Blog: DaisyNews

Workers' Comp News, Data, and Insights


York (aka Sedgwick) Fails Math: EORs Literally Don't Add Up

Sep 19, 2019

York Risk Services, which was acquired this month by Sedgwick, has significant math troubles. York recently returned Explanations of Review (EORs) which obfuscated the effect...

Fresno USD Fails to Comply with Electronic Billing Regulations

Sep 17, 2019

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...

NonCompliant CNA, Crum & Forster, County of San Diego - Electronic EORs Not Optional

Aug 8, 2019

As California continues its transition to fully paperless workers’ comp billing and payment, some claims administrators have apparently decided to follow their own regulation...

Mitchell Unresolved EOR Mess

Jul 17, 2019

A persistent glitch in Mitchell’s bill review service is causing revenue management chaos for providers. For second review appeals, providers receive electronic explanations ...

Sedgwick Still Reimbursing at 2018 Rates for California

Feb 1, 2019

Since the beginning of 2019, Sedgwick CMS has incorrectly used the 2018 Physician Fee Schedule to reimburse providers. Our data indicates that Sedgwick is consistently and in...

VPay Error Impacts Thousands of Sedgwick EORs

Feb 23, 2018

VPay, a payment processing company which issues explanation of reviews (EORs) and virtual credit card payments from claims administrators to providers, suffered a technical g...

Electronic EORs for Workers’ Comp: Timing and Compliance

Jan 27, 2017

This month, we’ve placed an emphasis on analyzing and explaining the vagaries of electronic billing for California workers’ compensation medical bills. The state’s Division o...

Essential Checklist for Work Comp Explanations of Review (EORs)

Oct 5, 2015

EOR sent? Check. On time? Check. Complete information? Check.If you can’t check off all those boxes for every bill, something is wrong.  Explanations of Review ...

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