Most Recent Articles

Gallagher Bassett: Audit Complaint Filed With DWC

In a previous article, we demonstrated how Gallagher Bassett ignores the California-mandated workers’ comp Official Medical Fee Schedule (OMFS). Gallagher Bassett also ignore...

Broadspire Defies CA Law and Denies Appeals Sent by Providers

Broadspire, A Crawford Company, is another example of a claims administrator that disregards California regulations with impunity. After accepting a compliant and time...

Zurich: CORRECT Appeal Instructions for Zurich Denials

Today, we explain the COMPLIANT protocol for California providers to dispute the noncompliant denials that Zurich recently issued, and that were based on its completely nonco...

Zurich Further Jeopardizes Providers' Payment With Incorrect Appeal Instructions

Even when there is potential payer fraud, California requires the provider -- not the payer -- to shoulder the burden of correcting claims administrator “mistakes.” For the t...

Employers Should Demand That Zurich Pay Providers

Yesterday we published the first in a series of urgent articles alerting California’s workers’ comp community that Zurich is refusing to pay providers who treat injured worke...

URGENT: Zurich Refusing to Pay Providers for Treating Injured CA Workers

This is an URGENT article written to alert California workers’ comp providers that Zurich is incorrectly denying workers’ comp bills by citing the untimely filing of the bill...

AmTrust: Audit Complaint Filed With DWC

In a recent article, AmTrust - IBR Hall of Shame, we described how AmTrust refuses to properly reimburse a provider, despite a Maximus Independent Bill Review (IBR) decision ...

Gallagher Bassett Sinks Second Review Appeals

For California workers’ comp providers, we encourage submitting Second Review appeals when the claims administrator incorrectly adjusts or denies payment. Below we sho...

Sedgwick Fails the University of California

Today we are focusing on a self-insured employer, the University of California, and its third-party administrator, Sedgwick. Unfortunately, Sedgwick is not complying with Cal...

WorkPartners: How a San Diego Practice Shines While Navigating Covid-19 Challenges

At DaisyBill, we’re filled with admiration at how practices continue to deliver quality care under challenging and changing circumstances. We interviewed one of our great Cal...

AmTrust - IBR Hall of Shame

Below, we document the flouting of workers’ compensation law by AmTrust North America (AmTrust), and its continued refusal to reimburse a provider despite being ordered to do...

Clearinghouse Error - WorkCompEDI Misdirects Bills

Recently, one of the six clearinghouses hired by claims administrators to accept electronic workers’ comp bills suffered a technical error which resulted in the clearinghouse...