California’s electronic billing mandate went into effect on October 18, 2012. This means that for over a year and a half, the DWC has required that claims administrators must be able to electronically accept and electronically process medical bills for workers’ comp.
We here at DaisyBill were pretty understanding in 2012. After all, claims administrators had to develop new systems to accommodate new technologies. In 2013, we became increasingly less sympathetic as it became clear that some claims administrators were making little or no progress towards accepting electronic bills.
So now it’s almost the 4th quarter of 2014. Alas, despite at least two years’ warning even prior to 2012, many claims administrators still cannot properly process electronic bills. The claims administrators listed below either continue to be unable to process electronic bills or their electronic billing processes don’t work consistently. Due to their lack of adherence to the DWC regulations, DaisyBill must fax a high percentage of bills to the following claims administrators:
- AIMS TPA (Acclamation Insurance Management Systems)
- American All-Risk Loss Administrators AARLA
- Arrowpoint Capital
- Athens Administrators
- City & County of San Francisco
- City of San Jose
- City of Santa Ana
- City of Santa Monica
- Comp West
- County of San Bernardino Risk Management
- Department of Water and Power - City of Los Angeles
- Hazelrigg Claims Management Services
- JT2 Integrated Resources
- Loma Linda University
- Los Angeles County Metropolitan Transit Authority (LACMTA)
- Magna Carta
- Metro Risk Management
- Murphy and Beane
- Patriot Risk Services
- Pegasus Risk Management Services
- QBE SPECIALTIES
- The Alpha Fund
- Tokio Marine Management
- TRIBAL FIRST
- Tristar Risk Management
- Workers' Compensation Administrators, LLC
We’ve been working with many of these claims administrators, so I know that at least in some instances it’s not a lack of will. We’re happy to work with all of these claims administrators to implement electronic billing systems--after all, we have the know-how and we’re deeply invested in making electronic billing work for California’s workers’ comp.
I know I’ve said this before, but it bears repeating: electronic billing benefits all stakeholders in the workers’ compensation system. Providers get paid faster and more accurately, with less hassle. Claims administrators devote far less time to incorrect and incomplete bills and commit fewer resources to processing bills. DaisyBill’s electronic bill submittal and bill management means regulators and researchers have verifiable data upon which to act. And finally, widespread adoption of electronic billing means that employers will see the benefits of a more efficient workers’ compensation system in the form of lower premiums. And let’s not forget, electronic billing is required by law.