Rule 24.29.4303 - DEFINITIONS For the purpose of this subchapter, the following definitions apply, unless the context of the rule clearly indicates otherwise:
(1) "Closed" or "closed claim" means a claim on which all medical and indemnity benefits have been paid, and there is no expectation of future liability.(2) "Electronic data interchange", or "EDI" means computer-to-computer exchange of business information in a standard and structured format.(3) "IAIABC" means the International Association of Industrial Accident Boards and Commissions, which is an international trade association that seeks to advance the administration of workers' compensation systems through education, research and information sharing. The IAIABC establishes standards for reporting industrial accidents.(4) "Reporting parties" means any person, firm, corporation, or any other type of entity required by Title 39, chapter 71, part 2, MCA, to report information to the department.(5) "Third-party administrator" means an entity who contracts to administer all or part of an insurer's or employer's workers' compensation business, which can include adjusting a claim on behalf of the insurer or employer.(6) "Trading partner" means the entity which actually transmits the data to the department, excluding the intermediary channels that are used to get it to that final point, even if those channels include the legally responsible regulated party.(7) "Workers' compensation subsequent report" means a report required to communicate payment information related to an indemnity claim, including both medical and indemnity benefits.Mont. Admin. r. 24.29.4303
NEW, 1994 MAR p. 2630, Eff. 10/1/94; AMD, 2000 MAR p. 2701, Eff. 10/6/00; AMD, 2003 MAR p. 2297, Eff. 10/17/03; AMD, 2006 MAR p. 546, Eff. 2/24/06; AMD, 2024 MAR p. 1066, Eff. 5/11/2024AUTH: 39-71-203, MCA; IMP: 39-71-225, MCA