Most Recent Articles
Jun 20, 2025
City of Riverside Pays MD $31 by Triple-Stacking PPOs
This week’s Diabolical Discounter is the City of Riverside. This self-insured public employer slashed a doctor’s reimbursement for a municipal worker’s Evaluation and Managem...
Jul 1, 2025
Sedgwick: Careworks' Bulk Payments - Employers Take Note (Part 2)
Yesterday daisyNews reported on a California provider inexplicably receiving three large checks from Preferred Provider Organization (PPO) Careworks, purporting to bulk-pay 1...
Jul 16, 2025
Sedgwick: CA Doctors Still Waiting for Purloined PPO Reimbursement
In January, Sedgwick Claims Management Services, Inc. admitted to shortchanging a California orthopedic practice by hundreds of thousands of dollars—thanks to bogus Preferred...
Jul 18, 2025
Diabolical Discounts: Berkshire Hathaway's Reimbursement Roulette (Part 1)
A sad fact about California workers’ comp: once a doctor joins a Preferred Provider Organization (PPO), there’s no predicting how devastating the impact on practice revenue w...
Jul 24, 2025
Diabolical Discounts: Rampant Anthem PPO Carnage
Preferred Provider Organization (PPO) Anthem Blue Cross is enabling egregious abuse of California providers at scale. Since June, dozens of claims administrators have ...
Aug 4, 2025
Sedgwick’s Shell Game? 139 CA Employers Exposed
A California workers’ comp physician recently received eight checks totaling $110,858 from Careworks, a vendor affiliated with Third-Party Administrator (TPA) Sedgwick.
Aug 6, 2025
Starbucks, Are You Paying Attention? Sedgwick’s Numbers Don’t Match
California employers should be suspicious of Third-Party Administrator (TPA) Sedgwick’s record-keeping.A doctor (a daisyCollect client) treated a Starbucks injured wor...
Aug 8, 2025
Hyatt: Gallagher Bassett Stiffs Provider With "Denial Dump" EOR
Why provide one baseless, nonsensical reason for refusing to pay a provider when you can provide 10? That’s the approach Gallagher Bassett took when it improperly deni...