bill review
Oct 30, 2024
Walmart to Change Clearinghouse & Bill Review
Currently, Walmart conducts its bill review internally and directs providers to send electronic bills (e-bills) to clearinghouse vendor Data Dimensions. However, starting...
Jun 24, 2024
acūrrō Reprocesses Underpaid CA Bills
Sometimes, seeking correct reimbursement for treating injured workers doesn’t require a battle between providers and payers. Claims administrators and their vendors ca...
May 20, 2024
CopperPoint Switches Bill Review
CopperPoint Mutual, a workers’ comp insurer that self-administers its claims, changed its bill review vendor to CorVel. The change is effective fo...
Apr 4, 2022
Claims Admin Directory - New Free Resource!
Knowledge is power, and sunshine is the best disinfectant. Nowhere are these principles more true than in workers’ compensation, where for too long a convoluted, opaqu...
Feb 28, 2022
San Francisco Changes Bill Review, e-Bill Resubmissions Required
Starting February 28, 2022, Allied Managed Care replaces EK Health as the bill review vendor for the City and County of San Francisco (CCSF). Accordingly, providers must subm...
Aug 10, 2021
City of Pasadena: CompIQ Saves the Day
Following a switch to a new third-party claims administrator (TPA), the City of Pasadena violated California law by suddenly failing to accept electronic bills for the treatm...
Apr 19, 2021
Provider Warning: Prime Health Services (Part I)
Recently, a provider made the unfortunate mistake of signing a Prime Health Services (PHS) Preferred Provider Agreement contract, commonly known as a PPO agreement. While not...
Nov 3, 2019
Bill Review Highlight: Definiti Healthcare Management
Over the last several years, providers have sent over 5.2 million workers’ comp bills from DaisyBill. These millions of bills allow DaisyBill to directly witness the manageme...
Oct 17, 2019
York EORs Create Revenue Management Headaches
York Insurance has repeatedly reported incorrect payment amounts in recent Final Explanations of Review (EORs), which are issued in response to second review appeals. These F...
Oct 16, 2019
Farmers Insurance Switches Bill Review
Effective October 14, Farmers Insurance switched bill review services, from CorVel to Mitchell.This change affects bills for all dates of service. Claim numbers remain...
Sep 12, 2019
San Francisco MTA Switches Bill Review
San Francisco Municipal Transportation Agency (SFMTA) switched bill review services, from Mitchell to EK Health.The change is effective August 29, and affects bills fo...
Aug 26, 2019
Technical Difficulties Trouble San Diego Bill Review Switch
The City of San Diego, a self-insured, self-administered California employer, is in the process of switching bill review services from Genex to Medata. The transition, though...