Electronic Billing
Apr 27, 2023
Sedgwick Racks Up 79,318 DWC Audit Complaints
Third-Party Administrator (TPA) Sedgwick Claims Management Services, Inc. continues to ignore California workers’ comp billing regulations with impunity.Currently, Sed...
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 9, 2023
Webinar: Are PPOs Pillaging Your Practice?
The live webinar has ended; stay tuned to this space for access to the video replay.Throughout the United States, Preferred Provider Organizations (PPOs) are taking ma...
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...
Feb 1, 2023
CA 2022 Data: Claims Admin Days to Payment
The numbers are in! 2022 data prove once again that electronic billing slashes the time it takes for providers to get paid for treating injured workers in California (...
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...
Dec 14, 2022
Sedgwick Missing e-EORs: 31,906 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...