Electronic Billing

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...

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. ...

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...

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:...

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...

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...

AmTrust: 8,117 Additional Audit Complaints Submitted

AmTrust North America is breaking the law. We encourage the California Division of Workers’ Compensation (DWC) to assert its role in upholding workers’ comp law and to impose...

NYS How-To: Register for XML Submissions

Note: Since this article was originally published, the NY WCB issued the following statement (emphasis ours):“...the Board will soon be removing the requirement for pr...

How to e-Bill: 277 "Receipts" Empower Providers

For workers’ comp providers, one of the most powerful advantages of e-billing is often overlooked: the mandated electronic “receipts” payers must send to providers verifying ...

Sedgwick EDI Alert: Correct Payer ID WX867

daisyBill is aware of confusion regarding the correct Payer ID providers should use when submitting e-bills to Sedgwick, a third-party administrator (TPA).<...

CA Med-Legal: How to Bill for 10K+ Pages/Units of MLPRR

To help demystify California Medical-Legal record review billing code MLPRR, daisyBill published an MLPRR guide for California physician evaluators. Our ...

Berkshire Hathaway: DWC Targeted Audit Needed ASAP

As Berkshire Hathaway HomeState Companies (BHHC) persists in its failure to compliantly process thousands of valid Second Review appeals, the California Divisio...