California DWC
Dec 18, 2024
CA: San Bernardino (Finally) Accepts e-Bills
Since 2012, in California, it has been mandatory for workers’ comp claims administrators to accept electronic bills (e-bills) from providers for the treatment of injured work...
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Dec 10, 2024
Audit Complaint: Sedgwick - 5,415 Violations Reported
Once again, daisyBill has filed a formal Audit Complaint with the California Division of Workers’ Compensation (CA DWC) against Sedgwick Claims Management, Inc.The Thi...
Dec 4, 2024
Sedgwick "Duplicate" Bills Make A Mockery of CA Law, DWC & Providers
Sedgwick Claims Management Services, Inc., a Third-Party Administrator (TPA) of workers’ comp claims, has set a horrifying new standard for how claims administrators c...
Nov 22, 2024
CA Providers Routinely Stiffed for IBR Filing Fee
As reported yesterday, California providers' filing fee to request Independent Bill Review (IBR) will increase from $180 to $195 in 2025.IBR is the process by w...
Nov 21, 2024
CA: Alert - IBR Filing Fee to Increase in 2025
Pursuing correct payment for treating injured workers is about to get even more expensive for California providers.When a claims administrator incorrectly denies or re...
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Nov 7, 2024
CA: New DWC Form 7 Warps Workers' Comp Reality
California’s Division of Workers’ Compensation (DWC) announced an update to the DWC 7, one of many mandated workers’ comp forms. Employers must, by law, display the in...
Nov 4, 2024
Arkansas Outpaces CA in Workers' Comp Compliance Innovation
California is the most populous state in the Union, a global hub of technological innovation, and the fifth-largest economy on the planet. Yet when it comes to moderni...
Oct 23, 2024
DWC Slumbers as Sedgwick Stiffs CA Ortho Practice
Recently, we shared how Sedgwick Claims Management Services repeatedly took inflated Preferred Provider Organization (PPO) discounts from a California orthopedic practice in ...
Oct 16, 2024
Sedgwick Removes 54% UR Denial Stat From Website
We knew it was only a matter of time. The question was how much time?Third-party administrator (TPA) Sedgwick Claims Management Services screamed the quiet part out lo...
Oct 11, 2024
Over 2,500 CA MPNs Vanish (Again)
By now, we’ve grown accustomed to the California Division of Workers’ Compensation (DWC) utterly failing to manage the state’s Medical Provider Network (MPN) sy...
Oct 9, 2024
Payers Deny 48% of CA Physician's Bills
Attention California providers: it is extremely difficult to obtain reimbursement when you treat or provide services to an injured worker, because the Division of Work...
Oct 1, 2024
CA OMFS Update: Physician Services (Q4 2024)
California’s Division of Workers’ Compensation (DWC) issued an update to the Physician and Non-Physician Practitioner portion of the Official Medical Fee Schedule (OMFS) for ...