Discount Contracts

TRPN DirectPay Sends Provider Dangerous “Agreement”

Three Rivers Provider Network DirectPay (TRPN) is at it again, this time faxing an unprompted and potentially dangerous Business Associate Agreement (BAA...

Bill The Hartford and Get Lowballed by StrataCare

There’s a shamelessness to the ways some payers and vendors try to increase profits by slashing California doctors’ reimbursements for treating injured workers.Claims ...

CA: CBCS Fishes for 40% Discount on Med-Legal Services

Discount vendor Reliant tried to slash a California Qualified Medical Evaluator (QME)’s bill by 40% on behalf of Cottingham & Butler Claims Services, LLC (CBCS), the Third-Pa...

MARS & MultiPlan Threaten MD With "Intervention" (Part 1)

A California doctor sent a bill to a Third-Party Administrator (TPA), for treatment the TPA had authorized. In response, the doctor received a fax from Medical Audit & Review...

Former PPO Employee: "I Felt Like I Was 'Legally' Robbing" Doctors

Prime Health Services (PHS) operates like a high-pressure "call center," pushing employees to sign providers onto reimbursement discount contracts by making promises t...

Provider Alert: Do Not (Not!) Sign PhysNet Discount “Agreement”

A California provider narrowly avoided financial pain when their office signed (but thankfully never delivered) a reimbursement discount agreement PhysNet sent to the practic...

Deranged Zenith “Offers” Doctor 31% State Fee Schedule for DME

Workers’ comp has plummeted to a new low in payers’ relentless attempts to deny fair payment to the doctors who treat injured workers.The Zenith’s recent effort to pay...

ESIS Makes Bonkers “Offer” to Pay Doctor 45% of Fee Schedule Rate

At daisyNews, we see the complex and sophisticated mechanisms payers use to slash reimbursement for providers treating injured workers. …but sometimes, there’s nothing...

Diabolical Discounts: Rampant Anthem PPO Carnage

Preferred Provider Organization (PPO) Anthem Blue Cross is enabling egregious abuse of California providers at scale. Since June, dozens of claims administrators have ...

Diabolical Discounts: Berkshire Hathaway's Reimbursement Roulette (Part 1)

A sad fact about California workers’ comp: once a doctor joins a Preferred Provider Organization (PPO), there’s no predicting how devastating the impact on practice revenue w...

City of Riverside Pays MD $31 by Triple-Stacking PPOs

This week’s Diabolical Discounter is the City of Riverside. This self-insured public employer slashed a doctor’s reimbursement for a municipal worker’s Evaluation and Managem...

Diabolical Discounts: CA Employers Are Getting Ripped Off

In California, doctors who treat injured workers are seeing their revenue collapse due to exploitative discount reimbursement schemes. California Senate Bill 863, whic...