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NCCI’s 2018 Data Educational ProgramJanuary 30–February 2, 2018
Palm Beach County Convention CenterWest Palm Beach, FL
The Path to Data Excellence
WCSTAT (Unit) DataFile Submission and
Processing
1
© Copyright 2018 National Council on Compensation Insurance, Inc. All Rights Reserved.
WCSTAT (Unit) Data File Submission and Processing
Presented by:Bob Vaughan and Lisa Combes
© Copyright 2018 National Council on Compensation Insurance, Inc. All Rights Reserved.
NCCI’s 2018 Data Educational Program
Objectives
Provide an understanding of the electronic reporting process from building the file through updating your data.
2
Data Excellence!
2
© Copyright 2018 National Council on Compensation Insurance, Inc. All Rights Reserved.
NCCI’s 2018 Data Educational Program
Agenda
Submission and Editing Overview
Electronic Submission Requirements
Submission Methods
Submission Editing
Data Quality Editing
Reporting and Updating Unit Data
Unit Data Collection Tool
3
© Copyright 2018 National Council on Compensation Insurance, Inc. All Rights Reserved.
Submission and Editing Overview
3
© Copyright 2018 National Council on Compensation Insurance, Inc. All Rights Reserved.
NCCI’s 2018 Data Educational Program
Submission and Editing FlowIdentify expected
unit reports (1st and subsequent reports)
Are corrections needed?
Submit unit
reports
Review URC Expected Reports and Unit Data Collection
Create unit reports
Pre‐edit the data
Update source system
No
Carrier
Yes
5
© Copyright 2018 National Council on Compensation Insurance, Inc. All Rights Reserved.
NCCI’s 2018 Data Educational Program
Recommended Unit Data Reporting Workflow
Did the unit reports reject?
Are corrections needed?
Data is available for use
Unit reports are accepted and
loaded to database
Yes
No
Edit the reports
No
NCCINCCI
Yes
Update source system
6
4
© Copyright 2018 National Council on Compensation Insurance, Inc. All Rights Reserved.
Electronic Submission Requirements
© Copyright 2018 National Council on Compensation Insurance, Inc. All Rights Reserved.
NCCI’s 2018 Data Educational Program
Manuals
Unit Reporting Rules
Statistical Plan Manual
Unit Statistical Reporting Guidebook
Electronic Reporting
Requirements
Electronic Transmission User’s Guide
WCIO Workers Compensation Data
Specifications Manual
8
5
© Copyright 2018 National Council on Compensation Insurance, Inc. All Rights Reserved.
NCCI’s 2018 Data Educational Program
Unit Report―Composed of a record or series of records
Records―Collec on of related data elements
Data Elements―Items of data that convey information about the policy, exposures, and losses. This data may be submitted as codes and values.
Electronic Unit Statistical Data
9
© Copyright 2018 National Council on Compensation Insurance, Inc. All Rights Reserved.
NCCI’s 2018 Data Educational Program
Record Types
10
Header1
Address3
Loss5
File Control9
Name2
Exposure4
Total6
6
© Copyright 2018 National Council on Compensation Insurance, Inc. All Rights Reserved.
NCCI’s 2018 Data Educational Program
WCIO Overview
11
WCIO Workers Compensation Data Specifications Manual provides standards for data reporting
Defines Field Formatting
Applicable Data Collection Organizations (DCOs) Record Layout With Data Element Definitions
WCSTAT for Unit Statistical data
Workers Compensation Insurance Organizations(WCIO)
© Copyright 2018 National Council on Compensation Insurance, Inc. All Rights Reserved.
NCCI’s 2018 Data Educational Program
WCIO Specifications Layout
12
Example of different types of field requirements from WCIO manual: WCPOLS
7
© Copyright 2018 National Council on Compensation Insurance, Inc. All Rights Reserved.
NCCI’s 2018 Data Educational Program
Statistical Plan
13
© Copyright 2018 National Council on Compensation Insurance, Inc. All Rights Reserved.
NCCI’s 2018 Data Educational Program
WCIO Specifications Layout
14
8
© Copyright 2018 National Council on Compensation Insurance, Inc. All Rights Reserved.
NCCI’s 2018 Data Educational Program
WCIO Specifications Layout
15
© Copyright 2018 National Council on Compensation Insurance, Inc. All Rights Reserved.
NCCI’s 2018 Data Educational Program
Numeric Fields
16
9
© Copyright 2018 National Council on Compensation Insurance, Inc. All Rights Reserved.
