CLAIMS AND REGULATORY DATA SYSTEM

**Check back often for the latest information and updates.** 

 

CARDS IS LIVE!!

External Administrators are now able to register in the portal.   Go to https://cards.nv.gov and click on the "Register Today" button.  

You will receive an email to activate your account. After you have activated your account, send an email to cards@business.nv.gov with the following information: 

 * Insurer or TPA Name(s)

 * Nevada Certificate of Authority or License Number(s)

 * Your Name and Email Address

Once you have been added as an External Administrator, you will receive a confirmation email.  You can then begin using the system and adding individual users and granting permissions.  (Individual users will follow the same registration process once they've been added by the External Administrator.) 

 

Please refer to the External System User Manual for additional information or email cards@business.nv.gov with your questions.

 

D-38 CLAIMS INDEXING

• Download the D-38 Form:   D-38 Claims Indexing Form

 

****DATES TO REMEMBER****

 

 March 24, 2017      

Last day to submit old paper claims forms or old flat file format.

 March 27, 2017

**NEW** paper Claims Indexing Form (D-38) will be available to insurers and TPAs for use and will be accepted by WCS.  There is no grace period for submitting paper claims.

 April 3-7, 2017

Insurers and TPAs to provide information for External Administrators of NEW Website.

 April 11, 2017

CARDS system launches.  External Administrators may begin completing the Insurer/TPA Information Form and linking TPAs.  They may also begin adding External Users and granting user permissions including global TPA permissions.  External users can begin registering and using the system based on granted permissions.  For Insurers/TPAs who choose to wait for the CARDS web portal, there is a grace period until April 30, 2017 to index all claims that were not indexed prior to March 24, 2017.

 April 30, 2017          

Grace period ends for Insurers/TPAs who chose to index claims using CARDS web portal.

 September 1, 2017

Flat File must be developed and ready for testing by WCS.  Once testing is complete, the stakeholder will receive a login to the FTP site and can begin indexing claims.  For Insurers/TPAs who choose to develop the Flat File, there is a grace period until October 30, 2017 to index all claims that were not indexed prior to March 24, 2017.

 October 1, 2017  

Insurers/TPAs using the Flat File method must begin indexing claims that were not indexed prior to March 24, 2017.

 October 30, 2017     

Grace period ends for Insurers/TPAs who chose to index claims using the Flat File.

Options for Claims Indexing

 FLAT FILE – Insurers/TPAs who choose to use the Flat File to index claims will be given a grace period until October 30, 2017 to index any claims that were not indexed prior to March 24, 2017.  The Flat File must be ready for testing beginning September 1, 2017.  Testing and any corrections to the Flat File must be completed by October 1, 2017 and the Insurer/TPA must begin indexing all claims. 

 PAPER FORM – The **NEW** paper Claims Indexing Forms (D-38) will be available beginning March 27, 2017 but will be phased out within the next 12-18 months.  Insurers/TPAs who choose to use this method can immediately begin indexing claims using the new paper forms.  There is no grace period for submitting paper forms.       

 WEB PORTAL – The CARDS portal will launch April 11, 2017.  Insurers/TPAs who choose to wait until the launch date to index claims via the portal will be given a grace period until April 30, 2017 to index any claims that were not indexed prior to March 24, 2017.

CARDS External User Manual

• Download the External User Manual:   CARDS External System User Manual  

 Print the manual and bring it with you to the training session.

Reporting Triggers and Deadlines

INITIAL REPORTS:

Within 30 days of  

  • Claim Determination (Acceptance or Denial of Claim) 

UPDATES: 

Within 30 days of any of the following

  • Benefit Start Date, End Date or Type Change (TTD, TPD, PPD, Rehab, PTD)
  • Change in Claim Determination (Denial to Acceptance or vice versa)
  • Claim Type Change (Med Only to Lost Time/Indemnity)
  • Change to/from Catastrophic Claim status
  • Finalized PPD rating and award offer
  • Claim Closure
  • Claim Reopening
  • Injured Employee Death
  • Any correction to or update of the Injured Employee’s Information including name, gender, birthdate, SSN, employer, etc
  • Any correction to or update of the Claim Information including claim number, date of injury, nature of injury, cause of injury, type of loss, body parts involved, etc.

Flat File Format/Data Elements

Insurers and TPAs will be able to submit D-38 Claims Indexing data for individual claims via the web portal or in bulk via flat file. This also includes all of the codes being used in Nevada.

• Download the Claims Flat File Format:   D-38 Claims Flat File Format

 

 

WELCOME TO CARDS

Claims and Regulatory Data System 

~ Launching April 2017 ~ 


Over the past year, the WCS has undertaken modernization and transformation of its internal and external systems.  We have been working with CapTech Consulting to retire our current legacy systems and replace them with a new, built-from-the-ground-up system that will help the WCS achieve increased efficiencies, higher accuracy, and faster processing times. In addition to developing a custom case management system for WCS employees and an enhanced claims indexing repository, the project includes a robust web portal.  The new web portal will be accessible to all workers’ compensation insurers and TPAs and will include the following features upon launch. 
 
  • Registration and user log in
  • D-38 Claims Indexing web submission (individual claims) 
  • Request for Prior Claims History web submission
  • TPA & Insurer Information Forms web submission
  • Comparative industry data reports

The WCS and CapTech Consulting will be holding various training sessions and demos to familiarize our regulated community with the new system prior to our planned launch in April 2017.  Watch for communications with specific dates and times.  Your attendance will expedite the transition and enhance your user experience so please plan on attending. 

Watch this webpage for current information related to CARDS.  We will be posting information here regarding claim reporting requirements, flat file layouts, training and other communications.

We look forward to introducing you to the new and improved WCS

 

Please direct questions to the WCS CARDS Project Manager, Stephanie Canter, at (702) 486-9091 or to CARDS@business.nv.gov.