California Workers' Comp
May 8, 2023
Audit Complaints: The Hartford Has No Excuse
Making workers’ comp more efficient and effective in restoring injured workers to health should be a cooperative effort among stakeholders, not a combative one. But when an o...
May 4, 2023
CA Committee Passes Disastrous AB 1278
California physicians, it’s time to take a stand.Last week, the Assembly's Insurance Committee endorsed Assembly Bill 1278, and forwarded it to the Appro...
May 3, 2023
Hartford and P2P Fail CA e-Billing
California workers’ comp has lots of complicated laws, but one law is simple: claims administrators must accept electronic bills from providers. Since claims administr...
May 2, 2023
RFA: What's the Fax Number? daisyAuth Knows
They don’t make it easy to treat injured workers in California.To receive payment, a provider must obtain permission from the employer or insurer for all treatment ren...
Apr 27, 2023
Sedgwick Racks Up 79,318 DWC Audit Complaints
Third-Party Administrator (TPA) Sedgwick Claims Management Services, Inc. continues to ignore California workers’ comp billing regulations with impunity.Currently, Sed...
Apr 26, 2023
Video: 30-Second RFAs for CA Workers' Comp
Let’s face facts: treating injured workers is a massive administrative pain for California providers and their staff. And that pain starts with the mandated employer authoriz...
Apr 25, 2023
CA: AB-1278 Gives Networks Control of Workers' Comp
California's Medical Provider Network (MPN) system is an absolute debacle, leaving workers' comp doctors and injured workers in perpetual uncertainty. The system fails to all...
Apr 21, 2023
Sedgwick Loses IBR (But Still Wins "IBR Chicken")
You can’t say we didn’t try.Earlier this month, we offered Third-Party Administrator (TPA) Sedgwick Claims Management Services, Inc. 100% free use of our daisyWizard f...
Apr 19, 2023
CA Bill Strips Workers’ Choice of Doctor
California Assembly Bill 1278, if passed, will severely limit an injured worker’s choice of physician — and force physicians into low-paying networks.Currently, a Medi...
Apr 18, 2023
Sedgwick: Sham MPN Impedes Care?
If you need proof that California’s Medical Provider Network (MPN) system is catastrophically flawed, look no further than the case of the injured worker below.Third-P...
Apr 17, 2023
Coventry: Fine Print Reveals MPN Mirage
Last week, we exposed the empty promise of Medical Provider Networks (MPNs), as evidenced by damning emails between a California doctor and Coventry. In one of its emails, Co...
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Apr 14, 2023
Coventry Emails Expose PPO/MPN Mirage
A series of emails between a California doctor and Coventry expose the unvarnished truth about Preferred Provider Organizations (PPOs) and Medical Provider Networks (MPNs). <...