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Division of Workers' Compensation
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EDI Reporting

The following page contains forms that are in Portable Document Format and require Adobe Acrobat Reader (version 7 or above recommended) to view, print and save. Click the button below for a free download of the most current version of the Adobe Acrobat Reader.

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Experience the Value and Convenience of Electronic Filing using
Electronic Data Interchange (EDI), Secure File Transfer Protocol (FTP),
or Web Enabled filing of First Report of Injury

Note: (*) Word 97/2000 Document
Note: (*) Excel 2000 Document

Insurance companies, self-insured employers and third party administrators have the option of filing Reports of Injury (Form 1's) using EDI (Electronic Data Interchange) or SFTP (Secure File Transfer Protocol). The efficiency of electronic transmission through EDI/SFTP gives the filer a more cost-effective and consistently accurate method of communicating with the Division of Workers' Compensation.

If you are an insurer, self-insured employer or third party administrator interested in filing your Form 1's electronically, please call (573) 526-4943 for more information.

EDI Missouri Specific requirements
EDI Project Agreement
EDI Receivers Specifications - Word 97/2000 Document
EDI Senders Response - Word 97/2000 Document
EDI Master Trading Partner Profile
EDI Sender Trading Partner Profile - List of Insurers - Word 97/2000 Document
EDI Sender Trading Partner Profile - Word 97/2000 Document
EDI Missouri Data Dictionary
EDI File Matrix - Excel 2000 Document
EDI Cause of Injury, Nature of Injury and Body Parts Codes - Word 97/2000 Document
International Association of Industrial Accident Boards and Commissions
NCCI Occupational Codes - Alphabetical Order - Excel 2000 Document
NCCI Occupational Codes - Numerical Order - Excel 2000 Document
Secure File Transfer Protocol (FTP) - EDI Process
Web Enabled filing of First Report of Injury