All medical transactions with a jurisdiction state of Pennsylvania are reportable under the Medical Data Call. The jurisdiction state corresponds to the state under whose Workers Compensation Act the claimant’s benefits are being paid. This includes all workers compensation claims, including medical only claims.
The collection of this detailed medical information will enhance the PCRB’s ability to explain and support filings and address cost containment issues and other public policy matters related to such subjects as fee schedules – relationships to Medicare, overall richness of medical reimbursements and treatment protocols.
|Announcements||The latest news and announcements about Medical Data Call.|
|Medical Data Manager||Web-based application which allows carriers to monitor status of medical submissions; view and/or export editing and validation results in various formats; and search and view medical transactions and histories.|
|Medical Data Manager User Guide||Contains essential information on how to navigate, search, view and medical data within the application.|
|Medical Data Call Manuals||Contains essential information for data reporters to build the programs and procedures needed to submit the Medical Data Call.|
|Medical Data Call Record Layout||Record layout of Medical Data Call.|
|MDM Edit Matrix||Contains a list of the edits performed by MDM.|
|MDM File Error Email Message Reference Guide||Contains the recommended response to various file error email messages.|
|Electronic Submission Guidelines||Contains the standard electronic submission procedures for the Medical Data Call.|
|Medical Data Call Transaction File Reporting Calendar||Standard schedule of transaction file reporting due dates for the Medical Data Call.|
|Frequently Asked Questions (FAQ)||Common question and answers related to reporting the Medical Data Call.|