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Workers' Comp Regulations, Guides, Updates, and Insights
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Most Recent Articles
Jan 10, 2025
daisyData: 2024 Duplicate Bill Statistics
In conversations with non-client providers’ billing staff, the number one problem reported by these practices is the high rate of bills that payers report as “lost” or “not o...
Jan 8, 2025
CA OMFS 2025: Pathology, Clinical Lab Fee Schedule Update
California’s Division of Workers’ Compensation (CA DWC) updated the Pathology and Clinical Laboratory portion of the Official Medical Fee Schedule (OMFS), effective for servi...
Jan 7, 2025
NYSIF Switches Bill Review and Clearinghouse
The New York State Insurance Fund (NYSIF) is changing its bill review and electronic billing clearinghouse vendors. Effective January 7, 2025, NYSIF will use: ...
Dec 18, 2024
CA: San Bernardino (Finally) Accepts e-Bills
Since 2012, in California, it has been mandatory for workers’ comp claims administrators to accept electronic bills (e-bills) from providers for the treatment of injured work...
Dec 17, 2024
Applied Underwriters: Appalling Treatment Denial
California’s authorization and Utilization Review (UR) system for workers’ comp treatment is profoundly broken—and injured workers are suffering as a result.For the la...
Dec 16, 2024
Sedgwick's Sloppy EDI Tech Goes Haywire
Sedgwick Claims Management, Inc. is daisyBill’s largest workers’ comp claims administrator, as measured by the volume of bills our clients send to the Third-Party Admi...
Dec 12, 2024
NY vs CA: Treatment Authorization for Injured Workers
Every state has an obligation to ensure injured workers can access the care they need with as few roadblocks as possible. That means empowering doctors to furnish trea...
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Dec 11, 2024
e-Billing Update: Tristar Changes Clearinghouse
Tristar Risk Management, a Third-Party Administrator (TPA) for workers’ comp claims, has changed the clearinghouse it uses to accept and respond to provi...
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Dec 10, 2024
Audit Complaint: Sedgwick - 5,415 Violations Reported
Once again, daisyBill has filed a formal Audit Complaint with the California Division of Workers’ Compensation (CA DWC) against Sedgwick Claims Management, Inc.The Thi...
Dec 9, 2024
FL: Urgent Care e-Billing Success
Treating injured workers can be financially sustainable and beneficial for practices—but only if workers’ comp bills and reimbursements are tracked and managed effectively.
Dec 6, 2024
NY WCB to Host e-Billing Webinar for Providers
Significant changes to workers’ comp billing in New York State continue to unfold, and the Workers’ Compensation Board (WCB) wants to help providers stay ahead of the curve.<...
Dec 4, 2024
Sedgwick "Duplicate" Bills Make A Mockery of CA Law, DWC & Providers
Sedgwick Claims Management Services, Inc., a Third-Party Administrator (TPA) of workers’ comp claims, has set a horrifying new standard for how claims administrators c...