e-Billing

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 ...

LWP: 7,112 Audit Complaints to Report Abject e-Billing Failure

LWP Claims Solutions can’t seem to find the will or the way to comply with California workers’ comp law, which requires LWP to properly accept and pay electronic bills submit...

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...