Maximus Federal Services

IBR Chicken: ESIS Denies Common CPT Codes as "Invalid"
Sep 3, 2025
IBR Chicken: ESIS Denies Common CPT Codes as "Invalid"
Third-Party Administrator (TPA) ESIS’s apparent lack of basic knowledge about California workers’ comp billing should concern insurers like Safety National Casualty Corporati...
CA DWC Ignores Law and Leaves Ortho Practice Unpaid
Aug 19, 2025
CA DWC Ignores Law and Leaves Ortho Practice Unpaid
In California, when a provider pays $195 to request Independent Bill Review (IBR) to dispute an incorrect payment, the California Division of Workers’ Compensation (CA DWC) h...
CA DWC: Routinely Violating IBR Law - Failing to Protect Doctors
Aug 12, 2025
CA DWC: Routinely Violating IBR Law - Failing to Protect Doctors
Statewide records show that the California Division of Workers’ Compensation (CA DWC) routinely and brazenly violates a critical law legislators put in place to protect provi...
CA DWC Ignores IBR Law That Protects Doctors
Jun 16, 2025
CA DWC Ignores IBR Law That Protects Doctors
California’s Division of Workers’ Compensation (CA DWC) is violating state law daily by failing to timely assign payment disputes to Independent Bill Review (IBR).Maxi...
CA: IBR Fee Increase - DWC Web Page Lists Wrong Amount
Feb 24, 2025
CA: IBR Fee Increase - DWC Web Page Lists Wrong Amount
In 2025, California providers must pay more to file for Independent Bill Review (IBR) to dispute improper reimbursements from payers, due to an increased IBR filing fee. ...
CA DWC & Maximus Rig IBR to Hand Sedgwick the Win
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 ...
Sedgwick Fails to Pay IBR Filing Fee for Zillionth Time
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, ...
Sedgwick: IBR Filing Fee Hall of Shame (Again!)
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...
AmeriTrust: IBR Hall of Shame
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 ...
DWC: Disregard Coupa/Maximus Emails
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...
Maximus - Coupa's Confusing Emails
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...
CA Alert: Unsolicited Email Not From Maximus
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...