e-Billing

Tristar: 8,188 Audit Complaints Filed With CA DWC

Using data generated by over 36,000 electronic bills sent by our provider clients in 2022, daisyBill demonstrates consistent non-compliance with California e-billing regulati...

Sedgwick's 57,876 Audit Complaints: A Business Practice?

Sedgwick received our open letter, but the Third-Party Administrator (TPA) still missed the memo. Sedgwick administers claims on behalf of insurers and self-insured em...

Sedgwick Missing e-EORs: 31,906 Audit Complaints Submitted

Sedgwick Claims Management Services is breaking the law. We encourage the California Division of Workers’ Compensation (DWC) to assert its role in upholding workers’ comp law...

2022 Non-Compliance Report: 6 Admins That Fail to Send e-EORs

California workers’ comp switched to electronic billing for very good reasons. e-Billing is much, much faster, wastes far fewer resources, and goes a very long way tow...

New York: How to Guarantee e-Bills Reach Payers

For New York State providers, electronic billing is the best way to make treating injured workers financially sustainable. But to e-bill successfully requires the provider’s ...

New York: WCB Update Affirms Electronic EOR Requirement

New York State’s Workers’ Compensation Board (WCB) issued an update to the mandatory Claim Adjustment Reason Codes (CARCs) and Remittance Advice Remark Codes (RARCs) required...

An Open Letter to Sedgwick Claims Management Services, Inc.

Dear Sedgwick Claims Management Services,This is a plea. In all sincerity, and all snark aside, California workers, providers, and employers need you to do bett...

Data! Top 10 Claims Admins: CA Electronic EOR Compliance

Electronic Explanations of Review (e-EORs) are a non-negotiable requirement of workers’ comp electronic billing. Within 15 working days of receiving a provider’s e-bill, the ...

Berkshire Hathaway Repairs Electronic EOR Issue

There’s no excuse for claims administrators not to accept and properly process electronic bills, a legal requirement in California for almost 10 years now. Ever...

AmTrust Addresses Electronic EOR Issue

Insurer AmTrust North America provided an excellent example of how claims administrators, working in good faith with providers, can resolve Electronic Data Interchange (EDI) ...

NY: Data Dimensions Announces Golub Corp Will Not Send e-EORs

e-Billing for workers’ comp services is just gaining momentum in New York State. But already, certain claims administrators are out of compliance with Workers’ Compensation B...

LWP Refuses to Pay e-Bills, Forcing CA Doctors to Fax Bills

California workers’ comp law has precise, mandatory requirements for electronic bill submission by providers, and precise, mandatory requirements for how payers must respond ...