Most Recent Articles
.gif)
May 8, 2025
Helmsman Botches NBC Injury Claim—Underpays Doctor, Demands Refund Anyway (Part 2)
As daisyNews reported yesterday, Helmsman Management Services, LLC attempted to claw back payment from a California provider for plainly bogus reasons. We debunked those reas...
May 7, 2025
Helmsman's Ridiculous Refund Request (Part 1)
Why do so many doctors avoid treating injured workers? We have a perfect illustration from Helmsman Management Services LLC. This Third-Party Administrator (TPA) recently:
May 6, 2025
AmeriTrust Rejects Compliant e-Bills Over...Spacing?
Just when we think we’ve seen it all, California claims administrators find new ways to create obstacles to payment.AmeriTrust is rejecting valid electronic bills (e-b...
May 5, 2025
NEW daisyBill Feature for Texas Providers: Add a Network
Heads up, Texas providers—we added a brand-new feature to our billing software just for you!Texas daisyBill providers can now add and save a certified Workers’ Compens...
May 2, 2025
Diabolical Discounts: Disney & MultiPlan Take 56% Off Provider's Bill
Across the nation, providers struggle to treat injured workers without financially damaging their practices. The problem is especially ugly in California, where extreme reimb...
May 1, 2025
Please Advise: An Open Letter to the CA DWC (cc: CA Attorneys)
We have a question for California’s Division of Workers’ Compensation (CA attorney comments are always welcomed, too): What should a medical practice do in the followi...
.gif)
Apr 30, 2025
RAND Gets $300K for UR Study—What's the ROI?
The California Department of Industrial Relations (DIR) plans to address the state’s broken Utilization Review (UR) system—by paying frequent contract recipient RAND Corporat...
Apr 29, 2025
What Employers Choose When They Choose Sedgwick
When California employers select Sedgwick Claims Management Services, Inc. to manage their workers’ compensation claims, they choose a Third-Party Administrator (TPA) ...
Apr 25, 2025
More States Move to Expand Workers' Comp PTSD Coverage
Across the US, lawmakers are reconsidering their approach to mental health coverage under their workers’ compensation systems, particularly for first responders.Bills<...
Apr 24, 2025
Sedgwick Pays WRONG Fee Schedule Amount (Again, per Annual Tradition)
Another fee schedule update, another Sedgwick screw-up. Like clockwork, Sedgwick Claims Management Services, Inc. ignores California's fee schedule updates, shortchang...
Apr 22, 2025
daisyBill Data Proves Pharmacies Can Get Paid Fast With Direct Electronic Billing
A national pharmacy operating in multiple states is experiencing dramatically faster workers’ comp payments—thanks entirely to electronic billing (e-billing) through daisyBil...
Apr 21, 2025
CHSWC Steps Up—Tackling PTSD & Wasteful "Studies"
Last week’s meeting of California’s Commission on Health and Safety and Workers’ Compensation (CHSWC) made something clear: the Commission is serious about fixing what’s brok...