Genex

Who Is the University of California’s TPA? Not Sedgwick, Says Sedgwick.

Third-Party Administrator (TPA) Sedgwick Claims Management Services, Inc. makes frequent appearances in daisyNews for its persistent, well-documented pattern of violat...

Marriott and Genex Continue to Fail e-Billing 101

Genex conducts bill review for self-insured employer Marriott. Repeatedly and persistently, Genex gives providers who treat Marriott’s injured emp...

Marriott: Genex Continues to Misinform Providers

Bill review vendor Genex continues to share incorrect billing information with providers treating the injured employees of hotel chain Marriott.Repeatedly, Genex repre...

Genex Claims Marriott Doesn’t Accept e-Bills (It Does)

In California (and increasingly elsewhere), state law requires workers’ comp payers to accept providers’ electronic bills (e-bills) for the treatment of injured worker...

CA UR: AmTrust & Genex Deny Care With ODG (Again)

What suffering must befall injured workers before California bothers to enforce its meager Utilization Review (UR) requirements?When considering which treatments are n...

AmTrust/Genex Use ODG to Deny Pre-Op Clearance

California law instructs physicians and claims administrators to consult the Medical Treatment Utilization Schedule (MTUS), adopted from the American College of Occupational ...

Technical Difficulties Trouble San Diego Bill Review Switch

The City of San Diego, a self-insured, self-administered California employer, is in the process of switching bill review services from Genex to Medata. The transition, though...