Most Recent Articles

Beta Healthcare Group: How to Obtain Bill Status Updates
Jun 11, 2020
Beta Healthcare Group: How to Obtain Bill Status Updates
Recently DaisyBill erroneously re-published an old post regarding an issue with Alpha Fund (now known as Beta Healthcare Group) and LWP Claims Solution. In this previous 2015...
Sedgwick Fails the University of California
Sep 18, 2020
Sedgwick Fails the University of California
Today we are focusing on a self-insured employer, the University of California, and its third-party administrator, Sedgwick. Unfortunately, Sedgwick is not complying with Cal...
WorkCompEDI: Clearinghouse Fails Claims Administrators
Oct 12, 2020
WorkCompEDI: Clearinghouse Fails Claims Administrators
On Friday, DaisyBill took the unusual step of directly contacting dozens of California claims administrators. We wanted to enlist these organizations’ assistance to resolve a...
Broadspire Employers: Audit Complaint Filed With DWC
Oct 21, 2020
Broadspire Employers: Audit Complaint Filed With DWC
In a recent article, Broadspire Defies CA Law and Denies Appeals Sent by Providers, we described Broadspires’ success in defying California workers’ comp laws without consequ...
Data PROVES Electronic Billing for Workers' Comp Works
Nov 10, 2020
Data PROVES Electronic Billing for Workers' Comp Works
COVID-19 and our recent elections highlight the flaws, delays, and increasing creakiness of the US postal system. In 2020, as mail fails, electronic bill transmission offers ...
AIG: 11,000+ Violations and Counting
Nov 12, 2020
AIG: 11,000+ Violations and Counting
Earlier this year, AIG Claims, Inc. (AIG) made the switch to Carisk as its workers’ compensation electronic clearinghouse. However, and unfortunately, this change had no impa...
Gallagher Bassett, Foster Farms Lay A Rotten Egg in CA
Mar 12, 2021
Gallagher Bassett, Foster Farms Lay A Rotten Egg in CA
Update: As of April 1, 2021 Gallagher Bassett can locate and process claims for Foster Farms employees. Workers’ compensation claims for injured employees of Foster Fa...
Berkshire Hathaway Homestate Companies Switches Clearinghouse
Jul 20, 2021
Berkshire Hathaway Homestate Companies Switches Clearinghouse
Effective July 23, 2021, Berkshire Hathaway Homestate Companies (BHHC) switches its EDI clearinghouse, from Jopari to Carisk. The change will affect all bills sent electronic...
Provider Alert: Broadspire Contorts Work First Casualty Claims
Jul 22, 2021
Provider Alert: Broadspire Contorts Work First Casualty Claims
Broadspire is the designated third-party administrator (TPA) for Work First Casualty Company, a workers’ comp insurer. While Broadspire normally conducts its own internal bil...
Disneyland Replaces Bill Review Vendor
Jul 19, 2021
Disneyland Replaces Bill Review Vendor
Effective June 21, 2021, Disneyland Resorts switched its bill review vendor from Conduent to Rising Medical Solutions.The change affects all bills for all dates of ser...
Alert: Sedgwick/Availity Abrupt Split May Delay e-Bill Processing
Aug 3, 2021
Alert: Sedgwick/Availity Abrupt Split May Delay e-Bill Processing
With only hours of notice, clearinghouse Availity and third-party claims administrator (TPA) Sedgwick severed their relationship. The move may catch providers and their billi...
Audit Complaint: PacificComp Fails to Process e-Bills
Aug 4, 2021
Audit Complaint: PacificComp Fails to Process e-Bills
In California workers’ comp, a provider’s failure to adhere to the billing regulations allows the payer to refuse payment for treatment of the injured worker. But all too oft...