California Workers' Comp
Jul 1, 2024
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 ...
Jun 28, 2024
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...
Jun 26, 2024
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...
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Jun 25, 2024
Zurich - An Example of California's MPN Shell Game
Where opacity and obfuscation reign, injustice thrives. There may be no better example of this than California’s Medical Provider Network (MPN) system. T...
Jun 20, 2024
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...
Jun 19, 2024
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...
Jun 18, 2024
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...
Jun 17, 2024
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...
Jun 13, 2024
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...
Jun 12, 2024
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...
Jun 10, 2024
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...
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Jun 6, 2024
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 ...