California Workers' Comp
Aug 11, 2022
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...
Aug 11, 2022
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...
Aug 4, 2022
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...
Aug 4, 2022
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...
Aug 4, 2022
(Free, Transparent) CA Med-Legal Fee Schedule Data
As the California Workers’ Compensation Institute (CWCI) peddles paid access to its insurer-derived data and white-tie webinars, daisyBill would like to offer an update on th...
Aug 4, 2022
City of LA Claims Administrator Guide
The City of Los Angeles is a public-sector self-insured employer. As such, billing for the treatment of its injured workers can be complicated. For injured worker claims, the...
Aug 2, 2022
Dept. of Labor Proves California Workers' Comp Is a Farce
Sometimes, it can feel like the California workers’ comp reimbursement process is a cruel joke perpetrated on the providers willing to treat injured workers. Other times, we ...
Jul 27, 2022
CA Med-Legal Fees, QMEs Under Attack
A recent study on the current Medical-Legal Fee Schedule (MLFS) has triggered a wave of pearl-clutching by payer advocates. So what has the payer-side pundits groping for the...
Jul 27, 2022
When CA e-Billing Fails (And How daisyBill Handles It)
There are no perfect solutions. While electronic billing works infinitely better than mail in getting providers reimbursed for treating California’s injured workers, inevitab...
Jul 27, 2022
CA DWC Updates MPN List
The California Division of Workers’ Comp (DWC) recently updated its list of approved Medical Provider Networks (MPNs). The DWC added five new MPNs to the list, and cha...
Jul 27, 2022
SCIF: Med-Legal IBR Chicken Champion
Welcome to another round of IBR Chicken, where California claims administrators (falsely) deny payment for the treatment of injured workers for implausible reasons — and keep...
Jul 20, 2022
AmTrust Changes Clearinghouse, (Finally) Gets Compliant
Following years of abject failure, insurer AmTrust appears to be getting its act together to honor California workers’ comp payment requirements — but only after daisy...