Most Recent Articles
Mar 13, 2023
How to (Easily) Manage e-Bill Rejections
When electronic billing goes right (which is the vast majority of the time), there’s no faster way to get paid correctly for treating an injured worker. However, provi...
Apr 27, 2023
Sedgwick Racks Up 79,318 DWC Audit Complaints
Third-Party Administrator (TPA) Sedgwick Claims Management Services, Inc. continues to ignore California workers’ comp billing regulations with impunity.Currently, Sed...
May 3, 2023
Hartford and P2P Fail CA e-Billing
California workers’ comp has lots of complicated laws, but one law is simple: claims administrators must accept electronic bills from providers. Since claims administr...
May 8, 2023
Audit Complaints: The Hartford Has No Excuse
Making workers’ comp more efficient and effective in restoring injured workers to health should be a cooperative effort among stakeholders, not a combative one. But when an o...
May 10, 2023
MSQ Network - Payment Chaos
Today, Assembly Bill 1278 is being considered by the Appropriations Committee. This bill will grant barely-regulated network entities almost complete control over Medical Pro...
Jun 23, 2023
CA e-EOR (835) Compliance Report 2023
California workers’ comp has many complex rules — but one rule is pretty simple. When a provider transmits their workers’ comp bills electronically (e-bills), the claims admi...
Jun 26, 2023
e-EOR: Most Compliant Claims Admins 2023
Last week, we called out the 39 claims administrators that failed to adhere to California’s electronic Explanation of Review (e-EOR) requirement in 2023 so far. These claims ...
Jul 12, 2023
Tristar: 3,678 Audit Complaints Filed With CA DWC
Third-Party Administrator (TPA) Tristar Risk Management continues to ignore California workers’ comp billing regulations with impunity. Tristar failed to send electron...
Jul 25, 2023
Sedgwick Must Be Fined: An Open Letter to the CA DWC
To: California Division of Workers’ Compensation (DWC)From: daisyBillSubject: 102,498 Sedgwick Audit ComplaintsWe hope this message finds you well. We wr...
Jul 31, 2023
Audit Complaints: Zurich Rejecting Valid e-Bills
Zurich Insurance North America is failing to reimburse providers for treating injured workers.Since early June, Zurich has incorrectly rejected 745 valid e-bills submi...
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Aug 3, 2023
City of Glendale Should Treat Providers Better
California providers, take note: the City of Glendale is making it impossible for providers to submit valid electronic bills for the treatment of injured workers. This...
Aug 23, 2023
Account Analytics: Average Days to Payment
If no one tracks payment analytics for your workers’ comp bills, you’re probably missing critical information about your practice’s revenue from treating injured workers....