Workers’ Compensation Documents

Title Link to File
Nonelection of Coverage Form 14-0175nonelection.pdf
New R3.1 Implementation Guide, Transition Timeline Summary and Test Plan Now Available Iowa EDI R3.1 Updates Claims Implementation Guide and Information V1.0 (4-9-18) (1).pdf
Mark D. Sloan v Mark D. Sloan, D.D.S., P.C., d/b/a Sloan Family Dentistry, P.C. SLOAN,MARK D. Partial Commutation Ruling.pdf
March 2002 Update Instructions march2002updateinstructions.pdf
March 2002 Iowa Release 2 Implementation Guide march2002ediguide.pdf
Iowa Workers' Compensation — Questions and Answers Brochure — 2019–2020 00-0026 Workers Compensation Question and Answers Brochure 2019_06 Color July 2019 update.pdf
Iowa Workers' Compensation — Questions & Answers Brochure — 2018–2019 Workers Compensation Question and Answers Brochure 2018_06 Color (3) (1).pdf
Iowa Workers' Compensation — Questions & Answers Brochure — 2015–2016 00-0026 Workers Compensation Question and Answers Brochure 2015 06 Color.pdf
Iowa Workers' Compensation — Questions & Answers Brochure — 2014–2015 qa14-15.pdf
Iowa Match Data Table March 17, 2000 march2002matchtable.pdf
Iowa Element Requirement Table ertmarch2002.pdf
Iowa Electronic Data Interchange Claim and Reporting Compliance Handbook July 2001 July2001IowaEDIComplianceClaimsHandbook.pdf
Iowa Edit Matrix Table dec2001emtable.pdf
Iowa Conditional Table ictmarch2002.pdf
Iowa Claims Release 3.1 EDI Announcement Iowa Claims Release 3.1 EDI Announcement 11-8-17 (1).pdf
Iowa Claim Event Table march2002claimeventtable.pdf
Interview with Commissioner Joseph Cortese IAWC - Thill Memo Cortese interview .pdf
Instructions for Original Notice & Petition Concerning Independent Medical Examination — Form 100A (14-0007) Instructions for Form -- Independent Medical Examination -- Original Notice & Petition -- July 2019.pdf
Instructions for Original Notice & Petition Concerning Application for Alternate Care — Form 100C (14-0011) Instructions for Form -- Alternate Care -- Original Notice & Petition -- 2019.10.15.pdf
Instructions for Answer Concerning Independent Medical Examination — Form 100A (14-0007A) Instructions for Form -- Independent Medical Examination -- Answer -- July 2019.pdf
Instructions for Answer Concerning Application for Alternate Care, Form 100C (14-0011A) Instructions for Form -- Alternate Care -- Answer -- July 2019.pdf
How to Request a Hearing on WCES How to Schedule a Hearing -- WCES Filer Quick Start Guide -- 2019.1010.pdf
Form — Unrepresented Claimant's Statement — 14-0163 14-0163.pdf
Form — Shorthand Reporter Identification — 14-0178 Shorthand Report Identification -- Form 14-0178 -- July 2019.pdf
Form — Payment Activity Report — 14-0147 Payment Activity Report (PAR) -- Form 14-0147.pdf