Sedgwick Claims Management Services 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 appropriate consequences on this claims administrator for its blatant disregard of e-billing requirements.

From January 1 to May 15, 2022, Sedgwick failed to send electronic Explanations of Review (X12 835 e-EORs) in response to daisyBill providers’ e-bills 25,970 times.

Below is the message and formal Audit Complaints daisyBill submitted to the DWC on our provider clients’ behalf, documenting and reporting the scope of Sedgwick’s violations.