Well, this is awkward.
California’s Division of Workers’ Compensation (DWC) weighed in on incidents involving strange emails to providers from Maximus, the DWC’s designated Independent Bill Review (IBR) and Independent Medical Review (IMR) organization.
The emails bore Maximus’ name and logo but contained solicitations for providers to join Coupa, an entity with a not-entirely-clear relationship to Maximus.
In response to inquiries from daisyBill, Maximus stated that the emails were not from Maximus.
In a recent Newsline, the DWC:
Further details below.
For weeks (at least, to our knowledge), providers have received emails from Maximus/Coupa like the one below urging recipients to sign up with Coupa.
However, because the emails seemingly came from Maximus and stated “Action Required,” some providers feared that failure to comply with the email would adversely affect their ability to request IBR to resolve payment disputes.
Another email (below) Maximus sent was more explicit in stating that joining Coupa was optional, but still claimed that doing so is “highly preferred for both yourself and Maximus” [emphasis added].
At least one provider (and likely more) mistakenly signed up with Coupa due to this extended email campaign.
In response to daisyBill’s questions, Maximus did not clarify its relationship with Coupa, stating only that the emails “did not come from Maximus and can be deleted.”
But on August 25, the DWC released its Newsline, clarifying that Coupa is associated with Maximus as the entity’s “procurement system.” However, the Newline claims:
Bottom line: No provider is obligated to sign up with Coupa. As for this unfortunate, “erroneous” email marketing campaign, Maximus says it’s sorry.
That’s California workers’ comp, folks.
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