claims administrators
New! Penalty & Interest Added to Claims Admin Directory
Jun 8, 2022
New! Penalty & Interest Added to Claims Admin Directory
Penalties and interest for untimely paid workers’ comp bills are not well-enforced in California — but daisyBill is keeping score.Our free Claims Administrator Directo...
Claims Admin Profiles: Let Us Know
Apr 21, 2022
Claims Admin Profiles: Let Us Know
Together, we’re stronger. That’s the mantra that drives daisyBill’s efforts to share information and resources that make workers’ comp billing more manageable for prov...
Claims Admin Directory: Average Days to Pay Explored
Apr 6, 2022
Claims Admin Directory: Average Days to Pay Explored
Perhaps the biggest challenge facing workers’ comp providers in California and across the US: getting paid on time. Inconsistent cash flow can back up accounts receiva...
Claims Admin Directory - New Free Resource!
Apr 4, 2022
Claims Admin Directory - New Free Resource!
Knowledge is power, and sunshine is the best disinfectant. Nowhere are these principles more true than in workers’ compensation, where for too long a convoluted, opaqu...
e-Billing Data 2021: Average Days To Payment
Mar 13, 2022
e-Billing Data 2021: Average Days To Payment
What’s the best way to quickly receive payment for treating an injured worker? Send the bill electronically (aka: e-billing). Throughout the United States, workers’ co...
PPO Punishment: Zenith Boots Doctor From MPN per Anthem (Part II)
Nov 16, 2021
PPO Punishment: Zenith Boots Doctor From MPN per Anthem (Part II)
Our tale of one doctor’s struggle with the Anthem Blue Cross Preferred Provider Organization (PPO) took a disturbing — if predictable — turn.Despite a doctor’s request...
How Zenith & Anthem Swiped a Doctor's Revenue (Part I)
Nov 15, 2021
How Zenith & Anthem Swiped a Doctor's Revenue (Part I)
This is Part I of our three-part series on one California doctor’s struggle to protect practice revenue from an unsubstantiated Anthem PPO discount.Anthem Blue Cross e...
The Hartford Ignores TWO California Laws
Nov 11, 2021
The Hartford Ignores TWO California Laws
By insisting The Hartford owed no payment for authorized treatment provided outside the Medical Provider Network (MPN), The Hartford pooh-poohed a clear-cut Cal...
Audit Complaint: PacificComp Fails to Process e-Bills
Aug 4, 2021
Audit Complaint: PacificComp Fails to Process e-Bills
In California workers’ comp, a provider’s failure to adhere to the billing regulations allows the payer to refuse payment for treatment of the injured worker. But all too oft...
Alert: Sedgwick/Availity Abrupt Split May Delay e-Bill Processing
Aug 3, 2021
Alert: Sedgwick/Availity Abrupt Split May Delay e-Bill Processing
With only hours of notice, clearinghouse Availity and third-party claims administrator (TPA) Sedgwick severed their relationship. The move may catch providers and their billi...
IBR Hall of Shame: Sedgwick Sets New Standard of Noncompliance
Jul 6, 2021
IBR Hall of Shame: Sedgwick Sets New Standard of Noncompliance
Sedgwick failed to comply with an Independent Bill Review (IBR) ruling for almost four months. Worse, the payor’s brazenness is likely to go unpenalized by the state.T...
CNA Repeatedly Ignores California Law
May 12, 2021
CNA Repeatedly Ignores California Law
By law, claims administrators must remit payment for Medical-Legal services within 60 days of receiving the physician’s bill. As of this writing, payment to one physician fro...