Electronic Billing
Aug 4, 2021
Audit Complaint: PacificComp Fails to Process e-Bills
In California workers’ comp, a provider’s failure to adhere to the billing regulations allows the payer to refuse payment for treatment of the injured worker. But all too oft...
Aug 3, 2021
Alert: Sedgwick/Availity Abrupt Split May Delay e-Bill Processing
With only hours of notice, clearinghouse Availity and third-party claims administrator (TPA) Sedgwick severed their relationship. The move may catch providers and their billi...
Feb 23, 2021
Warning: Do Not Accept Credit Cards as Payment
In the past we have written a number of posts (including one about Broadspire) warning providers to not accept credit card payments issued by payers such as claims administra...
Feb 11, 2021
Payer Refuses to Send Electronic EORs Despite Clear Law
The California law regarding electronic explanations of review (EORs) is crystal clear and completely unambiguous -- at least to the vast majority of the workers’ comp commun...
Feb 10, 2021
Fresno USD Fails to Comply with Electronic Billing Regulations
For providers treating injured workers, electronic billing is by far the best billing option. For claims administrators in California, it’s not optional at all; accepting ele...
Jan 11, 2021
Department of Labor: 2021 Electronic Billing Nirvana Continues
Welcome to 2021 and improved workers’ compensation e-billing. Recent data shows that providers continue to benefit from the electronic billing upgrades that the Department of...
Nov 12, 2020
AIG: 11,000+ Violations and Counting
Earlier this year, AIG Claims, Inc. (AIG) made the switch to Carisk as its workers’ compensation electronic clearinghouse. However, and unfortunately, this change had no impa...
Nov 10, 2020
Data PROVES Electronic Billing for Workers' Comp Works
COVID-19 and our recent elections highlight the flaws, delays, and increasing creakiness of the US postal system. In 2020, as mail fails, electronic bill transmission offers ...
Oct 21, 2020
Broadspire Employers: Audit Complaint Filed With DWC
In a recent article, Broadspire Defies CA Law and Denies Appeals Sent by Providers, we described Broadspires’ success in defying California workers’ comp laws without consequ...
Oct 12, 2020
WorkCompEDI: Clearinghouse Fails Claims Administrators
On Friday, DaisyBill took the unusual step of directly contacting dozens of California claims administrators. We wanted to enlist these organizations’ assistance to resolve a...
Oct 8, 2020
Dept of Labor Billing Utopia: e-Bills Processed in ONE Day
The new U.S. Department of Labor (DOL) electronic billing system is workers’ comp e-billing utopia. Earlier this year, the DOL replaced its designated clearinghouse wi...
Nov 21, 2019
Hanover –> What the H*llover is Going On?
We have yet another tale of a payer flagrantly ignoring its duty to compliantly process provider bills for treatment of injured workers. This account of payer friction highli...