Audit Complaints

AmTrust Changes Clearinghouse, (Finally) Gets Compliant
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...
CCMSI: 7,319 Audit Complaints Filed With CA DWC
Jul 20, 2022
CCMSI: 7,319 Audit Complaints Filed With CA DWC
Using data generated by over 13,000 electronic bills sent by our provider clients in 2022, daisyBill demonstrates consistent non-compliance with California e-billing regulati...
Marriott: 2,274 Audit Complaints Filed With CA DWC
Jul 20, 2022
Marriott: 2,274 Audit Complaints Filed With CA DWC
Using data generated by over 2,400 electronic bills sent by our provider clients in 2022, daisyBill demonstrates consistent non-compliance with California e-billing regulatio...
Audit Complaint: Sedgwick 16,261 Noncompliant Second Review Responses
Jun 28, 2022
Audit Complaint: Sedgwick 16,261 Noncompliant Second Review Responses
Using data generated by tens of thousands of electronic bills sent by our provider clients, daisyBill has demonstrated consistent non-compliance with California e-billing reg...
Sedgwick Late e-EORs: 13,999 Audit Complaints Submitted
Jun 23, 2022
Sedgwick Late e-EORs: 13,999 Audit Complaints Submitted
Sedgwick Claims Management Services is breaking the law. We encourage the California Division of Workers’ Compensation (DWC) to assert its role in upholding workers’ comp law...
Berkshire Hathaway: 4,353 Audit Complaints Submitted
Apr 18, 2022
Berkshire Hathaway: 4,353 Audit Complaints Submitted
Berkshire Hathaway Homestate Companies (BHHC) is breaking the law. We encourage the California Division of Workers’ Compensation (DWC) to assert its role in upholding workers...
AmTrust: Serious Violation of CA e-Billing Law
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’ ...
AmTrust: 31,514 Audit Complaints Submitted
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...
Berkshire Hathaway: DWC Targeted Audit Needed ASAP
Jan 13, 2022
Berkshire Hathaway: DWC Targeted Audit Needed ASAP
As Berkshire Hathaway HomeState Companies (BHHC) persists in its failure to compliantly process thousands of valid Second Review appeals, the California Divisio...
AIG: 11,000+ Violations and Counting
Nov 12, 2020
AIG: 11,000+ Violations and Counting
Earlier this year, AIG Claims, Inc. (AIG) made the switch to Carisk as its workers’ compensation electronic clearinghouse. However, and unfortunately, this change had no impa...
Broadspire Employers: Audit Complaint Filed With DWC
Oct 21, 2020
Broadspire Employers: Audit Complaint Filed With DWC
In a recent article, Broadspire Defies CA Law and Denies Appeals Sent by Providers, we described Broadspires’ success in defying California workers’ comp laws without consequ...
Gallagher Bassett: Audit Complaint Filed With DWC
Oct 7, 2020
Gallagher Bassett: Audit Complaint Filed With DWC
In a previous article, we demonstrated how Gallagher Bassett ignores the California-mandated workers’ comp Official Medical Fee Schedule (OMFS). Gallagher Bassett also ignore...