Blog: DaisyBill News

News, data, & insights about workers' comp billing

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The Zenith Unsucessfully Attempts to Undermine IBR Request

Oct 14, 2019

Claims administrators continue to innovate new techniques that make it harder for providers to receive proper reimbursement. In this installment, we tell a tale of the length...

Audit Complaint Form Updated in California

Oct 9, 2019

Recently the California Division of Workers Compensation (DWC) updated the Audit Complaint form used by providers to report claims administrator non-compliance. The up...

Liberty Mutual and a Cautionary Tale of Payment Woes

Oct 3, 2019

Today we’re sharing a maddening and all-too-common story of payment woes, this time featuring Liberty Mutual as the miscreant that just won’t pay a bill correctly -- despite ...

Huntington Hospital & City of Beverly Hills Change TPAs

Sep 20, 2019

Attention providers: two California employers switched third-party administrators (TPAs).Huntington Hospital transferred claims from Sedgwick to AthensCity of B...

York (aka Sedgwick) Fails Math: EORs Literally Don't Add Up

Sep 19, 2019

York Risk Services, which was acquired this month by Sedgwick, has significant math troubles. York recently returned Explanations of Review (EORs) which obfuscated the effect...

Claims Admins EXPLOIT Lack of Regulations in Timely Filing Law

Sep 5, 2019

In 2016, California State Bill 1160 was signed into law, instituting new timely filing requirements for workers’ comp medical treatment bills. Since 2017, Labor Code Section ...

Liberty Mutual, Gallagher Bassett, Chubb Scoff at CA IBR Rules

Sep 4, 2019

It’s still happening: claims administrators including Liberty Mutual, Gallagher Bassett, and Chubb are ignoring the rules regarding Independent Bill Review (IBR), brazenly re...
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South San Francisco, Marin County Change TPAs

Aug 23, 2019

Two municipal employers in California switched third-party administrators (TPAs). Both the City of South San Francisco and the County of Marin transferred claims from TriStar...

SCIF, CorVel IBR Withdrawal Requests Create ENORMOUS Hassles for Providers

Aug 16, 2019

The billing lesson for today: providers should never agree to withdraw a request for Independent Bill Review (IBR), no matter how sweetly the payor begs. Trust us; we’ve lear...

Select Staffing: Changes TPA and Claim Numbers

Aug 15, 2019

Attention California providers: Select Staffing no longer uses CorVel as its Third-Party Administrator (TPA).Effective July 1, 2019, Broadspire administers all claims ...

NonCompliant CNA, Crum & Forster, County of San Diego - Electronic EORs Not Optional

Aug 8, 2019

As California continues its transition to fully paperless workers’ comp billing and payment, some claims administrators have apparently decided to follow their own regulation...

Blatant Disregard for IBR Law by Sedgwick, Gallagher, Athens, Helmsman

Aug 5, 2019

A disturbing pattern is emerging from the results of Independent Bill Review (IBR) decisions in the state of California. As usual, the problem encumbers workers’ comp provide...

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