California Workers' Comp
Oct 21, 2020
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...
Oct 21, 2020
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...
Oct 20, 2020
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...
Oct 15, 2020
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...
Oct 12, 2020
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...
Oct 6, 2020
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...
Oct 5, 2020
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...
Oct 2, 2020
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...
Sep 30, 2020
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...
Sep 29, 2020
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...
Sep 22, 2020
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 ...
Sep 21, 2020
Gallagher Bassett Sinks Second Review Appeals
For California workers’ comp providers, we encourage submitting Second Review appeals when the claims administrator incorrectly adjusts or denies payment. Below we sho...