accūrō Solutions: Proactive Bill Review Improves Compliance for Payers

accūrō Solutions: Proactive Bill Review Improves Compliance for Payers

It’s not all bad news in the world of workers’ comp billing.

While daisyNews regularly holds payers and their vendors accountable for their failures, some companies demonstrate a genuine, good-faith commitment to honoring their obligations to providers and injured workers.

Case in point: bill review service accūrō Solutions.

accūrō has a longstanding habit of periodically contacting daisyBill to check in on compliance and technical performance. Recently, when problems with electronic Explanations of Review (e-EORs) and electronic acknowledgments for Second Review appeals surfaced for several of accūrō’s clients, we didn’t have to chase this vendor down.

Instead, we simply shared our data demonstrating the Electronic Data Interchange (EDI) issues. In response, accūrō immediately got to work on solutions. In each case, we eventually saw significant compliance improvement.

Below, we share how accūrō stepped up to resolve issues on behalf of payers, including Athens Administrators, LWP Claim Solutions, and Pacific Claims Management. These payers, who are legally responsible for their vendors' actions, are fortunate to have a bill review service that takes a proactive approach.

accūrō Tackles e-EOR Problems

For e-billing to function properly, e-EORs are critical. These files automatically post payment details to the provider’s e-billing system, a process that practice staff would otherwise have to conduct manually.

In fact, e-EORs save so much time and administrative work for providers that e-EOR compliance is the single biggest factor in every payer’s EDI “Grade,” which daisyBill assigns and publishes based on how well each payer handles providers’ e-bills.

In August and September of 2025, daisyBill noticed problems with e-EORs from some of accūrō’s Third-Party Administrator clients. Some e-EORs contained balance errors, i.e., the amounts reflected in the e-EORs differed from the actual payment amounts providers received.

Within weeks of reporting the e-EOR balance errors to accūrō, accūrō identified the underlying problem, determined a solution, and shared the anticipated timeline for resolving the issue.  These were not hollow assurances; as the data below show, e-EOR balance errors drastically reduced for accūrō clients LWP and Pacific Claims Management.

For LWP, balance errors dropped from a high of 44% of e-EORs to just 3% in January 2026.

e-Bill Submission Month

LWP e-Bill Submissions

LWP e-EOR Balance Errors

% of LWP e-EORs With Balance Errors

2025-08

2,234

876

39%

2025-09

2,702

1,160

43%

2025-10

2,913

1,280

44%

2025-11

2,172

88

4%

2025-12

2,387

59

2%

2026-01

2,300

72

3%

For Pacific Claims, Management, balance errors dropped from a high of 37% to 19%.

e-Bill Submission Month

Pac Claims e-Bill Submission Count

Pac Claims 835 Balance Errors - Posted

Pac Claims 835 Balance Errors - Posted %

2025-08

892

300

34%

2025-09

795

296

37%

2025-10

1,074

329

31%

2025-11

760

30

4%

2025-12

802

101

13%

2026-01

818

153

19%

Obviously, these issues are not entirely resolved; however, the reduction in balance errors is proof of the one thing that matters most: accūrō is “actively working,” in their words, on a fix to help ensure its clients’ compliance.

Second Review Appeals

Another accūrō client, Athens, was issuing electronic acknowledgments indicating rejection of daisyBill providers’ Second Review appeals.  

Once again, daisyBill reported the problem to accūrō. Once again, accūrō was up front with daisyBill about what went wrong, how they intended to fix it, and when to expect resolution.

Again, the data show that accūrō wasn’t just talking the talk: improper Second Review appeal rejections from Athens plummeted starting in November 2025. accūrō reports implementing an additional fix as of March 6, 2026; we anticipate the rate of improper rejections will reduce even further.

e-Bill Submit Month

Athens e-Bill Submission Count

Second Review Reject Count

Second Review Reject %

2025-01

5,557

263

5%

2025-02

5,214

280

5%

2025-03

5,519

279

5%

2025-04

5,831

382

7%

2025-05

5,524

261

5%

2025-06

5,496

467

9%

2025-07

6,573

436

7%

2025-08

6,630

275

4%

2025-09

7,191

339

5%

2025-10

8,428

207

3%

2025-11

6,922

68

1%

2025-12

6,847

68

1%

2026-01

6,917

52

1%

Why This Is Great News for Providers

Regular daisyNews readers have witnessed our tireless efforts to badger payers into compliance with California workers’ comp payment laws and regulations. Far too often, especially with the CA DWC failing in its enforcement duties, all we can do is document and publicize violations that continue unchecked.

However, where state enforcement fails, professionalism and basic decency can shine through. accūrō is a perfect example, and not for the first time.

In California, payers are 100% responsible for e-billing compliance. As the CA DWC Electronic Medical Billing and Payment Companion Guide states (emphasis ours):

“Billing agents, electronic billing agents, third party administrators, bill review companies, software vendors, data collection agents, and clearinghouses are examples of companies that may have a role in electronic billing. Entities or persons using agents are responsible for the acts or omissions of those agents executed in the performance of services for the entity or person.”

One of the simplest actions a payer can take to ensure compliance is to work with responsible, professional, competent vendors. LWP, Athens, and Pacific Claims Management may make occasional missteps, but their choice of bill review vendor isn’t one of them.


daisyBill tracks every response to every e-bill, so you know when payers break the rules. Click below to learn more:

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1 Reader Comments
Tiffany C.

North American Risk Services used to use Accuro and they were a breath of fresh air to work with! So sad to see them go! Hopefully more claims administrators will pick them up in the future!

Published 02:08PM March 24, 2026

DaisyBill provides content as an insightful service to its readers and clients. It does not offer legal advice and cannot guarantee the accuracy or suitability of its content for a particular purpose.