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New Hampshire, Department of Labor
EDI Claims (FROI) Documentation Downloads


The New Hampshire, Department of Labor EDI Implementation Guide and supporting documentation is available for download. The entire implementation guide may be downloaded or you may download a specific section of the implementation guide. The guide is provided in both MS WORD and ADOBE PDF formats. The additional tables are provided both in MS EXCEL and ADOBE PDF formats. Section R Appendix C documents the document history. Using this section you can access the need of downloading a new updated section based on updates and your needs. Section F contains the Trading Partner Profile forms to be used to get your FTP account setup and testing with the department.

EDI Implementation Guide for FROI

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EDI Sections for First Reports of Injury

Section A - EDI Overview

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Section B - Where to get help

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Section C - Implementing EDI

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Section D - Authorizing Statutes

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Section E - Regulations

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Section F - Trading Partner Profile

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Section G - Test and Production Phases of EDI

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Section H - File Formats and Supported Transactions

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Section I - Transmission Modes

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Section J - Events that Trigger Required Reports

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Section K - Required Data Elements

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Section L - New Hampshire Specific Data Edits

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Section M - System Specifications

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Section N - Code Lists

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Section O - IAIABC Information

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Section P - Appendix A Acronyms

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Section Q - Appendix B Glossary of Terms

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Section R - Appendix C Document Revision History

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EDI Managers Guide for First Reports of Injury

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EDI Error Message Table

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EDI Element Requirements/Conditions

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EDI Event Table

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EDI Code Tables

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EDI Match Data Table

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EDI Restrictions Table

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