EOR

Provider Alert: Sedgwick Can't Pay Bed Bath & Beyond Bills

FYI, providers: if your practice treats injured employees of the newly bankrupt Bed Bath & Beyond, you may have trouble getting paid.A daisyCollect provider recently b...

Sedgwick Must Be Fined: An Open Letter to the CA DWC

To: California Division of Workers’ Compensation (DWC)From: daisyBillSubject: 102,498 Sedgwick Audit ComplaintsWe hope this message finds you well. We wr...

e-EOR: Most Compliant Claims Admins 2023

Last week, we called out the 39 claims administrators that failed to adhere to California’s electronic Explanation of Review (e-EOR) requirement in 2023 so far. These claims ...

CA e-EOR (835) Compliance Report 2023

California workers’ comp has many complex rules — but one rule is pretty simple. When a provider transmits their workers’ comp bills electronically (e-bills), the claims admi...

Hartford and P2P Fail CA e-Billing

California workers’ comp has lots of complicated laws, but one law is simple: claims administrators must accept electronic bills from providers. Since claims administr...

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...

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...

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...

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...

2022 Non-Compliance Report: 6 Admins That Fail to Send e-EORs

California workers’ comp switched to electronic billing for very good reasons. e-Billing is much, much faster, wastes far fewer resources, and goes a very long way tow...

Data! Top 10 Claims Admins: CA Electronic EOR Compliance

Electronic Explanations of Review (e-EORs) are a non-negotiable requirement of workers’ comp electronic billing. Within 15 working days of receiving a provider’s e-bill, the ...

Berkshire Hathaway Repairs Electronic EOR Issue

There’s no excuse for claims administrators not to accept and properly process electronic bills, a legal requirement in California for almost 10 years now. Ever...