Republic
Slovenia
Serbia and Montenegro, Former
Yugoslav Republics
Austria
Belgium
France
Germany, Federal republic of
Liechtenstein
Luxembourg
Monaco
Netherlands
Switzerland
Denmark
Faeroe Islands
Finland
Greenland
Iceland
Norway
Sweden
Bulgaria
Hungary
Poland
Romania
Czech Republic
Slovak Republic
Armenia
Azerbaijan
Belarus
Estonia
Georgia
Kazakhstan
Kyrgyzstan
Latvia
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Self-insured employer EDI Technical Specification v12.0
2609
2610
2611
2612
2613
2614
2615
3101
3102
3103
3104
3105
3106
3107
3108
3109
3110
3111
3112
3113
3114
3115
3116
3201
3202
3203
3204
3205
3206
3207
3208
3209
3299
4101
4102
4103
4104
4105
4106
4107
4108
4109
4110
Lithuania
Moldova
Russian Federation
Tajikistan
Turkmenistan
Ukraine
Uzbekistan
Bahrain
Gaza Strip
Iran
Iraq
Israel
Jordan
Kuwait
Lebanon
Oman
Qatar
Saudi Arabia
Syria
Turkey
United Arab Emirates
West Bank
Yemen
Algeria
Cape Verde
Egypt
Libya
Mauritania
Morocco
Sudan
Tunisia
Western Sahara
North Africa - Other
Brunei
Cambodia
Indonesia
Laos
Malaysia
Burma (Myanmar)
Philippines
Singapore
Thailand
Viet Nam
4111
5101
5102
5103
5104
5105
5106
5107
5108
6101
6102
6103
6104
6105
6106
6107
6108
7101
7102
7103
7104
8101
8102
8103
8104
8105
8106
8107
8108
8109
8110
8111
8112
8113
8114
8201
8202
8203
8204
8205
8206
8207
East Timor
China
Hong Kong
Japan
Korea, Democratic People's
Republic
Korea, Republic
Macau
Mongolia
Taiwan
Afghanistan
Bangladesh
Bhutan
India
Maldives
Nepal
Pakistan
Sri Lanka
Bermuda
Canada
St Pierre & Miquelon
United States of America
Argentina
Bolivia
Brazil
Chile
Columbia
Ecuador
Falkland Islands
French Guiana
Guyana
Paraguay
Peru
Surinam
Uruguay
Venezuela
Belize
Costa Rica
El Salvador
Guatemala
Honduras
Mexico
Nicaragua
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Self-insured employer EDI Technical Specification v12.0
8208
8301
8302
8303
8304
8305
8306
8307
8308
8309
8310
8311
8312
8313
8314
8315
8316
8317
83I8
8319
8320
8321
8322
8323
8324
9101
9102
9103
9104
9105
9106
9107
9108
9109
9110
9111
9112
9113
9114
9115
9116
9117
9118
Panama
Anguilla
Antigua & Barbuda
Aruba
Bahamas
Barbados
Cayman Islands
Cuba
Dominica
Dominican Republic
Grenada
Guadeloupe
Haiti
Jamaica
Martinique
Montserrat
Netherlands Antilles
Puerto Rico
St Kitts-Nevis
St Lucia
St Vincent & Grenadines
Trinidad & Tobago
Turks & Caicos Islands
Virgin Islands, British
Virgin Islands, United States
Benin
Burkina Faso
Cameroon
Central African Republic
Chad
Congo
Cote D'ivoire
Equatorial Guinea
Gabon
Gambia
Ghana
Guinea
Guinea-Bissau
Liberia
Mali
Niger
Nigeria
Sao Tome & Principe
9119
9120
9121
9122
9201
9202
9203
9204
9205
9207
9208
9209
9210
9211
9212
9213
9214
9215
9216
9217
9218
9219
9220
9221
9222
9223
9224
9225
9226
9227
9228
Senegal
Sierra Leone
Togo
Zaire
Angola
Botswana
Burundi
Comoros
Djibouti
Kenya
Lesotho
Madagascar
Malawi
Mauritius
Mayotte
Mozambique
Namibia
Reunion
Rwanda
St Helena
Seychelles
Somalia
South Africa
Swaziland
Tanzania
Uganda
Zambia
Zimbabwe
Eritrea
Ethiopia
East Turkestan
Page 78
Self-insured employer EDI Technical Specification v12.0
ADDITIONAL TABLES
Curam
Code
Safe
Work
Code
A
n/a
B
Introduced
Effective From
(DOI)
Effective To
(DOI)
On Alternate Duties
legacy
30/09/1987
30/06/2005
00
Less than 4 Worker Weeks Absence
legacy
30/09/1987
30/06/2013
C
02
Partial RTW
legacy
30/09/1987
30/06/2013
D
03
Not Working (Injury Related)
legacy
30/09/1987
30/06/2013
E
04
Not Working (Other Reason)
legacy
30/09/1987
30/06/2013
F
05
Unknown (Failure to Provide Medical
Certificate)
legacy
30/09/1987
30/06/2013
G
06
Unknown (Other)
legacy
30/09/1987
30/06/2013
H
01
Full RTW
legacy
30/09/1987
30/06/2013
I
02
Working with no income support - preinjury employer
2013
30/09/1987
-
J
09
Not working with income support
2013
30/09/1987
-
K
05
Working with income support - preinjury employer
2013
30/09/1987
-
L
08
Not working with no income support
2013
30/09/1987
-
M
10
Deceased
2013
30/09/1987
-
N
n/a
Not on Alternate Duties
legacy
30/09/1987
30/06/2005
O
07
Working - capacity unknown
2013
30/09/1987
-
P
03
Working with no income support different employer
2013
30/09/1987
-
Q
06
Working with income support - different
employer
2013
30/09/1987
-
R
01
Working with no income support unknown employer
2013
30/09/1987
-
S
04
Working with income support unknown employer
2013
30/09/1987
-
T
11
Unknown
2013
30/09/1987
-
WCSA Description
Table 14: Work Duties codes including effective dated codes (includes SafeWork code description)
Page 79
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