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Blog: DaisyNews

Workers' Comp News, Data, and Insights

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City and County of San Francisco's Misleading Response in PPO Discount Dispute

Apr 5, 2021

Recently, a DaisyBill provider disputed a reduction in reimbursement from the City and County of San Francisco (CCSF) for treating an injured employee. In the Explanation of ...

Zurich Denies Liability After Accepting Liability

Mar 30, 2021

Zurich recently denied liability for an injured workers’ treatment, claiming the 2003 injury was not work-related — despite the fact that Zurich already authorized the treatm...

IBR Hall of Shame: Employers

Mar 24, 2021

Employers Holdings set a shameful new standard of indifference with regard to promptly and correctly reimbursing providers. The insurer incorrectly denied payment, disregarde...

When Zurich Speaks, Garbled Noncompliance Comes Out

Oct 20, 2020

We are writing about Zurich again, as the claims administrator’s conduct continues to be a symptom of the deep unfairness that permeates California’s workers’ comp system. Th...

Gallagher Bassett Sinks Second Review Appeals

Sep 21, 2020

For California workers’ comp providers, we encourage submitting Second Review appeals when the claims administrator incorrectly adjusts or denies payment. Below we sho...

AmTrust - IBR Hall of Shame

Sep 15, 2020

Below, we document the flouting of workers’ compensation law by AmTrust North America (AmTrust), and its continued refusal to reimburse a provider despite being ordered to do...

Benihana AND Broadspire Join IBR Hall of Shame

Feb 26, 2020

In this entry in the IBR Hall of Shame, we surface still another example of a workers’ comp claims administrator clearly not understanding, or not complying with, and/or just...

Sedgwick – IBR Hall of Shame

Jan 17, 2020

All too often, insurance companies and claims administrators find unfair ways to deny, delay, and otherwise wiggle out of paying the workers’ compensation reimbursements that...

Maximus & DWC Drop Ball on IBR Eligibility

Oct 22, 2019

California workers’ comp billing and payment regulations are a minefield of complications. That said, some rules are fairly simple, and should be immutable. For exampl...

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