Most Recent Articles
Feb 20, 2019
SCIF (CA) Incorrectly Paying 2018 Fee Schedule for 2019 DOS
It’s SCIF’s turn. The California State Compensation Insurance Fund (SCIF) is also incorrectly reimbursing providers using the 2018 Physician Fee Schedule instead of the corre...
Feb 22, 2019
2018 Average Days to Payment for Medical Treatment Bills
In 2018, for California medical treatment bills submitted using DaisyBill software, the average processing time is 11 days for the top 20 claims administrators by volume. We’...
Feb 27, 2019
2018 Average Med-Legal Days to Pay
In 2018, for California medical-legal bills submitted using DaisyBill software, the average processing time is 13 business days to receive payment for the top 20 claims admin...
Mar 1, 2019
📬 Payer Responses: Guile, Waiting, and Crickets 🏏
Today we report on the responses from Sedgwick, Liberty Mutual, York, and State Compensation Insurance Fund (SCIF), following our posts detailing their systematic underpaymen...
Mar 5, 2019
2018 Average Days to Payment for Interpreter & Copy Services
Last year, more than 107,000 interpreter and copy service bills were processed by DaisyBill. The top 20 claims administrators took an average of 10 business days to process t...
Mar 12, 2019
2018 Average Days to Payment for Facility Bills
Last year, for facility bills submitted through DaisyBill payment was received, on average, in 17 days for the top 20 California workers’ comp claims administrators. U...
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Mar 28, 2019
SCIF to Correct Payment Errors
California’s State Compensation Insurance Fund (SCIF) stepped up and promised to fix all bills affected by its mistaken use of the 2018 Official Medical Fee Schedule. ...
Apr 8, 2019
One Beacon Switches Bill Review to Genex
Effective April 1, 2019, One Beacon Insurance Group changed the company that serves as its bill review to Genex.One Beacon employs Jopari as its clearinghouse. Electro...
Apr 17, 2019
Liberty Mutual IBR Noncompliance: Unfair and Odious
After 124 days and 13 phone calls, Liberty Mutual fails to pay a $195 IBR fee ordered by Maximus. Employers need to take heed of this unlawful tale and make sure that ...
May 10, 2019
CA Work Comp Providers Overworked and, per WCRI, Underpaid
California pays its providers less than just about any other state for services rendered to injured workers. With 2,300 California provider clients, DaisyBill's number...
May 29, 2019
Let's Make This Clear: Workers' Comp Is Not Medicare
A recent post by Joe Paduda perpetuates the common but incorrect practice of analogizing workers’ comp to Medicare. In his discussion, Paduda notes that Medicare pays much le...
May 30, 2019
Ultrasound Documentation: Images NOT Required
At DaisyBill, our clients ask us for help when claims administrators improperly deny reimbursement. Recently, our clients have reported that some claims administrators are de...