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Alert: ESIS Fails to Process e-Bills Due to (Their) Document Error
May 19, 2022
Alert: ESIS Fails to Process e-Bills Due to (Their) Document Error
A daisyBill provider client recently brought to our attention systemic e-billing non-compliance by Third-Party Administrator (TPA) ESIS, Inc. Specifically, ESIS denied paymen...
Sedgwick Resolves LA County Missing e-EORs
May 18, 2022
Sedgwick Resolves LA County Missing e-EORs
daisyBill contacted Sedgwick regarding e-bills for treatment rendered to employees of the County of Los Angeles (claims beginning with 5000 or ending in D), for...
Alert: LWP False e-Bill Rejections, Missing e-EORs
May 18, 2022
Alert: LWP False e-Bill Rejections, Missing e-EORs
Providers electronically billing LWP Claims Solutions, be advised that the clearinghouse utilized by this claims administrator is erroneously and systematically...
CIGA Resolves Missing e-EORs
May 18, 2022
CIGA Resolves Missing e-EORs
When claims administrators take responsibility for their actions (and the actions of their agent vendors), workers’ comp billing and payment works better. The latest example:...
AmTrust: 8,117 Additional Audit Complaints Submitted
May 17, 2022
AmTrust: 8,117 Additional Audit Complaints Submitted
AmTrust North America is breaking the law. We encourage the California Division of Workers’ Compensation (DWC) to assert its role in upholding workers’ comp law and to impose...
How to e-Bill: Improperly Rejected e-Bills Explained
May 16, 2022
How to e-Bill: Improperly Rejected e-Bills Explained
All workers’ comp practices that bill electronically must be aware of a critical issue preventing payment of e-bills: clearinghouses issuing false e-bill rejections. <...
Alert: 12 False e-Bill Rejections - Contra Costa County
May 16, 2022
Alert: 12 False e-Bill Rejections - Contra Costa County
Providers electronically billing Contra Costa County Risk Management (CCCRM) and Contra Costa County Schools Insurance Group (CCCSIG), be advised that the <...
Alert: 870+ False e-Bill Rejections - Benchmark Insurance Co
May 16, 2022
Alert: 870+ False e-Bill Rejections - Benchmark Insurance Co
Providers electronically billing Benchmark Insurance Company, be advised that the clearinghouse utilized by this claims administrator is erroneously and ...
Alert: 600+ False e-Bill Rejections - Counties of San Diego & Santa Clara
May 16, 2022
Alert: 600+ False e-Bill Rejections - Counties of San Diego & Santa Clara
Providers electronically billing the County of San Diego and the Country of Santa Clara, be advised that the clearinghouse utilized by these claims administrato...
Alert: 3,700+ e-Bills for 98 Claims Administrators Missing or Late 277 ACKs
May 16, 2022
Alert: 3,700+ e-Bills for 98 Claims Administrators Missing or Late 277 ACKs
Data Dimensions (formerly WorkCompEDI) is a clearinghouse which accepts and responds to providers’ electronic bills on claims administrators’ behalf. For nearly 100 claims ad...
Travelers Claims Umbrellas as Protected
May 11, 2022
Travelers Claims Umbrellas as Protected
Here at daisyNews, we’ve thrown many a stone at claims administrators for non-compliance, malfeasance, and the kind of general unscrupulousness that makes workers’ comp a tri...
PPO Discounts STILL NOT Applicable to Med-Legal
May 10, 2022
PPO Discounts STILL NOT Applicable to Med-Legal
It’s hard to believe we still have to write this — or is it? California claims administrators may not apply Preferred Provider Organization (PPO) reductions to physici...