Authorization

The Hartford Denies Payment With Bogus MPN Claim

As daisyNews frequently explains, California's Medical Provider Network (MPN) system accomplishes nothing other than making treatment less accessible for injured worke...

Tesla Insurer Zurich Sends "Certification" Providers Can’t Trust

Treatment authorization should be a fairly straightforward process, even in the convoluted world of California workers' comp: the doctor submits a compliant request for treat...

CA: CNA "Authorization" Doesn't Authorize Anything

CNA sent a California provider a treatment authorization letter that may double as a setup for nonpayment. The letter purports to authorize care while simultane...

CA DWC to Enact Useless New UR Regulations

The California Division of Workers’ Compensation (CA DWC) will enact new regulations to (theoretically) streamline authorization for injured workers’ care, effective April 1,...

Gallagher Bassett Denies Payment for Non-Authorization (Despite Proof of Authorization)

California has a workers' compensation system in which payers can't lose.In practice, there are no penalties for refusing to pay a legitimate bill; no consequences for...

Zurich: Vague Authorization Creates More Treatment Friction

Insurer Zurich North America offered a classic example of the bureaucratic absurdity that plagues California’s treatment authorization process, issuing a baffling, time-bound...

CA RFA Hell: Affirmative Cites the Most Cynical Excuse Yet to Deny Care

What’s the most absurd, bureaucratic, procedurally abusive excuse a claims administrator ever used to deny care to an injured worker?We’ve seen our share of bad-faith ...

RAND Gets $300K for UR Study—What's the ROI?

The California Department of Industrial Relations (DIR) plans to address the state’s broken Utilization Review (UR) system—by paying frequent contract recipient RAND Corporat...

CHSWC Steps Up—Tackling PTSD & Wasteful "Studies"

Last week’s meeting of California’s Commission on Health and Safety and Workers’ Compensation (CHSWC) made something clear: the Commission is serious about fixing what’s brok...

An Open Letter to CHSWC re: UR Abuse (cc: Governor Newsom)

To the Members of the Commission on Health and Safety and Workers’ Compensation (CHSWC)CC: Governor Gavin NewsomRE: California’s Broken Utilization Review Syste...

daisyNews 2024 Top 10 Articles

It’s been another year of fighting the good fight here at daisyNews. With 2024 in the rearview mirror, let’s look back at the most popular articles that informed, expl...

NY vs CA: Treatment Authorization for Injured Workers

Every state has an obligation to ensure injured workers can access the care they need with as few roadblocks as possible. That means empowering doctors to furnish trea...