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WCIRB Unit Statistical Data Quality Program

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WCIRB Unit Statistical Data Quality Program

The WCIRB Unit Statistical Data Quality Program (USDQP) uses a set of key performance indicators to identify potential systemic data reporting deficiencies in unit statistical report (USR) data submitted to the WCIRB. This program, together with a variety of other approaches the WCIRB uses to ensure that timely, complete and accurate USR data is used in experience modifications, advisory pure premium rates and research, align with the WCIRB’s objective of targeting the most effective methods for maintaining high standards of data quality while minimizing the manual touchpoints associated with the data exchange process. Read more about the WCIRB’s initiative to modernize the collection, auditing and dissemination of data here.

Quarterly USDQP reports are released to insurer participants comparing their results against the acceptable thresholds and statewide benchmarks for each metric. Insurers that do not meet specific performance standards are required to take corrective action and may be assessed fines.

If you have any questions regarding the USDQP, please contact the Data Quality Assurance Office at [email protected].

USDQP Provisions by Effective Date

Below are links to the current and immediately preceding version of the USDQP, followed by an overview of the changes in the latest version. 

USDQP Changes Effective January 1, 2018

The main changes, including the addition of four new metrics, are summarized below.

USDQP Metric Prior to 1/1/2018 Effective 1/1/2018
USRs with Inaccurate Experience Modifications and/or Associated Experience Modification Effective Dates Reported n/a New metric: Percentage of USR transactions processed with reported experience modifications and/or effective dates differing from the published experience modification at the time of USR processing.
USRs with Critical Preprocessing Edit Failures n/a New metric: Percentage of USR transactions rejected as a result of preprocessing edit failures.
USRs with Data Quality Edit Failures
This is an advisory metric with no designated tolerance. Insurers are not subject to evaluation under this measure.
n/a New advisory metric: Percentage of USR transactions that contain data quality edit failures.
Large Policies (at least $1,000,000 modified pure premium) with No Claims - Documentation Request n/a New metric: Policies with at least $1,000,000 in modified pure premium and no reported claims on the original first report level USR require acceptable documentation to verify no claims exist for the policy.
Large Policies with No Claims Percentage of original first report level USRs with no claims and modified pure premium of at least $125,000 Percentage of original first report level USRs transactions with no claims and modified pure premium of at least $250,000
Metric tolerance refined.
Submission Timeliness Percentage of delinquent USR transactions (received 3 months after the required due date) Percentage of delinquent USR transactions (received after the month of the required due date).
Metric tolerance refined.
Responsiveness to USR Work Items
 
Measures the timeliness of responses to WCIRB Connect USR audit error work items (percentage of work items closed more than 60 days after issuance)
This is an advisory metric with no program threshold for acceptable performance. Insurers are not subject to evaluation under this measure.
Metric remains the same.
New metric tolerance defined and insurers subject to evaluation.
Edit Failures that Impact Experience Rating Percentage of USR transactions processed with one or more edit failures that impact experience rating Metric remains the same.
Metric tolerance refined.
Late Reported Specific Injury Claims: Report Level 2 Percentage of late reported specific injury claims (claims initially reported on the second report level) Metric remains the same.
Metric tolerance refined.
Late Reported Specific Injury Claims: Report Levels 3 to 10 Percentage of late reported specific injury claims (claims initially reported on the third through tenth report levels) Metric remains the same.
Metric tolerance refined.