California Workers' Comp
Aug 15, 2025
Sedgwick Stiffs QME With “Denial Dump” EOR
Sedgwick Claims Management Services, Inc. is raking in profits one unpaid bill at a time through non-compliance, invalid denial reasoning, ...
Aug 14, 2025
e-Billing Data: Worst Payer EDI Grades
Yesterday, we praised the insurers, employers, and Third-Party Administrators (TPAs) that accept and properly process electronic bills (e-bills) with near-perfect consistency...
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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...
Aug 11, 2025
CA: “Unlisted" Codes - Same Old Blame-the-Thieving-Doctor Trope
To understand what truly drives workers’ comp costs, California must stop relying on insurer-produced “research” that misleads employers and scapegoats doctors.Califor...
Aug 8, 2025
Hyatt: Gallagher Bassett Stiffs Provider With "Denial Dump" EOR
Why provide one baseless, nonsensical reason for refusing to pay a provider when you can provide 10? That’s the approach Gallagher Bassett took when it improperly deni...
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...
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.
Jul 31, 2025
California's MPN Cesspool: Impossible by Design?
California’s Medical Provider Network (MPN) system is broken beyond repair, to the point where finding an MPN doctor is simply impossible for many injured workers. We’...
Jul 30, 2025
CA: Business Insider Falls for Insurer Propaganda
Business Insider published a cringy slop of insurer talking points, uncritically parroting insurers’ preferred narrative about the coming increase...
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...
Jul 24, 2025
Diabolical Discounts: Rampant Anthem PPO Carnage
Preferred Provider Organization (PPO) Anthem Blue Cross is enabling egregious abuse of California providers at scale. Since June, dozens of claims administrators have ...
Jul 23, 2025
Alert: Innovative Claim Solutions' Misleading “ePay” Message
Third-Party Administrator (TPA) Innovative Claim Solutions (ICS) sent a misleading message to providers, counterfactually claiming to be “phasing out” paper checks—and potent...