e-Billing

Sedgwick: Sketchy EOR Math for LA Unified School District

Sedgwick recently returned an Explanation of Review (EOR) that failed to fulfill a crucial requirement: showing how Sedgwick actually calculated the reimbursement amount paid...

City of Pasadena: CompIQ Saves the Day

Following a switch to a new third-party claims administrator (TPA), the City of Pasadena violated California law by suddenly failing to accept electronic bills for the treatm...

Disneyland Churns Out Incorrect e-Bill Rejections

Providers billing Disneyland Resorts, be warned: your electronic bills might be erroneously rejected.Recently, we reported on Disneyland Resorts’ switching its bill re...

Audit Complaint: PacificComp Fails to Process e-Bills

In California workers’ comp, a provider’s failure to adhere to the billing regulations allows the payer to refuse payment for treatment of the injured worker. But all too oft...

Gallagher Bassett, Foster Farms Lay A Rotten Egg in CA

Update: As of April 1, 2021 Gallagher Bassett can locate and process claims for Foster Farms employees. Workers’ compensation claims for injured employees of Foster Fa...

Sedgwick Fails the University of California

Today we are focusing on a self-insured employer, the University of California, and its third-party administrator, Sedgwick. Unfortunately, Sedgwick is not complying with Cal...

Beta Healthcare Group: How to Obtain Bill Status Updates

Recently DaisyBill erroneously re-published an old post regarding an issue with Alpha Fund (now known as Beta Healthcare Group) and LWP Claims Solution. In this previous 2015...

How E-Billing Helps Workers' Comp Providers Navigate COVID-19

There was a time when electronic billing was the future of workers’ comp revenue management. COVID-19 accelerated that transition, making e-billing an immediate necessity.

DaisyBill at RBMA Conference

If you’re attending the 2019 RBMA conference this week in Colorado Springs, visit us at Booth 204. The annual meeting of the Radiology Business Management Association ...

Broadspire Denies Unprocessed Workers’ Comp Bills

Broadspire, a global third-party claims administrator (TPA), incorrectly denied several bills for the treatment of an injured worker. While incorrect denials are nothing new ...

CA Workers' Comp: Navigating Billing for Allianz/FFIC

Effective May 1 of this year, insurers Allianz and Fireman’s Fund Insurance Company (FFIC) merged their payment systems for California workers’ comp to reflect Allianz’s 2015...

New York Workers’ Comp: Big Billing Changes Coming in 2019

On April 17, 2018, the New York State Workers’ Compensation Board (WCB) announced its intention to improve medical care for injured workers. Board Bulletin Subject No. 046-10...