Most Recent Articles

New CA Med-Legal Fee Schedule Effective April 1
Mar 31, 2021
New CA Med-Legal Fee Schedule Effective April 1
California’s Office of Administrative Law (OAL) issued final approval of the revamped Medical-Legal Fee Schedule (MLFS) for workers’ compensation, effective for dates of serv...
Medical-Legal Cheat Sheet for CA Workers' Comp
Apr 1, 2021
Medical-Legal Cheat Sheet for CA Workers' Comp
It’s official: California workers’ compensation has a new Medical-Legal Fee Schedule (MLFS). The updated MLFS is effective for dates of service on or after April 1, 20...
2021 CA Med-Legal Billing Codes Pocket Guide
Apr 8, 2021
2021 CA Med-Legal Billing Codes Pocket Guide
California has a new Medical-Legal Fee Schedule (MLFS), effective April 1. To help medical-legal evaluators and their staff navigate these (drastic) changes, we created a dow...
ML200 - Pacific Compensation Insurance Company: Grade F
Apr 1, 2021
ML200 - Pacific Compensation Insurance Company: Grade F
Claims administrator failed to properly reimburse ML200. Pacific Compensation Insurance Company incorrectly denied valid medical-legal code as not reimbursable. Date of Servi...
Introducing: CA Med-Legal Fee Schedule Report Cards
Apr 29, 2021
Introducing: CA Med-Legal Fee Schedule Report Cards
At DaisyBill, we strive to help providers and their staff navigate the complexities of workers’ comp billing and payment, to ensure proper reimbursement. To that end, we’re d...
ML201 - Sedgwick Claims Management Services: Grade B
Apr 1, 2021
ML201 - Sedgwick Claims Management Services: Grade B
Claims administrator properly processed reimbursement for ML201. The lower grade reflects that the explanation of review (EOR) incorrectly lists 99199 as the ‘Reimbursed Code...
ML201 / MLPRR - Sedgwick Claims Management Services: Grade F
Apr 1, 2021
ML201 / MLPRR - Sedgwick Claims Management Services: Grade F
Claims administrator failed to properly reimburse ML201 and MLPRR. Sedgwick incorrectly denied valid medical-legal codes as “not in the fee schedule.” Date of Service: 04/06/...
ML200 - Sedgwick Claims Management Services: Grade A
Apr 1, 2021
ML200 - Sedgwick Claims Management Services: Grade A
Claims administrator properly processed reimbursement for ML200. Date of Service: 04/07/2021
ML200 - Berkshire Hathaway Homestate Companies: Grade B
Apr 1, 2021
ML200 - Berkshire Hathaway Homestate Companies: Grade B
Claims administrator properly processed reimbursement for ML200. The lower grade reflects that the explanation of review (EOR) incorrectly lists 99199 as the ‘Procedure Code/...
ML201 - Benchmark Insurance Company: Grade A
Apr 1, 2021
ML201 - Benchmark Insurance Company: Grade A
Claims administrator properly processed reimbursement for ML201. Date of Service: 04/01/2021
ML201 - ESIS, Inc.: Grade A
Apr 1, 2021
ML201 - ESIS, Inc.: Grade A
Claims administrator properly processed reimbursement for ML201. Date of Service: 04/01/2021
ML200 - Mitsui Sumitomo Insurance: Grade A
Apr 1, 2021
ML200 - Mitsui Sumitomo Insurance: Grade A
Claims administrator properly processed reimbursement for ML200. Date of Service: 04/02/2021