California Workers' Comp
Provider Alert: Athens Fails to Accept e-Bills
Aug 11, 2022
Provider Alert: Athens Fails to Accept e-Bills
Athens Administrators, a Third-Party Administrator (TPA), is out of compliance with California workers’ comp law.California law mandates claims administrators must acc...
Athens: 5,985 Audit Complaints Filed with CA DWC
Aug 11, 2022
Athens: 5,985 Audit Complaints Filed with CA DWC
Using data generated by over 18,000 bills sent by our provider clients in 2022 to Athens Administrators, daisyBill demonstrates consistent non-compliance with California e-bi...
ESIS: 10 Audit Complaints Filed With CA DWC
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...
Warning: ESIS (Still) Ignoring CA Medical-Legal Bills
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...
Tristar Rejects e-Bills: A Provider Alert
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...
Tristar: 8,271 Audit Complaints Filed With CA DWC
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...
(Free, Transparent) CA Med-Legal Fee Schedule Data
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...
City of LA Claims Administrator Guide
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...
Dept. of Labor Proves California Workers' Comp Is a Farce
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 ...
CA Med-Legal Fees, QMEs Under Attack
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...
When CA e-Billing Fails (And How daisyBill Handles It)
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...
CA DWC Updates MPN List
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...