Most Recent Articles

CA: WCRI Report Shows Medical Costs Are Not the Problem

A report on workers’ comp claims costs from the Workers’ Compensation Research Institute (WCRI) puts hard data to a trend that should alarm all California employers whose pre...

Network Mayhem: Sedgwick & Apricus Stiff CA Provider

A California provider received no reimbursement for treating an injured worker, with no clear path to payment, thanks to an apparent accounting dispute between Third-Party Ad...

Audit Complaint: CA DWC Must Address Gallagher Bassett Violations

Gallagher Bassett is violating California law and regulations through its vendor, InstaMed. The Third-Party Administrator (TPA)’s non-compliance i...

Warning: ECHO Deducts "Service Fee" From Paradigm Payment

This article has been corrected. See note at the end.As daisyNews explored in recentarticles, Paradigm Specialty Networks profits by...

Zurich, Paradigm Hit CA Provider With $786 Reduction (and $195 IBR Fee)

This article has been corrected. See notes at the end.Paradigm Specialty Networks functions as a twisted sort of toll collector, inserting itself ...

CA: JPMorgan’s InstaMed Leaves Gallagher Bassett Out of Compliance

Third-Party Administrator (TPA) Gallagher Bassett has failed to send electronic Explanations of Review (e-EORs) in response to thousands of providers’ electronic bills (e-bil...

CA: How Paradigm Intercepts Employers’ Comp Dollars

This article has been corrected. See notes at the end.Private equity is profiting from funds intended for the care of injured workers. California employers, regulators...

CA DWC’s List of “Active” MPNs Lists a Single MPN

Last week, daisyNews documented how Employers Compensation Insurance Company denied bills by questionably citing MPN non-membership,...

CA Providers: Good Luck Fighting MPN Payment Denials

Yesterday, daisyNews shared data on payment denials citing non-membership in Medical Provider Networks (MPNs) and, in multiple cases, showed that ...

CA: Suspicious MPN Payment Denials Are Rampant

In California, Medical Provider Networks (MPNs) theoretically allow employers and their comp insurers to ensure that injured workers receive appropriate care at reasonable co...

TX DWC to Host Second Round of 2026 Provider “Boot Camp”

The Texas Division of Workers' Compensation (TX DWC) will host the second installment of its 2026 Health Care Provider Boot Camp starting June 9. This free, eight-part...

Paradigm’s 96-Page “Frankenstein” EOR Covers ~400 Bills

Paradigm Specialty Networks created a 96-page Frankenstein’s monster of an Explanation of Review (EOR), stitched together from hundreds of bills for mult...