CA DWC Updates MPN List

CA DWC Updates MPN List

The California Division of Workers’ Comp (DWC) recently updated its list of approved Medical Provider Networks (MPNs).

The DWC added five new MPNs to the list, and changed the status of 31 existing MPNs. daisyBill software, as well as the MPN information in our free Claims Administrator Directory, has been updated with the latest information.

For the details of the most recent update, see below.

MPNs: The Bane of CA Workers’ Comp

The DWC list now includes 2,475 MPNs, any of which can be active, revoked, withdrawn or terminated at any given time. Employers and insurers can add or remove providers from MPNs at a whim, making it exceedingly difficult for providers to determine their MPN inclusion (or lack thereof).

MPNs — originally a way for employers to establish a preferred circle of providers to treat their employees — has devolved into an impenetrable labyrinth used by claims administrators and other “entities” to bully providers into discounts, jerk patients from one provider to another, and illegally withhold reimbursement for authorized services.

Of course, every attempt by California legislators to rein in the hydra-headed MPN monster runs directly into a concrete wall. A bill to replace the MPN system with a statewide network open to all workers was kneecapped, while another that would have required employers to share MPN information with workers was rewritten to focus on unrelated issues.

July 2022 MPN Update

Below, see the newly added MPNs, as well as existing MPN status changes, as reported by the DWC.

daisyWizard’s MPN data has been updated accordingly; non-daisyBill clients can access MPN information by claims administrator on our Claims Administrator Directory, which is free and publicly available to all.

New CA MPNs as of July 1, 2022

MPN ID

Applicant Name

Applicant Type

MPN Name

MPN Status

Approval Date

Claims Administrator

3156

OCM Coastal Acquisition Co., LLC

Entity that provides physician network services

Equian MPN By Harbor Health

approved

4/26/2022

Unable to match

3162

Enstar (US) Inc.

Entity that provides physician network services

Allianz Resolution Management Coventry Select MPN

approved

4/11/2022

Allianz

3165

OCM Coastal Acquisition Co., LLC

Entity that provides physician network services

Sedgwick/Harbor MPN - CMHS Best Outcomes

approved

5/18/2022

Sedgwick Claims Management Services

3175

California Agricultural Network, Inc.

Group of Self-Insured Employers

California Agricultural Network, Inc. MPN

approved

6/13/2022

Intercare Holdings Insurance, Inc.

3176

County Of Merced

Self-Insured Employer

County Of Merced MPN

approved

6/17/2022

Pegasus Risk Management Services

Updated MPN Status as of July 1, 2022

MPN ID

MPN Name

Previous Status

Current Status

218

First Health Select Network

approved

terminated

2249

Coventry Medical Provider Network

suspended

terminated

2364

ACE American/BBSI MPN

approved

suspended

3073

Alternative Service Concepts Select MPN

suspended

terminated

2275

Sierra MPN

approved

suspended

3076

Berkley Care Network Select

approved

suspended

2245

Coventry Medical Provider Network

suspended

terminated

29

First Health Comp America Select HCO

suspended

terminated

3049

Matrix MPN

suspended

terminated

3099

Matrix KOJ MPN

suspended

terminated

3112

Medex Advantage- Freedom Properties-Hemet MPN

approved

withdrawn

3116

Medex Advantage-Casa Pacifica Dba Freedom Village MPN

approved

withdrawn

3101

MEDEX Advantage-CR&R MPN

approved

terminated

3093

Healthcare Services Group MPN

suspended

terminated

3091

Sedgwick/Harbor MPN - Kroger

suspended

approved

2328

Arissa/Harbor MPN

approved

suspended

2244

Coventry Medical Provider Network

suspended

terminated

34

First Health Select MPN

verify

terminated

2247

Coventry Medical Provider Network

suspended

terminated

3066

Paladin Primary Medical Provider Network (CA)

approved

terminated

3078

Allianz Resolution Management Coventry Select MPN

approved

terminated

3102

Pitman Family Farms MPN

approved

suspended

3103

CorVel/PCIH/BB&T MPN

approved

suspended

1017

First Health Comp America Select And Kaiser-on-the-Job Network

suspended

terminated

127

First Health CompAmerica Select Network

suspended

terminated

2384

CorVel MPN

approved

suspended

3071

CorVel MPN

suspended

terminated

2347

Deseret Signature MPN

approved

suspended

3080

CorVel MPN

suspended

terminated

2246

Coventry Medical Provider Network

suspended

terminated

1571

First Health CompAmerica Select Network

suspended

terminated


Protect your practice. Harness the power of daisyBill software, data, and expertise for faster, better workers’ comp billing. Reach out to learn how we can help.

CONTACT US

How did you like the article ?

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.