claims administrators

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 ...

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 ...

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...

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...

The Conco Companies Changes TPA

The Conco Companies is no longer using Athens as its Third Party Administrator (TPA). Effective 4/1/2019, Travelers will be handling all claims for The Conco Companies...

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...

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

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

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

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

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

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...