Clearinghouses
Mar 17, 2022
How to e-Bill: Clearinghouse/Payer IDs Are Key to Quick Payment
We often hear from (non-client) providers who report that electronic billing simply doesn’t work. However, data from our millions of quickly-paid e-bills...
Feb 28, 2022
San Francisco Changes Bill Review, e-Bill Resubmissions Required
Starting February 28, 2022, Allied Managed Care replaces EK Health as the bill review vendor for the City and County of San Francisco (CCSF). Accordingly, providers must subm...
Aug 16, 2021
WorkCompEDI Acquired by Data Dimensions
WorkCompEDI (WCEDI) has a new owner. The clearinghouse, which processes millions of provider electronic bills annually, was acquired by Data Dimensions, an automation ...
Aug 5, 2021
Disneyland Churns Out Incorrect e-Bill Rejections
Providers billing Disneyland Resorts, be warned: your electronic bills might be erroneously rejected.Recently, we reported on Disneyland Resorts’ switching its bill re...
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...
Aug 3, 2021
Alert: Sedgwick/Availity Abrupt Split May Delay e-Bill Processing
With only hours of notice, clearinghouse Availity and third-party claims administrator (TPA) Sedgwick severed their relationship. The move may catch providers and their billi...
Oct 12, 2020
WorkCompEDI: Clearinghouse Fails Claims Administrators
On Friday, daisyBill took the unusual step of directly contacting dozens of California claims administrators. We wanted to enlist these organizations’ assistance to resolve a...
Oct 8, 2020
Dept of Labor Billing Utopia: e-Bills Processed in ONE Day
The new U.S. Department of Labor (DOL) electronic billing system is workers’ comp e-billing utopia. Earlier this year, the DOL replaced its designated clearinghouse wi...
Sep 8, 2020
Clearinghouse Error - WorkCompEDI Misdirects Bills
Recently, one of the six clearinghouses hired by claims administrators to accept electronic workers’ comp bills suffered a technical error which resulted in the clearinghouse...
Jul 31, 2019
CorVel Crash: Security Breach Leads to System-Wide Shutdown
A security incident led workers’ comp claims administrator CorVel to shut down systems nationwide last week, prompting credible rumors of a ransomware attack. As of th...
Oct 25, 2018
CA: Optum Clearinghouse Issue Resolved
On Tuesday, October 9, Optum Property and Casualty Clearinghouse suffered a major systems issue, preventing Optum from receiving, processing, or responding to electronic bill...
Aug 9, 2018
Clearinghouses Under the Microscope: StoneRiver P2P
Most claims administrators lack the technology to process electronic bills from providers. Instead, these claims administrators rely on clearinghouses. Since DaisyBill has di...