California Workers' Comp

LWP Invalid 277 ACKs: False 'Claim Not Found' Rejects - 851 Audit Complaints

Third-Party Administrator (TPA) LWP Claims Solutions is in violation of California workers’ comp e-billing law. LWP’s persistent failure to honor state requirements places an...

LWP Invalid 277 ACKs: Untimely Reject After Prior Accept - 2,075 Audit Complaints

Third-Party Administrator (TPA) LWP Claims Solutions is in violation of California workers’ comp e-billing law. LWP’s persistent failure to honor state requirements places an...

LWP Invalid 277 ACKs: Non-Compliant STC Category-Code Payment Denial - 339 Audit Complaints

Third-Party Administrator (TPA) LWP Claims Solutions is in violation of California workers’ comp e-billing law. LWP’s persistent failure to honor state requirements places an...

LWP Invalid 277 ACKs: Non-Compliant Rejections for Second Review Appeals - 102 Audit Complaints

Third-Party Administrator (TPA) LWP Claims Solutions is in violation of California workers’ comp e-billing law. LWP’s persistent failure to honor state requirements places an...

LWP Non-Compliant 835 e-EORs: Untimely or Missing - 1,785 Audit Complaints

Third-Party Administrator (TPA) LWP Claims Solutions is in violation of California workers’ comp e-billing law. LWP’s persistent failure to honor state requirements places an...

LWP Non-Compliant 835 e-EORs: Invalid and Unpostable - 1,960 Audit Complaints

Third-Party Administrator (TPA) LWP Claims Solutions is in violation of California workers’ comp e-billing law. LWP’s persistent failure to honor state requirements places an...

Provider Alert: Athens Fails to Accept e-Bills

Athens Administrators, a Third-Party Administrator (TPA), is out of compliance with California workers’ comp law.California law mandates claims administrators must acc...

Athens: 5,985 Audit Complaints Filed with CA DWC

Using data generated by over 18,000 bills sent by our provider clients in 2022 to Athens Administrators, daisyBill demonstrates consistent non-compliance with California e-bi...

ESIS: 10 Audit Complaints Filed With CA DWC

California law requires claims administrators to send an Explanation of Review (EOR) and payment to the physician within 60 days of receiving a bill for Medical-Legal service...

Warning: ESIS (Still) Ignoring CA Medical-Legal Bills

How else can we put this? Sometimes ESIS, a Third-Party Administrator (TPA), just flat-out ignores bills for Medical-Legal services. Below, daisyBill documents how ESI...

Tristar Rejects e-Bills: A Provider Alert

Tristar Risk Management, a Third-Party Administrator (TPA), chooses not to adhere to California workers’ comp law.California law mandates that claims administrators mu...

Tristar: 8,271 Audit Complaints Filed With CA DWC

Using data generated by over 23,000 electronic bills sent by our provider clients in 2022, daisyBill demonstrates consistent non-compliance with California e-billing regulati...