Blog: DaisyBill News

News, data, & insights about workers' comp billing

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

Sep 19, 2019

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...

Fresno USD Fails to Comply with Electronic Billing Regulations

Sep 17, 2019

For providers treating injured workers, electronic billing is by far the best billing option. For claims administrators in California, it’s not optional at all; accepting ele...

San Francisco MTA Switches Bill Review

Sep 12, 2019

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

Sep 6, 2019

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

Sep 5, 2019

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

Sep 4, 2019

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

Aug 26, 2019

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...
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South San Francisco, Marin County Change TPAs

Aug 23, 2019

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

Aug 16, 2019

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

Aug 15, 2019

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

NonCompliant CNA, Crum & Forster, County of San Diego - Electronic EORs Not Optional

Aug 8, 2019

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

Aug 5, 2019

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...

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