claims administrators

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...

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

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

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 🏏

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

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

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’...

SCIF (CA) Incorrectly Paying 2018 Fee Schedule for 2019 DOS

It’s SCIF’s turn. The California State Compensation Insurance Fund (SCIF) is also incorrectly reimbursing providers using the 2018 Physician Fee Schedule instead of the corre...

Liberty Mutual Trifecta of Incorrect Payments

In this, our fourth story on the fiasco of 2019 workers’ comp payments, we turn to the errors of Liberty Mutual. By now, from reading about Sedgwick, York, and Sedgwick (agai...

The Payment Chaos Continues: Sedgwick Denies Appeal for Correct 2019 Reimbursements

Sedgwick’s payment mistakes multiply. First, Sedgwick incorrectly paid California providers by applying an old workers’ comp fee schedule. Now Sedgwick compounds its error by...

York Misses the Mark: Paying 2019 Bills at 2018 OMFS Rates

Not one to avoid the spotlight, York Risk Services joins Sedgwick CMS in incorrectly applying the 2018 Physician Fee Schedule rates to services rendered in 2019. Our data sho...