Most Recent Articles

Billing Alert: CA State Fund Drops TPA
Nov 12, 2025
Billing Alert: CA State Fund Drops TPA
Attention California providers: Third-Party Administrator (TPA) Acclamation Insurance Management Services (AIMS) is no longer handling workers’ comp claims for employees of t...
CA State Fund Profits Exposes WCIRB's Manufactured Crisis
Nov 11, 2025
CA State Fund Profits Exposes WCIRB's Manufactured Crisis
According to the Workers’ Compensation Insurance Rating Bureau (WCIRB), California workers’ comp insurers are caught in a death spiral of underwriting losses. However,...
Dept. of Labor: e-Billing Gets OK Practice Rapid Payment
Nov 10, 2025
Dept. of Labor: e-Billing Gets OK Practice Rapid Payment
Despite all the administrative challenges, treating injured workers can be low-hassle and financially beneficial for practices. All it takes is the right e-billing technology...
How daisyBill Automates Workers’ Comp Fee Schedule Enforcement and Second Review Appeals
Nov 8, 2025
How daisyBill Automates Workers’ Comp Fee Schedule Enforcement and Second Review Appeals
Workers’ compensation underpayments are not outliers. They are systematic, predictable, and too often unchallenged.For medical providers, the problem is not identifyin...
Can CA Employers & Taxpayers Afford Ricardo Lara?
Nov 7, 2025
Can CA Employers & Taxpayers Afford Ricardo Lara?
California employers are paying more for workers’ comp coverage even though rates are decreasing nationwide, courtesy of Insurance Commissioner Ricardo Lara. However, ...
Adminsure Billing Nightmare: Public Pays the Price for Friction (Part 2)
Nov 6, 2025
Adminsure Billing Nightmare: Public Pays the Price for Friction (Part 2)
In Part 1 of our exposé on Adminsure, we detailed the painful odyssey providers must endure just to confirm payment for the treatment of injured workers.Below, we spot...
Adminsure Makes Billing a Nightmare for Providers (Part 1)
Nov 5, 2025
Adminsure Makes Billing a Nightmare for Providers (Part 1)
Adminsure is a prime example of why providers hesitate to treat injured workers.In multiple cases, Adminsure compliantly sent an electronic Explan...
CA: Formal Request to Revoke American Zurich MPN
Nov 4, 2025
CA: Formal Request to Revoke American Zurich MPN
In October, daisyBill formally petitioned the California Division of Workers’ Compensation (CA DWC) to revoke approval for the Medical Provider Network (MPN) that American Zu...
CA DWC Ignores IBR Law, Leaves Practice Short $75K+
Nov 3, 2025
CA DWC Ignores IBR Law, Leaves Practice Short $75K+
Independent Bill Review (IBR) is supposed to protect California providers when payers refuse to correctly reimburse for injured workers’ treatment. Yet the Cali...
Colorado Workers’ Compensation Electronic Billing FAQ
Nov 1, 2025
Colorado Workers’ Compensation Electronic Billing FAQ
Beginning January 1, 2026, Colorado providers treating injured workers must bill payers electronically (e-billing). Below are some of the most common questions providers may ...
CA: Sedgwick’s Rampant Second Review Violations
Oct 31, 2025
CA: Sedgwick’s Rampant Second Review Violations
For providers, Sedgwick Claims Management Services, Inc.’s routine violations of state law and regulations make it increasingly difficult to treat injured workers. For...
Sedgwick Hits 298,034 Violations (and Counting)
Oct 30, 2025
Sedgwick Hits 298,034 Violations (and Counting)
Sedgwick Claims Management Services, Inc. continues to violate a critical California payment requirement with apparent impunity. The Third-Party Administrator (...