claims administrators

Walmart Bills: What Workers' Comp Providers Need to Know
Nov 15, 2024
Walmart Bills: What Workers' Comp Providers Need to Know
Where should workers’ comp providers send their bills for treating Walmart employees?With Walmart employing over 1.6 million people in the US alone, the answer to that...
Claims Admin and Clearinghouse Updates October 2024
Oct 7, 2024
Claims Admin and Clearinghouse Updates October 2024
Providers nationwide can only sustainably treat injured workers with reliable, up-to-date billing information on insurers and self-insured employers.Keeping track of w...
Carlyle: How Private Equity Feeds on CA Workers' Comp
Sep 11, 2024
Carlyle: How Private Equity Feeds on CA Workers' Comp
California workers’ comp has a problem: investment in administrative entities by private equity firms.When private equity owns significant stakes in businesses special...
daisyNews Top 10 Articles January-June 2024
Aug 22, 2024
daisyNews Top 10 Articles January-June 2024
What mattered most to workers’ comp providers, billers, and other industry pros in the first two quarters of 2024? Let’s take a look at our most-read articles from January th...
CA: Orthopedist Bill Denial Rates by Claims Admin - Part 3
Jul 12, 2024
CA: Orthopedist Bill Denial Rates by Claims Admin - Part 3
In the firsttwo of this series (read here and here), daisyData from orthopedic surgeon clients highlights how California’s convoluted Medical Provider Ne...
CA: Orthopedist Payment Data by Claims Admin - Part 2
Jul 11, 2024
CA: Orthopedist Payment Data by Claims Admin - Part 2
While all providers who agree to treat injured workers are essential, in this series, daisyBill focuses on orthopedic reimbursement to expose how California’s Medical Provide...
CA Payment Denial Rates 2024 vs 2023 - Top 20 Claims Administrators
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 ...
CA Payment Denial Rates - Top 20 Claims Administrators
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...
daisyData: CA e-EOR Most / Least Compliant Claims Admins
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...
Data Dimensions Improperly Rejects Over 1,800 CA Bills
May 22, 2024
Data Dimensions Improperly Rejects Over 1,800 CA Bills
Most workers’ comp claims administrators engage a clearinghouse to compliantly accept and reject providers’ e-bills on behalf of the claims administrator. Data collected from...
CA: Del Taco Fails to Pay for Injured Employees
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 ...
daisyData: Fastest and Slowest Payers
May 17, 2024
daisyData: Fastest and Slowest Payers
If you treat injured workers, there’s no good reason to wait months or weeks for reimbursement. For the first four months of 2024, daisyData shows that c...