Most Recent Articles

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...

Blatant Disregard for IBR Law by Sedgwick, Gallagher, Athens, Helmsman

A disturbing pattern is emerging from the results of Independent Bill Review (IBR) decisions in the state of California. As usual, the problem encumbers workers’ comp provide...

Berkshire Hathaway Fails to Process Second Review Appeals

Berkshire Hathaway Homestate Companies (BHHC) is failing to process electronic second review appeals, leaving providers in an unacceptable payment limbo. The insurer incorrec...

CorVel Crash: Security Breach Leads to System-Wide Shutdown

A security incident led workers’ comp claims administrator CorVel to shut down systems nationwide last week, prompting credible rumors of a ransomware attack. As of th...

Costco, Home Depot, & Other Employers Should Be Mad as HEL*

Recently a provider shared a letter, apparently meant to intimidate, that it received from a Liberty Mutual Network Specialist, Peter Spalding. The letter threatened to kick ...

Mitchell Unresolved EOR Mess

A persistent glitch in Mitchell’s bill review service is causing revenue management chaos for providers. For second review appeals, providers receive electronic explanations ...

TPA Alert: LA County Switches Claims Administrators

Effective July 1, 2019, the County of Los Angeles is no longer utilizing third-party claims administrator (TPA) TriStar Risk Management. Claims are transferred to eith...

CA OMFS: DMEPOS Fee Schedule Update Effective 7/1/2019

In Newsline No.: 2019-53, the California Division of Workers’ Compensation (DWC) announced updates to the Official Medical Fee Schedule for Durable Medical Equipment, Prosthe...

CA OMFS Update: Pathology/Clinical Lab Fee Schedule for 7/1/2019

On July 8, 2019, California’s Division of Workers’ Compensation (DWC) ordered an update to the Pathology and Clinical Laboratory section of the Official Medical Fee Schedule ...