claims administrators

Liberty Mutual IBR Noncompliance: Unfair and Odious
Apr 17, 2019
Liberty Mutual IBR Noncompliance: Unfair and Odious
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 ...
One Beacon Switches Bill Review to Genex
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...
SCIF to Correct Payment Errors
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. ...
Second Review Loopholes Hurt Providers
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...
El Super Markets Replaces York Risk Services Group
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.
4 Minute How-To: Employer Responsibilities in California Workers' Comp
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...
2018 Average Days to Payment for Facility Bills
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...
SCIF IBR Disputes Are Further Proof of Provider Reimbursement Chaos
Mar 7, 2019
SCIF IBR Disputes Are Further Proof of Provider Reimbursement Chaos
We are again chronicling the reimbursement pandemonium inflicted on providers by the current California Second Review appeal and Independent Bill Review (IBR) processes.<...
2018 Average Days to Payment for Interpreter & Copy Services
Mar 5, 2019
2018 Average Days to Payment for Interpreter & Copy Services
Last year, more than 107,000 interpreter and copy service bills were processed by DaisyBill. The top 20 claims administrators took an average of 10 business days to process t...
📬 Payer Responses: Guile, Waiting, and Crickets  🏏
Mar 1, 2019
📬 Payer Responses: Guile, Waiting, and Crickets 🏏
Today we report on the responses from Sedgwick, Liberty Mutual, York, and State Compensation Insurance Fund (SCIF), following our posts detailing their systematic underpaymen...
2018 Average Med-Legal Days to Pay
Feb 27, 2019
2018 Average Med-Legal Days to Pay
In 2018, for California medical-legal bills submitted using DaisyBill software, the average processing time is 13 business days to receive payment for the top 20 claims admin...
2018 Average Days to Payment for Medical Treatment Bills
Feb 22, 2019
2018 Average Days to Payment for Medical Treatment Bills
In 2018, for California medical treatment bills submitted using DaisyBill software, the average processing time is 11 days for the top 20 claims administrators by volume. We’...