Unique reference For a new claim Claims C131 MEDICAL Conditional CERTIFICATE ID number/ID allocated by this field is insurer for each medical mandatory, for an certificate. update to a claim if any of the fields C131, C083, C084 are populated to indicate a new medical certificate, then all three fields are mandatory and C084 is optional The Date of Examination For a new claim Claims C083 DATE OF MEDICAL Conditional CERTIFICATE shown on the latest this field is Workers’ Compensation mandatory, for an medical certificate update to a claim if received for the worker any of the fields (whether it is an Initial or C131, C083, C084 Continuing/Final are populated to certificate). indicate a new medical certificate, then all three fields are mandatory and C084 is optional
Claims C131 MEDICAL CERTIFICATE ID Unique reference number/ID allocated by insurer for each medical certificate. Conditional For a new claim this field is mandatory, for an update to a claim if any of the fields C131, C083, C084 are populated to indicate a new medical certificate, then all three fields are mandatory and C084 is optional Claims C083 DATE OF MEDICAL CERTIFICATE The Date of Examination shown on the latest Workers’ Compensation medical certificate received for the worker (whether it is an Initial or Continuing/Final certificate). Conditional For a new claim this field is mandatory, for an update to a claim if any of the fields C131, C083, C084 are populated to indicate a new medical certificate, then all three fields are mandatory and C084 is optional