NCCI’s 2018 Data Educational Program
Reporting Fields With Assumed Decimals
17
0 0 0 0 0 0 0 0 1 . 0
Manual Rate—Decimal between Positions 89 and 90
Experience Mod Factor—Decimal between Positions 51 and 52
Exposure Amount—Decimal between Positions 75 and 76
© Copyright 2018 National Council on Compensation Insurance, Inc. All Rights Reserved.
NCCI’s 2018 Data Educational Program
Link Data and Key Fields
18
Coverage Provider ID (NCCI Carrier Code)
Policy Number
Policy Effective Date
Exposure State
Report Number
Correction Sequence Number
Links individual records within a unit report
Key
Fields
Link Data
10
© Copyright 2018 National Council on Compensation Insurance, Inc. All Rights Reserved.
NCCI’s 2018 Data Educational Program
Unit Report Control (URC)
1st Report“Open”
Unit Report Control (URC)
Policy
3rd ReportNot
Expected
2nd Report“Closed”
19
© Copyright 2018 National Council on Compensation Insurance, Inc. All Rights Reserved.
NCCI’s 2018 Data Educational Program
Original Reports Requirements
20
Unit Report Type
Header Record (1)
Name Record (2)
Address Record (3)
Exposure Record (4)
Loss Record (5)
Total Record (6)
Original Reports:
1st Reports Must have only 1
Must have only 1
Optional Must have at least 1
Required when there is a loss(es)
Optional
1st Replacement Reports
Must have only 1
Must have only 1
Optional Must have at least 1
Required when there is a loss(es)
Optional
Subsequent Reports
Must have only 1
Musthave only 1
Optional None allowed
Must have at least 1
Optional
Unit Statistical Reporting Guidebook: Part 1‐B‐2
11
© Copyright 2018 National Council on Compensation Insurance, Inc. All Rights Reserved.
Submission Methods
© Copyright 2018 National Council on Compensation Insurance, Inc. All Rights Reserved.
NCCI’s 2018 Data Educational Program
Submission Methods
22
Unit Submission
Electronic File
Unit Data Collection
12
© Copyright 2018 National Council on Compensation Insurance, Inc. All Rights Reserved.
NCCI’s 2018 Data Educational Program
Electronic File Submissions
Data Transfer via the Internet (DTVI)(Secure Mailbox)
Web‐based tool for reporting data
Receive your submission results reports and data files
Email notification is sent to submitter when data is received
Files retained for eight calendar days
23
Electronic Transmission User’s Guide: Part 2
© Copyright 2018 National Council on Compensation Insurance, Inc. All Rights Reserved.
NCCI’s 2018 Data Educational Program
Electronic File Submissions
Secure FTP (File Transfer Protocol) Automates your file transmissions
Define directories to retrieve and store files
Set up a transmission schedule
24
Electronic Transmission User’s Guide: Part 2
13
© Copyright 2018 National Council on Compensation Insurance, Inc. All Rights Reserved.
NCCI’s 2018 Data Educational Program
Electronic Certification Testing
What does the certification process test?
Ensures all connections, files, and systems are functioning and processing correctly
Who has to get certified?
All new data providers
Data providers who changed their data reporting system
For general certification requirements, refer to the Electronic Transmission User’s Guide
25
Electronic Transmission User’s Guide: Part 4‐F‐5
© Copyright 2018 National Council on Compensation Insurance, Inc. All Rights Reserved.
NCCI’s 2018 Data Educational Program
File Naming Conventions
26
Inbound File Type Naming Convention
Production File unit25e*.txt
Certification File unit25e*.tst
*Accommodates up to 30 additional characters
14
© Copyright 2018 National Council on Compensation Insurance, Inc. All Rights Reserved.
NCCI’s 2018 Data Educational Program
DTVI File Names
Inbound Files—Unique date and time stamp before the file extension in the stored file name
yyyymmdd_hhmmssnnn
27
Inbound File Name Stored File Name
unit25e*.txt unit25e*_20160128_141055123.txt
© Copyright 2018 National Council on Compensation Insurance, Inc. All Rights Reserved.
Submission Editing
15
© Copyright 2018 National Council on Compensation Insurance, Inc. All Rights Reserved.
NCCI’s 2018 Data Educational Program
Pre‐Editing
29
In‐House
Pre‐Edit Service
Pre‐Edit Tool
© Copyright 2018 National Council on Compensation Insurance, Inc. All Rights Reserved.
