Pasadena Is (Still) Violating CA Workers' Comp Law
Sep 27, 2021
As costs skyrocket, physicians flee the system, and injured workers find it harder and harder to find a doctor willing to treat them, California workers’ comp has yet to reck...
Sedgwick: Sketchy EOR Math for LA Unified School District
Aug 11, 2021
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
Aug 10, 2021
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
Aug 5, 2021
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
Aug 4, 2021
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
Mar 12, 2021
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
Sep 18, 2020
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...
Broadspire Denies Unprocessed Workers’ Comp Bills
Aug 24, 2018
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
Aug 23, 2018
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...
Clearinghouses Under the Microscope: CorVel Corporation
Jun 15, 2018
Most claims administrators lack the technology to process electronic bills from providers. Instead, these claims administrators rely on clearinghouses. Since DaisyBill has di...
No Response? What to Do When Claims Admin Ignores Your Bill
May 17, 2018
It happens far too often: providers treat an injured worker for a California employer, send the bill to the claims administrator, and then...nothing. Workers’ comp is ...
Lockard List No Longer Published; Better Alternative Available
Jan 23, 2018
If your office looked to the Lockard Industrial Insurance Companies’ List to find contact information for workers’ comp payors, you’ll need to look elsewhere. The gree...