claims administrators
Jul 2, 2019
Claims Admins Deny Second Review Appeals as Duplicate Bills
Two claims administrators, York and Sedgwick, denied hundreds of compliant second review appeals on the grounds that the appeals were “duplicates” of the Original Bills in qu...
Jun 6, 2019
Pro Tip: Submit RFAs During Liability Disputes
When the employer and injured worker are locked in an injury liability dispute, the provider is frequently caught in the crossfire. Often, treatment cannot wait for the long ...
May 23, 2019
Recent ICD-10 Updates Do Not Apply to Workers' Comp Billing
The latest in dubious denial strategies for California workers’ comp: some claims administrators are denying provider bills for being out of step with updates to the current ...
May 15, 2019
SB 537: Physicians Should REVOLT Against Inequities
DaisyBill believes every California physician should be extremely alarmed by the proposed addition of Labor Code § 138.8 in SB 537. If passed as-is, § 138.8 would require the...
May 14, 2019
Ventura Unified School District Is No Longer Using York
Ventura Unified School District is no longer using York to process medical bills. Effective 5/1/2019, Athens will be handling all claims for the Ventura Unified Schoo...
Apr 26, 2019
Crum & Forster Switches Bill Review Vendor
According to a notice received from Crum and Forster, the insurer is no longer using Corvel for processing medical bills.Effective 4/24/2019, Conduent will be handling...
Apr 8, 2019
One Beacon Switches Bill Review to Genex
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. Electro...
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Mar 28, 2019
SCIF to Correct Payment Errors
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. ...
Mar 27, 2019
Second Review Loopholes Hurt Providers
Our previous articles highlighted claims administrators’ processing speed for original bill submissions. Now, we turn our attention to average days to process Second Review a...
Mar 21, 2019
El Super Markets Replaces York Risk Services Group
DaisyBill tracks California claims administrators and their respective clients to ensure that electronic bills are consistently routed to the correct payer for processing.
Mar 18, 2019
4 Minute How-To: Employer Responsibilities in California Workers' Comp
Watch the second installment in DaisyBill’s free educational video series on workers’ compensation billing.This short video explains the different ways that an employe...
Mar 12, 2019
2018 Average Days to Payment for Facility 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. U...