NCCI’s 2018 Data Educational Program
Pre‐Edit Tool/Service
Pre‐Edit Tool Submit data via ncci.com Online correction of unit data prior to submitting to
production Receive Pre‐Edit Submission Results Report
Pre‐Edit Service Submit data via ncci.com Receive Pre‐Edit Submission Results Report
30
16
© Copyright 2018 National Council on Compensation Insurance, Inc. All Rights Reserved.
NCCI’s 2018 Data Educational Program
File Naming Conventions
31
Inbound File Type Naming Convention
Pre‐Edit Service File unitpru**.txt
Pre‐Edit Tool pred250e.**.txt
**Accommodates up to 18 additional characters
© Copyright 2018 National Council on Compensation Insurance, Inc. All Rights Reserved.
NCCI’s 2018 Data Educational Program
Submission Edits
32
File does not follow standard naming conventionInvalid File Name
User does not have access to submit the dataUnauthorized
User
Data submitted with invalid characters or the file is emptyInvalid Data
File Control record counts do not match NCCI countsOut of Balance
80% or more of the units match data already on NCCI’s database80% Duplicate
Units
PGP encryption key does not match NCCI keyInvalid
Encryption Key
17
© Copyright 2018 National Council on Compensation Insurance, Inc. All Rights Reserved.
Data Quality Editing
© Copyright 2018 National Council on Compensation Insurance, Inc. All Rights Reserved.
NCCI’s 2018 Data Educational Program
Unit Statistical Editing
Front‐end quality checks Validity
Accuracy
Completeness
Two different versions of the matrix are found in the Unit Statistical Reporting Guidebook
All Edits in Production
Future Enhancements
34
18
© Copyright 2018 National Council on Compensation Insurance, Inc. All Rights Reserved.
NCCI’s 2018 Data Educational Program
Unit Edit Matrix
35
© Copyright 2018 National Council on Compensation Insurance, Inc. All Rights Reserved.
NCCI’s 2018 Data Educational Program
Data Reports
36
Unit Submission Results Report
Description Frequency/Naming Convention
Provides results of individual file submissions and displays units that were rejected or accepted with errors.
Upon SubmissionUnitSubmissionResultsReport_xxxxxxx.cvs
Unit Daily Submission Results Report
Description Frequency/Naming Convention
Includes information on all unit reports that were submitted the prior day and remain rejected or in error. Unit reports with rejects and/or errors that were corrected are not included on this report.
DailyUnitDailySubmissionResultsReport_xxxxxxx.cvs
19
© Copyright 2018 National Council on Compensation Insurance, Inc. All Rights Reserved.
NCCI’s 2018 Data Educational Program
Data Reports Feature
37
© Copyright 2018 National Council on Compensation Insurance, Inc. All Rights Reserved.
NCCI’s 2018 Data Educational Program
File Tracking Feature
38
Unit Data Collection
38
20
© Copyright 2018 National Council on Compensation Insurance, Inc. All Rights Reserved.
Reporting and Updating Unit Data
© Copyright 2018 National Council on Compensation Insurance, Inc. All Rights Reserved.
NCCI’s 2018 Data Educational Program
Reporting Unit Data
40
Correction Reports
Updating Header Record
Update Type Code
Updating Exposure Record
Updating Loss Record
21
© Copyright 2018 National Council on Compensation Insurance, Inc. All Rights Reserved.
NCCI’s 2018 Data Educational Program
Correction Reports Requirements
41
Unit Report Type
Header Record
(1)
Name Record
(2)
Address Record
(3)
Exposure Record
(4)
Loss Record
(5)
Total Record
(6)Correction Reports:Header Record(Correction Type H)
Must have only 1
Optional None Allowed
None Allowed
None Allowed
None Allowed
Exposure Record(Correction Type E)
Must have only 1
Must have only 1
None Allowed
Required None Allowed
Optional
Loss Record(Correction Type L)
Must have only 1
Must have only 1
None Allowed
None Allowed
Required Optional
Multiple Record(Correction Type M)
Must have only 1
Must have only 1
None Allowed
Required when correcting exposure(s)
Required when correcting loss(es)
Optional
Total Record(Correction Type T)
Must have only 1
Must have only 1
None Allowed
None Allowed
None Allowed
Must have only 1
Loss Record Corrections Due to Aggravated Inequity(Correction Type A) (FL Only)
Must have only 1
Must have only 1
None Allowed
None Allowed
Required Optional
Unit Statistical Reporting Guidebook: Part 1‐B‐2
© Copyright 2018 National Council on Compensation Insurance, Inc. All Rights Reserved.
