claims administrators
Aug 31, 2018
Data: Excessive Workers’ Comp Claim Denials Backfire
An industry study tells an interesting story about workers’ compensation claims. A significant upward trend in denials ultimately cost employers and their claims administrato...
Aug 30, 2018
Don't Rely on Claims Administrators. Providers Must Know The Rules.
Repeatedly, we hear some version or another of the same story: a provider reaches out to a claims administrator for information regarding workers’ comp billing and payment. T...
Aug 24, 2018
Broadspire Denies Unprocessed Workers’ Comp Bills
Broadspire, a global third-party claims administrator (TPA), incorrectly denied several bills for the treatment of an injured worker. While incorrect denials are nothing new ...
Aug 23, 2018
CA Workers' Comp: Navigating Billing for Allianz/FFIC
Effective May 1 of this year, insurers Allianz and Fireman’s Fund Insurance Company (FFIC) merged their payment systems for California workers’ comp to reflect Allianz’s 2015...
Jul 25, 2018
Denials/Reductions for Insufficient E/M Documentation Continue
We recently warned providers about an emerging trend among California workers’ comp claims administrators: denying payment for Evaluation and Management (E/M) services in the...
Jun 15, 2018
Clearinghouses Under the Microscope: CorVel Corporation
Most claims administrators lack the technology to process electronic bills from providers. Instead, these claims administrators rely on clearinghouses. Since DaisyBill has di...
Jun 8, 2018
CorVel Error: Incorrectly Reimbursed ASC Services
CorVel Corporation, a national third-party administrator, incorrectly reimbursed multiple California workers’ comp providers for Ambulatory Surgical Center (ASC) services, at...
Jun 1, 2018
Multiple Payors Reimbursing WC002 at 2017 Rates
We’re halfway through 2018, and claims administrators are still reimbursing your office at 2017 rates for 2018 dates of service.We’ve noticed this problem all year for...
Apr 20, 2018
York Risk Services Must Treat CA Providers Better
DaisyBill strives to make workers’ comp billing and payment smoother for both providers and payors. We work with thousands of payors, including employers, insurers, an...
Mar 22, 2018
Macy’s Changes Bill Review; Sedgwick Error Causes Bill Rejections
Self-insured employer Macy’s no longer utilizes EK Health Bill Review. Effective March 3, 2018, Macy’s switched to Sedgwick Claims Management Services National Bill Review. <...
Mar 16, 2018
TPA Change: JCPenney Switches Third-Party Administrator
JCPenney no longer utilizes third-party claims administrator Sedgwick Claims Management Services. The retail department store chain transferred all claims to AIG Claims, Inc....
Mar 16, 2018
FYI: American Airlines Changes Bill Review
Self-insured employer American Airlines no longer utilizes Genex Services Bill Review. Effective February 1, 2018, American switched to Sedgwick Claims Management Services Na...