California Workers' Comp
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 ...
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Jun 5, 2024
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 ...
Jun 4, 2024
CA Payment Denial Rates - Top 20 Claims Administrators
Bill data collected from daisyBill clients during the first four months of 2024 reveal claims administrators’ disturbing propensity to refuse payment for injured workers’ tre...
May 31, 2024
CA Appeals: Sutter Health Pays for Frankenreport
In our previous article, daisyNews detailed how Sutter Health authorized a California provider to create a strange combination of a Permanent and Stationary (P&S) report and ...
May 30, 2024
daisyData: CA e-EOR Most / Least Compliant Claims Admins
California mandates that all (repeat: all) workers’ comp claims administrators accept electronic bills from providers and respond to those e-bills with electronic Explanation...
May 29, 2024
CA Provider Warning: P&S vs Med-Legal Reports
This is an essential report warning for California providers. A Permanent and Stationary (PR-4) report and a Medical-Legal evaluation report are not interchangeable. Before i...
May 28, 2024
Santa Monica & Lien on Me Improperly Reimburse MDs
In California workers’ comp, claims administrators often suffer from a troubling payment syndrome we call “Fee Schedule Lag.” The symptoms of Fee Schedul...
May 21, 2024
CA: Del Taco Fails to Pay for Injured Employees
Need (yet another) illustration of what happens when a state establishes a consequence-free environment for workers’ comp claims administrators? There is currently no ...
May 13, 2024
Sedgwick Stiffs Doctors With Outdated Fee Schedule Rates
The California Division of Workers’ Compensation (DWC) increased reimbursements for physician services for dates of service on or after April 1, 2024. Yet Third-Party Adminis...