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Adminsure Billing Nightmare: Public Pays the Price for Friction (Part 2)
Nov 6, 2025
Adminsure Billing Nightmare: Public Pays the Price for Friction (Part 2)
In Part 1 of our exposé on Adminsure, we detailed the painful odyssey providers must endure just to confirm payment for the treatment of injured workers.Below, we spot...
Adminsure Makes Billing a Nightmare for Providers (Part 1)
Nov 5, 2025
Adminsure Makes Billing a Nightmare for Providers (Part 1)
Adminsure is a prime example of why providers hesitate to treat injured workers.In multiple cases, Adminsure compliantly sent an electronic Explan...
CA: Formal Request to Revoke American Zurich MPN
Nov 4, 2025
CA: Formal Request to Revoke American Zurich MPN
In October, daisyBill formally petitioned the California Division of Workers’ Compensation (CA DWC) to revoke approval for the Medical Provider Network (MPN) that American Zu...
CA DWC Ignores IBR Law, Leaves Practice Short $75K+
Nov 3, 2025
CA DWC Ignores IBR Law, Leaves Practice Short $75K+
Independent Bill Review (IBR) is supposed to protect California providers when payers refuse to correctly reimburse for injured workers’ treatment. Yet the Cali...
CA: Sedgwick’s Rampant Second Review Violations
Oct 31, 2025
CA: Sedgwick’s Rampant Second Review Violations
For providers, Sedgwick Claims Management Services, Inc.’s routine violations of state law and regulations make it increasingly difficult to treat injured workers. For...
Sedgwick Hits 298,034 Violations (and Counting)
Oct 30, 2025
Sedgwick Hits 298,034 Violations (and Counting)
Sedgwick Claims Management Services, Inc. continues to violate a critical California payment requirement with apparent impunity. The Third-Party Administrator (...
CA DIR to Blow $1.25M On (Another) Questionable Comp Study
Oct 29, 2025
CA DIR to Blow $1.25M On (Another) Questionable Comp Study
The California Division of Workers’ Compensation (CA DWC) is set to waste $1,250,000 in taxpayer dollars on a faulty “study” of non-existent data.The Department of Ins...
CorVel’s Commitment to Compliance: A Shining Example for Payers
Oct 28, 2025
CorVel’s Commitment to Compliance: A Shining Example for Payers
CorVel, a Third-Party Administrator (TPA) managing workers’ comp claims on behalf of insurers and employers, has demonstrated how workers’ comp works better when payer...
CA DWC Fails, Vendors Thrive, Employers Pay More
Oct 24, 2025
CA DWC Fails, Vendors Thrive, Employers Pay More
Fact: In California workers’ comp, the claims administrator is legally responsible for compliance with state laws and regulations, regardless of any outside vendor or agent t...
Provider Alert: Do Not (Not!) Sign PhysNet Discount “Agreement”
Oct 23, 2025
Provider Alert: Do Not (Not!) Sign PhysNet Discount “Agreement”
A California provider narrowly avoided financial pain when their office signed (but thankfully never delivered) a reimbursement discount agreement PhysNet sent to the practic...
CA Employers: Paying More for Comp Coverage as Insurers Make Bank
Oct 22, 2025
CA Employers: Paying More for Comp Coverage as Insurers Make Bank
Yet another industry report confirms that workers’ compensation is stupendously profitable for insurers, outperforming the rest of the insurance industry even as rates decrea...
Deranged Zenith “Offers” Doctor 31% State Fee Schedule for DME
Oct 21, 2025
Deranged Zenith “Offers” Doctor 31% State Fee Schedule for DME
Workers’ comp has plummeted to a new low in payers’ relentless attempts to deny fair payment to the doctors who treat injured workers.The Zenith’s recent effort to pay...