california division of workers' compensation

CA: Formal Request to Revoke American Zurich MPN

In October, daisyBill formally petitioned the California Division of Workers’ Compensation (CA DWC) to revoke approval for the Medical Provider Network (MPN) that American Zu...

CA DWC Ignores IBR Law, Leaves Practice Short $75K+

Independent Bill Review (IBR) is supposed to protect California providers when payers refuse to correctly reimburse for injured workers’ treatment. Yet the Cali...

CA: Sedgwick’s Rampant Second Review Violations

For providers, Sedgwick Claims Management Services, Inc.’s routine violations of state law and regulations make it increasingly difficult to treat injured workers. For...

Sedgwick Hits 298,034 Violations (and Counting)

Sedgwick Claims Management Services, Inc. continues to violate a critical California payment requirement with apparent impunity. The Third-Party Administrator (...

CA DIR to Blow $1.25M On (Another) Questionable Comp Study

The California Division of Workers’ Compensation (CA DWC) is set to waste $1,250,000 in taxpayer dollars on a faulty “study” of non-existent data.The Department of Ins...

CA DWC Fails, Vendors Thrive, Employers Pay More

Fact: In California workers’ comp, the claims administrator is legally responsible for compliance with state laws and regulations, regardless of any outside vendor or agent t...

CA DWC's MPN List Disappears Yet Again

Leave it to the California Division of Workers’ Compensation (CA DWC) to fumble a relatively straightforward (but essential) task…over and over and over. The state age...

Sedgwick (Still!) Owes CA Practice $500k+ After Bogus PPO Discounts

Sedgwick Claims Management Services,Inc. has withheld hundreds of thousands of dollars in reimbursement from a single California orthopedic practi...

Accelerated Claims Breaks CA Law, Only Accepts Bills by Mail

A Third-Party Administrator (TPA) has one relatively straightforward job: to handle injured workers’ claims on behalf of an employer or insurer.Accelerated Claims Serv...

WCIRB's "Industry Stats" Report: Unverifiable, Outdated Data

California’s Workers’ Compensation Insurance Rating Bureau (WCIRB) is at it again, releasing a “new” report full of questionable, outdated, insurer-provided data that no outs...

MD to ESIS: Remove Us From Your MPN

A California provider will no longer treat injured workers if ESIS, Inc. is the claims administrator.The provider apparently concluded that membership in the Third-Par...

CA DWC Ignores Law and Leaves Ortho Practice Unpaid

In California, when a provider pays $195 to request Independent Bill Review (IBR) to dispute an incorrect payment, the California Division of Workers’ Compensation (CA DWC) h...