Edit Matrix for FROI

Edit Matrix-Sequencing Table:

The Sequencing Table provides the LWC MTC sequencing. The table conveys to the trading partner the sequencing rules that clarify how LWC will apply Edit 063 - Invalid Event Sequence.

Edit Matrix-Match Data:

The LWC Match Data is used to identify a transaction as a new claim, to create or "match" to an existing claim for duplicate checking, updating and processing. On a specific claim, a primary "match" data element value may or can change and prevent a match. For this reason, LWC has identified primary “match” data element(s) and secondary “match” data elements. When there is no match on one of the primary “match" data elements (usually on a change or correction transaction), secondary "match" data elements are used to match a claim. When a match is found on the primary or secondary “match" data elements, Nature of Injury and Cause of Injury are used as ‘additional’ confirmation that the claim is a duplicate for situations where there may be multiple injuries for the same Date of Injury.

Edit Matrix-DN Error:

The LWC Edit Matrix, based on the LWC Element Requirement Table, conveys which data elements have edits that may be applied to them and provides the standard error messages associated with these edits.

Edit Matrix-Population Restrictions:

The LWC FROI Population Restrictions Table elaborates on the data elements specific data population or accepted values for standard error messages. The ‘Population Restriction’ listed for each Data Element on this table is associated with a specific Error Message. The Population Restrictions Table communicates the Data Element Number (DN), Data Element Name, Error Message Number, Error Message Text and Population Restriction. The Population Restriction column in the table indicates the specific reason for the generation of the error messages indicated, including MTC limitation, if applicable.

Edit Matrix-Valid Value Table:

The Valid Values Table identifies the code values that are not statutorily valid in the jurisdiction. A 'N' in the capture column indicates that the data element is not captured in the jurisdiction. A 'Y' in the capture column indicates that the data element is captured by the jurisdiction. A code value that has been grayed out indicates that the code is 'Not Statutorily Valid' by the jurisdiction. Jurisdictions may return Error Message-‘042-Not Statutorily Valid’ on grayed out values. The code values that are not grayed out are the code values that are statutorily valid and will be processed by the jurisdiction. See Section 2 for statutorily valid codes that are valid but will not be processed by jurisdiction.