California Workers' Comp

Broadspire Employers: Audit Complaint Filed With DWC

In a recent article, Broadspire Defies CA Law and Denies Appeals Sent by Providers, we described Broadspires’ success in defying California workers’ comp laws without consequ...

DaisyBill Automates Zurich Second Review Appeals

DaisyBill recently broke the story (after receiving multiple reports from the DaisyBill community and beyond) that Zurich has improperly denied California providers’ bills fo...

Telehealth: CMS Medicare Adds 11 New Telehealth Services

Effective 10/14/2020, the Centers for Medicare & Medicaid Services (aka “CMS” or “Medicare”) added 11 new services to the List of Telehealth Services that Medicare will reimb...

When Zurich Speaks, Garbled Noncompliance Comes Out

We are writing about Zurich again, as the claims administrator’s conduct continues to be a symptom of the deep unfairness that permeates California’s workers’ comp system. Th...

Zurich: Triples Down on Foul Play

Clearly Zurich fears no recourse as it continues to systematically ignore rules while stripping California providers of proper reimbursement. In this latest development, Zuri...

WorkCompEDI: Clearinghouse Fails Claims Administrators

On Friday, daisyBill took the unusual step of directly contacting dozens of California claims administrators. We wanted to enlist these organizations’ assistance to resolve a...

Broadspire Defies CA Law and Denies Appeals Sent by Providers

Broadspire, A Crawford Company, is another example of a claims administrator that disregards California regulations with impunity. After accepting a compliant and time...

Zurich: CORRECT Appeal Instructions for Zurich Denials

Today, we explain the COMPLIANT protocol for California providers to dispute the noncompliant denials that Zurich recently issued, and that were based on its completely nonco...

Zurich Further Jeopardizes Providers' Payment With Incorrect Appeal Instructions

Even when there is potential payer fraud, California requires the provider -- not the payer -- to shoulder the burden of correcting claims administrator “mistakes.” For the t...

Employers Should Demand That Zurich Pay Providers

Yesterday we published the first in a series of urgent articles alerting California’s workers’ comp community that Zurich is refusing to pay providers who treat injured worke...

URGENT: Zurich Refusing to Pay Providers for Treating Injured CA Workers

This is an URGENT article written to alert California workers’ comp providers that Zurich is incorrectly denying workers’ comp bills by citing the untimely filing of the bill...

AmTrust: Audit Complaint Filed With DWC

In a recent article, AmTrust - IBR Hall of Shame, we described how AmTrust refuses to properly reimburse a provider, despite a Maximus Independent Bill Review (IBR) decision ...