NCCI’s 2018 Data Educational Program
Correction Sequence Number
42
Number of Corrections Field Value
First 9 sequential correction reports 1 through 9
Next 26 sequential correction reports A through Z
Beyond 35 sequential correction reports Z
Unit Statistical Reporting Guidebook: Part 1‐C‐2
22
© Copyright 2018 National Council on Compensation Insurance, Inc. All Rights Reserved.
NCCI’s 2018 Data Educational Program
Updating Unit Data
43
Correction Reports
Header Record
Update Type Code
Exposure Record
Loss Record
© Copyright 2018 National Council on Compensation Insurance, Inc. All Rights Reserved.
NCCI’s 2018 Data Educational Program
Header Corrections 1st reports only Use Correction Type Code “H” or “M”
Report all Header Record fields Updateable key fields—Carrier Code, Policy Number, Policy Effective Date
Use “Previously Reported” fields to correct key fields
Exposure State is not updateable—need to report a new unit
Other link data fields are not updateable (Report Number, Correction Sequence Number)
Contact NCCI Customer Service if you need to change
44
23
© Copyright 2018 National Council on Compensation Insurance, Inc. All Rights Reserved.
NCCI’s 2018 Data Educational Program
Header Correction for Key Fields Example
45
Updating Policy Number
Unit Statistical Reporting Guidebook Example: Part 3‐B
© Copyright 2018 National Council on Compensation Insurance, Inc. All Rights Reserved.
NCCI’s 2018 Data Educational Program
Header Correction for Key Fields Example
46
Updating Policy Number
Pol NbrWC123456
Prev Pol NbrWC12345
Carrier Cd99990
Prev Carrier Cd00000
Corr Seq Nbr1
Pol Eff Dt01/01/07
Prev Pol Eff Dt000000
Unit Statistical Reporting Guidebook Example: Part 3‐B
Corr Type CdH
24
© Copyright 2018 National Council on Compensation Insurance, Inc. All Rights Reserved.
NCCI’s 2018 Data Educational Program
Updating Unit Data
47
Correction Reports
Updating Header Record
Update Type Code
Updating Exposure Record
Updating Loss Record
© Copyright 2018 National Council on Compensation Insurance, Inc. All Rights Reserved.
NCCI’s 2018 Data Educational Program
Update Type Code
Identifies how each Exposure and Loss Record will be processed
Two methods:
Previous and Revised (P and R)
Add, Change, and Delete (A, C, D)
48
Statistical Plan: Part 6
Unit Statistical Reporting Guidebook: Part 1‐E
25
© Copyright 2018 National Council on Compensation Insurance, Inc. All Rights Reserved.
NCCI’s 2018 Data Educational Program
Update Type Code Reporting
49
Update Type Code Records Required
R or A Original 1st Reports Adding Exposure Class Code Adding Claims • One record is required
P and Ror
D and A
Updating or Correcting Exposure and/or Loss Information• One record for the previous data (P or D)
— Must match previously submitted data (including matching fields)• One record for the changed and unchanged data (R or A)
P or D Deleting Exposure and/or Loss Information• One record is required• Matching data elements must match previously submitted data• To delete an entire report—all records get “P’s” or “D’s”
C Correcting Exposure/Loss Information (cannot be used to update matching fields)• One record is required• Updated information including the same matching fields
© Copyright 2018 National Council on Compensation Insurance, Inc. All Rights Reserved.
NCCI’s 2018 Data Educational Program
Updating Unit Data
50
Correction Reports
Updating Header Record
Update Type Code
Updating Exposure Record
Updating Loss Record
26
© Copyright 2018 National Council on Compensation Insurance, Inc. All Rights Reserved.
NCCI’s 2018 Data Educational Program
Exposure Corrections
1st Reports Only
Use Correction Type Code “E” or “M”
Report Correction Sequence Number
51
© Copyright 2018 National Council on Compensation Insurance, Inc. All Rights Reserved.
NCCI’s 2018 Data Educational Program
Exposure Matching Fields
Match Exposure Corrections to 1st Report
Prevent Duplicate Exposure Records
52
Class Code or Statistical Code
Exposure Act/Exposure Coverage Code
Experience Modification Effective Date
Rate Effective Date
27
© Copyright 2018 National Council on Compensation Insurance, Inc. All Rights Reserved.
NCCI’s 2018 Data Educational Program
Unmatched Exposure Records
Exposure Record on correction report:
Exposure Record (“P,” “C,” or “D”) does not have a corresponding Exposure Record (“A,” “C,” or “R” on the database)
Based on the exposure matching fields
Unit report will reject
53
© Copyright 2018 National Council on Compensation Insurance, Inc. All Rights Reserved.
