Most Recent Articles

Liberty Mutual and a Cautionary Tale of Payment Woes

Today we’re sharing a maddening and all-too-common story of payment woes, this time featuring Liberty Mutual as the miscreant that just won’t pay a bill correctly -- despite ...

Huntington Hospital & City of Beverly Hills Change TPAs

Attention providers: two California employers switched third-party administrators (TPAs).Huntington Hospital transferred claims from Sedgwick to AthensCity of B...

York (aka Sedgwick) Fails Math: EORs Literally Don't Add Up

York Risk Services, which was acquired this month by Sedgwick, has significant math troubles. York recently returned Explanations of Review (EORs) which obfuscated the effect...

San Francisco MTA Switches Bill Review

San Francisco Municipal Transportation Agency (SFMTA) switched bill review services, from Mitchell to EK Health.The change is effective August 29, and affects bills fo...

IBR Stats Show Why Fighting Incorrect Reimbursement Is Worth It

In California, it can be entirely too difficult for providers to collect proper reimbursement for treating injured workers. Among the many reasons for this unfortunate realit...

Claims Admins EXPLOIT Lack of Regulations in Timely Filing Law

In 2016, California State Bill 1160 was signed into law, instituting new timely filing requirements for workers’ comp medical treatment bills. Since 2017, Labor Code Section ...

Liberty Mutual, Gallagher Bassett, Chubb Scoff at CA IBR Rules

It’s still happening: claims administrators including Liberty Mutual, Gallagher Bassett, and Chubb are ignoring the rules regarding Independent Bill Review (IBR), brazenly re...

Technical Difficulties Trouble San Diego Bill Review Switch

The City of San Diego, a self-insured, self-administered California employer, is in the process of switching bill review services from Genex to Medata. The transition, though...

South San Francisco, Marin County Change TPAs

Two municipal employers in California switched third-party administrators (TPAs). Both the City of South San Francisco and the County of Marin transferred claims from TriStar...

SCIF, CorVel IBR Withdrawal Requests Create ENORMOUS Hassles for Providers

The billing lesson for today: providers should never agree to withdraw a request for Independent Bill Review (IBR), no matter how sweetly the payor begs. Trust us; we’ve lear...

Select Staffing: Changes TPA and Claim Numbers

Attention California providers: Select Staffing no longer uses CorVel as its Third-Party Administrator (TPA).Effective July 1, 2019, Broadspire administers all claims ...

CNA, Crum & Forster, County of San Diego: e-EORs Not Optional

As California continues its transition to fully paperless workers’ comp billing and payment, some claims administrators have apparently decided to follow their own regulation...