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Blog: DaisyNews

Workers' Comp News, Data, and Insights


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...

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...

SCIF, CorVel IBR Withdrawal Requests Create ENORMOUS Hassles for Providers

Aug 16, 2019

The billing lesson for today: providers should never agree to withdraw a request for Independent Bill Review (IBR), no matter how sweetly the payor begs. Trust us; we’ve lear...

SCIF IBR Disputes Are Further Proof of Provider Reimbursement Chaos

Mar 7, 2019

We are again chronicling the reimbursement pandemonium inflicted on providers by the current California Second Review appeal and Independent Bill Review (IBR) processes.

Liberty Mutual Trifecta of Incorrect Payments

Feb 15, 2019

In this, our fourth story on the fiasco of 2019 workers’ comp payments, we turn to the errors of Liberty Mutual. By now, from reading about Sedgwick, York, and Sedgwick (agai...

CA Claims Admin Delays Payment, Skirts IBR Rules

Nov 8, 2018

When the Independent Bill Review (IBR) process overturns a claims administrator’s incorrect denial or adjustment, the claims administrator is legally bound to timely pay what...

IBR Accountability: Claims Admins Fail to Pay Providers

Sep 25, 2018

California regulations mandate that when Independent Bill Review (IBR) overturns a claims administrator’s incorrect bill denial or adjustment and finds in favor of the provid...

Maximus Blunders AGAIN with 99358 Decision and a Math Error

Sep 20, 2018

Maximus Federal Services, the entity responsible for conducting Independent Bill Review (IBR) on behalf of California’s Division of Workers’ Compensation (DWC), has once agai...

Maximus Creates IBR Delays With Impossible Demands

Aug 10, 2018

Maximus Federal Services, the private entity which conducts Independent Bill Review (IBR) on behalf of California’s Division of Workers’ Compensation (DWC), has always demons...

E/M Services Denied for Insufficient Documentation

May 30, 2018

Increasingly, claims administrators are no longer downcoding evaluation and management (E/M) services. Instead, many claims administrators are denying charges for E/M service...

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