Blog: Daisy News

News, data, & insights about workers' comp billing

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  • April 20, 2018

    York Risk Services Must Treat CA Providers Better

    DaisyBill strives to make workers’ comp billing and payment smoother for both providers and payors.

    We work with thousands of payors, including employers, insurers, and third-party administrators across California to electronically submit over 1.25 million compliant bills annually. We’ve seen good behavior and bad from payors. But we’ve never heard of a more frustrating experience than the one providers endure with York Risk Services — an experience we’ve endured ourselves.

    When York fails to respond to bills for treating injured employees, providers report facing an infuriating uphill battle to track those bills. We strongly encourage medical billers to alert their providers about York’s unnecessary payment friction.

    York can (and should) do better to help providers.

    Read more →

  • March 22, 2018

    Macy’s Changes Bill Review; Sedgwick Error Causes Bill Rejections

    Self-insured employer Macy’s no longer utilizes EK Health Bill Review. Effective March 3, 2018, Macy’s switched to Sedgwick Claims Management Services National Bill Review.

    Sedgwick provided new electronic payor ID numbers for Macy’s and its affiliated stores, but those ID numbers ultimately proved incorrect. DaisyBill investigated and secured the correct ID from Sedgwick’s clearinghouse, Optum.

    Read more →

  • March 16, 2018

    TPA Change: JCPenney Switches Third-Party Administrator

    JCPenney no longer utilizes third-party claims administrator Sedgwick Claims Management Services. The retail department store chain transferred all claims to AIG Claims, Inc., effective February 2, 2018.

    Read more →

  • March 16, 2018

    FYI: American Airlines Changes Bill Review

    Self-insured employer American Airlines no longer utilizes Genex Services Bill Review. Effective February 1, 2018, American switched to Sedgwick Claims Management Services National Bill Review.

    Read more →

  • February 23, 2018

    VPay Error Impacts Thousands of Sedgwick EORs

    VPay, a payment processing company which issues explanation of reviews (EORs) and virtual credit card payments from claims administrators to providers, suffered a technical glitch in early November 2017.  VPay did not timely send thousands of EORs denying payment from Sedgwick Claims Management Services.

    To rectify the glitch, VPay recently flooded providers with EORs denying payment on Sedgwick’s behalf. Some of the EORs recently received by providers are dated as far back as November.

    Crucially, these EORs are backdated to the date processed, rather than reflecting the date on which VPay actually sent the EORs out. This falsely alters the timeline, potentially narrowing or closing the timeframe in which providers may request second review. Providers should review these EORs, submit timely requests for second review where necessary, and submit audit complaints regarding Sedgwick’s flagrant violation of relevant Labor Codes.

    Read more →

  • January 23, 2018

    Lockard List No Longer Published; Better Alternative Available

    If your office looked to the Lockard Industrial Insurance Companies’ List to find contact information for workers’ comp payors, you’ll need to look elsewhere.

    The green spiral-bound book containing addresses, phone and fax numbers, and email addresses for almost every insurance and third party administrator in California is no more. Previously released annually with new information, the directory’s last edition was published in 2016. Like vinyl records and VHS, Lockard’s List was much loved, but ultimately outpaced by the Digital Age.

    All information previously available in Lockard (and more) is available through DaisyBill’s Work Comp Wizard.

    Read more →

  • January 17, 2018

    Glitch at York Risk May Delay Bill Payment

    Technical problems at third-party administrator York Risk Services left roughly 15,000 bills unprocessed. The error was discovered and resolved by York’s in-house bill review, which is currently processing the affected bills. According to York representatives, it may take up to 30 days from their discovery of the glitch to complete the processing.

    Read more →

  • January 16, 2018

    SCIF Resolves Glitch Behind Incorrect Work Comp Bill Denials

    Several providers recently received incorrect denials of bills from California’s State Compensation Insurance Fund (SCIF), the state’s largest provider of work comp insurance. These original bills were denied for untimely submission, despite having been submitted within the required timeline. Senate Bill 1175 mandates a 12-month deadline for original bill submission.

    A SCIF representative acknowledged the error, as the insurer moved quickly to resolve it.

    Read more →

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DaisyBill is a trusted authority on workers’ comp billing. Thousands of work comp professionals attend our webinars and state agencies and professional organizations turn to us for our expertise. We created this blog to help everyone involved in workers’ compensation; sharing news, tips, and data of interest to the community.

Drop us a line with any news you would like us to share or any issue that concerns you.

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