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First Report of Injury/Notice of Contests
When a worker is injured or has an occupational disease that results in more than three days/shifts of lost time, permanent impairment, or death, the insurance carrier must file a First Report of Injury (FROI) with the Division of Workers' Compensation (DOWC) within 10 days. The insurance carrier must file a position on a claim within 20 days of filing the FROI with the DOWC. If an insurance carrier decides to file a notice of contest, it must be filed electronically.
The Division uses the International Association of Industrial Accident Boards and Commissions (IAIABC) EDI Claims Release 1.0 for the First Report of Injury and Subsequent Report of Injury, which is a standard format used by other states, insurance companies, third-party administrators, and self-insured employers. The Division sends an acknowledgment to the reporting entity informing them that the reports were accepted and a Workers' Compensation Number (WC#) was assigned to the claim. The Division also notifies the reporting entity if the report submitted needs data corrected before the report is considered properly filed with the Division.
There are three ways to electronically file First Reports of Injury. A signed Sender's Acceptance Form must be on file with the Division prior to utilizing any of the three options.
Any filings you submit will be posted overnight, and you can check the system the next day to receive acknowledgments. If a filing is rejected, you will receive an error message; you must resolve the error and resubmit. If an FROI is successfully filed, you will receive a WC#.
Three Ways to Report Injuries Electronically
Best for High Volume of Claim Reporting
Division authorized vendor must be used to file the report with the Division. The vendor enters the data in the correct format and electronically transmits it to the Division. The following documents are required to be filed by EDI vendors:
- Sender’s Acceptance Form (WC175)
- Sender’s Trading Partner Profile (WC170)
- Sender’s Transmission Profile (WC169)
- Trading Partner Insurer List (WC172)
- Third Party Administrator Location List (WC171) - If a TPA is the sender
- Receiver’s (DOWC) Trading Partner Profile
- Receiver’s (DOWC) Transmission Profile
- Additional Resources
Contact Us
Kayla Wire
kayla.wire@state.co.us
Allows the filer to report directly with the Division of Workers’ Compensation, which eliminates the cost of using a vendor. The reporting entity must program its computer to the IAIABC standards before transmitting reports to the Division.
The following documents are required to be filed by FTP vendors:
- Sender’s Acceptance Form (WC175)
- Sender’s Trading Partner Profile (WC170)
- Sender’s Transmission Profile (WC169)
- Trading Partner Insurer List (WC172)
- Third Party Administrator Location List (WC171) - If a TPA is the sender
- Receiver’s (DOWC) Trading Partner Profile
- Receiver’s (DOWC) Transmission Profile
- Additional Resources
Contact Us
Kayla Wire
kayla.wire@state.co.us
Best for Low Volume of Claim Reporting
Web Enabled Filing of First Reports of Injury - A low volume reporting entity may find the web based option to be the most affordable option as it eliminates the need to hire a vendor or program their computer in the IAIABC standards. The data is entered and submitted through the Web.
The following documents are required to file using the web-enabled format:
- Web User Acceptance Form (WC175)
- Internet User Identification List (WC171)
Web-Enabled Guidelines
The following explains the guidelines to submit the FROI through the web-enabled option.
System Requirements
- The Online Report of Injury has been TESTED with Google Chrome Version 84.0.4147.89 (32-Bit), Internet Explorer 11.0/5.0, Firefox 1.0, Netscape 7.1, and newer versions. Earlier versions of these and some other browsers have not been tested and may or may not work with this application.
- Your browser must be JavaScript enabled
- You should have an active email address for each user.
- The computer you are using should be connected to a printer so you can print the information shown. However, if not connected, you can download the printed report into PDF format. Rename the downloaded file to filename.pdf.
- Processor speed 233 MHz. 300 or higher is recommended.
- Display resolution 800 x 600. 800 x 600 or higher is recommended.
- This online application uses Secure Socket Layers (SSL) protocol. This provides communications security over a computer network and data are submitted through web services inside the network firewall.
User Account setup Instructions and Sample Screens
- The Division will issue a user account to each user listed on the Internet user Identification List by the Security Coordinator representative after signing the Web User Acceptance form. These forms can be submitted to the Division, attention Julie Perry. To obtain a user Id you need to provide the User Name, user’s email address, and phone number.
In order for the Division to assign a user account, please submit a completed and signed Web User Acceptance form and Internet User Identification list.
Contact Us
Julie Perry
303-318-8794
julie.perry@state.co.us
- State of Colorado Holiday Calendar
- Provider Directories
- Forms
- Quick Reference Guide
- Previous Maximum Benefits Orders
- Guide to Adjusting Workers' Compensation Claims
- Employer Guide
- Injured Worker Guide
- Legislative Update
- Workers' Compensation Quarterly Workshops
- Rule 5-15 - Claims Adjusting Requirements - Surveys
- Injured Worker Exit Surveys & Change of Physician Surveys
- ICD-9 vs ICD-10
- Claimant Brochure
- At the time a position statement is mailed, the insurance carrier must provide the claimant with a copy of the Claimant Brochure describing the claims process and informing the claimant of his or her rights.
Contact Us
Kayla Wire
kayla.wire@state.co.us