California Workers' Comp

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...

ESIS Makes Bonkers “Offer” to Pay Doctor 45% of Fee Schedule Rate

At daisyNews, we see the complex and sophisticated mechanisms payers use to slash reimbursement for providers treating injured workers. …but sometimes, there’s nothing...

CA Fee Schedule Update: Physician Services (Q4 2025)

California’s Division of Workers’ Compensation (CA DWC) issued an update to the Physician and Non-Physician Practitioner portion of the state fee schedule for workers’ compen...

CA: How to Challenge PPO Discounts

California providers, if you suspect a reimbursement discount is invalid, you have the right to demand proof of an applicable discount contract.As we detailed last wee...

daisyData: CA Providers Paid at Fractions of Fee Schedule Rates

As daisyNews recently demonstrated with current, verifiable data:California’s workers’ comp fee schedule is one of the lowest nationwide, andData from ov...

CA Employers: Comp Premium Hike Based On Bad Data

While most states are lowering employers’ workers’ comp premiums, California is heading in the opposite direction. Insurance Commissioner Ricardo Lara approved a premium rate...

CA Providers Among Lowest Paid as Employers Pay Increasing Premiums

California’s Insurance Commissioner, Ricardo Lara, recently increased the advisory pure premium rate by 8.7%, to $1.52 per $100 of payroll for workers’ compensation policies ...

e-Billing "Grades" - Top 10 Self-Insured Employers

At daisyBill, we believe in transparency and accountability. That’s why we publicize Electronic Data Interchange (EDI) data from the millions of electronic workers’ comp bill...

WCIRB's "Industry Stats" Report: Unverifiable, Outdated Data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Workers’ Compensation Insurance Rating Bureau (WCIRB) is at it again, releasing a “new” report full of questionable, outdated, insurer-provided data that no outs...

CA Employers Beware: Problems With WCIRB Reports

In its 2025 State of the System report, the Workers’ Compensation Insurance Rating Bureau (WCIRB) presents its findings with an air of authority. However, a close look...

Careworks Hurts Employers, Providers, and Payers

Employers buy workers’ comp insurance expecting their premium dollars to pay for their injured employees’ treatment. Providers expect timely, accurate payment for treating in...