california division of workers' compensation

CA DWC's MPN List Disappears Yet Again
Oct 7, 2025
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
Oct 6, 2025
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
Oct 3, 2025
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WCIRB's "Industry Stats" Report: Unverifiable, Outdated Data
Sep 9, 2025
WCIRB's "Industry Stats" Report: Unverifiable, Outdated Data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Workers’ Compensation Insurance Rating Bureau (WCIRB) is at it again, releasing a “new” report full of questionable, outdated, insurer-provided data that no outs...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
Aug 25, 2025
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
Aug 19, 2025
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...
CA DWC: Routinely Violating IBR Law - Failing to Protect Doctors
Aug 12, 2025
CA DWC: Routinely Violating IBR Law - Failing to Protect Doctors
Statewide records show that the California Division of Workers’ Compensation (CA DWC) routinely and brazenly violates a critical law legislators put in place to protect provi...
WCIRB’s Flawed Data Means Higher Premiums for CA Employers
Aug 5, 2025
WCIRB’s Flawed Data Means Higher Premiums for CA Employers
Insurers control the narrative around California’s workers’ compensation—and it’s costing the state’s employers more every year.Annually, the Workers’ Compensation Ins...
Sedgwick’s Shell Game? 139 CA Employers Exposed
Aug 4, 2025
Sedgwick’s Shell Game? 139 CA Employers Exposed
A California workers’ comp physician recently received eight checks totaling $110,858 from Careworks, a vendor affiliated with Third-Party Administrator (TPA) Sedgwick.
Provider Alert: Coventry's MPN Site Is a Security Joke—and a Legal Disaster
Jul 29, 2025
Provider Alert: Coventry's MPN Site Is a Security Joke—and a Legal Disaster
Coventry is brazenly violating California law—and it’s impossible to tell whether it’s the result of astonishing incompetence or outright disregard for basic security and com...
Sedgwick: CA Doctors Still Waiting for Purloined PPO Reimbursement
Jul 16, 2025
Sedgwick: CA Doctors Still Waiting for Purloined PPO Reimbursement
In January, Sedgwick Claims Management Services, Inc. admitted to shortchanging a California orthopedic practice by hundreds of thousands of dollars—thanks to bogus Preferred...
DWC Data: Texas Delivers, California Dodges
Jun 19, 2025
DWC Data: Texas Delivers, California Dodges
The Texas Division of Workers’ Compensation (TX DWC) and the California Division of Workers’ Compensation (CA DWC) each hold a sacred public trust to oversee the treatment of...