EDI
Aug 18, 2022
LWP Refuses to Pay e-Bills, Forcing CA Doctors to Fax Bills
California workers’ comp law has precise, mandatory requirements for electronic bill submission by providers, and precise, mandatory requirements for how payers must respond ...
Aug 18, 2022
LWP: 7,112 Audit Complaints to Report Abject e-Billing Failure
LWP Claims Solutions can’t seem to find the will or the way to comply with California workers’ comp law, which requires LWP to properly accept and pay electronic bills submit...
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Aug 18, 2022
LWP Invalid 277 ACKs: False 'Claim Not Found' Rejects - 851 Audit Complaints
Third-Party Administrator (TPA) LWP Claims Solutions is in violation of California workers’ comp e-billing law. LWP’s persistent failure to honor state requirements places an...
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Aug 18, 2022
LWP Invalid 277 ACKs: Untimely Reject After Prior Accept - 2,075 Audit Complaints
Third-Party Administrator (TPA) LWP Claims Solutions is in violation of California workers’ comp e-billing law. LWP’s persistent failure to honor state requirements places an...
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Aug 18, 2022
LWP Invalid 277 ACKs: Non-Compliant STC Category-Code Payment Denial - 339 Audit Complaints
Third-Party Administrator (TPA) LWP Claims Solutions is in violation of California workers’ comp e-billing law. LWP’s persistent failure to honor state requirements places an...
Aug 18, 2022
LWP Invalid 277 ACKs: Non-Compliant Rejections for Second Review Appeals - 102 Audit Complaints
Third-Party Administrator (TPA) LWP Claims Solutions is in violation of California workers’ comp e-billing law. LWP’s persistent failure to honor state requirements places an...
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Aug 18, 2022
LWP Non-Compliant 835 e-EORs: Untimely or Missing - 1,785 Audit Complaints
Third-Party Administrator (TPA) LWP Claims Solutions is in violation of California workers’ comp e-billing law. LWP’s persistent failure to honor state requirements places an...
Aug 18, 2022
LWP Non-Compliant 835 e-EORs: Invalid and Unpostable - 1,960 Audit Complaints
Third-Party Administrator (TPA) LWP Claims Solutions is in violation of California workers’ comp e-billing law. LWP’s persistent failure to honor state requirements places an...
Aug 4, 2022
NYS e-Billing Guide: CMS-1500 & XML Submissions
As of July 1, 2022 the New York State Workers’ Compensation Board (WCB) requires providers to use the CMS-1500 form to submit bills for the treatment of injured workers. ...
Aug 4, 2022
Tristar Rejects e-Bills: A Provider Alert
Tristar Risk Management, a Third-Party Administrator (TPA), chooses not to adhere to California workers’ comp law.California law mandates that claims administrators mu...
Aug 2, 2022
Dept. of Labor Proves California Workers' Comp Is a Farce
Sometimes, it can feel like the California workers’ comp reimbursement process is a cruel joke perpetrated on the providers willing to treat injured workers. Other times, we ...
Jul 27, 2022
When CA e-Billing Fails (And How daisyBill Handles It)
There are no perfect solutions. While electronic billing works infinitely better than mail in getting providers reimbursed for treating California’s injured workers, inevitab...