California DWC

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...

CA Providers Recovered $22M in 2025

Improper denials and payment adjustments are inevitable for California providers who treat injured workers. But in 2025, California providers recovered over $22 million using...

CA Fee Schedule: 2026 'WC' Report Billing Codes

California’s Division of Workers’ Compensation (CA DWC) recently announced updates to the Physician and Non-Physician Practitioner fee schedule, effective for dates of servic...

CA DWC Administrative Director Retires - Time for Change

A surprising resignation represents a chance for Governor Gavin Newsom to fix California’s broken workers’ comp system.daisyNews has reported extensively on the abysma...

CA DWC's UR Audits: A Keyhole View of a Statewide Crisis

As early as 2016, California legislators recognized the potential for payers to abuse Utilization Review (UR), the process by which payers decide whether to deny or approve t...

How Marriott Hides Its Doctors From Its Own Injured Workers

Imagine you're a Marriott employee who gets hurt on the job. California law allows Marriott to restrict your care to doctors in its Medical Provider Network (MPN). This means...

CA Employers: Who Profits When the CA DWC Ignores the Law?

It's time to confront a fundamental problem with California's workers' compensation system.California employers are paying higher workers' comp premiums, even as rates...

CA DWC Broke the Law in 96% of 2025 IBR Cases

A daisyBill analysis of state records shows that the California Division of Workers' Compensation (CA DWC) violated state law in 96% of Independent Bill Review (IBR) cases in...

Can CA Employers & Taxpayers Afford Ricardo Lara?

California employers are paying more for workers’ comp coverage even though rates are decreasing nationwide, courtesy of Insurance Commissioner Ricardo Lara. However, ...

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...