Blog: DaisyBill News

After 124 days and 13 phone calls, Liberty Mutual fails to pay a $195 IBR fee ordered by Maximus.

Employers need to take heed of this unlawful tale and make sure that Liberty Mutual’s dismissive treatment of a single provider is not indicative of how Liberty Mutual treats, or mistreats, injured workers.

The painful details described below fit into a pattern that should be troubling to every stakeholder.

Effective April 1, 2019, One Beacon Insurance Group changed the company that serves as its bill review to Genex.

One Beacon employs Jopari as its clearinghouse. Electronic bills are sent to Jopari using Payer ID 20621.

For bills sent by mail, reference the information contained on the website: One Beacon: Medical Billing Addresses By State.

California’s State Compensation Insurance Fund (SCIF) stepped up and promised to fix all bills affected by its mistaken use of the 2018 Official Medical Fee Schedule.

The SCIF reprocessing, which will benefit both DaisyBill clients and non-clients alike, seems to stem directly from DaisyBill’s advocacy efforts.

Our previous articles highlighted claims administrators’ processing speed for original bill submissions. Now, we turn our attention to average days to process Second Review appeals.

Last year, to dispute an incorrect reimbursement or denied payment, DaisyBill clients submitted more than 123,400 Second Review appeals.

DaisyBill tracks California claims administrators and their respective clients to ensure that electronic bills are consistently routed to the correct payer for processing.

Watch the second installment in DaisyBill’s free educational video series on workers’ compensation billing.

This short video explains the different ways that an employer can handle its responsibility for paying for workers’ comp bills.

Last year, for facility bills submitted through DaisyBill payment was received, on average, in 17 days for the top 20 California workers’ comp claims administrators.

Unfortunately, that average exceeds the mandated maximum allowed for bills submitted electronically.

DaisyBill’s electronic billing software allows us to comprehensively compile data on every bill we process.

We are again chronicling the reimbursement pandemonium inflicted on providers by the current California Second Review appeal and Independent Bill Review (IBR) processes.

This time we report on how California’s State Compensation Insurance Fund (SCIF) incorrectly disputed compliant IBRs filed by a doctor who challenged the incorrectly denied Second Review appeals the provider had previously sent to SCIF.