MLFS Report Card
Apr 29, 2021
Introducing: CA Med-Legal Fee Schedule Report Cards
At DaisyBill, we strive to help providers and their staff navigate the complexities of workers’ comp billing and payment, to ensure proper reimbursement. To that end, we’re d...
Apr 1, 2021
ML200 - Pacific Compensation Insurance Company: Grade F
Claims administrator failed to properly reimburse ML200. Pacific Compensation Insurance Company incorrectly denied valid medical-legal code as not reimbursable. Date of Servi...
Apr 1, 2021
ML201 - Sedgwick Claims Management Services: Grade B
Claims administrator properly processed reimbursement for ML201. The lower grade reflects that the explanation of review (EOR) incorrectly lists 99199 as the ‘Reimbursed Code...
Apr 1, 2021
ML201 / MLPRR - Sedgwick Claims Management Services: Grade F
Claims administrator failed to properly reimburse ML201 and MLPRR. Sedgwick incorrectly denied valid medical-legal codes as “not in the fee schedule.” Date of Service: 04/06/...
Apr 1, 2021
ML200 - ESIS, Inc.: Grade A
Claims administrator properly processed reimbursement for ML200. Date of Service: 04/06/2021
Apr 1, 2021
ML200 - Sedgwick Claims Management Services: Grade A
Claims administrator properly processed reimbursement for ML200. Date of Service: 04/07/2021
Apr 1, 2021
ML200 - Berkshire Hathaway Homestate Companies: Grade B
Claims administrator properly processed reimbursement for ML200. The lower grade reflects that the explanation of review (EOR) incorrectly lists 99199 as the ‘Procedure Code/...
Apr 1, 2021
ML201 - Benchmark Insurance Company: Grade A
Claims administrator properly processed reimbursement for ML201. Date of Service: 04/01/2021
Apr 1, 2021
ML201 - ESIS, Inc.: Grade A
Claims administrator properly processed reimbursement for ML201. Date of Service: 04/01/2021
Apr 1, 2021
ML200 - Mitsui Sumitomo Insurance: Grade A
Claims administrator properly processed reimbursement for ML200. Date of Service: 04/02/2021
Apr 1, 2021
ML204 - Contra Costa Schools Insurance Group: Grade A
Claims administrator properly processed reimbursement for ML204. Date of Service: 04/13/2021
Apr 1, 2021
ML204 - Sedgwick Claims Management Services: Grade F
Claims administrator failed to properly reimburse ML204. Sedgwick incorrectly denied valid medical-legal code as “not considered a valid reimbursable code.” Date of Service: ...