ESIS

ESIS Makes Bonkers “Offer” to Pay Doctor 45% of Fee Schedule Rate

At daisyNews, we see the complex and sophisticated mechanisms payers use to slash reimbursement for providers treating injured workers. …but sometimes, there’s nothing...

IBR Chicken: ESIS Denies Common CPT Codes as "Invalid"

Third-Party Administrator (TPA) ESIS’s apparent lack of basic knowledge about California workers’ comp billing should concern insurers like Safety National Casualty Corporati...

MD to ESIS: Remove Us From Your MPN

A California provider will no longer treat injured workers if ESIS, Inc. is the claims administrator.The provider apparently concluded that membership in the Third-Par...

CA Alert: ESIS e-Bill Rejections (and What to Do)

Third-party administrator (TPA) ESIS is improperly rejecting valid e-bills from California providers, citing an inexplicable, seemingly random (and definitely non-compliant) ...

ESIS Pays Med-Legal Bills Following Audit Complaints

California physicians can always rely on ESIS to pay its bills for Medical-Legal services — as long as they're willing to report ESIS to the Division of Workers’ Compensation...

ESIS: 10 Audit Complaints Filed With CA DWC

California law requires claims administrators to send an Explanation of Review (EOR) and payment to the physician within 60 days of receiving a bill for Medical-Legal service...

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...

ESIS Continues to Refuse Payment for Med-Legal Evaluations

Third-party claims administrator (TPA) ESIS systematically refuses to pay bills for Medical-Legal services. Full stop. Below, we list 9 Medical-Legal bills — some more...

ESIS Unpaid Medical-Legal Bills

Alert: ESIS has failed to pay at least 7 bills for workers’ comp Medical-Legal services, despite acknowledging receipt of the bills in question. Further, attempting to...

ESIS Refuses to Answer Phone or Pay Med-Legal Doctor

ESIS, a third-party administrator (TPA) for Ace American Insurance, is failing miserably in its legal duty to timely reimburse a California physician evaluator for Medical-Le...

ESIS Fails to Pay IBR Fee on Behalf of ABM Industries

Ask yourself — what happens if you’re a year late paying a bill?Your credit score tanks? Your car is repossessed? Your home foreclosed on? In most walks of life...

ESIS & ABM Industries - IBR Hall of Shame

We continue to look at the misbehavior of ESIS, which yesterday entered the IBR Hall of Shame for its deplorable treatment of a provider who prevailed in two Independent Bill...