Audit Complaints
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...
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...
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...
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 ...
Oct 9, 2019
Audit Complaint Form Updated in California
Recently the California Division of Workers Compensation (DWC) updated the Audit Complaint form used by providers to report claims administrator non-compliance. The up...
Apr 19, 2018
Audit Complaints Show Workers’ Comp Providers Face Uphill Battle
In California, workers’ compensation providers face a labyrinth of billing and payment rules, and these providers struggle with an enforcement structure that favors employers...
Dec 19, 2017
Audit Complaints: Work Comp Providers Demanded Compliance in 2017
DaisyBill providers stood firm in demanding timely, correct payments in 2017 by using our Audit Complaints* Tool to report payor noncompliance.We always advocate for c...
Jun 23, 2017
Audit Complaints Reveal Non-Compliance in California Workers’ Comp
Longtime clients and blog readers know that we’re big believers in Audit Complaints*. They’re a simple way to hold claims administrators accountable, and you can file anonymo...
May 30, 2017
Sedgwick Miskeying Some Workers’ Comp Bills
It’s not often that our support team fields a question that we haven’t already seen in some way, shape, or form. Over the years, we’ve built up a rock-solid understanding of ...
Feb 14, 2017
Late Bill Payment? Collect Penalty and Interest.
The passage of Senate Bill 1175 last autumn placed a lot of emphasis on the timely filing of California workers’ comp bills. But what about timely payment? Claims administrat...
Dec 16, 2016
Four Year Flubs: Some Claims Administrators Still Reject Electronic Billing
Let’s start with some old news: Since October 2012, California claims administrators must accept electronic billing for workers’ compensation bills. Fast-forward four years, ...
Dec 13, 2016
Audit Complaints: Making Things Right in Workers’ Comp
California claims administrators have certain responsibilities when it comes to processing bills. They must issue timely and complete Explanations of Review (EORs) and paymen...