Most Recent Articles

How to e-Bill: Improperly Rejected e-Bills Explained
May 16, 2022
How to e-Bill: Improperly Rejected e-Bills Explained
All workers’ comp practices that bill electronically must be aware of a critical issue preventing payment of e-bills: clearinghouses issuing false e-bill rejections. <...
CIGA Resolves Missing e-EORs
May 18, 2022
CIGA Resolves Missing e-EORs
When claims administrators take responsibility for their actions (and the actions of their agent vendors), workers’ comp billing and payment works better. The latest example:...
Alert: LWP False e-Bill Rejections, Missing e-EORs
May 18, 2022
Alert: LWP False e-Bill Rejections, Missing e-EORs
Providers electronically billing LWP Claims Solutions, be advised that the clearinghouse utilized by this claims administrator is erroneously and systematically...
Sedgwick Resolves LA County Missing e-EORs
May 18, 2022
Sedgwick Resolves LA County Missing e-EORs
daisyBill contacted Sedgwick regarding e-bills for treatment rendered to employees of the County of Los Angeles (claims beginning with 5000 or ending in D), for...
AmTrust: 8,117 Additional Audit Complaints Submitted
May 17, 2022
AmTrust: 8,117 Additional Audit Complaints Submitted
AmTrust North America is breaking the law. We encourage the California Division of Workers’ Compensation (DWC) to assert its role in upholding workers’ comp law and to impose...
Alert: ESIS Fails to Process e-Bills Due to (Their) Document Error
May 19, 2022
Alert: ESIS Fails to Process e-Bills Due to (Their) Document Error
A daisyBill provider client recently brought to our attention systemic e-billing non-compliance by Third-Party Administrator (TPA) ESIS, Inc. Specifically, ESIS denied paymen...
Major e-Bill Failure for Data Dimensions Clients
May 25, 2022
Major e-Bill Failure for Data Dimensions Clients
One hundred claims administrators, all of which use Data Dimensions as their designated clearinghouse, are suddenly failing to comply with California e-billing requirements. ...
Data: e-Bill 277 Acknowledgement Compliance Rates
Jun 1, 2022
Data: e-Bill 277 Acknowledgement Compliance Rates
To facilitate electronic billing for workers’ comp, California requires claims administrators to confirm receipt of provider e-bills with a standardized electronic acknowledg...
Data: e-EOR Compliance Rates
Jun 1, 2022
Data: e-EOR Compliance Rates
To facilitate electronic billing for workers’ comp, California requires all claims administrators to respond to provider e-bills with electronic EORs (e-EORs). Within 15 work...
Sedgwick Late e-EORs: 13,999 Audit Complaints Submitted
Jun 23, 2022
Sedgwick Late e-EORs: 13,999 Audit Complaints Submitted
Sedgwick Claims Management Services is breaking the law. We encourage the California Division of Workers’ Compensation (DWC) to assert its role in upholding workers’ comp law...
Sedgwick Missing e-EORs: 25,970 Audit Complaints Submitted
Jun 23, 2022
Sedgwick Missing e-EORs: 25,970 Audit Complaints Submitted
Sedgwick Claims Management Services is breaking the law. We encourage the California Division of Workers’ Compensation (DWC) to assert its role in upholding workers’ comp law...
SCIF Stiffs Doc by Paying AFTER Request for IBR
Jul 12, 2022
SCIF Stiffs Doc by Paying AFTER Request for IBR
In a classically underhanded move, California’s State Compensation Insurance Fund (SCIF) twice denied payment for the authorized treatment of an injured worker, but then sudd...