Most Recent Articles

AmTrust MPN Magic Denies Payment
Jun 18, 2024
AmTrust MPN Magic Denies Payment
Welcome to California workers’ comp, where claims administrators can use even the most demonstrably, objectively, provably untrue assertions to deny payment to a provider—wit...
DWC's Updated IBR Form - F Is for Fail
Jul 16, 2024
DWC's Updated IBR Form - F Is for Fail
California’s Division of Workers’ Compensation (DWC) recently updated Form IBR-1, which providers use to request an Independent Bill Review (IBR)—but did so without publicizi...
CA DWC & Maximus Rig IBR to Hand Sedgwick the Win
Jul 30, 2024
CA DWC & Maximus Rig IBR to Hand Sedgwick the Win
The California Division of Workers’ Compensation (DWC), nominally responsible for enforcing workers’ comp laws, regulations, and rules for all parties involved, continues to ...
Medata Harrasses CA Provider for Requesting IBR
Aug 6, 2024
Medata Harrasses CA Provider for Requesting IBR
Medata, which conducts bill review for the City of Los Angeles, just gave a master class in how claims administrators’ vendors bully providers who are simply trying to receiv...
CA Interpreter Service DOUBLES Revenue With Second Review Appeals
Aug 26, 2024
CA Interpreter Service DOUBLES Revenue With Second Review Appeals
For California workers’ comp providers, no billing strategy produces more revenue with less effort than consistently submitting Second Review appeals. This is especial...
CA: Alert - IBR Filing Fee to Increase in 2025
Nov 21, 2024
CA: Alert - IBR Filing Fee to Increase in 2025
Pursuing correct payment for treating injured workers is about to get even more expensive for California providers.When a claims administrator incorrectly denies or re...
CA Providers Routinely Stiffed for IBR Filing Fee
Nov 22, 2024
CA Providers Routinely Stiffed for IBR Filing Fee
As reported yesterday, California providers' filing fee to request Independent Bill Review (IBR) will increase from $180 to $195 in 2025.IBR is the process by w...
Sedgwick "Duplicate" Bills Make A Mockery of CA Law, DWC & Providers
Dec 4, 2024
Sedgwick "Duplicate" Bills Make A Mockery of CA Law, DWC & Providers
Sedgwick Claims Management Services, Inc., a Third-Party Administrator (TPA) of workers’ comp claims, has set a horrifying new standard for how claims administrators c...
Audit Complaint: Sedgwick - 5,415 Violations Reported
Dec 10, 2024
Audit Complaint: Sedgwick - 5,415 Violations Reported
Once again, daisyBill has filed a formal Audit Complaint with the California Division of Workers’ Compensation (CA DWC) against Sedgwick Claims Management, Inc.The Thi...
CA: IBR Fee Increase - DWC Web Page Lists Wrong Amount
Feb 24, 2025
CA: IBR Fee Increase - DWC Web Page Lists Wrong Amount
In 2025, California providers must pay more to file for Independent Bill Review (IBR) to dispute improper reimbursements from payers, due to an increased IBR filing fee. ...
$18 Million Battle: How California’s Rigged Workers’ Comp System Cheats Providers
Feb 28, 2025
$18 Million Battle: How California’s Rigged Workers’ Comp System Cheats Providers
The 2024 data are in, and they paint a grim picture for every California provider treating injured workers. The numbers prove beyond a doubt that California’s workers’...
Sedgwick’s Abuse of Providers Should Terrify Employers
Mar 27, 2025
Sedgwick’s Abuse of Providers Should Terrify Employers
A question for California employers: If Sedgwick Claims Management Services, Inc. (Sedgwick) treats doctors as poorly as our data reveal, what is the impact on your injured e...