e-EOR

Sedgwick Hits 298,034 Violations (and Counting)

Sedgwick Claims Management Services, Inc. continues to violate a critical California payment requirement with apparent impunity. The Third-Party Administrator (...

NY Billing Alert: Payers Deny CPT 99080 for 64% of e-Bills

As of August 1, 2025, New York mandates that providers submit all bills for injured workers’ medical treatment electronically (e-billing). To offset the cost of e-bill...

NY Data: Payers That Fail to Respond to Providers' e-Bills

Since August 2025, New York has required workers’ comp medical providers to send their workers' comp bills electronically (e-bills). Since October 2021, the New York W...

Taxpayers Beware: Anaheim Misreports Payment Data

Citizens of Anaheim, CA, may want to examine the city’s books closely, given the suspicious accounting of taxpayer dollars designated for the care...

Careworks Hurts Employers, Providers, and Payers

Employers buy workers’ comp insurance expecting their premium dollars to pay for their injured employees’ treatment. Providers expect timely, accurate payment for treating in...

e-Billing Data: Worst Payer EDI Grades

Yesterday, we praised the insurers, employers, and Third-Party Administrators (TPAs) that accept and properly process electronic bills (e-bills) with near-perfect consistency...

e-Billing Data: Best Payer EDI Grades

A simple fact about workers’ comp: electronic billing (e-billing) makes billing and payment faster and smoother for providers and payers, to the benefit of employers and inju...

Liberty Mutual's Ongoing e-EOR Violations Hurt Employers

Liberty Mutual’s ongoing failure to consistently adhere to California workers’ comp regulations should raise concerns for employers and healthcare providers. Despite c...

Liberty Mutual: 7,369 Audit Complaints Filed With the CA DWC

Liberty Mutualfails to uphold its obligations to workers’ compensation providers, making it even more challenging for providers to treatinjured workers. All...

Sedgwick's Sloppy EDI Tech Goes Haywire

Sedgwick Claims Management, Inc. is daisyBill’s largest workers’ comp claims administrator, as measured by the volume of bills our clients send to the Third-Party Admi...

Tristar Risk Management: 21,719 Audit Complaints Filed

It’s a dubious distinction, but Tristar Risk Management’s non-compliance rate is practically 100%. We have encountered consistent failures to abide by California worke...

LA Metro Transit Authority: 4,955 Audit Complaints Filed

The Los Angeles County Metropolitan Transit Authority (LA Metro) is making it harder for California doctors to treat its injured employees—and has given no indication of taki...