claims administrators
New! Penalty & Interest Added to Claims Admin Directory
Jun 8, 2022
New! Penalty & Interest Added to Claims Admin Directory
Penalties and interest for untimely paid workers’ comp bills are not well-enforced in California — but daisyBill is keeping score.Our free Claims Administrator Directo...
Claims Admin Directory: Average Days to Pay Explored
Apr 6, 2022
Claims Admin Directory: Average Days to Pay Explored
Perhaps the biggest challenge facing workers’ comp providers in California and across the US: getting paid on time. Inconsistent cash flow can back up accounts receiva...
e-Billing Data 2021: Average Days To Payment
Mar 13, 2022
e-Billing Data 2021: Average Days To Payment
What’s the best way to quickly receive payment for treating an injured worker? Send the bill electronically (aka: e-billing). Throughout the United States, workers’ co...
The Hartford Ignores TWO California Laws
Nov 11, 2021
The Hartford Ignores TWO California Laws
By insisting The Hartford owed no payment for authorized treatment provided outside the Medical Provider Network (MPN), The Hartford pooh-poohed a clear-cut Cal...
Audit Complaint: PacificComp Fails to Process e-Bills
Aug 4, 2021
Audit Complaint: PacificComp Fails to Process e-Bills
In California workers’ comp, a provider’s failure to adhere to the billing regulations allows the payer to refuse payment for treatment of the injured worker. But all too oft...
IBR Hall of Shame: Sedgwick Sets New Standard of Noncompliance
Jul 6, 2021
IBR Hall of Shame: Sedgwick Sets New Standard of Noncompliance
Sedgwick failed to comply with an Independent Bill Review (IBR) ruling for almost four months. Worse, the payor’s brazenness is likely to go unpenalized by the state.T...
CNA Repeatedly Ignores California Law
May 12, 2021
CNA Repeatedly Ignores California Law
By law, claims administrators must remit payment for Medical-Legal services within 60 days of receiving the physician’s bill. As of this writing, payment to one physician fro...
Broadspire Knows No Law But Its Own
Apr 2, 2021
Broadspire Knows No Law But Its Own
Broadspire continues to break the rules, seemingly confident that California regulators will not hold the claims administrator to account. For months, we reported on B...
Zurich Denies Liability After Accepting Liability
Mar 30, 2021
Zurich Denies Liability After Accepting Liability
Zurich recently denied liability for an injured workers’ treatment, claiming the 2003 injury was not work-related — despite the fact that Zurich already authorized the treatm...
IBR Hall of Shame: Employers
Mar 24, 2021
IBR Hall of Shame: Employers
Employers Holdings set a shameful new standard of indifference with regard to promptly and correctly reimbursing providers. The insurer incorrectly denied payment, disregarde...
Gallagher Bassett, Foster Farms Lay A Rotten Egg in CA
Mar 12, 2021
Gallagher Bassett, Foster Farms Lay A Rotten Egg in CA
Update: As of April 1, 2021 Gallagher Bassett can locate and process claims for Foster Farms employees. Workers’ compensation claims for injured employees of Foster Fa...
ESIS + Conduent + StrataCare  = Provider Torment
Mar 2, 2021
ESIS + Conduent + StrataCare = Provider Torment
Preferred Provider Organizations (PPOs) profit from reducing the reimbursements providers receive for treating injured workers. Yet, we would argue that providers (and injure...