NCCI’s 2018 Data Educational Program
Unmatched Exposure Corrective Actions
When the correction rejects due to unmatched Exposure Records, then correct the invalid matching data:
On the correction reportor
On the original 1st unit report
54
28
© Copyright 2018 National Council on Compensation Insurance, Inc. All Rights Reserved.
NCCI’s 2018 Data Educational Program
Unmatched Exposure Corrections Example
55
Original 1st Report
Pol Nbr: WC12345 Carrier Cd: 99990 Pol Eff Dt: 01/01/15 Rpt Nbr: 1 Corr Seq Nbr: 0 Corr Type Cd: Exp St: 09
Update Type
Exp Act
Class Cd
Exposure Amt Rate
Premium Amt Experience Mod
Mod Eff Dt
Rate Eff Dt
Split Period
R 01 8810 100,000 1.63 1,630 1.00 01/01/15 01/01/15 0
© Copyright 2018 National Council on Compensation Insurance, Inc. All Rights Reserved.
NCCI’s 2018 Data Educational Program
Unmatched Exposure Corrections Example
56
Original 1st Report
Pol Nbr: WC12345 Carrier Cd: 99990 Pol Eff Dt: 01/01/15 Rpt Nbr: 1 Corr Seq Nbr: 0 Corr Type Cd: Exp St: 09
Update Type
Exp Act
Class Cd
Exposure Amt Rate
Premium Amt Experience Mod
Mod Eff Dt
Rate Eff Dt
Split Period
R 01 8810 100,000 1.63 1,630 1.00 01/01/15 01/01/15 0
Rpt Nbr: 1
Update TypeR
Corr Seq Nbr: 0
Exp Act01
Class Cd8810
Mod Eff Dt01/01/15
Rate Eff Dt01/01/15
29
© Copyright 2018 National Council on Compensation Insurance, Inc. All Rights Reserved.
NCCI’s 2018 Data Educational Program
Unmatched Exposure Corrections Example
57
Exposure Correction Report—Updating Exposure Classification Code
Pol Nbr: WC12345 Carrier Cd: 99990 Pol Eff Dt: 01/01/15 Rpt Nbr: 1 Corr Seq Nbr: 1 Corr Type Cd: E Exp St: 09
Update Type
Exp Act
Class Cd
Exposure Amt Rate
Premium Amt Experience Mod
Mod Eff Dt
Rate Eff Dt
Split Period
P 01 8742 100,000 1.63 1,630 1.00 01/01/15 01/01/15 0 R 01 8742 100,000 1.63 1,630 1.00 01/01/15 01/01/15 0
Class code on previous record does not match 1st report.Class code on previous record does not match 1st report.
© Copyright 2018 National Council on Compensation Insurance, Inc. All Rights Reserved.
NCCI’s 2018 Data Educational Program
Unmatched Exposure Corrections Example
58
Exposure Correction Report—Updating Exposure Classification Code
Pol Nbr: WC12345 Carrier Cd: 99990 Pol Eff Dt: 01/01/15 Rpt Nbr: 1 Corr Seq Nbr: 1 Corr Type Cd: E Exp St: 09
Update Type
Exp Act
Class Cd
Exposure Amt Rate
Premium Amt Experience Mod
Mod Eff Dt
Rate Eff Dt
Split Period
P 01 8742 100,000 1.63 1,630 1.00 01/01/15 01/01/15 0 R 01 8742 100,000 1.63 1,630 1.00 01/01/15 01/01/15 0
Rpt Nbr: 1
Update Type
P
Corr Seq Nbr: 1
Exp Act01
Class Cd
8742
Mod Eff Dt01/01/15
Rate Eff Dt01/01/15
Corr Type Cd: E
Update Type
R
Exp Act01
Class Cd
8742
Mod Eff Dt01/01/15
Rate Eff Dt01/01/15
Class code on previous record does not match 1st report.Class code on previous record does not match 1st report.
30
© Copyright 2018 National Council on Compensation Insurance, Inc. All Rights Reserved.
NCCI’s 2018 Data Educational Program
Unmatched Exposure Corrections Example
59
Exposure Correction Report—Updating Exposure Classification Code
Pol Nbr: WC12345 Carrier Cd: 99990 Pol Eff Dt: 01/01/15 Rpt Nbr: 1 Corr Seq Nbr: 1 Corr Type Cd: E Exp St: 09
Update Type
Exp Act
Class Cd
Exposure Amt Rate
Premium Amt Experience Mod
Mod Eff Dt
Rate Eff Dt
Split Period
P 01 8810 100,000 1.63 1,630 1.00 01/01/15 01/01/15 0 R 01 8742 100,000 1.63 1,630 1.00 01/01/15 01/01/15 0
© Copyright 2018 National Council on Compensation Insurance, Inc. All Rights Reserved.
