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Most Recent Articles

CA MPNs Harm Employers, Injured Workers &  Providers
Jun 19, 2024
CA MPNs Harm Employers, Injured Workers & Providers
California’s Medical Provider Network (MPN) system is an unmitigated failure, causing genuine harm to injured workers, health care providers, and employers. The Divisi...
AmTrust MPN Magic Denies Payment
Jun 18, 2024
AmTrust MPN Magic Denies Payment
Welcome to California workers’ comp, where claims administrators can use even the most demonstrably, objectively, provably untrue assertions to deny payment to a provider—wit...
CA DWC: Claims Administrators' IBR Wingman
Jun 17, 2024
CA DWC: Claims Administrators' IBR Wingman
In California, claims administrators can expect little or no repercussions for failing to comply with workers’ comp payment laws and regulations. Meanwhile, the Divisi...
Sedgwick: 17,225 Audit Complaints Sent to DWC
Jun 14, 2024
Sedgwick: 17,225 Audit Complaints Sent to DWC
Sedgwick Claims Management, Inc. continues to defy California law and regulations for properly responding to Second Review appeals. And why wouldn’t they, without any consequ...
For CA Interpreters, Appeals Pay More Than Bills
Jun 13, 2024
For CA Interpreters, Appeals Pay More Than Bills
California interpreters, pay close attention!A new interpreter service began using daisyBill in February. Since then, the service has collected more revenue from Secon...
Sedgwick (and the DWC) Ignore Providers' Appeals
Jun 12, 2024
Sedgwick (and the DWC) Ignore Providers' Appeals
Sedgwick is running roughshod over California providers, in violation of state workers’ comp law. By failing to take substantive action, the Division of Workers’ Compe...
Med-Legal Company Collects $1M From Appeals in 2023
Jun 11, 2024
Med-Legal Company Collects $1M From Appeals in 2023
How much money is your practice leaving on the table? daisyData show that in 2023, one California client collected over $1 million from submitting Second...
Sedgwick Denies/Ignores Hundreds of Appeals
Jun 10, 2024
Sedgwick Denies/Ignores Hundreds of Appeals
Sedgwick's persistent failure to pay providers in accordance with state workers' comp fee schedules and its refusal to respond compliantly to providers’ appeals are glaring v...
Texas Workers' Comp: 5 Crucial Billing Tips
Jun 7, 2024
Texas Workers' Comp: 5 Crucial Billing Tips
Treating injured workers in any state is complicated, administratively speaking.Of course, some states do better than others at informing providers of their rights and...
CA Payment Denial Rates 2024 vs 2023 - Top 20 Claims Administrators
Jun 6, 2024
CA Payment Denial Rates 2024 vs 2023 - Top 20 Claims Administrators
California workers’ comp claims administrators are denying providers’ bills with increasing frequency in 2024 compared to 2023. The data below represent the 20 claims ...
Gallagher Bassett Denies Bill, Spews Nonsense, Ignores Appeal
Jun 5, 2024
Gallagher Bassett Denies Bill, Spews Nonsense, Ignores Appeal
Welcome to California workers’ comp, where a claims administrator’s legal obligation to timely pay providers’ bills is more a matter of theory than practice.Safe from ...
CA Payment Denial Rates - Top 20 Claims Administrators
Jun 4, 2024
CA Payment Denial Rates - Top 20 Claims Administrators
Bill data collected from daisyBill clients during the first four months of 2024 reveal claims administrators’ disturbing propensity to refuse payment for injured workers’ tre...