EDI
.gif)
Aug 18, 2025
Sedgwick’s Dismal EDI Grade Disaster
Third-Party Administrator (TPA) Sedgwick Claims Management Services, Inc. has earned a solid “D” for its Electronic Data Interchange (EDI) performance, a dismal grade that si...
Aug 14, 2025
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...
Aug 13, 2025
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...
May 6, 2025
AmeriTrust Rejects Compliant e-Bills Over...Spacing?
Just when we think we’ve seen it all, California claims administrators find new ways to create obstacles to payment.AmeriTrust is rejecting valid electronic bills (e-b...
Feb 26, 2025
NY: New WCB Webinar Dates for Mandatory e-Billing
The clock is ticking, New York providers. Starting August 1, 2025, the state will require providers treating injured workers to submit their bills electronically (aka, e-bill...
.gif)
Feb 25, 2025
Berkley Technology Underwriters & Carisk Reject Valid CA e-Bills
Berkley Technology Underwriters (BTU) and its clearinghouse vendor, Carisk, have created a bureaucratic circus that defies logic. Because of an inexplica...
Feb 21, 2025
Data: Workers' Comp Slowest Payers 2024
Workers’ compensation should be about healing and recovery. Yet, administrative friction can shift the focus from treating injured workers to navigating the quagmire o...
Feb 20, 2025
Colorado: Mandatory Workers' Comp e-Billing Begins in 2026
Treating injured workers will soon be easier, faster, and more financially sustainable in Colorado. The state will implement mandatory electronic billing (e-billing) f...
Feb 19, 2025
Data: Workers' Comp Fastest Payers 2024
No provider who treats injured workers should wait months for payment. And yet, payment delays plague the system—except where efficiency and technological competence reign.
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. ...
.png)
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...