EDI
Mar 29, 2024
Change Cyberattack Delays Payment of San Francisco Bills
The fallout from the cyberattack on Change Healthcare continues to reach new corners of the national healthcare system, including workers' compensation. ...
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Mar 27, 2024
P2P Clearinghouse Erroneously Shares Patient Info
P2P, a workers’ comp clearinghouse, erroneously sent daisyBill ‘277 Acknowledgements’ confirming receipt of a practice’s e-bills — however, the practice is not a daisyBill cl...
Mar 25, 2024
Clearinghouse: Data Dimensions Clients' e-EOR Problem
With the receipt of electronic Explanations of Review (e-EORs), providers realize the full benefits of workers’ comp e-billing. e-EORs furnish payment data that automatically...
Nov 1, 2023
e-Billing 'Webinette' (and Q&A) Tomorrow!
Note: this webinette is over, but you can watch the video replay here. Enjoy!Ready to learn how thousands of providers get paid super-quickly for treatin...
Sep 28, 2023
Berkshire Hathaway: 10,735 Audit Complaints Filed With CA DWC
Berkshire Hathaway Homestate Companies (BHHC) is backsliding into old, bad habits.Over the summer, BHHC failed to send thousands of electronic Explanations of Review (...
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Aug 3, 2023
City of Glendale Should Treat Providers Better
California providers, take note: the City of Glendale is making it impossible for providers to submit valid electronic bills for the treatment of injured workers. This...
Jul 31, 2023
Audit Complaints: Zurich Rejecting Valid e-Bills
Zurich Insurance North America is failing to reimburse providers for treating injured workers.Since early June, Zurich has incorrectly rejected 745 valid e-bills submi...
Jul 26, 2023
Tristar Flouts Law - How Long Will IBR Take?
Tristar Risk Management seems extra comfortable ignoring payment laws and regulations, even by the woeful standards of California workers’ comp. As a result, daisyCollect has...
Jul 25, 2023
Sedgwick Must Be Fined: An Open Letter to the CA DWC
To: California Division of Workers’ Compensation (DWC)From: daisyBillSubject: 102,498 Sedgwick Audit ComplaintsWe hope this message finds you well. We wr...
Jul 12, 2023
Tristar: 3,678 Audit Complaints Filed With CA DWC
Third-Party Administrator (TPA) Tristar Risk Management continues to ignore California workers’ comp billing regulations with impunity. Tristar failed to send electron...
Jun 26, 2023
e-EOR: Most Compliant Claims Admins 2023
Last week, we called out the 39 claims administrators that failed to adhere to California’s electronic Explanation of Review (e-EOR) requirement in 2023 so far. These claims ...
Jun 23, 2023
CA e-EOR (835) Compliance Report 2023
California workers’ comp has many complex rules — but one rule is pretty simple. When a provider transmits their workers’ comp bills electronically (e-bills), the claims admi...