2015 in Review: Workers' Comp Average Days to Payment
DaisyBill processes over 700,000 California workers’ comp bills per year with direct electronic connections to over 505 different claims administrators and payers. The transparency of electronic billing allows DaisyBill to granularly track the payment details of every single bill including:
- Bill Type: Medical Treatment, Medical-Legal, Non-Treatment (Copy and Interpreter Services)
- Submission Type: Original Bill or Request for Second Review
- Days to Payment: Business and Calendar days
This article is part of a new multi-week series that analyzes California workers’ comp payment statistics derived from DaisyBill’s huge payment data.
Medical Treatment Bills Average Days to Payment
For medical treatment bills submitted in 2015, the table below lists DaisyBill’s top 35 claims administrators by volume of bills along with the average count of business days from submission to payment.
Electronic Billing Good News
- Nearly all of the claims administrators comply with the section of California Labor Code § 4603.4 which mandates that claims administrators accept electronic billing from providers. This law became effective in October 2012, over three years ago.
- Only two claims administrators on this list (designated in red) continue to struggle with processing electronic billing for their clients.
- Nearly all of the claims administrators process electronic billing within the mandated timeframe of 15 working days from the date of the electronic submission.
- Only five claims administrators on this list exceed the mandated timeframe of 15 working days (Average Business Days to Payment designated in red).
Claims Administrator |
Bill Transmitted |
Average Business Days to Payment |
Sedgwick Claims Management Services (TPA) |
e-Bill |
12 |
SCIF - State Compensation Insurance Fund |
e-Bill |
9 |
Gallagher Bassett |
e-Bill |
9 |
Liberty Mutual Insurance |
e-Bill |
6 |
Zurich Insurance North America |
e-Bill |
27 |
Travelers |
e-Bill |
9 |
Broadspire |
e-Bill |
8 |
ICW - Insurance Company of the West |
e-Bill |
13 |
York Risk Services Group (TPA) |
e-Bill |
14 |
ESIS |
e-Bill |
16 |
The Hartford |
e-Bill |
11 |
AIG / Chartis |
e-Bill |
16 |
The Zenith |
e-Bill |
6 |
Berkshire Hathaway Homestate Companies |
e-Bill |
8 |
Keenan & Associates |
e-Bill |
9 |
York Risk (County of Los Angeles 1000 Claims ONLY) |
e-Bill |
12 |
Sedgwick (County of Los Angeles 5000 Claims ONLY) |
e-Bill |
14 |
Farmers Insurance Exchange (CorVel) |
e-Bill |
11 |
Tristar Risk Management (TPA) |
fax |
18 |
Tristar Risk Mgmt (City of Los Angeles Police Only) |
e-Bill |
19 |
Employers Compensation Insurance Company |
e-Bill |
14 |
Tristar Risk Mgmt (County of Los Angeles 3000 Claims ONLY) |
e-Bill |
13 |
CNA Insurance |
e-Bill |
9 |
Tristar Risk Mgmt (County of Los Angeles 2000 Claims ONLY) |
e-Bill |
10 |
CIGA - California Insurance Guarantee Association |
e-Bill |
15 |
AmTrust North America |
e-Bill |
18 |
Intercare (City & County of San Francisco ONLY) |
e-Bill |
12 |
Lumbermen's Underwriting Alliance |
e-Bill |
10 |
Athens Administrators |
fax |
22 |
Republic Indemnity |
e-Bill |
10 |
DaisyBill’s easy billing software guarantees that workers’ comp bills are always submitted compliantly. For more information about California’s workers’ comp electronic billing, book a demo.
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DaisyBill provides content as an insightful service to its readers and clients. It does not offer legal advice and cannot guarantee the accuracy or suitability of its content for a particular purpose.
