MPN

Sedgwick Uses Terminated ACE American MPN to Deny Payment

The Medical Provider Network (MPN) system in California is so chaotic, even the adjusters can’t keep up.For example: Third-Party Administrator (TPA) Sedgwick Claims Ma...

MPN Chaos: Sedgwick Denies QME Payment - Lowe's Home Center

The Medical Provider Network (MPN) system in California is out of whack — to the point that it breeds the kind of improper payment denials that make it impossible not to ask ...

CA: Sedgwick Stiffs Doctor Who Treated Injured Honda Worker

The Medical Provider Network (MPN) system in California is chaos — and chaos breeds the kind of abuse that is currently crippling workers’ comp.Case in p...

MPNs: How to Detect Dubious Payment Denials

In California workers’ comp, one of the biggest — but least talked about — challenges for providers is navigating the Medical Provider Network (MPN) system. MPNs were ...

Sedgwick Stiffs QME With False MPN Denial (Again)

It’s been said that insanity is best defined by doing the same thing repeatedly, but expecting different results. If that’s the case, Sedgwick Claims Management Services has ...

Employers Insurance: False MPN Payment Denial

California allows insurers and self-insured employers to establish Medical Provider Networks (MPNs) to direct injured workers’ care. While Employers Preferred Insurance Compa...

Gallagher Bassett: False MPN Denial

In yet another instance of a claims administrator improperly denying payment because the provider was (allegedly) not a member of the applicable Medical Provider Network (MPN...

AmTrust: False MPN Payment Denial

AmTrust North America, a Third-Party Administrator (TPA), offered a perfect example of what makes the Medical Provider Network (MPN) system so challenging for California work...

CA MPN List Updates Q4 2022

The California Division of Workers’ Comp (DWC) updated its list of Medical Provider Networks (MPNs). The DWC update:Added 2 new MPNsApproved 3 previously suspen...

CA DWC Updates MPN List

The California Division of Workers’ Comp (DWC) recently updated its list of approved Medical Provider Networks (MPNs). The DWC added five new MPNs to the list, and cha...

CA OMFS: E/M Reimbursement vs Medicare Reimbursement

California workers’ comp allows discount networks to bleed the doctors who treat injured workers. Unfortunately for these workers and their employers, many of these financial...

Claims Admin Directory: FREE MPN Info Added!

In California workers’ comp, the Medical Provider Network (MPN) system is confusing and convoluted — largely by design. It is nearly impossible for doctors to locate i...