Most Recent Articles

CA: Sedgwick's Flagrant Second Review Violations Continue

Third-Party Administrator (TPA) Sedgwick Claims Management Services, Inc. continues to deny California providers’ Second Review appeals at high rates for an incorrect, laugha...

CA Employers Need to Know: Is It the Injury or the UR System?

Last year, California raised employers’ workers' comp premiums by 8.7% while other states continued to cut rates, some for over a decade straight. Across the nation, premiums...

CA: Vast Majority of IBR Requests Involve Interpreter Services

Interpreterservices are vital to California workers’ comp. Unfortunately, Independent Bill Review (IBR) data suggest that interpreters face seriou...

Sedgwick Authorizes FedEx Care, Then Stiffs the Provider

Third-Party Administrator (TPA) Sedgwick Claims Management Services authorized treatment for an injured FedEx employee, and then refused to pay for it. Worse, Sedgwick won't ...

CA: What Every WCAB Attorney and Lien Rep Needs to Know

Picture this: It's a lien hearing at the Workers' Compensation Appeals Board. Defense counsel has run the numbers. Applicant's attorney has run the numbers. Both used daisyWi...

NY: Hochul Calls for “Universal” Provider Authorization

New York, its Workers’ Compensation Board (WCB), and Governor Kathy Hochul are reshaping the state’s workers’ comp system, one step at a time.Currently, providers who ...

CA: Maximus Indicates "IBR Chicken" Is Real

Maximus, the private company that the state of California contracts to conduct Independent Bill Review (IBR) to resolve workers' comp payment disputes, h...

CCMSI e-EOR Violations Create Chaos for Providers

In California and other states, payers must respond to providers' electronic bills (e-bills) with electronic Explanations of Review (e-EORs), which automatically post payment...

Alert: Providers, Opt Out of CCMSI Virtual Credit Card Payments Now

Third-Party Administrator (TPA) Cannon Cochran Management Services, Inc. (CCMSI) has partnered with MedRisk and ECHO Health, Inc. to foist Virtual Credit Card (VCC) payments ...

CA DWC to Enact Useless New UR Regulations

The California Division of Workers’ Compensation (CA DWC) will enact new regulations to (theoretically) streamline authorization for injured workers’ care, effective April 1,...

CA Fee Schedule Update: Physician Services (Q2 2026)

The California Division of Workers’ Compensation (CA DWC) issued a second-quarter update to the Physician and Non-Physician Practitioner Fee Schedule for workers’ compensatio...

TRPN DirectPay Sends Provider Dangerous “Agreement”

Three Rivers Provider Network DirectPay (TRPN) is at it again, this time faxing an unprompted and potentially dangerous Business Associate Agreement (BAA...