Blog: DaisyNews

Workers' Comp News, Data, and Insights


Bill Review Highlight: Definiti Healthcare Management

Nov 3, 2019

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...

York EORs Create Revenue Management Headaches

Oct 17, 2019

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...

Farmers Insurance Switches Bill Review

Oct 16, 2019

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...

San Francisco MTA Switches Bill Review

Sep 12, 2019

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...

Technical Difficulties Trouble San Diego Bill Review Switch

Aug 26, 2019

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...

NonCompliant CNA, Crum & Forster, County of San Diego - Electronic EORs Not Optional

Aug 8, 2019

As California continues its transition to fully paperless workers’ comp billing and payment, some claims administrators have apparently decided to follow their own regulation...

Mitchell Unresolved EOR Mess

Jul 17, 2019

A persistent glitch in Mitchell’s bill review service is causing revenue management chaos for providers. For second review appeals, providers receive electronic explanations ...

Ultrasound Documentation: Images NOT Required

May 30, 2019

At DaisyBill, our clients ask us for help when claims administrators improperly deny reimbursement. Recently, our clients have reported that some claims administrators are de...

Crum & Forster Switches Bill Review Vendor

Apr 26, 2019

According to a notice received from Crum and Forster, the insurer is no longer using Corvel for processing medical bills.Effective 4/24/2019, Conduent will be handling...

One Beacon Switches Bill Review to Genex

Apr 8, 2019

Effective April 1, 2019, One Beacon Insurance Group changed the company that serves as its bill review to Genex.One Beacon employs Jopari as its clearinghouse. Electro...

California-Specific Codes Updated for 2019

Feb 4, 2019

With the flurry of new year fee schedule changes, California updated the Physician Fee Schedule reimbursement for its state-specific codes. These codes are explained in 8 CCR...

Sedgwick Still Reimbursing at 2018 Rates for California

Feb 1, 2019

Since the beginning of 2019, Sedgwick CMS has incorrectly used the 2018 Physician Fee Schedule to reimburse providers. Our data indicates that Sedgwick is consistently and in...

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