NCCI’s 2018 Data Educational Program
Unmatched Exposure Corrections Example
60
Exposure Correction Report—Updating Exposure Classification Code
Pol Nbr: WC12345 Carrier Cd: 99990 Pol Eff Dt: 01/01/15 Rpt Nbr: 1 Corr Seq Nbr: 1 Corr Type Cd: E Exp St: 09
Update Type
Exp Act
Class Cd
Exposure Amt Rate
Premium Amt Experience Mod
Mod Eff Dt
Rate Eff Dt
Split Period
P 01 8810 100,000 1.63 1,630 1.00 01/01/15 01/01/15 0 R 01 8742 100,000 1.63 1,630 1.00 01/01/15 01/01/15 0
Rpt Nbr: 1
Update TypeP
Corr Seq Nbr: 1
Exp Act01
Class Cd8810
Mod Eff Dt01/01/15
Rate Eff Dt01/01/15
Corr Type Cd: E
Update TypeR
Exp Act01
Class Cd8742
Mod Eff Dt01/01/15
Rate Eff Dt01/01/15
31
© Copyright 2018 National Council on Compensation Insurance, Inc. All Rights Reserved.
NCCI’s 2018 Data Educational Program
Updating Unit Data
61
Correction Reports
Updating Header Record
Update Type Code
Updating Exposure Record
Updating Loss Record
© Copyright 2018 National Council on Compensation Insurance, Inc. All Rights Reserved.
NCCI’s 2018 Data Educational Program
Loss Corrections
Use Correction Type Code “L”—All report levels
“A”—for Aggravated Inequity Claims (Florida only)
Use Correction Type Code “M”—1st reports only
Report Correction Sequence Number
62
32
© Copyright 2018 National Council on Compensation Insurance, Inc. All Rights Reserved.
NCCI’s 2018 Data Educational Program
Loss Matching Fields
63
Claim Number
Accident Date
Match losses on subsequent and correction reports to losses on prior reports
© Copyright 2018 National Council on Compensation Insurance, Inc. All Rights Reserved.
NCCI’s 2018 Data Educational Program
Duplicate Loss Records
Loss Record on subsequent or correction report:
Loss Record (“R” or “A”) does not have a corresponding Loss Record (“P” or “D”)
and
Has the same matching fields on another Loss Record in the same correction report or previously submitted unit report
Unit report will reject
64
33
© Copyright 2018 National Council on Compensation Insurance, Inc. All Rights Reserved.
NCCI’s 2018 Data Educational Program
Duplicate Loss Corrective Actions
When the correction report rejects due to duplicate Loss Records:
Correct the invalid matching data on the correction record or previously reported data
or
Add a Previous Record to match the previously reported data
65
© Copyright 2018 National Council on Compensation Insurance, Inc. All Rights Reserved.
NCCI’s 2018 Data Educational Program
Pol Nbr: W123456 Carrier Cd: 99990 Pol Eff Dt: 01/01/08 Rpt Nbr: 1 Corr Seq Nbr: 0 Corr Type Cd: Exp St: 10
Update Type Claim Nbr Accident Dt
Nbr of Claims
Class Code
Injury Type
Claim Status Cat Nbr Jurisdiction St
R 25768 07/11/08 1 8810 09 0 0 10
Incurred Indemnity
Paid Indemnity
Incurred Medical
Paid Medical
Paid ALAE
Deductible Reimbursement
Emp Attny Fees Incurred
Clmt Attny Fees Incurred
35,000 15,000 25,000 20,000 100 00 00 00
Loss Conditions Code (type of): Injury Description
Code:
Act Loss Recovery Claim Settlement Part Nature Cause Voc Rehab Lump- Sum Fraud Claim
01 01 01 01 00 36 40 18 N N 00
Loss Example
66
Original 1st Report
34
© Copyright 2018 National Council on Compensation Insurance, Inc. All Rights Reserved.
