2018 Average Days to Payment for Medical Treatment Bills

In 2018, for California medical treatment bills submitted using DaisyBill software, the average processing time is 11 days for the top 20 claims administrators by volume. We’ll take a closer look at the fastest and slowest claims administrators, as well as list the averages for the rest of the top 20.

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 submission of a medical treatment bill and receipt of the explanation of review (EOR) -- for the 20 top claims administrators by volume.

In California, Labor Code §4603.4 and the DWC Billing and Payment Guide require claims administrators to process electronically submitted bills in 15 working days. We’re happy to report that our average of 11 days handily beats the mandated minimum. In 2018, for bills submitted through DaisyBill software, less than 1% of workers’ comp bills were mailed.

Claims Administrator Payment Speed: Fastest to Slowest

For over a million California medical treatment 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 average days to payment:

  1. Gallagher Bassett -- 6.2 days
  2. Travelers -- 7.5 days
  3. CorVel -- 8 days

Three slowest-paying administrators average days to payment:

  1. AmTrust North America -- 16.7 days
  2. Athens Administrators -- 15.8 days
  3. Acclamation Insurance Management Services -- 15.3 days

Average Days to Payment - 2018 California Medical Treatment Bill Submissions

Claims Administrator

% Bill Volume

Average Days

Sedgwick CMS

11.5%

9.9

State Compensation Insurance Fund (CA)

10.2%

9.2

Gallagher Bassett Services

8.1%

6.2

York Risk Services Group

4.9%

14.8

Liberty Mutual

3.8%

9.3

Tristar Risk Management

3.8%

14.4

Zurich Insurance North America

3.8%

12.8

Travelers

3.4%

7.5

ESIS Inc.

3.1%

11

CorVel Corporation

2.6%

8

Berkshire Hathaway Homestate Companies

2.2%

12.8

AmTrust North America

2.1%

16.7

Broadspire

2.0%

10.2

Intercare Insurance Holdings Inc.

1.8%

13.4

Keenan & Associates

1.8%

11.9

The Hartford

1.6%

9.5

Insurance Company of the West

1.5%

10.9

Athens Administrators

1.3%

15.8

The Zenith

1.2%

6.8

Acclamation Insurance Management Services

1.2%

15.3

DaisyBill Payment Data

DaisyBill billing software compiles data on every processed bill for all 300+ claims administrators to which we directly submit bills. We track payment amounts, payer activity, submission types, code counts, denial reasons, fee schedules and more.

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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