California Workers' Comp

Sedgwick Hits 298,034 Violations (and Counting)

Sedgwick Claims Management Services, Inc. continues to violate a critical California payment requirement with apparent impunity. The Third-Party Administrator (...

CA DIR to Blow $1.25M On (Another) Questionable Comp Study

The California Division of Workers’ Compensation (CA DWC) is set to waste $1,250,000 in taxpayer dollars on a faulty “study” of non-existent data.The Department of Ins...

CorVel’s Commitment to Compliance: A Shining Example for Payers

CorVel, a Third-Party Administrator (TPA) managing workers’ comp claims on behalf of insurers and employers, has demonstrated how workers’ comp works better when payer...

CA DWC Fails, Vendors Thrive, Employers Pay More

Fact: In California workers’ comp, the claims administrator is legally responsible for compliance with state laws and regulations, regardless of any outside vendor or agent t...

Provider Alert: Do Not (Not!) Sign PhysNet Discount “Agreement”

A California provider narrowly avoided financial pain when their office signed (but thankfully never delivered) a reimbursement discount agreement PhysNet sent to the practic...

CA Employers: Paying More for Comp Coverage as Insurers Make Bank

Yet another industry report confirms that workers’ compensation is stupendously profitable for insurers, outperforming the rest of the insurance industry even as rates decrea...

CA: “Lack of Effort” re: Debit Cards Shows Payers' Priorities

Workers’ Comp Executivereports that California payers show little interest in paying injured workers indemnity benefits with debit cards despite a...

Sedgwick (Still!) Owes CA Practice $500k+ After Bogus PPO Discounts

Sedgwick Claims Management Services,Inc. has withheld hundreds of thousands of dollars in reimbursement from a single California orthopedic practi...

Accelerated Claims Breaks CA Law, Only Accepts Bills by Mail

A Third-Party Administrator (TPA) has one relatively straightforward job: to handle injured workers’ claims on behalf of an employer or insurer.Accelerated Claims Serv...

ESIS Makes Bonkers “Offer” to Pay Doctor 45% of Fee Schedule Rate

At daisyNews, we see the complex and sophisticated mechanisms payers use to slash reimbursement for providers treating injured workers. …but sometimes, there’s nothing...

CA Fee Schedule Update: Physician Services (Q4 2025)

California’s Division of Workers’ Compensation (CA DWC) issued an update to the Physician and Non-Physician Practitioner portion of the state fee schedule for workers’ compen...

CA: How to Challenge PPO Discounts

California providers, if you suspect a reimbursement discount is invalid, you have the right to demand proof of an applicable discount contract.As we detailed last wee...