EDI
May 31, 2023
CA Biller Shares Work Comp Payment Torture
At daisyNews, we write a lot about the reimbursement abuse inflicted on California workers’ comp providers. It can seem almost unbelievable how difficult it can be for provid...
May 10, 2023
MSQ Network - Payment Chaos
Today, Assembly Bill 1278 is being considered by the Appropriations Committee. This bill will grant barely-regulated network entities almost complete control over Medical Pro...
May 8, 2023
Audit Complaints: The Hartford Has No Excuse
Making workers’ comp more efficient and effective in restoring injured workers to health should be a cooperative effort among stakeholders, not a combative one. But when an o...
May 3, 2023
Hartford and P2P Fail CA e-Billing
California workers’ comp has lots of complicated laws, but one law is simple: claims administrators must accept electronic bills from providers. Since claims administr...
Mar 13, 2023
How to (Easily) Manage e-Bill Rejections
When electronic billing goes right (which is the vast majority of the time), there’s no faster way to get paid correctly for treating an injured worker. However, provi...
Mar 7, 2023
e-Bills: How To Send Workers' Comp Documentation
Millions of (rapidly) paid e-bills prove that electronic billing works for workers’ comp. But to send a workers’ comp e-bill, the provider needs the right tool ...
Mar 2, 2023
5 Myths About Workers' Comp e-Billing
So many doctors avoid worker’s comp, for understandable reasons. The problems are real and well-documented (especially on this blog). For many doctors, the cost/benefi...
Jan 24, 2023
CA e-EOR Compliance: 2022 Report Card
Not everything in California workers’ comp is complicated. For example: when a provider chooses to bill electronically for medical services, California regulations req...
Jan 17, 2023
CA EDI Compliance: 2022 e-Billing Report Card
For over ten years, California has had a simple legal requirement: all claims administrators must accept electronic bills from providers for the treatment of injured workers....
Jan 5, 2023
Tristar: 16,459 Audit Complaints Filed
For all its complexity, California workers’ comp has one very simple law: if a doctor chooses to send bills electronically, the claims administrator must accept that doctor’s...
Jan 5, 2023
Tristar: 8,188 Audit Complaints Filed With CA DWC
Using data generated by over 36,000 electronic bills sent by our provider clients in 2022, daisyBill demonstrates consistent non-compliance with California e-billing regulati...
Dec 14, 2022
Sedgwick's 57,876 Audit Complaints: A Business Practice?
Sedgwick received our open letter, but the Third-Party Administrator (TPA) still missed the memo. Sedgwick administers claims on behalf of insurers and self-insured em...