Noncompliance

TX DWC Releases 2026 Plan to Audit Insurance Carriers for Compliance

The Texas Division of Workers’ Compensation (TX DWC) apparently understands its mission to uphold the integrity of the state’s workers’ comp system.The agency released...

Tristar Gives DWC Inane Defense of Non-Compliance

Tristar Risk Management violates clear California e-billing regulations, making it more costly and difficult for providers to treat injured workers.The Third-Party Adm...

Sedgwick Roundup: TPA Remains Non-Compliant

We write a lot here and elsewhere about California’s failure to adequately enforce workers’ comp payment laws and regulations. This failure has created an environment that’s ...

Sedgwick Erroneously Rejects Provider Bills

Workers’ comp providers, be aware: insurer Sedgwick has recently incorrectly rejected multiple bills on erroneous grounds, necessitating that time and resources be spent inve...

Sedgwick – IBR Hall of Shame

All too often, insurance companies and claims administrators find unfair ways to deny, delay, and otherwise wiggle out of paying the workers’ compensation reimbursements that...

Markel First/Midwest EORs Leave Providers in the Dark

Electronic Explanations of Review (EORs) from Markel First and Midwest Insurance are missing crucial pieces of information. Key required elements like patient names and Socia...