Most Recent Articles

CA: Vast Majority of IBR Requests Involve Interpreter Services

Interpreterservices are vital to California workers’ comp. Unfortunately, Independent Bill Review (IBR) data suggest that interpreters face seriou...

CA: Sedgwick's Flagrant Second Review Violations Continue

Third-Party Administrator (TPA) Sedgwick Claims Management Services, Inc. continues to deny California providers’ Second Review appeals at high rates for an incorrect, laugha...

CA IBR Chicken 2.0: Gallagher Bassett and JPMorgan Turn IBR Into a Provider Trap

Gallagher Bassett, one of the largest Third-Party Administrators (TPAs) in the country, and its vendor, JPMorgan, may be derailing California providers' ...

CA IBR Chicken 3.0: Sedgwick’s New Way to Contort Dispute Process

Leave it to Sedgwick Claims Management Services, Inc. to pioneer yet another way to contort Independent Bill Review (IBR), the process by which California providers enlist th...

Liberty Mutual Plays “IBR (and IMR) Chicken” on UPS Claim

Two unfortunate necessities exemplify the broken state of California’s dysfunctional workers’ comp system:Too often, payers deny an injured worker's care, and the work...

CA Providers: Good Luck Fighting MPN Payment Denials

Yesterday, daisyNews shared data on payment denials citing non-membership in Medical Provider Networks (MPNs) and, in multiple cases, showed that ...

The Hartford Doubles Down on Improper Payment Denials (Part 1)

California law requires insurers to honor authorization for medically necessary treatment as a legally binding, non-rescindable guarantee of reimbursement. The Hartford is ei...

The Hartford Doubles Down on Improper Payment Denials (Part 2)

California consistently fails to uphold one of the most important legal principles of its workers’ comp system: treatment authorization assures payment to the healthcare prov...

Sentry Insurance’s “IBR Chicken” Marathon

As regular daisyNews readers know, there’s an unfortunate quirk to California’s Independent Bill Review (IBR) process, in which providers ask the state to resolve disputes ov...

Sedgwick Ignores IBR Ruling, Leaves Bill Underpaid

In our experience, Sedgwick Claims Management Services, Inc. isn’t known for consistently paying providers correctly or adhering to California payment laws and regulations. <...

CA IBR Ordered Payers to Remit $2M+ in 2026 So Far

Independent Bill Review (IBR) cases in the first six months of 2026 resulted in payers being ordered to send additional reimbursements to California providers totaling...

Second Review Snub: The New Payment Denial Strategy

California law requires payers to respond to a provider’s Second Review appeal within 14 days. If a payer fails to respond, no regulation prohibits the provider from submitti...