NCCI’s 2018 Data Educational Program
Pol Nbr: W123456 Carrier Cd: 99990 Pol Eff Dt: 01/01/08 Rpt Nbr: 1 Corr Seq Nbr: 0 Corr Type Cd: Exp St: 10
Update Type Claim Nbr Accident Dt
Nbr of Claims
Class Code
Injury Type
Claim Status Cat Nbr Jurisdiction St
R 25768 07/11/08 1 8810 09 0 0 10
Incurred Indemnity
Paid Indemnity
Incurred Medical
Paid Medical
Paid ALAE
Deductible Reimbursement
Emp Attny Fees Incurred
Clmt Attny Fees Incurred
35,000 15,000 25,000 20,000 100 00 00 00
Loss Conditions Code (type of): Injury Description
Code:
Act Loss Recovery Claim Settlement Part Nature Cause Voc Rehab Lump- Sum Fraud Claim
01 01 01 01 00 36 40 18 N N 00
Loss Example
67
Original 1st Report
Rpt Nbr: 1
Update TypeR
Corr Seq Nbr: 0
Claim Nbr25768
Accident Dt07/11/08
© Copyright 2018 National Council on Compensation Insurance, Inc. All Rights Reserved.
NCCI’s 2018 Data Educational Program
Pol Nbr: W123456 Carrier Cd: 99990 Pol Eff Dt: 01/01/08 Rpt Nbr: 2 Corr Seq Nbr: 0 Corr Type Cd: Exp St: 10
Update Type Claim Nbr Accident Dt
Nbr of Claims
Class Code
Injury Type
Claim Status Cat Nbr Jurisdiction St
R 25768 07/11/08 1 8810 09 0 0 10
Incurred Indemnity
Paid Indemnity
Incurred Medical
Paid Medical
Paid ALAE
Deductible Reimbursement
Emp Attny Fees Incurred
Clmt Attny Fees Incurred
35,000 25,000 40,000 25,000 100 00 00 00
Loss Conditions Code (type of): Injury Description
Code:
Act Loss Recovery Claim Settlement Part Nature Cause Voc Rehab Lump- Sum Fraud Claim
01 01 01 01 00 36 40 18 N N 00
Loss Example
68
Subsequent Report—Updating Claim Information
Missing previous record on subsequent report.Missing previous record on subsequent report.
35
© Copyright 2018 National Council on Compensation Insurance, Inc. All Rights Reserved.
NCCI’s 2018 Data Educational Program
Pol Nbr: W123456 Carrier Cd: 99990 Pol Eff Dt: 01/01/08 Rpt Nbr: 2 Corr Seq Nbr: 0 Corr Type Cd: Exp St: 10
Update Type Claim Nbr Accident Dt
Nbr of Claims
Class Code
Injury Type
Claim Status Cat Nbr Jurisdiction St
R 25768 07/11/08 1 8810 09 0 0 10
Incurred Indemnity
Paid Indemnity
Incurred Medical
Paid Medical
Paid ALAE
Deductible Reimbursement
Emp Attny Fees Incurred
Clmt Attny Fees Incurred
35,000 25,000 40,000 25,000 100 00 00 00
Loss Conditions Code (type of): Injury Description
Code:
Act Loss Recovery Claim Settlement Part Nature Cause Voc Rehab Lump- Sum Fraud Claim
01 01 01 01 00 36 40 18 N N 00
Loss Example
69
Subsequent Report—Updating Claim Information
Rpt Nbr: 2
Update TypeR
Corr Seq Nbr: 0
Claim Nbr25768
Accident Dt07/11/08
Missing previous record on subsequent report.Missing previous record on subsequent report.
© Copyright 2018 National Council on Compensation Insurance, Inc. All Rights Reserved.
NCCI’s 2018 Data Educational Program
Pol Nbr: W257686 Carrier Cd: 99990 Pol Eff Dt: 01/01/08 Rpt Nbr: 2 Corr Seq Nbr: 0 Corr Type Cd: Exp St: 10
Update Type Claim Nbr Accident Dt
Nbr of Claims
Class Code
Injury Type
Claim Status Cat Nbr Jurisdiction St
P 25768 07/11/08 1 8810 09 0 0 10
Incurred Indemnity
Paid Indemnity
Incurred Medical
Paid Medical
Paid ALAE
Deductible Reimbursement
Emp Attny Fees Incurred
Clmt Attny Fees Incurred
35,000 15,000 25,000 20,000 100 00 00 00
Loss Conditions Code (type of): Injury Description
Code:
Act Loss Recovery Claim Settlement Part Nature Cause Voc Rehab Lump-Sum Fraud Claim
01 01 01 01 00 36 40 18 N N 00
Update Type Claim Nbr Accident Dt
Nbr of Claims
Class Code
Injury Type
Claim Status Cat Nbr Jurisdiction St
R 25768 07/11/08 1 8810 09 0 0 10
Incurred Indemnity
Paid Indemnity
Incurred Medical
Paid Medical
Paid ALAE
Deductible Reimbursement
Emp Attny Fees Incurred
Clmt Attny Fees Incurred
35,000 25,000 40,000 25,000 100 0 0 0
Loss Conditions Code (type of): Injury Description
Code:
Act Loss Recovery Claim Settlement Part Nature Cause Voc Rehab Lump-Sum Fraud Claim
01 01 01 01 00 36 40 18 N N 00
Loss Example
70
Subsequent Report—Updating Claim Information
36
© Copyright 2018 National Council on Compensation Insurance, Inc. All Rights Reserved.
