AmTrust
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...
Apr 2, 2024
CA UR: AmTrust & Genex Deny Care With ODG (Again)
What suffering must befall injured workers before California bothers to enforce its meager Utilization Review (UR) requirements?When considering which treatments are n...
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Mar 22, 2024
AmTrust/Genex Use ODG to Deny Pre-Op Clearance
California law instructs physicians and claims administrators to consult the Medical Treatment Utilization Schedule (MTUS), adopted from the American College of Occupational ...
Sep 15, 2022
AmTrust Addresses Electronic EOR Issue
Insurer AmTrust North America provided an excellent example of how claims administrators, working in good faith with providers, can resolve Electronic Data Interchange (EDI) ...
Jul 20, 2022
AmTrust Changes Clearinghouse, (Finally) Gets Compliant
Following years of abject failure, insurer AmTrust appears to be getting its act together to honor California workers’ comp payment requirements — but only after daisy...
May 17, 2022
AmTrust: 8,117 Additional Audit Complaints Submitted
AmTrust North America is breaking the law. We encourage the California Division of Workers’ Compensation (DWC) to assert its role in upholding workers’ comp law and to impose...
Apr 15, 2022
AmTrust: Serious Violation of CA e-Billing Law
AmTrust North America refuses to comply with the most basic workers’ comp electronic billing mandates. In that refusal, AmTrust completely undermines the purpose of workers’ ...
Apr 13, 2022
AmTrust: 31,514 Audit Complaints Submitted
AmTrust North America is breaking the law. We encourage the California Division of Workers’ Compensation (DWC) to assert its role in upholding workers’ comp law and to impose...
Sep 22, 2020
AmTrust: Audit Complaint Filed With DWC
In a recent article, AmTrust - IBR Hall of Shame, we described how AmTrust refuses to properly reimburse a provider, despite a Maximus Independent Bill Review (IBR) decision ...