Most Recent Articles

CA: RAND Finds SB 1160 Had Little Impact on UR

As daisyNews reported previously, California’s Department of Industrial Relations (DIR) paid RAND $300,000 to study the impact of Senate Bill 1160 on Utilization Review (UR),...

Zurich: Blind to Its Own Treatment Authorization

In California workers’ comp, providers cannot render treatment without obtaining authorization from the payer. Accordingly, authorization is legally defined as a non-rescinda...

CWCI Cumulative Trauma Report: Where’s the Data?

A new report from the California Workers’ Compensation Institute (CWCI) is reverberating across the industry, with the organization purporting to document a shocking rise in ...

Insurers Are Fleecing CA Employers: Virginia Edition

Virginia will likely cut the premium rates employers pay to maintain workers’ comp coverage, thanks to a proposed decrease to the state’s advisory loss cost levels from the N...

CA: West Bend Insurance's EOR Non-Compliance

West Bend Insurance Company (WBIC) is not among the largest payers in our systems, handling less than 500 of our providers’ bills annually. That doesn’t ...

CA: Don’t Waste Your Time on RAND’s UR Study

If California’s Department of Industrial Relations (DIR) had taken $300,000 of taxpayer money, thrown it into a gravel pit, and set it on fire, it would have been only slight...

Sedgwick Continues to Fail FedEx (and CA Providers)

FedEx is a massive American company with over half a million employees. The shipping giant has chosen to entrust Sedgwick Claims Management Services, Inc...

Sedgwick’s Sloppy Handling of Starbucks Claims

Is Sedgwick Claims Management Services, Inc. even trying?The Third-Party Administrator (TPA) is the largest in workers’ comp, managing claims for a massive portfolio o...

Safeway: Sedgwick & Apricus Create Billing Havoc

For providers treating injured workers, it’s often hard enough to deal with Third-Party Administrator (TPA) Sedgwick Claims Management Services, Inc., whose consistent non-co...

CHSWC: Three Reasons the CA MPN System Is a Failure

At a meeting of California’s Commission on Health and Safety and Workers’ Compensation (CHSWC), a payer and network advocate argued that the state’s chaotic Medical Provider ...

Liberty Mutual Celebrates “Payment Holidays” Instead of Reimbursing Providers

Liberty Mutual failed to pay multiple bills for an injured California worker’s treatment, only for daisyCollect to discover (again) that th...

Sedgwick: Apricus “Posting Delay” Leaves Provider Unpaid for Months

Providers continue to get squeezed between the twin incompetencies of Third-Party Administrator (TPA) Sedgwick Claims Management Services, Inc. and network payer Apricus....