SCIF
Feb 27, 2024
Kudos: CA State Fund Virtual Assistant
If the workers’ comp system is ever truly fixed, it will start with technology that makes billing and payment less of an administrative nightmare. That’s why daisyBill...
Feb 13, 2024
Alert: CA State Fund e-Bills Erroneously Rejected
Jopari, the clearinghouse utilized by California’s State Compensation Insurance Fund (SCIF), erroneously rejected providers’ electronic bills as “duplica...
Oct 5, 2023
SCIF Inept UR #8: EK Health Makes False MTUS Claim
State Compensation Insurance Fund (SCIF) and EK Healthjust can’t seem to get the hang of Utilization Review (UR).We previousl...
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Oct 3, 2023
SCIF Inept UR #7: Truly Unbelievable Incompetence
Employees, taxpayers, and moral human beings should be outraged by Utilization Review (UR) abuse inflicted on a state employee by the State Compensation Insurance Fund (SCIF)...
Oct 2, 2023
SCIF, EK Health Use "ODG" Guidelines to Deny Care
For injured California workers, simply getting the appropriate care can be a nightmare of bureaucratic obstacles and interminable delays. An additional complication ha...
May 18, 2023
CA Makes Treating Injured Workers Unsustainable
Why are doctors unwilling to treat injured workers?In California, injured workers often struggle to find doctors willing to provide treatment. The main reason for this...
May 17, 2023
SCIF vs Gallagher Bassett: E&M Reimbursement
When evaluated on key metrics such as denial of payments and reimbursement amounts, some claims administrators embody the major issues plaguing the California workers' compen...
May 15, 2023
SCIF Makes Mockery of IBR and the DWC
Yet again, we face another appalling round of "IBR Chicken,” the game in which a claims administrator refuses to shell out a dime to a California provider for services render...
Sep 7, 2022
CA SCIF Baits & Switches MD Out of Payment
Once again, California’s State Compensation Insurance Fund (SCIF) may profit by exploiting a flaw in California’s Independent Bill Review (IBR) system.SCIF initially d...
Jul 27, 2022
SCIF: Med-Legal IBR Chicken Champion
Welcome to another round of IBR Chicken, where California claims administrators (falsely) deny payment for the treatment of injured workers for implausible reasons — and keep...
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...
Jul 12, 2022
SCIF Blames Anthem for Late Payments
California’s State Compensation Insurance Fund (SCIF) consistently fails to timely pay doctors for the care of injured workers. Between January 1 and June 15 of 2022, SCIF ig...