EDI
Jul 20, 2022
American Claims Management: 2,428 Audit Complaints Filed With CA DWC
Using data generated by over 2,800 electronic bills sent by our provider clients in 2022, daisyBill demonstrates consistent non-compliance with California e-billing regulatio...
Jun 30, 2022
American Claims Management Asserts NYS e-Billing 'Loophole'
As New York State makes the (praiseworthy) transition to electronic billing for workers’ comp, some confusion regarding the technical requirements is inevitable. Case ...
Jun 30, 2022
NYS: CMS-1500 & Electronic EORs Commence July 1
New York State is taking a major step forward in the transition to workers’ comp electronic billing. Commencing Friday, July 1, 2022, providers must submit all medical...
Jun 23, 2022
Sedgwick Late e-EORs: 13,999 Audit Complaints Submitted
Sedgwick Claims Management Services is breaking the law. We encourage the California Division of Workers’ Compensation (DWC) to assert its role in upholding workers’ comp law...
Jun 23, 2022
Sedgwick Missing e-EORs: 25,970 Audit Complaints Submitted
Sedgwick Claims Management Services is breaking the law. We encourage the California Division of Workers’ Compensation (DWC) to assert its role in upholding workers’ comp law...
Jun 1, 2022
Data: e-Bill 277 Acknowledgement Compliance Rates
To facilitate electronic billing for workers’ comp, California requires claims administrators to confirm receipt of provider e-bills with a standardized electronic acknowledg...
Jun 1, 2022
Data: e-EOR Compliance Rates
To facilitate electronic billing for workers’ comp, California requires all claims administrators to respond to provider e-bills with electronic EORs (e-EORs). Within 15 work...
May 25, 2022
Major e-Bill Failure for Data Dimensions Clients
One hundred claims administrators, all of which use Data Dimensions as their designated clearinghouse, are suddenly failing to comply with California e-billing requirements. ...
May 19, 2022
Alert: ESIS Fails to Process e-Bills Due to (Their) Document Error
A daisyBill provider client recently brought to our attention systemic e-billing non-compliance by Third-Party Administrator (TPA) ESIS, Inc. Specifically, ESIS denied paymen...
May 18, 2022
CIGA Resolves Missing e-EORs
When claims administrators take responsibility for their actions (and the actions of their agent vendors), workers’ comp billing and payment works better. The latest example:...
May 18, 2022
Alert: LWP False e-Bill Rejections, Missing e-EORs
Providers electronically billing LWP Claims Solutions, be advised that the clearinghouse utilized by this claims administrator is erroneously and systematically...
May 18, 2022
Sedgwick Resolves LA County Missing e-EORs
daisyBill contacted Sedgwick regarding e-bills for treatment rendered to employees of the County of Los Angeles (claims beginning with 5000 or ending in D), for...