e-Billing

LWP Invalid 277 ACKs: False 'Claim Not Found' Rejects - 851 Audit Complaints

Third-Party Administrator (TPA) LWP Claims Solutions is in violation of California workers’ comp e-billing law. LWP’s persistent failure to honor state requirements places an...

LWP Invalid 277 ACKs: Untimely Reject After Prior Accept - 2,075 Audit Complaints

Third-Party Administrator (TPA) LWP Claims Solutions is in violation of California workers’ comp e-billing law. LWP’s persistent failure to honor state requirements places an...

LWP Invalid 277 ACKs: Non-Compliant STC Category-Code Payment Denial - 339 Audit Complaints

Third-Party Administrator (TPA) LWP Claims Solutions is in violation of California workers’ comp e-billing law. LWP’s persistent failure to honor state requirements places an...

LWP Invalid 277 ACKs: Non-Compliant Rejections for Second Review Appeals - 102 Audit Complaints

Third-Party Administrator (TPA) LWP Claims Solutions is in violation of California workers’ comp e-billing law. LWP’s persistent failure to honor state requirements places an...

LWP Non-Compliant 835 e-EORs: Untimely or Missing - 1,785 Audit Complaints

Third-Party Administrator (TPA) LWP Claims Solutions is in violation of California workers’ comp e-billing law. LWP’s persistent failure to honor state requirements places an...

LWP Non-Compliant 835 e-EORs: Invalid and Unpostable - 1,960 Audit Complaints

Third-Party Administrator (TPA) LWP Claims Solutions is in violation of California workers’ comp e-billing law. LWP’s persistent failure to honor state requirements places an...

Provider Alert: Athens Fails to Accept e-Bills

Athens Administrators, a Third-Party Administrator (TPA), is out of compliance with California workers’ comp law.California law mandates claims administrators must acc...

Athens: 5,985 Audit Complaints Filed with CA DWC

Using data generated by over 18,000 bills sent by our provider clients in 2022 to Athens Administrators, daisyBill demonstrates consistent non-compliance with California e-bi...

NYS e-Billing Guide: CMS-1500 & XML Submissions

Note: Since this article was originally published, the NY WCB issued the following statement (emphasis ours):“...the Board will soon be removing the requirement for pr...

Tristar Rejects e-Bills: A Provider Alert

Tristar Risk Management, a Third-Party Administrator (TPA), chooses not to adhere to California workers’ comp law.California law mandates that claims administrators mu...

Dept. of Labor Proves California Workers' Comp Is a Farce

Sometimes, it can feel like the California workers’ comp reimbursement process is a cruel joke perpetrated on the providers willing to treat injured workers. Other times, we ...

When CA e-Billing Fails (And How daisyBill Handles It)

There are no perfect solutions. While electronic billing works infinitely better than mail in getting providers reimbursed for treating California’s injured workers, inevitab...