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...