2018 Average Days to Payment for Medical-Legal Services

In 2018, for California medical-legal bills submitted using DaisyBill software, the average processing time is 13 business days to receive payment for the top 20 claims administrators by volume. Last week, we published the data for medical treatment bills, which were processed even faster, in just 11 days.

Listed by volume of processed bills from January 1 through December 31, 2018, the statistics below reflect payment speed -- the average number of business days between the electronic submission of a medical-legal bill and receipt of the explanation of review (EOR) -- for the 20 top claims administrators.

In California, Labor Code §4622(a)(1) requires employers to remit payment for medical-legal bills within 60 calendar days after receipt.

Claims Administrator Payment Speed: Fastest to Slowest

For more than 83,090 California original medical-legal bills, our data identifies the top 20 claims administrators for their respective share of the volume of claims processed in 2018:

Three fastest-paying administrators:

  1. Gallagher Bassett -- 6.9 days
  2. CorVel, Broadspire, and Keenan & Associates (3-way tie) -- 8.6 days
  3. Liberty Mutual Insurance -- 9.5 days

Three slowest-paying administrators:

  1. York Risk Services Group -- 19.5 days
  2. Athens Administrators -- 18.3 days
  3. Berkshire Hathaway Homestate Companies -- 17.2 days

Average Days to Payment - 2018 California Medical-Legal Bill Submissions

Claims Administrator

% Bill Volume

Average Business Days

Sedgwick CMS

12.3%

11.2

State Compensation Insurance Fund (CA)

11.1%

12.9

Gallagher Bassett Services

7.2%

6.9

York Risk Services Group

5.6%

19.5

Travelers

3.6%

10.9

Tristar Risk Management

3.4%

15.6

AmTrust North America

3.3%

13.4

Zurich Insurance North America

3.3%

13.9

ESIS Inc.

3.1%

13.5

Liberty Mutual

2.9%

9.5

CorVel Corporation

2.6%

8.6

Berkshire Hathaway Homestate Companies

2.4%

17.2

The Hartford

2.3%

10.3

Insurance Company of the West

2.0%

9.9

Broadspire

1.9%

8.6

Intercare Holdings Insurance Inc.

1.8%

14.6

Keenan & Associates

1.6%

8.6

Athens Administrators

1.50%

18.3

The Zenith

1.4%

16.7

AIG Claims Inc.

1.3%

16.6

DaisyBill Payment Data

For the 300+ claims administrators to which we directly submit bills, DaisyBill tracks payment amounts, payer activity, submission types, code counts, denial reasons, fee schedules and more. The data is tracked from the date of submission to the date of posting (i.e. receipt date of an EOR), and beyond (for appeals).

Click this link to check on your favorite claims administrator’s performance: Average Days To Payment. Use our data to search and filter by claims administrator name, as well as by submission type and service type.

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