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Reporting of Claim by Employer 39A MRSA 303
When an employee has reported an injury to an employer under this Act any injury arising out of and in the course of the employee's employment that has caused the employee to lose a day's work, or when the employer has knowledge of any such injury, the employer shall report the injury to the board within 7 days after the employer receives notice or has knowledge of the injury.
A First Report must be filed with the Board if the employee dies as a result of a job-related injury or if the employee dies at the work site, regardless of the reason for death.
Medical Only claims
The employer/insurer must complete a FROI within seven (7) days of notice or knowledge of an employee injury that requires the services of a health care provider, but there is no obligation to file it with the Board unless the injury later causes the employee to lose a day’s work. If the employer/insurer disputes a medical bill on a claim for which a FROI was never filed, the employer/insurer must file* the FROI.
A medical only First Report of Injury (FROI) must be changed to a lost time FROI when lost time occurs. Failure to do so will result in a Section 360(1) penalty assessed by the Abuse Investigation Unit.
If there are two injuries on the same day at the same employer only one FROI may be filed via EDI. The other FROI must be sent to the Board (in accordance with the guidelines established above) email, fax or mailed.
EDI Reporting Requirements
Unless a waiver has been granted, effective July 1, 2005, all FROIs (see above exception for two injuries on same day at same employer) shall be filed* using the International Association of Industrial Accident Boards and Commissions (IAIABC) Claims Release.