Maximus Federal Services
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Jul 30, 2024
CA DWC & Maximus Rig IBR to Hand Sedgwick the Win
The California Division of Workers’ Compensation (DWC), nominally responsible for enforcing workers’ comp laws, regulations, and rules for all parties involved, continues to ...
May 3, 2024
Sedgwick Fails to Pay IBR Filing Fee for Zillionth Time
Once more for the cheap seats: when Independent Bill Review (IBR) determines that a claims administrator erroneously denied or adjusted the reimbursement owed to a provider, ...
Apr 25, 2024
Sedgwick: IBR Filing Fee Hall of Shame (Again!)
Another day, another IBR fee run-around. California law is clear: when Independent Bill Review (IBR) overturns a claims administrator’s incorrect adjudication of a provider’s...
Apr 10, 2024
AmeriTrust: IBR Hall of Shame
Can claims administrators defy California law, make up their own proprietary payment rules, and refuse to reimburse providers who treat injured workers correctly? The answer ...
Aug 28, 2023
DWC: Disregard Coupa/Maximus Emails
Well, this is awkward. California’s Division of Workers’ Compensation (DWC) weighed in on incidents involving strange emails to providers from Maximus, the DWC’s desig...
Aug 24, 2023
Maximus - Coupa's Confusing Emails
As we reported earlier this week, a company called Coupa sent solicitation emails to providers, which bore the name and logo of Maximus, the private entity entrusted by Calif...
Aug 21, 2023
CA Alert: Unsolicited Email Not From Maximus
Heads up, California providers. A daisyBill client alerted our staff to a strange email bearing the logo of Maximus Federal Services, the private organization entrusted by th...
Jul 26, 2023
Tristar Flouts Law - How Long Will IBR Take?
Tristar Risk Management seems extra comfortable ignoring payment laws and regulations, even by the woeful standards of California workers’ comp. As a result, daisyCollect has...
Jul 20, 2023
CA IBR: Why Are Claims Admins Redacted From Decisions?
Accountability is critical to the functioning of any system, especially one upon which the health of injured workers depends. So we’re compelled to ask a question that’s been...
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Jul 18, 2023
Untimely IBR Decisions - DWC Ignores CA Law
Recently, we shared the numbers demonstrating the absurd (and unlawful) lengths of time for which the Division of Workers’ Compensation (DWC) forces providers to wait for an ...
Jun 15, 2023
DWC Repeatedly Violates CA IBR Law
California fails to maintain a workers’ comp environment that’s fair and navigable for providers (you know, the people who treat the injured workers). Prime example: the Divi...
Jul 12, 2022
SCIF Stiffs Doc by Paying AFTER Request for IBR
In a classically underhanded move, California’s State Compensation Insurance Fund (SCIF) twice denied payment for the authorized treatment of an injured worker, but then sudd...