Discount Contracts
May 1, 2025
Please Advise: An Open Letter to the CA DWC (cc: CA Attorneys)
We have a question for California’s Division of Workers’ Compensation (CA attorney comments are always welcomed, too): What should a medical practice do in the followi...
Apr 10, 2025
Sedgwick’s Shell Game: From Coventry to CareWorks, the Chicanery Continues
Sedgwick Claims Management Services, Inc., a Third-Party Administrator (TPA), appears to be throwing any available spaghetti at the wall to continue funneling e...
.gif)
Apr 9, 2025
Enlyte’s MPI: A Smokescreen to Protect Private Equity Profits
Last week, Enlyte—the parent company of Coventry, Mitchell, and Genex, all backed by private equity firm Stone Point Capital—released its latest report on its “Medical Price ...
Jan 11, 2024
Provider Alert! New 2024 TRPN DirectPay Scheme
There may be no company in the workers’ comp space with a worse reputation than Three Rivers Provider Network DirectPay (TRPN). But this discount contracting entity st...
Nov 14, 2023
Provider Alert: MTI Discount "Contract"
A daisyBill provider client received a disturbing document purporting to authorize treatment for an injured employee of City and County of San Francisco (CCSF). MTI Am...
Oct 10, 2023
PPO: Why Your Practice Should Renegotiate (or Cancel) Discount Contracts
Preferred Provider Organizations (PPOs) are choking the financial life out of providers who treat injured workers. This problem is being reported by doctors throughout...
Sep 26, 2023
ProPublica/NPR: Fees & Discounts Gutting Provider Revenue
ProPublica and NPR recently published an exposé on entities that impose fees on doctors who accept electronic funds transfer (EFT) payments. These fees c...
Aug 8, 2023
TRPN: How to Fight the Network's Discounts
We’ve warned providers about the disturbing practices of Three Rivers Provider Network (TRPN).* We’ve also written about how providers may be able to demand that TRPN termina...
Aug 7, 2023
TRPN: How to Terminate Discount Contract
Three Rivers Provider Network (TRPN) has a deservedly terrible reputation for the duplicitous way in which TRPN ropes providers into its noxious discount reimbursement...
Aug 3, 2023
TRPN: Doctor Escapes Discount Contract
Recently, we’ve sounded the national alarm regarding Three Rivers Provider Network (TRPN).*As one provider learned the hard way, TRPN sends checks to practices that, <...
Aug 2, 2023
Three Rivers Network: 12 Terrifying Terms of Discount Contract
Yesterday, we shared the harrowing tale of a doctor who cashed a strange check from Three Rivers Provider Network (TRPN) — a check that turned out to be something like bait, ...
Aug 1, 2023
Doctors Beware: Do NOT Cash Three Rivers Network Check
A California doctor was recently surprised to find themselves subject to a 36-month discount reimbursement contract with terms that can only be described as sinister — and fo...