California Workers' Comp

CA OMFS Update: Physician Services (Q3 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 ...

Anthem's THM Network Closes, Stiffs Providers

Workers’ comp providers—in particular ancillary providers like physical therapists (PTs)—take note: if you have treated injured workers through Anthem’s Transparent Health Ma...

CCSF Sends Corrected Payments to Providers

No one knows better than daisyBill how much payment abuse California workers’ comp providers endure.This is why our hearts blossom when claims administrators and their...

99¢ Stores: Athens Halts Processing Bills

In April of this year, 99 Cents Only Stores LLC declared bankruptcy, leaving the self-insured employer with no way to pay its Third-Party Administrator (TPA), Athens Administ...

CA MPNs Harm Employers, Injured Workers & Providers

California’s Medical Provider Network (MPN) system is an unmitigated failure, causing genuine harm to injured workers, health care providers, and employers. The Divisi...

AmTrust MPN Magic Denies Payment

Welcome to California workers’ comp, where claims administrators can use even the most demonstrably, objectively, provably untrue assertions to deny payment to a provider—wit...

CA DWC: Claims Administrators' IBR Wingman

In California, claims administrators can expect little or no repercussions for failing to comply with workers’ comp payment laws and regulations. Meanwhile, the Divisi...

For CA Interpreters, Appeals Pay More Than Bills

California interpreters, pay close attention!A new interpreter service began using daisyBill in February. Since then, the service has collected more revenue from Secon...

Sedgwick (and the DWC) Ignore Providers' Appeals

Sedgwick is running roughshod over California providers, in violation of state workers’ comp law. By failing to take substantive action, the Division of Workers’ Compe...

Sedgwick Denies/Ignores Hundreds of Appeals

Sedgwick's persistent failure to pay providers in accordance with state workers' comp fee schedules and its refusal to respond compliantly to providers’ appeals are glaring v...

CA Payment Denial Rates 2024 vs 2023 - Top 20 Claims Administrators

California workers’ comp claims administrators are denying providers’ bills with increasing frequency in 2024 compared to 2023. The data below represent the 20 claims ...

Gallagher Bassett Denies Bill, Spews Nonsense, Ignores Appeal

Welcome to California workers’ comp, where a claims administrator’s legal obligation to timely pay providers’ bills is more a matter of theory than practice.Safe from ...