NCCI’s 2018 Data Educational Program
Pol Nbr: W257686 Carrier Cd: 99990 Pol Eff Dt: 01/01/08 Rpt Nbr: 2 Corr Seq Nbr: 0 Corr Type Cd: Exp St: 10
Update Type Claim Nbr Accident Dt
Nbr of Claims
Class Code
Injury Type
Claim Status Cat Nbr Jurisdiction St
P 25768 07/11/08 1 8810 09 0 0 10
Incurred Indemnity
Paid Indemnity
Incurred Medical
Paid Medical
Paid ALAE
Deductible Reimbursement
Emp Attny Fees Incurred
Clmt Attny Fees Incurred
35,000 15,000 25,000 20,000 100 00 00 00
Loss Conditions Code (type of): Injury Description
Code:
Act Loss Recovery Claim Settlement Part Nature Cause Voc Rehab Lump-Sum Fraud Claim
01 01 01 01 00 36 40 18 N N 00
Update Type Claim Nbr Accident Dt
Nbr of Claims
Class Code
Injury Type
Claim Status Cat Nbr Jurisdiction St
R 25768 07/11/08 1 8810 09 0 0 10
Incurred Indemnity
Paid Indemnity
Incurred Medical
Paid Medical
Paid ALAE
Deductible Reimbursement
Emp Attny Fees Incurred
Clmt Attny Fees Incurred
35,000 25,000 40,000 25,000 100 0 0 0
Loss Conditions Code (type of): Injury Description
Code:
Act Loss Recovery Claim Settlement Part Nature Cause Voc Rehab Lump-Sum Fraud Claim
01 01 01 01 00 36 40 18 N N 00
Loss Example
71
Subsequent Report—Updating Claim Information
Rpt Nbr: 2
Update TypeP
Corr Seq Nbr: 0
Claim Nbr25768
Accident Dt07/11/08
Update TypeR
Claim Nbr25768
Accident Date 07/11/08
© Copyright 2018 National Council on Compensation Insurance, Inc. All Rights Reserved.
Unit Data Collection Tool
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© Copyright 2018 National Council on Compensation Insurance, Inc. All Rights Reserved.
NCCI’s 2018 Data Educational Program
Unit Data Collection
All unit report types can be entered and submitted through Unit Data Collection
Update Type Code A/C/D
Changes made online should be made in the carrier’s system to ensure synchronization of data between NCCI and the carrier
Units submitted through Unit Data Collectiongenerate a WCSTAT data file that is sent to the carrier via Data Transfer via the Internet
Return file name = udcunit_1234567.txt
Extract Data feature can be used to create subsequent reports
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© Copyright 2018 National Council on Compensation Insurance, Inc. All Rights Reserved.
NCCI’s 2018 Data Educational Program74
Supplemental Information
Presenter Biographies
Bob Vaughan, AIDM, has worked at NCCI for 20 years. He is a consultant in the Data Services Department in NCCI’s Data Resources Division. Bob participates in many projects related to NCCI’s data tools and serves as coordinator for the Data Collection Procedures (DCP) Subcommittee. Bob is also responsible for data reporting communications and manuals. He is actively involved in industry committees focused on data reporting.
Lisa Combes has worked at NCCI for 15 years and is a senior data analyst in the Data Services Department in the Data Resources Division. Lisa supports NCCI’s data providers by developing industry communications, data reporting manuals, and customer training materials. She is also responsible for researching and resolving escalated customer inquiries.
Lisa’s prior positions at NCCI include systems support manager for Residual Markets; underwriting analyst, quality technical analyst, and senior business analyst in the Assigned Risk Department; and senior technical business analyst in Residual Market Plan Administration.
Lisa has 31 years of experience in the insurance industry, including personal lines and as a general liability underwriter. She is a graduate of Gateway Technical Institute.
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